2011 Annual Report
Presented Fumehood Awareness Shipping Records Review Biological Waste Management and Surveillance and Emergency Response during a Mass Event training to CLIP team+ Submitted 14 registration updates to the CDC in reference to laboratory operation changes+ Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements+ Formaldehyde online training course completed by 560 employees complying with OSHA regulatory training requirements+ Participated in several joint training exercises at the Cogen facility as part of the One Plan compli-ance efforts+ Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7)+Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations including videos developed by students+ Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety+ Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness+ Presented asbestos program to 28 maintenance supervisors+ Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons+ Provided lectures to the Chemis-try Departmentlsquos ―Chemical 073 Nuclear Chemistry class+ Assisted the UNC Dental School in meeting CDC recommendations for infection control in dental health-care settings adding more than 1000 faculty and staff to the Universitylsquos Immunization Program+ Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environment+ TrainedNumber of Employees Respiratory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Com-mission3053 Clinical Tuberculosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331+Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students+ Drafted revised and standardized 21 standard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent manage-ment+ Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training+ Hazardous Waste Management online refresher training completed by 725 employees aiding compliance with EPA and NCDENR regulations+ Nanotechnology Safety training completed by 64 employees+ Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with native plants suitable for rain garden conditions+ Presented program on cross-connection mapping and methodology at a GIS Users group meeting+ Created a microwave Safe-T-sensor magnet poster for the top of all student residence microwaves in order to reduce microwave misuse+ Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department+ Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard+ Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation+ Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospital Police Department+ Hosted 10 students studying nuclear medicine technology for two-week rotations through radiation safety+ Provided UNC Housekeeping with assistance in determining proper fit for backpack vacuums+ Provided medical clearance for the Universitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos program meeting federal and state require-
ments for a medical surveillance program+ Provided training on the Ergontron Sit-To-Stand seed units+ Trained 39 Athletics Football video employees and Energy Services Chilled Water employees on scissor lift safety+ Updated Ventilated Enclosure form to make col-lection of campus fume hood data more robust+ Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance+ Presented program at the annual CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Journal of Chemical Safety (ACS) was accepted for publication+ Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Re-claimed Water+Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacua-tion protocol+ Participated in the development and implementation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Department UNC Public Safety and EHS+ Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space+ Trained 41 Facilities Services Energy Services and EHS employees on confined space air moni-toring protocols+ Coordinated training sessions with hospital CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment+ Supported the NC Science Teachers workshop by staffing an information booth giving away 35 radia-tion detectors and Understanding Radiation Resource Kits and presented a program on the use of radioactive materials in our society+ Served 3539 patients for the medical surveillance or workerslsquo compensation program+ Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services+ Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation+ Developed on-line scaffolding training for Facilities Services and other users+ Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps containers+ Updated the EHS Shipping webpage to reflect changes in Federal and International regulations+ Trained 12 HHMI schol-ars and 15 UNC PREP students starting the summer program on the topic of general laboratory safety+ Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal+ Staffed a stormwater education table at UNClsquos Sustainability Day event+ Provided training on good housekeeping and pollution prevention practices to Carolina Inn engineering and managerial staff Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team+ Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacuation+ Trained DLAM 51 employees on lockouttagout requirements+ Presented a program on HazMat ndash SPOTS to the local Environmental Information Association confer-ence in Myrtle Beach South Carolina+ Hosted Remote Monitoring Station webinar for Public Safety UNCH Police and Facilities Ser-viceslsquo employees regarding GTRIlsquos irradiator security system+ Provided the UNC-CH x-ray equipment operator-training module to the Philadelphia Veteranlsquos Administration Medical Center for their use+ Provided first care and medical management for the workerslsquo com-pensation program ensuring that University employees have immediate access to high quality effective health care+ Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program+ Seventy-six on-line ergonomic self-evaluations were completed by the University community+ Crossed trained seven EHS staff to participate in the Hazards Management Inspection Program+ Worked with the Histology Core and LabCorp to determine and acquire proper packaging for large-scale study that requires North Carolina clinics to ship patient samples to UNC+ Worked with CFPulmonary Research Group and UNC Purchas-ing to improve their shipping processes+ Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other+Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investigators+Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollution prevention best practices+ Provided stormwater awareness training for 10 people from the office of Waste Reduction and Management Athletics Town of Chapel Hill and catering contractors+ Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events+ Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium+ Presented a program on HazMat ndash SPOTS for Cornell University personnel interested in the SPOTS application+ Attended Scaffold Competent Person Training provided by Facilities Services+ Taught a three-week module on Radiation and Environmental Radioactiv-
Environment Health and Safety
University of North Carolina
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Mary Beth Koza Director
ehsuncedu
2 3
This report also recognizes key individuals on our campus Without their
time effort and dedication to health and safety the goals of the depart-
ment in making the University a safe and healthy place would not be
achievable
The theme of this yearlsquos report is Collaboration Communications and
Customer Service Collaborating with our internal and external stake-
holders is how we accomplish our job Communications is the process of
sharing our knowledge and services and getting the important feedback
Customer service is our value to faculty and staff in helping them meet
their compliance requirements These three themes are the building
blocks of a culture of safety the mechanism of continuous improvement
and the path to compliance
We added a new section to the report this year Goals and Accomplish-
ments of our working EHS health and safety committees These commit-
tees are integral to the University as they deal with issues of governance
policy and direction and are the cornerstone of the culture of safety
2011 has been an extremely busy year working with difficult budget and
regulatory challenges but it was an extremely successful year as high-
lighted throughout this report These successes would not have been pos-
sible without the collaboration of the 37000-member campus community
Our work touches every member of that communitymdashfrom Athletics to
Zoology research and nearly every unit in between
Two events of this year emphasis the importance of the Universitylsquos com-
mitment to safety and the importance of creating an accountable EHS cul-
ture One is a celebration of our efforts the other is a reminder of the im-
portance of organizational accountability
In May of 2011 the North Carolina Department of Labor recognized the
University for its outstanding safety and health efforts with a Certificate
of Safety Achievement-First Year Gold Award This indeed was an
From the Director
Welcome to the Department of Environment Health and
Safety annual report This report is an important component
of the departmentrsquos integrated management system It pro-
vides a review of the accomplishments of the department and
serves as the introduction of the departmentrsquos 2012 goals
2 3
W ho W e A r e
W h at W e D o The Department of Environment Health amp Safety
supports the Universitylsquos core mission of teaching
research and service by providing comprehensive
environmental health and safety services to the Uni-
versity community This includes education through
training and consultation maintaining a safe environ-
ment through recognizing and controlling health and
safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Our mission is to ensure a process of compliance
minimize future potential liabilities and provide a
safe and healthy place to teach learn and serve
accomplishment and an important rec-
ognition of our promotion of safe work
practices
In October 2011 the US Chemical
Safety and Hazard Investigation Board
issued a report ―The Texas Tech Uni-
versity Laboratory Explosion This
was the first time the board had investi-
gated an academic lab incident and
stated ―[hellip] it is greatly concerned
about the frequency of academic inci-
dents in the United States This report
as well as other laboratory incidents
resulted in a review of our hazard
evaluation oversight of laboratory
safety and organizational accountability
This annual report is just one part of
that process and continues as our goal in
2012 As a leading research university
we are also participating nationally in
this effort
Overall 2011 was a good year for the
Department of Environment Health and
Safety at the University of North Caro-
lina at Chapel Hill I hope you will take
the time to review this report and learn
something new about our department
It would not be possible without the
dedication and commitment to excel-
lence of our EHS staff As a team we
take great pride in our accomplishments
and pride in contributing to the health
and safety of one of the worldlsquos leading
academic and research institutions We
also recognize and commend our fellow
Tar Heels It is their commitment to
health and safety their collaborative
spirit and their pride in being part of a
great University that makes all of our
lives better
From the Director
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Each service section within EHS has unique and
specific management duties and responsibilities
that are determined by any number of compliance
requirements state and federal regulatory agen-
cies university policies industry standards and a
commitment to going beyond compliance when
possible to ensure a safe and healthy campus
community and state Biological Safety
In 2008 UNC recognized the Biological Safety section
as a separate support division within the EHS Depart-
ment Biological Safety provides guidance assistance
and surveillance over research activities involving bio-
hazardous agents recombinant DNA bloodborne
pathogens and biohazardous waste management Bio-
logical Safety monitors and reviews the performance
and maintenance of laboratory containment systems
and provides technical support to EHS incident re-
sponders Chemical Safety
The main function of the Chemical Safety section is to
manage the process of improving safety through edu-
cation compliance and the constant task of identify-
ing and evaluating potential safety hazards in order to
reach the destination of a safe research laboratory en-
vironment Because the breadth and depth of UNC
research is always expanding the process of safety
improvement is ongoing and ever-changing providing
daily challenges to support the research process
Environmental Affairs
The Environmental Affairs section was created in
1994 to proactively manage the environmental permit-
ting of the campus and to ensure compliance with the
increasing number of permits required by state and
federal agencies The section has responsibility for
oversight of undergroundabove ground storage tank
management air quality permits (Title V) water qual-
ity (NPDES) permits surface water quality storm
water management wetland issues environmental
assessments at inactive waste sites collection of radio-
active and hazardous materialswastes from campus
and operation of the Hazardous Materials Facility (a
fully permitted Treatment-Storage-Disposal facility)
and the storage-for-decay program for short-lived ra-
dioactive wastes
4 5
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Fire Safety
and Emergency Response
Fire safety management includes six functions inspec-
tions enforcement education engineering fire inves-
tigation and response With 438 buildings on campus
and a wide range of potential fire safety risks EHS
personnel are constantly checking fire related equip-
ment running test alarms and assessing egress risks
The section provides as much student and employee
fire education as possible so that fire safety becomes a
collaborative effort and a fire safety culture becomes
the norm
Occupational
and Environmental Hygiene
OEH is responsible for ensuring that indoor campus
environments are conducive to good health and well-
being by recognizing evaluating and controlling health
and safety hazards using knowledge and experience in
industrial hygiene asbestos management air and wa-
ter quality and safety engineering The section as-
sesses potential safety hazards possible instances of
exposure and suitability of protective equipment
OEH works with facilities engineering and facilities
services personnel to find ways to keep historical
buildings functional while protecting employee health
and works with planning construction and startup of
new and renovated buildings to anticipate and elimi-
nate building related health issues
Workplace Safety
Workplace Safety provides services in the areas of
ergonomics respiratory protection safety training
industrial maintenance and construction safety clini-
cal safety medical surveillance Workers Compensa-
tion and the Safety Management Information Sys-
tem The diversity of services provided by the
Workplace Safety section supports the Universitylsquos
overall mission of teaching and research for both
academic and non-academic divisions
Radiation Safety
Radiation Safety integrates education oversight
compliance service and consultation to protect the
students staff faculty members of the general public
and the environment from the effects of both ionizing
and non-ionizing radiation Implicit in all aspects of
radiation safety is security Safety and security are
accomplished through training inspection licensing
registration and controlled access to certain materi-
als These are designed to supportmdashnot impedemdash
academic research
4 5
EHS makes implementation of the UNC Academic Plan possible by providing regulatory
compliance in the areas of biological safety chemical safety controlled substances envi-
ronmental permitting export shipping controls firelife safety emergency response oc-
cupational hygiene radiation safety and workplace safety
University of North Carolina at Chapel Hill EHS Management System
With the breadth and depth of UNC research always expanding the process of EHS com-
pliance management is ongoing and ever changing requiring a robust and adaptive man-
agement system In 2011 the department continued its emphasis on an integrated man-
agement system for the Universitylsquos environment health and safety compliance
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
programs This effort was designed to ensure continuous improvements by incorporating a
process of ongoing monitoring reviews and revisions of procedures and policies through
the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -
Do - Check - Act cycle is a four-step process model for carrying out change cycling through
each step for continuous improvement
Setting goals for the department is an important part of this management system It trans-
lates purpose into action and drives continuous improvement The goals are consistent with
our mission of providing a safe place ensuring a process of compliance and minimizing fu-
ture liability
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Mary Beth Koza Director
ehsuncedu
2 3
This report also recognizes key individuals on our campus Without their
time effort and dedication to health and safety the goals of the depart-
ment in making the University a safe and healthy place would not be
achievable
The theme of this yearlsquos report is Collaboration Communications and
Customer Service Collaborating with our internal and external stake-
holders is how we accomplish our job Communications is the process of
sharing our knowledge and services and getting the important feedback
Customer service is our value to faculty and staff in helping them meet
their compliance requirements These three themes are the building
blocks of a culture of safety the mechanism of continuous improvement
and the path to compliance
We added a new section to the report this year Goals and Accomplish-
ments of our working EHS health and safety committees These commit-
tees are integral to the University as they deal with issues of governance
policy and direction and are the cornerstone of the culture of safety
2011 has been an extremely busy year working with difficult budget and
regulatory challenges but it was an extremely successful year as high-
lighted throughout this report These successes would not have been pos-
sible without the collaboration of the 37000-member campus community
Our work touches every member of that communitymdashfrom Athletics to
Zoology research and nearly every unit in between
Two events of this year emphasis the importance of the Universitylsquos com-
mitment to safety and the importance of creating an accountable EHS cul-
ture One is a celebration of our efforts the other is a reminder of the im-
portance of organizational accountability
In May of 2011 the North Carolina Department of Labor recognized the
University for its outstanding safety and health efforts with a Certificate
of Safety Achievement-First Year Gold Award This indeed was an
From the Director
Welcome to the Department of Environment Health and
Safety annual report This report is an important component
of the departmentrsquos integrated management system It pro-
vides a review of the accomplishments of the department and
serves as the introduction of the departmentrsquos 2012 goals
2 3
W ho W e A r e
W h at W e D o The Department of Environment Health amp Safety
supports the Universitylsquos core mission of teaching
research and service by providing comprehensive
environmental health and safety services to the Uni-
versity community This includes education through
training and consultation maintaining a safe environ-
ment through recognizing and controlling health and
safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Our mission is to ensure a process of compliance
minimize future potential liabilities and provide a
safe and healthy place to teach learn and serve
accomplishment and an important rec-
ognition of our promotion of safe work
practices
In October 2011 the US Chemical
Safety and Hazard Investigation Board
issued a report ―The Texas Tech Uni-
versity Laboratory Explosion This
was the first time the board had investi-
gated an academic lab incident and
stated ―[hellip] it is greatly concerned
about the frequency of academic inci-
dents in the United States This report
as well as other laboratory incidents
resulted in a review of our hazard
evaluation oversight of laboratory
safety and organizational accountability
This annual report is just one part of
that process and continues as our goal in
2012 As a leading research university
we are also participating nationally in
this effort
Overall 2011 was a good year for the
Department of Environment Health and
Safety at the University of North Caro-
lina at Chapel Hill I hope you will take
the time to review this report and learn
something new about our department
It would not be possible without the
dedication and commitment to excel-
lence of our EHS staff As a team we
take great pride in our accomplishments
and pride in contributing to the health
and safety of one of the worldlsquos leading
academic and research institutions We
also recognize and commend our fellow
Tar Heels It is their commitment to
health and safety their collaborative
spirit and their pride in being part of a
great University that makes all of our
lives better
From the Director
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Each service section within EHS has unique and
specific management duties and responsibilities
that are determined by any number of compliance
requirements state and federal regulatory agen-
cies university policies industry standards and a
commitment to going beyond compliance when
possible to ensure a safe and healthy campus
community and state Biological Safety
In 2008 UNC recognized the Biological Safety section
as a separate support division within the EHS Depart-
ment Biological Safety provides guidance assistance
and surveillance over research activities involving bio-
hazardous agents recombinant DNA bloodborne
pathogens and biohazardous waste management Bio-
logical Safety monitors and reviews the performance
and maintenance of laboratory containment systems
and provides technical support to EHS incident re-
sponders Chemical Safety
The main function of the Chemical Safety section is to
manage the process of improving safety through edu-
cation compliance and the constant task of identify-
ing and evaluating potential safety hazards in order to
reach the destination of a safe research laboratory en-
vironment Because the breadth and depth of UNC
research is always expanding the process of safety
improvement is ongoing and ever-changing providing
daily challenges to support the research process
Environmental Affairs
The Environmental Affairs section was created in
1994 to proactively manage the environmental permit-
ting of the campus and to ensure compliance with the
increasing number of permits required by state and
federal agencies The section has responsibility for
oversight of undergroundabove ground storage tank
management air quality permits (Title V) water qual-
ity (NPDES) permits surface water quality storm
water management wetland issues environmental
assessments at inactive waste sites collection of radio-
active and hazardous materialswastes from campus
and operation of the Hazardous Materials Facility (a
fully permitted Treatment-Storage-Disposal facility)
and the storage-for-decay program for short-lived ra-
dioactive wastes
4 5
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Fire Safety
and Emergency Response
Fire safety management includes six functions inspec-
tions enforcement education engineering fire inves-
tigation and response With 438 buildings on campus
and a wide range of potential fire safety risks EHS
personnel are constantly checking fire related equip-
ment running test alarms and assessing egress risks
The section provides as much student and employee
fire education as possible so that fire safety becomes a
collaborative effort and a fire safety culture becomes
the norm
Occupational
and Environmental Hygiene
OEH is responsible for ensuring that indoor campus
environments are conducive to good health and well-
being by recognizing evaluating and controlling health
and safety hazards using knowledge and experience in
industrial hygiene asbestos management air and wa-
ter quality and safety engineering The section as-
sesses potential safety hazards possible instances of
exposure and suitability of protective equipment
OEH works with facilities engineering and facilities
services personnel to find ways to keep historical
buildings functional while protecting employee health
and works with planning construction and startup of
new and renovated buildings to anticipate and elimi-
nate building related health issues
Workplace Safety
Workplace Safety provides services in the areas of
ergonomics respiratory protection safety training
industrial maintenance and construction safety clini-
cal safety medical surveillance Workers Compensa-
tion and the Safety Management Information Sys-
tem The diversity of services provided by the
Workplace Safety section supports the Universitylsquos
overall mission of teaching and research for both
academic and non-academic divisions
Radiation Safety
Radiation Safety integrates education oversight
compliance service and consultation to protect the
students staff faculty members of the general public
and the environment from the effects of both ionizing
and non-ionizing radiation Implicit in all aspects of
radiation safety is security Safety and security are
accomplished through training inspection licensing
registration and controlled access to certain materi-
als These are designed to supportmdashnot impedemdash
academic research
4 5
EHS makes implementation of the UNC Academic Plan possible by providing regulatory
compliance in the areas of biological safety chemical safety controlled substances envi-
ronmental permitting export shipping controls firelife safety emergency response oc-
cupational hygiene radiation safety and workplace safety
University of North Carolina at Chapel Hill EHS Management System
With the breadth and depth of UNC research always expanding the process of EHS com-
pliance management is ongoing and ever changing requiring a robust and adaptive man-
agement system In 2011 the department continued its emphasis on an integrated man-
agement system for the Universitylsquos environment health and safety compliance
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
programs This effort was designed to ensure continuous improvements by incorporating a
process of ongoing monitoring reviews and revisions of procedures and policies through
the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -
Do - Check - Act cycle is a four-step process model for carrying out change cycling through
each step for continuous improvement
Setting goals for the department is an important part of this management system It trans-
lates purpose into action and drives continuous improvement The goals are consistent with
our mission of providing a safe place ensuring a process of compliance and minimizing fu-
ture liability
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
2 3
W ho W e A r e
W h at W e D o The Department of Environment Health amp Safety
supports the Universitylsquos core mission of teaching
research and service by providing comprehensive
environmental health and safety services to the Uni-
versity community This includes education through
training and consultation maintaining a safe environ-
ment through recognizing and controlling health and
safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Our mission is to ensure a process of compliance
minimize future potential liabilities and provide a
safe and healthy place to teach learn and serve
accomplishment and an important rec-
ognition of our promotion of safe work
practices
In October 2011 the US Chemical
Safety and Hazard Investigation Board
issued a report ―The Texas Tech Uni-
versity Laboratory Explosion This
was the first time the board had investi-
gated an academic lab incident and
stated ―[hellip] it is greatly concerned
about the frequency of academic inci-
dents in the United States This report
as well as other laboratory incidents
resulted in a review of our hazard
evaluation oversight of laboratory
safety and organizational accountability
This annual report is just one part of
that process and continues as our goal in
2012 As a leading research university
we are also participating nationally in
this effort
Overall 2011 was a good year for the
Department of Environment Health and
Safety at the University of North Caro-
lina at Chapel Hill I hope you will take
the time to review this report and learn
something new about our department
It would not be possible without the
dedication and commitment to excel-
lence of our EHS staff As a team we
take great pride in our accomplishments
and pride in contributing to the health
and safety of one of the worldlsquos leading
academic and research institutions We
also recognize and commend our fellow
Tar Heels It is their commitment to
health and safety their collaborative
spirit and their pride in being part of a
great University that makes all of our
lives better
From the Director
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Each service section within EHS has unique and
specific management duties and responsibilities
that are determined by any number of compliance
requirements state and federal regulatory agen-
cies university policies industry standards and a
commitment to going beyond compliance when
possible to ensure a safe and healthy campus
community and state Biological Safety
In 2008 UNC recognized the Biological Safety section
as a separate support division within the EHS Depart-
ment Biological Safety provides guidance assistance
and surveillance over research activities involving bio-
hazardous agents recombinant DNA bloodborne
pathogens and biohazardous waste management Bio-
logical Safety monitors and reviews the performance
and maintenance of laboratory containment systems
and provides technical support to EHS incident re-
sponders Chemical Safety
The main function of the Chemical Safety section is to
manage the process of improving safety through edu-
cation compliance and the constant task of identify-
ing and evaluating potential safety hazards in order to
reach the destination of a safe research laboratory en-
vironment Because the breadth and depth of UNC
research is always expanding the process of safety
improvement is ongoing and ever-changing providing
daily challenges to support the research process
Environmental Affairs
The Environmental Affairs section was created in
1994 to proactively manage the environmental permit-
ting of the campus and to ensure compliance with the
increasing number of permits required by state and
federal agencies The section has responsibility for
oversight of undergroundabove ground storage tank
management air quality permits (Title V) water qual-
ity (NPDES) permits surface water quality storm
water management wetland issues environmental
assessments at inactive waste sites collection of radio-
active and hazardous materialswastes from campus
and operation of the Hazardous Materials Facility (a
fully permitted Treatment-Storage-Disposal facility)
and the storage-for-decay program for short-lived ra-
dioactive wastes
4 5
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Fire Safety
and Emergency Response
Fire safety management includes six functions inspec-
tions enforcement education engineering fire inves-
tigation and response With 438 buildings on campus
and a wide range of potential fire safety risks EHS
personnel are constantly checking fire related equip-
ment running test alarms and assessing egress risks
The section provides as much student and employee
fire education as possible so that fire safety becomes a
collaborative effort and a fire safety culture becomes
the norm
Occupational
and Environmental Hygiene
OEH is responsible for ensuring that indoor campus
environments are conducive to good health and well-
being by recognizing evaluating and controlling health
and safety hazards using knowledge and experience in
industrial hygiene asbestos management air and wa-
ter quality and safety engineering The section as-
sesses potential safety hazards possible instances of
exposure and suitability of protective equipment
OEH works with facilities engineering and facilities
services personnel to find ways to keep historical
buildings functional while protecting employee health
and works with planning construction and startup of
new and renovated buildings to anticipate and elimi-
nate building related health issues
Workplace Safety
Workplace Safety provides services in the areas of
ergonomics respiratory protection safety training
industrial maintenance and construction safety clini-
cal safety medical surveillance Workers Compensa-
tion and the Safety Management Information Sys-
tem The diversity of services provided by the
Workplace Safety section supports the Universitylsquos
overall mission of teaching and research for both
academic and non-academic divisions
Radiation Safety
Radiation Safety integrates education oversight
compliance service and consultation to protect the
students staff faculty members of the general public
and the environment from the effects of both ionizing
and non-ionizing radiation Implicit in all aspects of
radiation safety is security Safety and security are
accomplished through training inspection licensing
registration and controlled access to certain materi-
als These are designed to supportmdashnot impedemdash
academic research
4 5
EHS makes implementation of the UNC Academic Plan possible by providing regulatory
compliance in the areas of biological safety chemical safety controlled substances envi-
ronmental permitting export shipping controls firelife safety emergency response oc-
cupational hygiene radiation safety and workplace safety
University of North Carolina at Chapel Hill EHS Management System
With the breadth and depth of UNC research always expanding the process of EHS com-
pliance management is ongoing and ever changing requiring a robust and adaptive man-
agement system In 2011 the department continued its emphasis on an integrated man-
agement system for the Universitylsquos environment health and safety compliance
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
programs This effort was designed to ensure continuous improvements by incorporating a
process of ongoing monitoring reviews and revisions of procedures and policies through
the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -
Do - Check - Act cycle is a four-step process model for carrying out change cycling through
each step for continuous improvement
Setting goals for the department is an important part of this management system It trans-
lates purpose into action and drives continuous improvement The goals are consistent with
our mission of providing a safe place ensuring a process of compliance and minimizing fu-
ture liability
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Each service section within EHS has unique and
specific management duties and responsibilities
that are determined by any number of compliance
requirements state and federal regulatory agen-
cies university policies industry standards and a
commitment to going beyond compliance when
possible to ensure a safe and healthy campus
community and state Biological Safety
In 2008 UNC recognized the Biological Safety section
as a separate support division within the EHS Depart-
ment Biological Safety provides guidance assistance
and surveillance over research activities involving bio-
hazardous agents recombinant DNA bloodborne
pathogens and biohazardous waste management Bio-
logical Safety monitors and reviews the performance
and maintenance of laboratory containment systems
and provides technical support to EHS incident re-
sponders Chemical Safety
The main function of the Chemical Safety section is to
manage the process of improving safety through edu-
cation compliance and the constant task of identify-
ing and evaluating potential safety hazards in order to
reach the destination of a safe research laboratory en-
vironment Because the breadth and depth of UNC
research is always expanding the process of safety
improvement is ongoing and ever-changing providing
daily challenges to support the research process
Environmental Affairs
The Environmental Affairs section was created in
1994 to proactively manage the environmental permit-
ting of the campus and to ensure compliance with the
increasing number of permits required by state and
federal agencies The section has responsibility for
oversight of undergroundabove ground storage tank
management air quality permits (Title V) water qual-
ity (NPDES) permits surface water quality storm
water management wetland issues environmental
assessments at inactive waste sites collection of radio-
active and hazardous materialswastes from campus
and operation of the Hazardous Materials Facility (a
fully permitted Treatment-Storage-Disposal facility)
and the storage-for-decay program for short-lived ra-
dioactive wastes
4 5
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Fire Safety
and Emergency Response
Fire safety management includes six functions inspec-
tions enforcement education engineering fire inves-
tigation and response With 438 buildings on campus
and a wide range of potential fire safety risks EHS
personnel are constantly checking fire related equip-
ment running test alarms and assessing egress risks
The section provides as much student and employee
fire education as possible so that fire safety becomes a
collaborative effort and a fire safety culture becomes
the norm
Occupational
and Environmental Hygiene
OEH is responsible for ensuring that indoor campus
environments are conducive to good health and well-
being by recognizing evaluating and controlling health
and safety hazards using knowledge and experience in
industrial hygiene asbestos management air and wa-
ter quality and safety engineering The section as-
sesses potential safety hazards possible instances of
exposure and suitability of protective equipment
OEH works with facilities engineering and facilities
services personnel to find ways to keep historical
buildings functional while protecting employee health
and works with planning construction and startup of
new and renovated buildings to anticipate and elimi-
nate building related health issues
Workplace Safety
Workplace Safety provides services in the areas of
ergonomics respiratory protection safety training
industrial maintenance and construction safety clini-
cal safety medical surveillance Workers Compensa-
tion and the Safety Management Information Sys-
tem The diversity of services provided by the
Workplace Safety section supports the Universitylsquos
overall mission of teaching and research for both
academic and non-academic divisions
Radiation Safety
Radiation Safety integrates education oversight
compliance service and consultation to protect the
students staff faculty members of the general public
and the environment from the effects of both ionizing
and non-ionizing radiation Implicit in all aspects of
radiation safety is security Safety and security are
accomplished through training inspection licensing
registration and controlled access to certain materi-
als These are designed to supportmdashnot impedemdash
academic research
4 5
EHS makes implementation of the UNC Academic Plan possible by providing regulatory
compliance in the areas of biological safety chemical safety controlled substances envi-
ronmental permitting export shipping controls firelife safety emergency response oc-
cupational hygiene radiation safety and workplace safety
University of North Carolina at Chapel Hill EHS Management System
With the breadth and depth of UNC research always expanding the process of EHS com-
pliance management is ongoing and ever changing requiring a robust and adaptive man-
agement system In 2011 the department continued its emphasis on an integrated man-
agement system for the Universitylsquos environment health and safety compliance
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
programs This effort was designed to ensure continuous improvements by incorporating a
process of ongoing monitoring reviews and revisions of procedures and policies through
the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -
Do - Check - Act cycle is a four-step process model for carrying out change cycling through
each step for continuous improvement
Setting goals for the department is an important part of this management system It trans-
lates purpose into action and drives continuous improvement The goals are consistent with
our mission of providing a safe place ensuring a process of compliance and minimizing fu-
ture liability
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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ne
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ve
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re
e
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ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Communication - Collaboration - Customer Service = The Path to Compliance
EHS Functions amp Responsibilities
Fire Safety
and Emergency Response
Fire safety management includes six functions inspec-
tions enforcement education engineering fire inves-
tigation and response With 438 buildings on campus
and a wide range of potential fire safety risks EHS
personnel are constantly checking fire related equip-
ment running test alarms and assessing egress risks
The section provides as much student and employee
fire education as possible so that fire safety becomes a
collaborative effort and a fire safety culture becomes
the norm
Occupational
and Environmental Hygiene
OEH is responsible for ensuring that indoor campus
environments are conducive to good health and well-
being by recognizing evaluating and controlling health
and safety hazards using knowledge and experience in
industrial hygiene asbestos management air and wa-
ter quality and safety engineering The section as-
sesses potential safety hazards possible instances of
exposure and suitability of protective equipment
OEH works with facilities engineering and facilities
services personnel to find ways to keep historical
buildings functional while protecting employee health
and works with planning construction and startup of
new and renovated buildings to anticipate and elimi-
nate building related health issues
Workplace Safety
Workplace Safety provides services in the areas of
ergonomics respiratory protection safety training
industrial maintenance and construction safety clini-
cal safety medical surveillance Workers Compensa-
tion and the Safety Management Information Sys-
tem The diversity of services provided by the
Workplace Safety section supports the Universitylsquos
overall mission of teaching and research for both
academic and non-academic divisions
Radiation Safety
Radiation Safety integrates education oversight
compliance service and consultation to protect the
students staff faculty members of the general public
and the environment from the effects of both ionizing
and non-ionizing radiation Implicit in all aspects of
radiation safety is security Safety and security are
accomplished through training inspection licensing
registration and controlled access to certain materi-
als These are designed to supportmdashnot impedemdash
academic research
4 5
EHS makes implementation of the UNC Academic Plan possible by providing regulatory
compliance in the areas of biological safety chemical safety controlled substances envi-
ronmental permitting export shipping controls firelife safety emergency response oc-
cupational hygiene radiation safety and workplace safety
University of North Carolina at Chapel Hill EHS Management System
With the breadth and depth of UNC research always expanding the process of EHS com-
pliance management is ongoing and ever changing requiring a robust and adaptive man-
agement system In 2011 the department continued its emphasis on an integrated man-
agement system for the Universitylsquos environment health and safety compliance
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
programs This effort was designed to ensure continuous improvements by incorporating a
process of ongoing monitoring reviews and revisions of procedures and policies through
the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -
Do - Check - Act cycle is a four-step process model for carrying out change cycling through
each step for continuous improvement
Setting goals for the department is an important part of this management system It trans-
lates purpose into action and drives continuous improvement The goals are consistent with
our mission of providing a safe place ensuring a process of compliance and minimizing fu-
ture liability
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
EHS makes implementation of the UNC Academic Plan possible by providing regulatory
compliance in the areas of biological safety chemical safety controlled substances envi-
ronmental permitting export shipping controls firelife safety emergency response oc-
cupational hygiene radiation safety and workplace safety
University of North Carolina at Chapel Hill EHS Management System
With the breadth and depth of UNC research always expanding the process of EHS com-
pliance management is ongoing and ever changing requiring a robust and adaptive man-
agement system In 2011 the department continued its emphasis on an integrated man-
agement system for the Universitylsquos environment health and safety compliance
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
programs This effort was designed to ensure continuous improvements by incorporating a
process of ongoing monitoring reviews and revisions of procedures and policies through
the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -
Do - Check - Act cycle is a four-step process model for carrying out change cycling through
each step for continuous improvement
Setting goals for the department is an important part of this management system It trans-
lates purpose into action and drives continuous improvement The goals are consistent with
our mission of providing a safe place ensuring a process of compliance and minimizing fu-
ture liability
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
programs This effort was designed to ensure continuous improvements by incorporating a
process of ongoing monitoring reviews and revisions of procedures and policies through
the use of the Plan - Do - Check - Act (PDCA) model Just as a circle has no end the Plan -
Do - Check - Act cycle is a four-step process model for carrying out change cycling through
each step for continuous improvement
Setting goals for the department is an important part of this management system It trans-
lates purpose into action and drives continuous improvement The goals are consistent with
our mission of providing a safe place ensuring a process of compliance and minimizing fu-
ture liability
PDCA
Integrated
Management
System
UNC EHS
Management System
PDCA
Integrated
Management
System
UNC EHS
Management System
Plan Objectives
Targets
Goals
Objectives
Work plans
Program development
Do
Implementation
and Operations
Training
Communications
Consultation
Outreach
Lab Safety and Hazard Man-
agement Plans
Emergency response
Act Corrective and
Preventive Actions
Policy amp procedure adoption
Strategic planning process Check Checking
CLIP inspections
HMP inspections
Monthly reports
Annual reports
Performance reviews
6 7
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Communication - Collaboration - Customer Service = The Path to Compliance
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
2011 Goals amp Performance
Key to Performance Chart
Accomplished radic
In Process
Moved to 2012 12
8 9
Product iv i ty
Continue collaborating with Facilities Services to proac-tively address indoor air quality concerns expansion of the SPOTS program and management of the containment
12
Complete and document analysis of the applicability of the new EPA Subpart K to the Resource Conservation and Recovery Act (RCRA) hazardous waste generator regula-tory requirements in Part 262 This alternative set of regulations is applicable to colleges and universities pro-viding the flexibility to make hazardous waste determina-tions in the laboratory at an on-site central accumulation area or at an on-site treatment storage or disposal facil-ity (TSDF)
radic
Apply for laboratory certification of airborne asbestos analysis to support the asbestos abatement projects by streamlining the process and improving timing of sam-pling results
radic
Continue systematic review of all occupational injuries of the last three years for re-evaluation and implementation of new metrics ensuring proper EHS programming and identify work areas that need additional support
12
Implement University Employee Occupational Health Clinic scheduling system streamlining process for both internal and external users while improving clinic man-agement efficiencies
radic
Implement SharePoint for documentation management radic Continue reviewing the EHS website to identify required updates for compliance increase ease of navigation and provide a customer feedback mechanism for training and EHS services
Expand the EHS Hazards Management Program (HMP) to be a cross functional team increasing its effectiveness and realizing synergies within the department
radic
Develop and implement a Biological Safety Level 2 In-spection checklist process for consistency in laboratory set-up and inspection in the Division of Laboratory Animal Medicine
radic
Implement the use of QuietDose in-ear noise dosimeters in departments enrolled in the Hearing Conservation Program to provide daily feedback on whether employees are properly wearing their hearing protection to prevent hearing loss
Continue activities of EHS team supporting the activities of Division of Laboratory Animal Medicine Team will continue to identify EHS opportunities for regulatory compliance while preparing for the Universitylsquos 2011 AALAC accreditation inspection
radic
Tra in ing
Plan and coordinate a live confined space rescue exercise with South Orange Rescue Energy Services and Facilities Services
radic
Coordinate training for the Department of Public Safety and UNC Healthcare dispatch personnel to use operate and respond to the Remote Monitoring Systems to meet enhanced security requirements for radionuclides in quan-tities of concern
Develop and implement the EHS Compliance Portal pro-viding instant real-time data regarding medical surveil-lance and training compliance to the employee their su-pervisor and their Human Resource Facilitator
radic
Prepare an on-line and instructional Aerial Work Platform (AWP) training program for the campus community by evaluating the use of campus scaffolding systems and implementing an on-line training program assuring proper assembly and use
Expand Fire Safety training by focusing on annual Fire Safety Fair and fire extinguisher training providing a consistent message to the many diverse groups that livework on campus
radic
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
2011 Goals amp Performance
8 9
Compl iance Continue providing technical and permitting expertise for all environmental biological and ecological facets of the Carolina North project In 2011this includes the 401-water quality certification environmental impact assessments and adding UNC-CH as a co-permittee on RDU Authoritylsquos stormwater permit to support the relocation of Medical Air Operations to RDU
Support the construction and compliance activities of the wastewater treatment system at the Bingham Fa-cility
Increase regulatory compliance with Homeland Secu-rity requirements for radioactive materials such as enhanced security hardware upgrades new irradiator facilities National Source Tracking System ―NSTS and increase scrutiny on training and documentation per10CRF 35 Partner with Department of Homeland Securitylsquos Global Threat Reduction Initiative to en-hance security to three additional facilities containing radionuclides in quantities of concern
Implement a University Formaldehyde Exposure Plan p e r t h e O S H A f o r m a l d e h y d e s t a n d a r d (29CFR19101048) including specific policies for iden-tification of employees that use formaldehyde training monitoring and medical surveillance
radic
Continue expansion efforts to detect and eliminate illicit connections to the stormwater system com-mencement of education and inspection programs for food service facilities on campus use of GIS to identify all locations where the sanitary sewer and stormwater system cross and inspect all inlets within a 50 foot radius of these crossings for potential sewer leaks in support of the UNC Stormwater permit
radic
Re-evaluate and implement process improvements to the University Employee Occupational Health Clinic Needlestick program
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Support the compliance requirements of training and update of the Cogeneration facilitylsquos One Plan with Energy Services
radic
Develop and submit the required information to renew the UNC-CH Title V air permit for the campus which expires on 9302011
radic
Work with Energy Services to develop an air permit-ting strategy incorporating new requirements pertain-ing to modeling the boiler MCAT standard and en-
12
Growth Continue providing technical educational and regula-tory support to joint Energy Services-EHS projects including reclaimed water conjunctive use at athletic fields and the NC Botanical Garden the investigation and mapping of UNC stormwater infrastructure and Stormwater Master Plan-related elements
radic
Supporting and permitting the design acquisition and installation of new MRI research facilities at UNC This consists of two facilities modification of a current building (MRI) and design and building of a new building (IRB)
Supporting and permitting the design acquisition and installation of the new Cyclotron research facilities at UNC This consists of two facilities GMB enclosure and new IRB building
Support the growth of the Kannapolis Site and con-tinue to provide technical expertise in the design op-eration testing and commissioning of the limited ac-cess lab
Complete Phase II update of the online Lab Safety Plan to improve campus wide compliance and reduce number of manual paper-based and standalone comput-erized processes required to achieve OSHA and NIH compliance
radic
Provide technical and regulatory support to key En-ergy Services initiatives such as the Alternative En-ergy and Climate Action teams
radic
Implement the University Travel Immunization pro-gram and advertise services to the campus community radic
Provide technical support compliance assistance and training for evolving Environmental Affairs initiatives in erosion and sedimentation control for constructionrenovation projects
radic
Provide technical support in the areas of radiation safety and hazardous waste management to the design of the UNC-Healthcare System Hillsborough hospital
radic
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
2012 Goals Intrapreneurship
Utilize the Collaborative Laboratory Inspection Program
(CLIP) results to drive early identification of safety risks
and hazard prevention communications and training
across the University Implement a customer feedback
mechanism
Expand and implement the limited access lab checklist to
assist inspectors in early identification of safety risks and
to increase regulatory compliance
Continue to develop a strategy in collaboration with Fa-
cilities Services to expand air-handling unit cleaning to
improve energy savings as well as enhance indoor air
quality
Work with the Office of Waste Reduction amp Recycling
(OWRR) to increase lab recycling by identifying new
items for recycling and disseminating proper procedures
to campus researchers
Expand the Hazards Management Program (HMP) to
include an on-line HMP web application with an inven-
tory tracking process
Evaluate and implement upgrades to the Hearing Conver-
sation program to reduce costs to the affected departments
and improve audiometric testing data management result-
ing in reduced incidents of progressive hearing loss for
affected personnel
Utilization of the Qualitative Risk Assessment tool for evaluation of MSDSs and work activities in Facilities Ser-vices Development of a sampling plan that validates this approach with supporting publication
Develop metrics for the hazardous waste materials man-agement system to improve service and customer feed-back
Identification and creation of an EHS GIS users group to
develop EHS tools which support compliance
Intrapreneurship
the practice of a corporate management style that
integrates [ ] innovative approaches as well as the reward and motivational techniques that are more traditionally thought of as being the province of entre-preneurship mdashAmerican Heritage Dictionary
Education
Continue to develop implement and upgrade job specific
online training programs such as LockoutTag-out Re-
quirements and Confined Space Entry
Continue to improve and more broadly disseminate EHS
information via newsletters special alerts and other com-
munication vehicles to raise awareness of laboratory
safety and the importance of PPE
Complete training for Department of Public Safety per-
sonnel to use operate and respond to the Remote Moni-
toring Systems to meet enhanced security requirements
for radionuclides in quantities of concern
Complete ABT Biomarker Generator User training by
vendor including radionuclide production chemistry
QAQC and pre-clinical research applications
Expand the use of the EHS website by improving naviga-
tion search functions and new applications
Work closely with Public Safety to assure the University
is prepared for an emergency such as a hazardous materi-
als release and confined space incident by identifying and
implementing training exercises with local emergency
response agencies
Plan and coordinate six limited access drills with local
emergency response agencies
Develop and implement an online chemical fume hood
training to emphasize proper use and safe operating pro-
cedures for researchers who utilize chemical fume hoods
in their laboratories
Implement the roll out of the EHS compliance portal to
provide all supervisors and employees with the current
knowledge of their training status
10 11
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
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ve
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ve
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re
e
Le
ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Compliance
Support the construction and compliance activities of the
wastewater treatment system at the Bingham Facility
Implement the second round of GTRI funded security
enhancements to irradiators to meet the requirements of
NRC and DHS regulations The grant for this effort to-
taled approximately $143000 for both UNC and UNCH
Develop strategic plan to review and implement new re-
quirements promulgated in NRC regulation 10 CFR Part
37 These are new requirements to increase administra-
tive processes to ensure robust security clearance for per-
sonnel and robust operational testing of security systems
Implement improvements to the X-Ray safety program
to meet expectations of the NC DENR RPS X-ray
branch regulatory requirements
Establish comprehensive radiation safety program for
ABT Biomarker Generator facility to establish core re-
search program within Biomedical Research Imaging
Center)
Review and enhance the OSHA Bloodborne Pathogens
program compliance through collaboration with UNCH
LMS system and EHS and the implementation of the
EHS compliance portal
Implement process improvements to the University Em-
ployee Occupational Health Clinic Needle Stick program
Assure compliance in the areas of hot works permitting
lockouttagout requirements grinding and welding ac-
tivities and confined space requirements Update Lead
Paint policyprogram to reflect new EPA regulations for
housing and child occupied facilities
Work with Facilities Services on the development and
implementation of a campus wide oxygen monitor pro-
gram for areas that have potential for oxygen deficiency
(storage of cryogenics carbon monoxide manifold sys-
tems etc)
Receipt and implementation of the Phase II campus-wide
stormwater permit for the campus
Implementation of the Registered Environmental Con-
sultant (REC) program at Cogeneration facility
Develop an air permitting strategy which incorporates
the new requirements pertaining to modeling the boiler
MCAT standard and energy generators on campus
In partnership with Facilities Services and Energy Ser-
vices develop a mechanical room inspection process to
identify and eliminate hazards
Growth
Continue to provide technical expertise for all environ-
mental biological and ecological facets and permitting of
the Carolina North project
Support licensing design acquisition and installation of
new IRB building and research equipment including a
cyclotron new MRI and NMR devices and an irradiator
Support the Biology Department in creating and imple-
menting standard operating procedures for the new
Physical Science Building greenhouse in compliance with
NIH guidelines
Support the growth of the Kannapolis Site and continue
to provide technical expertise in the design operation
testing and commissioning of the limited access lab
10 11
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Before a foreign scholar can apply for their temporary work visa to the United
States UNC must first submit an I-129 petition to US Customs and Immigration
Services (USCIS) to obtain permission to sponsor the scholar The I-129 form
requests information about the prospective employee and the job for which they
are being hired In 2011 the I-129 petition was changed to include a deemed ex-
port attestation This attestation requires the University to state whether or not
the visa applicant will require a deemed export license for their work
Deemed export licenses are required for access to or release of information per-
taining to technology having military or dual use (civilian and military) applica-
tions While strictly military technology is rare at the University dual use tech-
nology is common in any research setting The addition of the deemed export
attestation requires that each work visa applicant must be evaluated for hisher
potential access to these controlled technologies and the University must defini-
tively state whether a deemed export license is required for the applicant EHS
built upon existing relationships with various campus departments that manage
export compliance at UNC to establish a review process that minimized the added
reporting requirements for the visa applicant and their department This review
process involved collecting information about the visa applicant their work envi-
ronment and the specific projects in which they will be involved to determine if a
deemed export license would be required n 2011 139 I-129 petitions were re-
viewed for the deemed export attestation Through collaboration with ISSS Uni-
versity Counsel the Office of Sponsored Research and the departments hosting
international scholars EHS was able to address the increased compliance require-
ment of the I-129 petition while minimizing the added burden on all affected par-
ties
In 2011 a change to the I-129 petitionmdashthe first step of the temporary work visa process for foreign scholarsmdash required EHS to collaborate with International Student and Scholar Services (ISSS) University Counsel and the Office of Spon-sored Research to develop a comprehensive internal review strategy to address the increased requirements for sponsoring visas of foreign scholars
Biological Safety
12 13
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―International Student and Scholar Services in col-
laboration with the Department of Environment
Health amp Safety has created an efficient and quick
process to comply with a deemed export attestation
required when petitioning for work authorization on
behalf of non-immigrant employees
Biological Safety
12 13
W h o W e A r e
W h at W e D o In 2008 UNC recognized the Biological Safety sec-
tion as a separate support division within the EHS
Department Biological Safety provides guidance
assistance and surveillance over research activities
involving biohazardous agents recombinant DNA
bloodborne pathogens and biohazardous waste man-
agement Biological Safety monitors and reviews the
performance and maintenance of laboratory contain-
ment systems and provides technical support to EHS
incident responders
A n d W h a t T h e y S a y
Debbie Rad International Student amp Scholar Advisor
Ronit Weingarden Assistant Director amp
Advisor to Foreign Academic Staff
International Student amp Scholar Services
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
ve
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Deborah Howard
Biological Safety Manager
Constance Birden
Biological Safety Specialist
Kara Milton
Assistant Biological Safety Officer
Penny Padgett
Associate Biological Safety Officer
Dan Vick
Export Control Specialist
14 15
Retrieved priceless 19th Century Recordings
The Biosafety staff worked with UNC Counsel to clear priceless 19th century recordings through US Customs The Southern Folk Life Collection in Wilson Library sent 19th century wax recording cylin-ders to Germany for refurbishment and transcription to modern for-mats On their way back to the United States they were stuck in customs and then returned to Germany EHS worked with the Uni-versity Counsel to get these returned to the United States
Successful Unannounced Shipping Inspection
The Department of Transportation conducted an unannounced in-spection of UNC shipping procedures No shipping violations were found An agent from DOT-Pipeline and Hazardous Materials Safety Administration (PHMSA) conducted the unannounced inspec-tion of infectious substance shipping procedures selecting one lab at random and inspecting their packing materials and shipping records
New DLAM ZoonoticLab Animal
Allergy Orientation training
The staff collaborated with DLAM staff to develop and facilitate DLAM Orientation DLAM BSL-2 and ZoonoticLab Animal Al-lergy trainings for 140 staff members researchers and personnel providing guidance to those individuals who work with laboratory research animals and potentially infectious materials
Presented Overview of
Export Controls for Research
At the spring New PI Orientation event the Biosafety staff assisted in training at the bi-annual Tar Heel Certificate in Research Admini-stration training The Center for Faculty Excellence has a series of half-day orientations throughout the year with two each year dedi-cated to new principle investigators Speakers from several depart-ments share information that pertain to new PIlsquos at this orientation
Added an Export Control chapter to the
Responsible Conduct of Research Brochure The Responsible Conduct of Research brochure issued by the UNC Research Compliance program was revised in 2011 In addition to revising the existing document an Export Control chapter was added
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
Le
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Education Customer Service Internal Processes
Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-nique and waste handling and 201 re-searchers in enhanced BSL-2 procedures
Trained 5494 Housekeeping staff Facili-ties Services personnel researchers and Child Care providers in Bloodborne Patho-gens and Exposure Control programs
Trained 107 researchers in identifying and registering projects meeting NIH Guide-lines for Research Involving Recombinant DNA Molecules
Trained 567 researchers maintenance and emergency personnel in specialized bio-logical safety meeting regulatory require-ments of the CDC and NIH
Trained 159 Facilities Services personnel in responding to potentially infectious sewage spills
With Facilities Services developed and implemented a training program on sys-tem descriptions to aid in understanding of building systems
Presented program at North Carolina Association for Biomedical Research con-ference on IBClsquos and Role of Community
Collaborated with ECUlsquos Director of Re-search Compliance to present a seminar on Export Controls at the NC Society of Re-search Administratorslsquo annual conference
Posted a dry ice shipping training module increasing shipping compliance and easing training burden on lab personnel Trained 52 researchers and campus personnel
Trained 15 UNC researchers at the Dur-ham Health Department and Rex Health-care on shipping infectious samples
Trained 159 researchers and staff members on proper use of campus autoclaves via online training module
Trained 353 campus researchers staff and administrators in federal and international shipping importing and exporting regula-tions via classroom and online programs
Certified 401 biological safety cabinets ensuring safety of product personnel and environmental protection
Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers are adequately protected from hazardous chemicals
Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and pro-cedures
Provided direct assistance for 212 ship-ments of equipment samples and research materials
Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials resulting in changes to work processes
Conducted 13 Institutional Animal Care and Use Committee inspections in accor-dance with their guidelines and regula-tions
Assisted the University of Virginia and Appalachian State University with export control and shipping requirements
Worked closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel
Applied for and received three USDA Im-port Permits three CDC Import Permits and one DOC Export License
Collaborated with UNCH on strategies for transferring tissue samples from the hospi-tal to UNC labs via vehicles Provided an overview of shipping and ex-port regulations to the Vice Dean of the School of Pharmacy
Presented lsquoFumehood Awareness Shipping Records Reviewlsquo Biological Waste Managementlsquo and Surveillance and Emergency Response during a Mass Eventlsquo trainings to CLIP team
Submitted 14 registration updates to the CDC in reference to laboratory operation changes
Drafted revised and standardized 21 stan-dard operating procedures for containment laboratories in order to ensure compliance across all areas of biological agent man-agement
Expanded identification process within our compliance portal for DLAM personnel needing orientation BSL-2 Zoonotic and Lab Animal Allergy training
Updated Ventilated Enclosure form to make collection of campus fume hood data more robust
Instituted a BSL2 inspection process throughout the division of Lab Animal Medicine (DLAM) to increase safety and compliance
Updated biological waste policy to include new Drosophila discard technique and implementation of plastic sharps contain-ers
Updated the EHS Shipping webpage to reflect changes in Federal and Interna-tional regulations
Worked with the Histology Core and Lab-Corp to determine and acquire proper packaging for large-scale study that re-quires North Carolina clinics to ship pa-tient samples to UNC
Worked with CFPulmonary Research Group and UNC Purchasing to improve their shipping processes
Created a comprehensive export documen-tation process for the Fiscus lab to allevi-ate import problems for collaborations in Brazil and South Africa
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 - - Level 3
Level 2 - Level 2
Level 1
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P e r f o r m a n c e L e v e l A s s e s s m e n t
COMPLIANCE 14 15
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Collaboration communication and customer service are re-ferred to as the building blocks of a safety culture mecha-nisms of continuous improvement and the path to compli-ance These 3cs were the guiding principals in the creation of new communication devices more data analysis prepara-tion for an accreditation visit and training for a potential chemical spill event
One of the most significant events in the history of university lab safety occurred
in 2011 with the release of a major report on academic lab research safety by the
US Chemical Safety Board (CSB) For the very first time the CSB investigated a
university lab accident The explosion in a chemistry lab at Texas Tech Univer-
sity severely injured a graduate student and the report noted that there have been
at least 120 known university lab accidents since 2001 The report strongly urged
university research communities to make a better effort in safety communications
and to strongly promote the wearing of proper personal protective equipment To
support the reportlsquos recommendations the Chemical Safety staff created and dis-
tributed a new Personal Protective Equipment (PPE) Fact Sheet and a Laboratory
Electrical Safety alert to the Principal Investigators and Safety Supervisors The
staff also created and distributed a new newsletter Avert The first edition focused
on procedures for working with hazardous drugs and highlighted Tamoxifen a
hazardous drug commonly used in research labs
The newsletter also gave an overview of 2010lsquos lab injuries and incidents high-
lighting the most common injuries (cutspunctures) and the most common inci-
dents (chemical spills) The newsletter was designed so that some of the informa-
tion could be used at safety meetings and the reverse side could be hung in labora-
tories as a poster The section also began the development of a comprehensive lab
safety survey and hazardous waste poster to be rolled out in 2012
Collaboration and customer service also played a major role in guiding the activi-
ties as the staff collaborated with others on a DLAM team to assist the Division of
Lab Animal Medicine in preparing for a site visit by the accrediting agency
trained other EHS emergency response team members on the proper use of the
Emergency Response Guidebook and trained EHS inspectors to look for machin-
ery that would pose a threat to users
Building a vibrant safety culture is often not accomplished by instituting any one
major idea or process It is done by instituting many seemingly small and incre-
mental ideas or processes in the areas of collaboration communication and cus-
tomer service In 2011 the Chemical Safety section was busier than ever before
instituting many improvements on a positive path to compliance and the health
and safety of our campus community
Chemical Safety
16 17
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
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ne
Le
ve
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o
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ve
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re
e
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ur
18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―The Division of Laboratory Animal Medicine (DLAM) is
very appreciative of all the assistance that EHS Chemical
Safety has provided to us over the past year When we needed
updated strategies they collaborated with us to develop a new
SOP for handling soiled bedding contaminated with chemical
hazards and create a new room sign to help make identifica-
tion easier They continue to work with us to ensure our staff
and the researchers at this University are properly trained
Chemical Safety
16 17
Who We Are
What We Do With more than 500 laboratories on campus
UNC is one of the worldlsquos leading research
institutions The Chemical Safety section man-
ages the process of improving lab safety through
education compliance and the constant task of
identifying and evaluating potential safety haz-
ards in order to reach the destination of a safe
research laboratory environment On average
EHS conducts more than 1000 lab inspections
every year and checks 150 separate safety issues
A n d W h a t T h e y S a y
Kenneth R Muller BA RLATG
Training Coordinator
Division of Laboratory Animal Medicine
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Weapons of Mass Destruction
Training for EHS Emergency Responders
Training in 2011 included ―Weapons of Mass Destruction Radiologi-calNuclear HazMat Technician offered by the Department of Homeland Security Additionally the Chemical Safety section staff trained other EHS Emergency Response team members on the use of the Emergency Response Guidebook and coordinated training for a new FTIR instrument that will aid the team in identifying unknowns from a chemical spill
DLAM Teamrdquo Helped
Prepare for the AAALAC Visit
In 2011 the Universitylsquos animal research program underwent ac-creditation and the internal EHS ―DLAM Team helped prepare for the AAALAC visit The team also addressed any health and safety issues found during the inspection process As a result of the staff assisting with this inspection event the animal research program received full accreditation
Database Change Improves
Formaldehyde Training Compliance
To better track the compliance of researchers using formaldehyde tie-ins to the research animal protocol system to the EHS internal database enabled the Chemical Safety staff to run reports on non-compliance The addition of formaldehyde compliance information to the lab safety plan training compliance page helps principal inves-tigators and safety supervisors ensure that employees who need for-maldehyde training have completed the training At the end of the year 80 of users were compliant in their trainingmdasha substantial increase from the roughly 30 who were compliant before these measures were implemented
New Section on Machinery
Use Added to Lab Safety Plan
The death of an undergraduate student at Yale University in a Chemistry department shop from a machinery accident was an unfor-tunate event but it alerted all in the academic research community to review their labs safety measures for machinery use At UNC a new section of the lab safety plan was implemented that identifies the types of machinery in individual labs and the safety measures taken Additionally the CLIP inspectors were trained to be aware of ma-chinery safety issues during inspections and flagging them in the EHS internal database so that training and safety measures are in place
18 19
Catherine Brennan
Chemical Hygiene Officer
Michael Long
Associate Chemical Hygiene Officer
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
COMPLIANCE
Education Customer Service Internal Processes
Trained 1580 new laboratory workers via the Laboratory Environment online self-study training module complying with OSHA regulatory training requirements Formaldehyde online training course com-pleted by 560 employees complying with OSHA regulatory training requirements Hazardous Waste Management online refresher training completed by 725 em-ployees aiding compliance with EPA and NCDENR regulations Nanotechnology Safety training completed by 64 employees Trained 12 HHMI scholars and 15 UNC PREP students starting the summer pro-gram on the topic of general laboratory safety Trained 15 housekeepers about chemical containers and how items should be marked for trash disposal Utilized Principal Investigator listserv to quickly distribute laboratory safety news updates and alerts on laboratory electrical safety and PPE and other Created and distributed a new laboratory specific newsletter (Avert) to support educational efforts of principal investiga-tors Updated EHS web pages with personal protective equipment and reproductive hazards information Trained hospital security force about chemical weapons of mass destruction as part of Department of Homeland Security training course
Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies Reviewed 466 new andor updated Labo-ratory Safety Plans and reviewed deficien-cies with PIlsquos and Safety Supervisors en-suring compliance with the Universitylsquos Chemical Hygiene Plan Supported regulations on animal care and use by participating in semi-annual inspec-tions of satellite facility Assessed potential chemical exposures by monitoring air concentrations in four em-ployee-breathing zones and four laboratory work areas and made suggestions for con-trols to eliminateminimize chemical health hazards Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries Participated in clean up of nine chemical spills in campus laboratories Investigated nine research laboratory acci-dentsincidents evaluated root causes and provided recommendations for modifica-tions of work operations to prevent future incidents Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating procedures when hazardous chemicals are used in animals
Reviewed more than 300 IACUC applica-tions including reviewing and approving Chemical Hazard forms ensuring research compliance for animal care and use Performed more than 90 CLIP inspections assessing campus laboratory safety and compliance Worked with OACU and DLAM to sub-mit letter to AAALAC for upcoming site visit and University accreditation Met with Waste Industries OWRR and EHS Biosafety section regarding switching from metal cans to red sharps containers Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB Added Machinery section to online lab safety plan
2008 2009 2010 2008 2009 2010 2008 2009 2010
- Level 4 - - - - -
Level 3 Level 3 - Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
18 19
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
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22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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ve
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ne
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ve
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o
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ve
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re
e
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ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Recently completed renovations at Kenan Stadium included the addition of new life
safety equipment specifically a fire pump and emergency generator to be utilized
in the event of a catastrophic fire The Environmental Affairs staff working with
an air quality expert was charged with the responsibility to ensure that this equip-
ment was properly permitted in time for the opening kick-off of the 2011 football
season However the revision of the Universitylsquos Title V air permit was not a sim-
ple or routine undertaking Major changes in federal air pollution regulations were
enacted by USEPA in 2010 These new regulations resulted in significantly ex-
panded stringent limitations for nitrogen dioxide (NO2) and sulfur dioxide (SO2)
emissions from large sources The ever-tightening federal emissions limits in-
creased the difficulty of permitting new sources (like the Kenan emergency genera-
tor and fire pump) and contributed to growing uncertainty between USEPA and
state regulatory agencies about how the new regulations would be administered
and enforced Moreover the North Carolina Division of Air Quality (DAQ) re-
quired UNC to perform detailed air emissions modeling associated with any pro-
posed permit revisions Because of the tightened regulatory limitations on emis-
sions the modeling effort proved to be particularly challenging
Title V operating permits administered by state regulatory agencies and the
USEPA regulate large sources of criteria air pollutants such as NO2 SO2 hazard-
ous air pollutants mercury and particulate matter UNC has a Title V permit for
the Cogeneration facility and Manning Drive steam plant Smaller air emissions
sources such as smaller boilers hot water heaters and the Universitylsquos 86 emer-
gency generators now must also be listed on the permit as the result changes im-
plemented by DAQ Thus UNC needed to strike a balance between needed
growth (ie the addition of critical new equipment) and maintaining its longstand-
ing commitment to environmental stewardship
Environmental Affairs Energy Services and the air quality consultant developed a
novel strategy that enabled the University to permit the new equipment based
upon the results of air emissions modeling of the proposed new sources Working
with DAQ the modeling demonstrated that the new sources would not contribute
to any exceedance of the new SO2 and NO2 national ambient air quality standards
This proactive stance fostered greater cooperation with DAQ and helped pave the
way for the permit application to be reviewed and approved within 2 monthsmdasha
pace well ahead of the typical six-month timeframe for a Title V renewal
Against a backdrop of sweeping new federal air regulations the Environmental Affairs unit worked closely with Energy Services and an air pollution consultant to obtain permits for critical new life safety equipment in near record timemdashfacilitating growth while protecting air quality
Environmental Affairs
20 21
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―Energy Services works closely with the Environmental Affairs
section of EHS to help ensure that our complex plants are com-
plying with an ever-changing regulatory landscape and meeting
our compliance goals A perfect example is the recent renewal of
the Universitys Title V air permit EHS coordinated with plant
personnel University Counsel our consultants as well as NC
Division of Air Quality personnel to accomplish the renewal in
near record time Environmental Affairs staff is responsive to
our needs knowledgeable professional and a pleasure to work
with
Environmental Affairs
20 21
W h o W e A r e
W h a t W e D o The Environmental Affairs section was created in 1994 to
proactively manage the environmental permitting of the
campus and to ensure compliance with the increasing
number of permits required by state and federal agencies
The section has responsibility for oversight of under-
groundabove ground storage tanks air and water quality
permits surface water quality storm water management
wetland issues environmental assessments at inactive
waste sites collection of radioactive and hazardous mate-
rialswastes and operation of the Hazardous Materials
Facility and the storage-for-decay program for short-lived
radioactive wastes
A n d W h a t T h e y S a y
Phil Barnar Interim Director Energy Services
Cogeneration Systems Manager
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
22 23
New Pole Camera Enables
Rapid Detection of Illicit Discharges
EHS and Energy Services jointly purchased a pole camera in 2011 to enable more facile and rapid detection of illicit discharges as well as cracks andor breaks in the stormwater system piping Under the Universitylsquos illicit discharges program piping outfalls are in-spected under dry weather conditions and if flows are detected (eg often from broken or damaged overlying or nearby sanitary sewer lines) investigations of potential sources are conducted
Non-potable Water
for Athletic Field Irrigation
In 2011 UNC began using non-potable water for both athletic field irrigation and for toilet flushing Non-potable water consists of both reclaimed wastewater and stormwater collected in large cis-terns Several departments including Energy Services EHS Fa-cilities Services and OWASA worked jointly to obtain and imple-ment the necessary non-potable water permits from the North Carolina Department of Environment and Natural Resources
Electronic System for Management
of Hazardous and Aqueous Radioactive
Wastestreams
Over the past 7 years the Environmental Affairs staff in collabora-tion with Information Technology Services (ITS) has been devel-oping and expanding an electronic system for the management of hazardous and aqueous radioactive wastestreams generated by the Universitylsquos more than 500 teaching and research laboratories The e-510 process for hazardous waste and e-102 process for aqueous radioactive waste provide a more robust management system for these wastestreams improving the tracking of these materials from the lab to EHS storage and ultimately to final disposal In 2011 major enhancements to the e-510 system included the addition of YESNO check boxes for ―formaldehyde ―to be recycled and ―universal waste
Potential Alternative Fuels
for the Cogeneration Facility
EHS staff worked closely with Energy Services and outside con-sultants on a variety of projects in 2011 related to potential alter-native fuels to be combusted at the 32 megawatt Cogeneration fa-cility Major highlights included an assessment of alternative fuels such as residual derived fuels (RDF) in conjunction with coal and wood in the Gogen boilers
Daniel Elliott
Environmental Affairs Manager
Ray Bond
Senior Hazardous Materials Specialist
Janet Clarke
Environmental Specialist
Roger Connor
Radioactive Materials Specialist
Larry Daw
Environmental Compliance Officer
Sharon Myers
Environmental amp
Stormwater Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
COMPLIANCE
Education Customer Service Internal Processes
Participated in several joint training exer-cises at the Cogen facility as part of the One Plan compliance efforts Conducted Reclaimed Water training for 69 employees Athletic Department (13) Facilities Planning (43) Design Services (6) and Construction Management (7) Sponsored a ―Plant a Rain Garden at Kenan Stadium for Earth Week with na-tive plants suitable for rain garden condi-tions Presented program on cross-connection mapping and methodology at a GIS Users group meeting Presented p rogram a t the annua l CSHEMA conference titled ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds Parallel manuscript submitted to the Jour-nal of Chemical Health and Safety was accepted for publication Presented program at the 2011 Water and Health Conference on the ―Regulatory Challenges of Utilizing Reclaimed Water Staffed a stormwater education table at UNClsquos Sustainability Day event Provided training on good housekeeping and pollution prevention practices to Caro-lina Inn engineering and managerial staff Provided training to approximately 40 Carolina Inn staff members on restaurant good housekeeping and stormwater pollu-tion prevention best practices Provided stormwater awareness training for 10 people from the office of Waste Re-duction and Management Athletics Town of Chapel Hill and catering contractors
Conducted 4947 pick-ups of hazardous and non-hazardous wastes Conducted 1212 pick-ups of radioactive wastes Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste Processed 19 shipments of hazardous and mixed waste totaling 79720 kg Processed 24 shipments to TSDFs total-ing 29429 kg of hazardous waste Recycled 12565 kg of spent fluorescent light tubes Recycled 13881 kg of lead non-PCB bal-lasts and other metals Reclaimed 1377000 gallons of water at Kenan Stadium in one month Performed 121 stormwater outfall inspec-tions to identify potential illicit discharges including physical inspection of the out-fall and development of documentation Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protecting nearby surface water outfall(s) Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-gency generators Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the Finley Course Pro Shop and closed out the ID number with EPA Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in Morehead City and submitted DWQ
Utilized a new pole camera to quickly lo-cate a leaking OWASA sewer line saving 6ndash9 hours of UNC employee time over previous investigation methods Collaborated with Energy Services person-nel on installation of reclaimed water sign-age at all toilets and urinals in the new NC Botanical Gardens Visitor Education Cen-ter In conjunction with UNC Information Technology department upgraded the online e-510 waste disposal process im-proving tracking of hazardous versus uni-versal waste requests Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of saturated soils and ground-water Worked with personnel at Horace Wil-liams airport to repair piping in contain-ment sump and to facilitate final hydro-static testing of repaired systems Conducted erosion and sedimentation con-trol compliance inspections at various projects Duct Bank Finley Golf Course Dental School and Hospital Parking Ser-vices Building Working with OWASA successfully in-vestigated sewage leak entering Bell Tower outfall and verified repairs Submitted Phase 1 Stormwater Manage-ment Plan for Carolina North to DWQ the final requirement for 401 Water Qual-ity Certification request Submitted Phase II Stormwater Permit Renewal to DWQ Worked with the Town of Chapel Hill and their consultant regarding ongoing inves-tigations at old bus garage and removed hydraulic oil-impacted soils
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 - - -
Level 3 Level 3 - Level 3 Level 3 - - Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
22 23
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
24 25
Between 2009 and 2012 the Fire Safety section received two FEMA grants for a grand total of $440086 These unique grants enabled the department to put fire safety sensor de-vices on more than 1000 electric stoves and 315 microwaves 36 UNC residence halls and 88 apartment units reducing the risk and cost of false fire alarms
The FEMA Fire Prevention and Safety Award was the work of an EHS Fire
Safety Officer who maintains on-going contact with FEMA to watch for funding
opportunities She recognized the opportunity to provide an extra margin of safety
to more than 19134 students and families in UNC residence halls by installing
various stovetop safety devices through a grant
The Safe-T-element stovetop safety device and the microwave Safe-T-sensor have
reduced many of the 800 or more fire calls that the Chapel Hill Fire Department
(CHFD) makes to campus every year Reducing unnecessary fire calls saves the
Town of Chapel Hill more than $800 per call an estimated annual cost to the tax-
payers of more than $600000 Additionally every false alarm run that the CHFD
does not have to make keeps fire personnel and their equipment ready and avail-
able for a real fire while removing the risk to the firefighters of unnecessary expo-
sure responding to false fire alarms
In addition to installing Safe-T-sensor microwave devices in residence halls EHS
created a magnetic poster to sit on top of the microwave to detail proper use of the
sensor and provide important safe cooking tips Fire Safety also produced a series
of podcasts that reenacted the four most problematic alarm activations in resident
halls unattended stove and microwave cooking shower steam and hairspray acti-
vations
While the overall goal of the program was to eliminate dangerous kitchen fires
and reduce unnecessary fire alarm activations EHS also saw an opportunity to let
students participate in their own fire safety education by recruiting students to
create and act in fire safety training podcasts The funding from FEMA also en-
abled the department to purchase video cameras for future training programs and
podcasts obtain a five year supply of safety brochures and poster magnets and pro-
vide fire safety training for 42000 students over a five year period using bro-
chures posters and videos
Fire Safety amp Emergency response
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―The Fire Safety section staff perform an annual fire watch at all
Kenan football games to ensure personnel and visitor safety and
the continuity of all of our football games Every football event
has 105 ball players 300 employees and contractors and up to
62000 people on a sell- out day including our concessions employ-
ees Show-Pros First aid medics ushers and all of the athletic
personnel Even during regular business hours the Fire Safety
team protects us by keeping our facility safe and well maintained
We appreciate our relationship with EHS Fire Safety staff and
hope to continue to gain valuable training opportunities in the
future
24 25
Fire Safety amp Emergency response
Who We Are
What We Do Fire safety management includes six functions
inspections enforcement education engineering
fire investigation and response With 438 build-
ings on campus and a wide range of potential fire
safety risks EHS personnel are constantly
checking fire related equipment running test
alarms and assessing egress risks The section
provides as much student and employee fire edu-
cation as possible so that fire safety becomes a
collaborative effort and a fire safety culture be-
comes the norm
A n d W h a t T h e y S a y
James Spurling
Director of Kenan StadiumFootball Facility
UNC Athletics-Kenan Football
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Completion of Fire Safety
Devices in All Residence Halls
Fire Safety completed the final installation of the Safe-T-elements and Safety Sensor with another FEMA grant of $219068 This fund-ing provided Safe-T-elements for 1000 electric stoves and Safe-T-sensors for more than 300 microwaves in student and family hous-ing (See full story on page 24)
Fire Safety Supports the
Hazards Management Plans
Fire Safety Supports the Hazards Management Plans (HMP) pro-gram with two inspectors This program inspects small shop units on campus for proper chemical and fuel storage medical surveillance required training and writes a report to the work unit to summarize results and explain any deviations from University State and Fed-eral Regulations The inspector also goes over any PPE require-ments for the work unit
Developing Evacuation Egress Maps
Fire Safety continues the assistance to University departments in developing evacuation egress maps These egress maps are placed in hallways and corridors to help people get out of the building in an emergency showing all exits and the shortest path to those exits
New Fire Safety Video for Podcasting
Fire Safety implemented a custom video project and turned it into a pod cast on the EHS main webpage The video incorporated actual fire events on campus with student actors and provided them with a working knowledge of fire safety The video seeks to improve safety eliminating false alarms from shower steam stove cooking dangers and unattended microwave cooking A local professional cinematog-rapher provided guidance to create a one-of-a-kind video and pod-cast
New Bar Code System for Tracking
and Inspecting 5000 Fire Extinguishers
The Fire Safety section inspects more than 5000 fire extinguishers both on campus and in other remote UNC buildings In 2011 EHS obtained a state of the art bar-code tracking system The process to attach these bar codes to more than 5000 extinguishers and enter the location data into the tracking software is ahead of schedule This new system enables to the staff to track extinguishers for re-quired testing and inspections more efficiently
26 27
Billy Mitchell
Fire Safety amp
Emergency Response Manager
TJ DeLuca
Fire Safety Professional
Kitty Lynn
Fire Safety Professional
Adam Swift
Fire Safety Technician
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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ve
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ne
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ve
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o
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ve
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re
e
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ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
COMPLIANCE
Education Customer Service Internal Processes
Trained 1830 students staff and faculty in proper use of fire extinguishers using live fire and PowerPoint presentations includ-ing videos developed by students Collaborated with Housing and Urban Residential Education to create a podcast for training of Resident Advisors on fire safety Created a microwave Safe-T-sensor mag-net poster for the top of all student resi-dence microwaves in order to reduce mi-crowave misuse Held annual fire safety fair in collaboration with UNC Public Safety and Chapel Hill Fire Department Conducted over 20 Life Safety Meetings with a variety of UNC personnel focusing on fire hazards egress and evacuation protocol Participated in the development and imple-mentation of a confined space drill with Energy Services South Orange County Fire and Rescue Chapel Hill Fire Depart-ment UNC Public Safety and EHS Provided ThermoFisher TruDefender instrumental-specific training for the HazMat Team
Created and posted evacuation maps in the Smith Center to assist EHS and Life Safety staff in the event of a need for mass evacua-tion Provided fire safety consultations for two Haunted Houses and Playmakerslsquo Ball events Provided fire watches at 28 Athletic events at Smith Center and Kenan Stadium Participated in the annual Fall Festival providing instruction in safe environments fire safety and compliance with NC Fire Code Worked with Friday Center staff in devel-oping occupancy loads for their conference rooms and added required exit lights for safe egress paths Provided 102 fire drills for residence halls libraries and health facilities Completed installation of Safe-T-elements and Safe-T-Sensors in residence halls with funding from a second FEMA grant Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators
Completed bar code system for identifica-tion providing a comprehensive and effi-cient tracking and inspection process for the campus fire extinguishers Provided new safety tools for the emer-gency response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters Provided six work-study students an op-portunity to assist in fire safetylsquos day-to-day operations giving them a better un-derstanding of fire safety while improving response and staff availability for other responsibilities Provided eight monthly training sessions for EHS emergency response team im-proving their knowledge effectiveness With Chemical Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - Level 4 - Level 4 Level 4 - - -
Level 3 Level 3 Level 3 - - Level 3
Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
26 27
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
OSHA defines confined spaces as ―spaces that are large enough that people can
enter and perform work have limited or restricted entry or exit and are not de-
signed for continuous occupancy
Some of these confined spaces contain hazards including toxic gases oxygen defi-
ciency and mechanical and electrical hazards Annually more than 15 million
workers enter confined spaces and are at risk for injury when precautions are not
taken to control or eliminate these hazards The risks are real In 2011 four peo-
ple in North Carolina died from incidents in confined spaces
OSHA requires any employer whose employees enter confined spaces to implement
a written program to ensure their safety and EHS administers the UNC policy and
program One of the key components of this program is to select a rescue provider
to respond to confined space emergencies The campus rescue provider is the South
Orange Rescue Squad (SORS) Technical Rescue Team As required by OSHA
SORS conducts annual mock rescue drills on campus The drills usually only in-
clude the department responsible for the space involved in the drill but there are
other entities that are vital in the response to confined space incidents They are
UNC Public Safety (Dispatch and Officers) Orange County Dispatch Center UNC
EHS Orange County Emergency Services Chapel Hill Fire Department and the
SORS Technical Rescue Team
In 2011 EHS assisted in planning and coordinating the first system-wide confined
space drill Staged at the UNC Cogeneration facility the exercise scenario began
with a call to 911 announcing a confined space emergency and ended with the re-
trieval of the victim mannequin Rescue Randy
Participating in a comprehensive drill was invaluable for all parties in providing
opportunities for collaboration and improvements to the current system From
that exercise the responders decided to conduct annual system-wide drills and
meet quarterly to discuss their response efforts EHS developed a standard operat-
ing procedure for the EHS Emergency Response Manual Dozens of UNC employ-
ees enter confined spaces every day to keep our campus working EHS and the
other local response units are working to make sure those employees can do it
safely
The UNC campus contains thousands of confined spaces that few people notice because they are often behind walls above ceilings or under ground They are the access points to ser-vice tunnels manholes air handlers crawl spaces tanks and underground vaults that UNC employees enter every day to keep our campus working Without proper procedures these spaces can be unsafe to enter
Occupational amp Environmental Hygiene
28 29
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―The CHFD enjoys excellent working relationships with our mutual
aid partners and UNC The opportunities to work together to en-
sure we can work under a common plan to accomplish safe and ef-
fective service delivery is taken for granted The confined space drill
with the University Orange County Emergency Services and the
South Orange Technical Rescue team demonstrated the capabilities
of the various agencies and the excellent working relationships
The lessons learned from this drill will be used to strengthen both
our emergency response abilities and our communication with our
partners
Occupational amp Environmental Hygiene
28 29
W ho W e A r e
W h at W e D o OEH is responsible for ensuring that indoor campus
environments are conducive to good health and
wellbeing using knowledge and experience in indus-
trial hygiene asbestos management air and water
quality and safety engineering The section assesses
potential safety hazards possible instances of expo-
sure and suitability of protective equipment OEH
works with facilities engineering and facilities ser-
vices personnel to find ways to keep historical build-
ings functional while protecting employee health
and works with planning construction and startup
of new and renovated buildings to anticipate and
eliminate building related health issues
A n d W h a t T h e y S a y
Robert Bosworth Deputy Chief
Emergency Management Coordinator
NC Task Force 8 USAR Team
Town of Chapel Hill
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
30 31
Staff Asked to Serve
on the NCDOL PEL Advisory Committee
Environment Health and Safety was invited by The NC Depart-ment of Labor (NCDOL) to participate in an advisory committee to determine if Permissible Exposure Levels (PELs) for carbon monox-ide need to be modified in North Carolina NCDOL was considering introducing a Short Term Exposure Limit (STEL) to address acute exposures The committee consisted of industrial hygienists from a cross-section of environments including manufacturing academia and consulting industries
New Database for Hearing Loss Prevention
Annual audiometric tests for employees enrolled in the campus Hear-ing Conservation Program (HCP) are conducted at the UNC Speech and Hearing Clinic The clinic purchased the Examination Manage-ment Network database operated by Examinetics Inc for data man-agement of audiometric testing results The database allows the HCP administrator to generate various reports that help support the goal of hearing loss prevention versus hearing loss conservation Instead of only focusing on employees that have reached the OSHA standard threshold shift (STS) the database can generate a report of employees approaching the STS Now the administrator can inter-vene and work with these employees to prevent them from reaching a shift
Confined Space Program Improvements
EHS worked with various groups to improve the campus confined space program and coordinated monthly meetings with Energy Ser-vices to discuss program improvements Energy Services also imple-mented daily bump testing of gas monitors to ensure the monitors are operating appropriately prior to conducting entries EHS as-sisted in coordinating the first system-wide confined space exercise that included all of the local emergency response agencies
DLAM Lockout Tagout
Standard Operating Procedures
EHS assisted the Department of Laboratory Animal Medicine (DLAM) with the development of lockout tagout standard operating procedures for the various types of cage washing machinery EHS and the DLAM Training Coordinator trained employees on general lockout tagout requirements and specific procedures that will protect employees from injury while doing maintenance on the cage washers
John Murphy CIH
Occupational and Environmental
Hygiene Manager
Kim Haley CIH
Industrial Hygienist
Janet Phillips
Industrial Hygienist
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
COMPLIANCE
Education Customer Service Internal Processes
Trained 537 Maintenance Housekeeping and Design and Construction Services employees in asbestos awareness Presented asbestos program to 28 mainte-nance supervisors Trained 65 Maintenance and DesignConstruction Services employees on OSHA Lead-in Construction Standard Trained 209 Grounds Public Safety Chilled Water Cogeneration DLAM and Facilities Serviceslsquo employees on hearing conservation Trained 68 Facilities Services HMP Team and Energy Serviceslsquo employees on confined space Trained 41 Facilities Services Energy Services and EHS employees on confined space air monitoring protocols Trained DLAM 51 employees on lockouttagout requirements Presented a program on HazMat ndash SPOTS to the local Environmental Information Association conference in Myrtle Beach South Carolina Presented a program on HazMat ndash SPOTS for Cornell University personnel inter-ested in the SPOTS application Attended Scaffold Competent Person Training provided by Facilities Services
Responded to water intrusion events odor complaints and mold concerns to preventameliorate indoor air quality issues in 78 campus buildings Conducted 228 lead and asbestos inspec-tions including building material testing supporting in-house maintenance and con-struction activity Provided mercury assessments perchlo-rates testing and mercury cleanup guid-ance for 22 laboratory renovation projects and spill responses Conducted eight noise-monitoring assess-ments for Cogeneration Life Safety Mi-crobiology and Immunology Facilities Services Service Station and DLAM Managed 22 in-house asbestos abatement projects including ambient air and person-nel monitoring and provided nine asbestos abatement design specifications for Facili-ties Services Conducted a qualitative risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop Collected water samples from potable wa-ter fixtures checking for lead contamina-tion in five buildings Conducted carbon monoxide monitoring of gasoline-powered 4-wheel vehicles for department of Grounds and Chilled Water Coordinated mobile-van audiometric test-ing of Public Safety department employees Installed 339 confined space entry signs on HVAC air handling units
Participated in the Facilities Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees Participated in a North Carolina Depart-ment of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon monoxide Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on campus Implemented bump testing of gas monitor-ing instruments for confined space in En-ergy Services supported areas Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 - Level 3 Level 3
Level 2 Level 2 Level 2
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
30 31
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
The transport of radioactive nanoparticles designed for re-search in internal radiation therapy of ovarian cancer re-quired careful and very time-sensitive coordination between researchers at the Eshelman School of Pharmacy the nuclear reactor facility at North Carolina State University and the UNC Biomedical Research Imaging Center EHS made it pos-sible for the research to continue mdashuninterrupted
There is a long history of treating various diseases with therapeutic radionuclides
This frequently involves producing a radionuclide in a nuclear reactor or charged
particle accelerator and then chemically attaching it to a biological carrier eg an
antibody or a particle Nanoparticle-based targeted radionuclide therapy in which
radionuclides contained within nano-carrier systems emit ionizing radiation that is
absorbed by target tumor cells has significant potential as a delivery system for
personalized cancer therapies
For many radionuclide therapeutic agents the process of attaching the radionu-
clide to the carrier needs to be done in specialized facilities and can be hazardous to
personnel performing the procedure as this frequently involves handling large
amounts of beta-emitting radionuclides Researchers in the labs of Drs Michael
Jay and Xiuling Lu developed a procedure in which radiotherapeutic nanoparticles
could be made radioactive after they had been prepared This was accomplished by
incorporating a small amount of stable (non-radioactive) isotope into the nanopar-
ticles during their preparation The nano-carriers were then irradiated in a nuclear
reactor which converted the stable isotope into a beta-emitting radioactive isotope
that was effective for use in internal radiation therapy The selected radioisotope 166Ho also emits gamma rays that allow it to be imaged externally
The UNC Radiation Safety Office was critical to the success of studies to deter-
mine the effectiveness of these radiotherapeutic nanoparticles After the stable-
isotope-containing nano-carriers were prepared they were shipped to the nuclear
reactor facility at North Carolina State University where they were irradiated
UNC Radiation Safety then transported the radioactive nanoparticles to labs at
UNC where the efficacy studies were conducted In addition some of these radio-
active nanoparticles were transferred to the UNC Biomedical Research Imaging
Center where their biodistribution was assessed in tumor-bearing animals using a
micro-Single Photon Emission Computed Tomography (micro-SPECT) imaging
system Because the half-life of 166Ho is not long (27 hours) and the time during
which the (micro-SPECT) imaging system is limited all of these activities required
careful coordination The UNC Radiation Safety Office worked diligently and was
extremely accommodating to ensure the success of this project The data gener-
ated by these studies was used to support a research proposal to the National Insti-
tutes of Health
32 33
Radiation Safety
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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ve
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ne
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ve
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o
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ve
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re
e
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ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―The UNC Radiation Safety Office was critical to our research
to determine the effectiveness of radiotherapeutic nanoparti-
cles Our success depended on time-critical elements because
the half-life of the radioactive materials is short Your staff
ensured that the radioactive materials were transported safely
and in compliance with all regulatory requirements and met
all licensing requirements The UNC Radiation Safety Office
worked diligently and was extremely accommodating to en-
sure the success of our project
32 33
Who We Are
What We Do Radiation Safety integrates education over-
sight compliance service and consultation to
protect the students staff faculty members of
the general public and the environment from
the effects of both ionizing and non-ionizing
radiation Implicit in all aspects of radiation
safety is security Safety and security are ac-
complished through training inspection licens-
ing registration and controlled access to certain
materials These are designed to supportmdashnot
impedemdash academic research
A n d W h a t T h e y S a y
Dr Michael Jay
Professor of Biomedical Engineering
School of Pharmacy
Radiation Safety
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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ur
34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
ve
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ne
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
34 35
Successful Licensing of
Two New Research Facilities
UNC successfully licensed two new research facilities the ABT Bio-marker Generator (the second one in this country) and a new MRPET facility (the fourth one in this country) These research devices were installed at the end of the year with implementation in early 2012 The ABT Biomarker generator will produce PET (Positron Emission Tomography) radionuclides for medical imaging and the MRPET facility combines the superior anatomical imaging of MRI with the superior physiological imaging of PET to produce a new gold standard of medical imaging
Successful Licensing of UNCH State
of the Art Tomotherapy Treatment System
UNCH successfully licensed a state of the art Tomotherapy treat-ment system which is the new standard for accurate treatment of cancer cells using CT technology Tomotherapy represents a signifi-cantly improved radiation delivery method customized for each pa-tientlsquos anatomy thereby reducing radiation exposure to healthy tis-sue The TomoTherapy systemlsquos linear accelerator is mounted to a CT scanner-like ring gantry thus treatments can be delivered con-tinuously from all angles around the patient More beam directions give physicians more control in how they plan treatmentsmdashand more assurance that dose will be confined to the tumor reducing the risk of short- and long-term side effects
Academic Accelerator and
Academic Irradiator Licenses Inspected
The Radiation Safety section administers eight radioactive materials licenses and approximately 18 x-ray registrations These licenses and registrations are audited by the NC Radiation Protection Section on a regular basis on differing schedules In 2011 the academic ac-celerator and academic irradiator licenses were inspected by a multi-person team for 4 days The results of the inspection were that the program was in good shape and there were no citations or violations
Appointment to Adjunct Assistant Professor
A member of the Radiation Safety staff received an appointment as Adjunct Assistant Professor in the Department of Nuclear Engineer-ing at North Carolina State Universitylsquos School of Engineering Duties included teaching a semester course entitled ―Radiation Safety and Shielding
Roger Sit
Radiation Safety Officer
Mark Brueckner LSO
Health Physicist
Montego Fearrington
Health Physics Technician
Aaron Gunsalus
Health Physics Technician
Jonathan Moore
Associate Radiation Safety Officer
Mike Soles
Lead Health Physics Technician
Bradford Taylor
Associate Radiation Safety Officer
Eric Zack
Health Physics Technician
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
COMPLIANCE
Education Customer Service Internal Processes
Administered radiation safety training courses to 2228 persons non-ionizing radiation safety training administered to 304 persons Provided lectures to the Chemistry De-partmentlsquos ―Chemical 073 Nuclear Chem-istry class Provided two training sessions in CBRNE Standardized Awareness (radiological) to more than 40 members of the UNC Hospi-tal Police Department Hosted 10 students studying nuclear medi-cine technology for two-week rotations through radiation safety Coordinated training sessions with hospi-tal CTradiography equipment for NC-RPS x-ray branch personnel utilizing new radiation survey equipment Supported the NC Science Teachers work-shop by staffing an information booth giv-ing away 35 radiation detectors and Un-derstanding Radiation Resource Kits and presented a program on the use of radioac-tive materials in our society Hosted Remote Monitoring Station webi-nar for Public Safety UNCH Police and Facilities Serviceslsquo employees regarding GTRIlsquos irradiator security system Provided the UNC-CH x-ray equipment operator-training module to the Philadel-phia Veteranlsquos Administration Medical Center for their use Taught a three-week module on Radiation and Environmental Radioactivity in the ENVR-401 class in the department of En-vironmental Science and Engineering Gave two presentations on the use of ra-dioactive materials in society to the East Chapel Hill High School advanced place-ment Environmental Sciences class Staff member chaperoned and mentored nuclear engineering students on a trip to a laboratory program at the Oak Ridge Na-tional Laboratory
Provided services to UNCH hospital and patients for 81 radiation related proce-dures Calibrated 362 radiation instruments Inspected and tested 265 X-ray tubes Monitored 1535 employees for external radiation exposure Conducted 67 bioassays for potential inter-nal radiation exposure Conducted 568 collaborative laboratory inspections Conducted 756 radiation safety laboratory inspections Acquired approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials Provided radiation calibration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law enforcement agencies Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding Obtained a regulatory waiver for the Den-tal School to use portable x-ray devices (Nomad) for non-human research
Received processed and delivered 1222 containers of radioactive materials for PIlsquos research Processed eight applications for new source licenses for new faculty members Processed 31 applications for license modi-fications for faculty members Reviewed 56 IRB research protocols utiliz-ing radioactive materials for human use Attended eight quarterly hospital and campus radiation safety committee meet-ings to review and approve research and clinical use of radioactive materials and employee radiation dose information Amended UNC and UNCH radioactive material licenses four times to accommo-date research and clinical use of radiation and radioactive materials Participated in planning and design activi-ties for new cyclotron facilities at UNC
2008 2009 2010 2008 2009 2010 2008 2009 2010
- - - - Level 4 Level 4 - - -
- Level 3 Level 3 Level 3 Level 3 Level 3
Level 2
Level 1
P e r f o r m a n c e L e v e l A s s e s s m e n t
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34 35
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
As a leading public research university the University of North Carolina at Chapel Hill is called upon to prepare fac-ulty staff students and scholars to lead in the increasingly global marketplace Thus streamlining the international travel process for Tar Heels is an EHS priority
Carolina maintains active teaching and research portfolios in all corners of the
world including Africa (UNC Malawi) Asia and Latin America (Institute for the
Study of the Americas amp the UNC Center for Galapagos Studies) with opportuni-
ties to study and work internationally starting at the undergraduate level with
over a third of Carolinalsquos undergraduate students participating in study abroad
programs before graduating
The Universitylsquos commitment to the health and safety of our students faculty and
staff is the same for all employees regardless of department job title or domestic
or international work site In partnership with UNC Global EHS has streamlined
the pre-travel consultation and post-travel assessment process for University em-
ployees traveling internationally on University business One important function
of the International Travel Program is to provide the employee with up-to-date
information regarding their travel plans and recommended preventative health
measures Yellow fever vaccination is one of the specialized services available at
the UEOHC as proof of yellow fever vaccination is routinely required to enter
most countries especially if traveling to or from countries where yellow fever is
endemic At the time of this writing yellow fever is endemic in 32 African coun-
tries and ten South amp Central American countries Malaria prophylaxis is also rec-
ommended for many parts of the world including South amp Central America Af-
rica India and China
Ensuring that UNC faculty and staff have access to these types of international
travel services allows the University to carry out its global agenda while minimiz-
ing risk to employees working far from home
Employee Occupational Health Clinic
36 37
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―For the past three years the UEOHC and Campus Health Services
have partnered to provide flu fairs on campus The 2011 flu fair had
the highest participation to date and provided influenza vaccines to
more than 6200 students faculty staff and family members Cam-
pus Health Services partnership with EHS highlights our joint com-
mitment to improve the health and safety of the people who teach
learn and serve at UNC-Chapel Hill
Employee Occupational Health Clinic
36 37
Who We Are
What We Do The University Employee Occupational Health Clinic provides occupational health care services to all part-time full-time and temporary employ-ees of the University of North Carolina The Clinic directs medical care for all workplace injuries and illnesses It also provides pre-employment screen-ing annual immunization reviews and medical surveillance for healthcare and non-healthcare workers Employees working in healthcare facili-ties are required to have annual immunization reviews Other groups of employees are required to have medical surveillance screening if they work with asbestos animals or use respiratory protection
A n d W h a t T h e y S a y
Dr Mary Covington Executive Director Campus Health Services
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
ve
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ne
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o
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ve
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re
e
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ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
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l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
James Hill MD MPH
Medical Director
Mary Crabtree
Workplace Safety Manager
Becca Artinian PA-C
Physicians Assistant
Ann Law RN
Nurse Consultant
Sherice Love
Administrative Support Associate
Vanessa Wise
Administrative Support Associate
38 39
Fitness for Duty Evaluations
Fitness for duty evaluations help determine whether an employee is able to perform his or her job duties in a safe and efficient manner EHS and the UEOHC have fitness for duty programs for employees who work in BSL-3 laboratory settings employees in the Division of Laboratory and Animal Medicine and the UNC Department of Pub-lic Safety A robust fitness for duty program allows us to minimize risks to the employee and their co-workers and helps to ensure that the employee can perform their essential job functions safely and effectively
Comprehensive Bloodborne Pathogen Program
For employees whose job functions put them in contact with poten-tially infectious material a comprehensive bloodborne pathogen pro-gram is required The Universitylsquos bloodborne pathogen program is a joint effort with Campus Health and UNC Healthcare ndash this inte-gration is necessary given that students health care workers and University employees often work side-by-side in research teaching and clinical settings Protocols were updated this year to reflect new recommendations for post-exposure prophylaxis after potential ex-posure to HIV and hepatitis
On Site Employee Health Clinics
As the University continues to grow both on-campus and off-campus work units may have increasing regulatory and medical re-quirements In some cases it is more efficient and less disruptive in clinical settings for UEOHC medical personnel to provide on-site services The UEOHC provides on-site services for the Office of the Chief Medical Examiner the UNC Dental School Campus Health UNC Public Safety and the UNC School of Medicine to improve compliance and minimize disruption of regular business operations
Monitoring the Health of DLAM Employees
The humane and responsible use of laboratory animals is a critical part of the biomedical research at the University In addition to DLAM policies and procedures for the care of more than 100000 animals on campus equal attention is given to the health and safety of the 150 employees that care for the research animal population The UEOHC provides annual evaluations for DLAM staff to moni-tor the health of the employee and ensure that risks to the employee and hisher animal population are minimized
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
COMPLIANCE
Education Customer Service Internal Processes
Assisted the UNC Dental School in meet-ing CDC recommendations for infection control in dental health-care settings add-ing more than 1000 faculty and staff to the Universitylsquos Immunization Program Implemented the Clinical Occupational Exposures Subcommittee for Students to address hazards in the teaching environ-ment Provided UNC Housekeeping with assis-tance in determining proper fit for back-pack vacuums
Provided medical clearance for the Univer-sitylsquos Respiratory Protection Hazwopper Hearing Conservation DLAM TEACCH and Asbestos programs meeting federal and state requirements for a medical sur-veillance program Served 3539 patients in the medical sur-veillance and workerslsquo compensation pro-gram Provided more than 6200 flu vaccinations to UNC students and employees through a collaborative effort with Campus Health Services Provided first care and medical manage-ment for the workerslsquo compensation pro-gram ensuring that University employees have immediate access to high quality effective health care Provided Fitness for Duty evaluations for UNC Public Safety as part of the CALEA accreditation program Provided on-site medical clinics for OCME Campus Health UNC Dental School and UNC School of Medicine im-proving compliance with the Universitylsquos Immunization Review Program Credentialed staff to use the NC Immuni-zation Registry assisting employees in obtaining up-to-date immunization re-cords ensuring compliance with required vaccination records
Implemented an online scheduling system and automated check-in system for clinic appointments reducing no-show appoint-ments and allowing for efficient use of medical staff time Provided oversight of the IACUC animal handler medical review to monitor poten-tial health effects from working with ani-mals improving work practices for animal research Developed and implemented a fitness-for dutypre-employment medical evaluation for employees working in BSL-3 desig-nated facilities as part of UNClsquos Biosurety program Developed and implemented an improved international travel policy for faculty and staff in support of UNC Global initiatives Obtained influenza vaccines in conjunction with Campus Health through the NC Im-munization Program (NCIP) reducing the Universitylsquos costs for flu vaccination Revised blood borne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis
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ve
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ur
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
38 39
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
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ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
On the day of the request a team composed of Athletics EHS Faculties Services
and an outside structural engineer quickly assessed the platforms Within two
days of the analysis EHS had trained all employees on the proper operation and
recognition of hazards like inclement weather when utilizing the scissor lift The
communication procedure of inclement weather during practice was reevaluated to
ensure appropriate notifications were being made As an extra precaution Athlet-
ics purchased portable anemometers (a device that measures wind speed) for every
filming station The permanent filming towers were deemed appropriate though
some additional enhancements were identified and UNC Athletics implemented
those suggestions too Since that initial training EHS has again trained the video-
graphers during pre and post-season football practices Athletics and EHS did not
stop there in their effort to ensure safety and continued to evaluate other walking
and working surfaces for employees
Construction was well underway for the new wing of Kenan Stadium Periodically
the two groups monitored the design of the roof filming stations and made recom-
mendations to ensure that appropriate access fall protection and warning signage
recommendations were being implemented Just before opening day of the football
season the partnership performed a final walk-through looking for any possible
hazards and then mitigating them appropriately UNC Athletics then continued
the effort to ensure the safety of their employees by having EHS conduct a safety
needs assessment of other athletic programs and other venues including Boshamer
Stadium
Today the partnership between EHS and Athletics is stronger than ever Athletics
commitment to safety is extremely impressive and exemplifies that winning is not
their number one priority Safety is
Workplace Safety
40 41
After an accidental death of a videographer at a nationally recognized football program UNC Athletics immediately contacted EHS and asked for an assessment of the Univer-sityrsquos filming procedures UNC uses permanent towers as well as scissor lifts to film football practices and wanted to ensure that a similar accident would not happen here
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
―In the fall of 2010 a Notre Dame student was killed when a scis-
sor-lift he was using to film football practice fell over in high
winds In response to this accident the Department of Athletics
immediately suspended use of all mechanical lifts pending a safety
protocol review One call to EHS put in motion a comprehensive
review of our policies and procedures and resulted in a new safety
training program and new written policies that govern our use of
all lifts and scaffold towers Thanks to EHS we believe that we
have the safest possible working conditions for staff
Workplace Safety
40 41
Who We Are
What We Do Workplace Safety provides services in the areas
of respiratory protection safety training indus-
trial maintenance and construction safety clini-
cal safety medical surveillance Workers Com-
pensation and the Safety Management Informa-
tion System The diversity of services provided
by the Workplace Safety section supports the
Universitylsquos overall mission of teaching and
research for both academic and non-academic
divisions In any given year more than 11000
employees will take a training course supplied
by Workplace Safety
A n d W h a t T h e y S a y
Mike Bunting Assistant Athletic DirectorFacilities
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Mary Crabtree
Workplace Safety Manager
Debra Bergman
Workers CompensationClinical
Hygienist
Neah Tucker
Occupational Field Hygienist
Rebecca Watkins
Web Applications Technician
University wins Gold Safety Award
The University received the North Carolina Department of Laborlsquos
Gold safety award The criterion for this award is based on achiev-
ing a rate of days away from work along with job transfer or restric-
tion that is below industry standard by at least 50 Receiving this
award reflects strongly on the commitment that UNC has regarding
safety and health and the success of those programs
Developing New Cross Functional Teams
EHS has not been immune to the economic downsizing The Haz-
ards Management Program which inspects academic and non-
academic areas is a vital part of the University compliance and edu-
cation process To ensure its vitality several EHS inspectors from
other disciplines were pooled together to form a cross functional
team and redistribute the work load The HMP Team went through
a three day training in which each area of specialty covered the
OSHA requirements such as Fire Life Safety Hearing Conservation
to Walkingworking surfaces and discussed ways to assist the cam-
pus community in meeting them
New On-line Ergonomic
Laboratory Self Assessment Program
To assist research labs with the CAP accreditation process EHS
developed an on-line ergonomic laboratory self assessment Though
in its infancy this laboratory self assessment will guide the employee
in the process of evaluating their position when performing labora-
tory procedures such as pipetting After completing the assessment
an ergonomic report will be generated that provides recommenda-
tions for changing the workstation or working habits
Workersrsquo Compensation Claim activity
and Return-to Work Plans
There was significant activity in 2011 in processed and managing
590 workerslsquo compensation claims with medical treatment work
status and monthly expenditures and assisting five workerslsquo com-
pensation employees with specific return-to-work plans
42 43
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
COMPLIANCE
Education Customer Service Internal Processes
TrainedNumber of Employees Respira-tory Protection1580 EHS Office Clinic IMAC SS Employee Orientation2147 Joint Commission3053 Clinical Tuber-culosis Infection Control4889 Clinical Bloodborne pathogens4868 Machine Guarding331 Presented ergonomic training and product assistance to UNC Kidney Center group and Dental students Provided training on the Ergontron Sit-To-Stand seed units Trained 39 Athletics Football video em-ployees and Energy Services Chilled Wa-ter employees on scissor lift safety Developed an ergonomic on-line self-assessment for laboratory researchers assisting with CAP accreditation Developed on-line scaffolding training for Facilities Services and other users Seventy-six on-line ergonomic self -evaluations were completed by the Univer-sity community Crossed trained seven EHS staff to partici-pate in the Hazards Management Inspec-tion Program
Fit-tested 409 individuals with some re-ceiving additional consultations services under the Respiratory Protection program Inspected 132 Hazards Management Plans for a multitude of campus sites Conducted 58 ergonomic evaluations pro-viding recommendations and loaned some ergonomic products Processed and managed 590 workerslsquo com-pensation claims with medical treatment work status and monthly expenditures and assisted five workerslsquo compensation employees with specific return-to-work plans Implemented clinical immunization review for all Dentistry staff Provided respiratory and other EHS ser-vices for Marine Science department in Morehead City NC Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans Conducted four walk-through safety in-spections with the Energy Service Com-mittee Assisted DLAM with workerslsquo compensa-tion return-to-work and job specific train-ing for cage handling Developed a website survey page to collect data about microwaves and stoves in non-housing areas Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives
Credentialed two staff to use the NC Im-munization Registry assisting employees in obtaining up-to-date immunization re-cords Upgraded spriometry equipment for the UEOHC reducing wait times for appoint-ments Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue in-soles Hired four Federal Work Study Students to assist with archiving of records that must be maintained in accordance with OSHA Prepared18 crystal reports for the automa-tion of UEOHC medical intake forms im-proving efficiencies Revised bloodborne pathogen exposure protocol for employees of the University UNC Healthcare and UNC students
Le
ve
l O
ne
Le
ve
l Tw
o
Le
ve
l Th
re
e
Le
ve
l Fo
ur
42 43
P e r f o r m a n c e L e v e l A s s e s s m e n t
Please Note The 2008 2009 and 2010 annual reports combined the accomplishments of Workplace Safety and the UEOHC on one Performance Assessment page For purposes of this report and subsequent reports the two unitlsquos ac-complishments are divided into two units and two pages thus no comparisons are made to previous yearslsquo activities
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
University Safety amp Security Committee Members
Karol Kain Gray Vice Chancellor for Finance and Administration Chair University Safety amp Security Committee
Dr Mitchell Picker
Professor Psychology Chair 2010 Institutional Animal Care amp Use Committee
Dr Robert Adams Clinical Assistant Professor Director Radiation Oncology School
Jeff McCracken Director Public Safety
Dr Lorraine Alexander Clinical Associate Professor Epidemiology Chair LaboratoryChemical Committee
Dr John Olsen Associate Professor Chair Institutional Biosafety Committee
Carolyn Elfland Associate Vice Chancellor Campus Services
Dr Christopher Payne Associate Vice Chancellor Student Affairs
Dr David Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Michael Rolleri Associate Professor of Dramatic Art Chair Hazard Management Committee
Steve Kenny
Director Risk Management Services Chair Enterprise Risk Management and Business Continuity Committee
Bruce Runberg Associate Vice Chancellor Facilities Planning amp Construction
Mary Beth Koza MBA Director Environment Health amp Safety
Will Tricomi Associate University Counsel
Brenda Malone Esq Vice Chancellor Human Resources
Barbara Entwisle Vice Chancellor Research and Economic Development
State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections review injury and illness records make advisory recommendations to the ad-ministration and perform other functions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program
University Safety and Security Committee
University Health amp Safety Committees
University Safety amp Security Committee (USSC)
The University Safety and Security Committee (USSC) is responsible for reviewing and approving each of the work-
place safety committeelsquos recommended safety policy and procedures Once the USSC has approved the recommen-
dations are then forwarded to the Chancellor for approval before implementation
44 45
Radiation Safety Committee
Hazards Management
Safety Committee
Institutional Biological Safety
Committee
Laboratory amp Chemical Safety
Committee
Occupational Health
amp Clinical Safety Committee
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Laboratory and Chemical Safety Committee Members
Dr Lorraine Alexander Clinical Associate Professor Epidemiology
Karen Hogan Research Specialist Gene Therapy Center
Dr Bruna Brylawski Research Associate Pathology amp Laboratory Medicine
Dr Erik Alexanian Assistant Professor Chemistry
Kimberlie Burns Research Specialist UNC Cystic Fibrosis Pulmonary Research and Treatment Center
Dr Rihe Liu Associate Professor Medicinal Chemistry amp Natural Products Pharmacy
Jacob Forstater Graduate Student Physics and Astronomy
Mike Long Associate Hygiene Officer Environment Health and Safety
Dr Rita Fuchs-Lokensgard Assistant Professor Psychology Dr Kirby Zeman Research Associate Center for Environmental Medicine Asthma and Lung Biology
Pat Boone MSPHCIH Assistant Director UNC Healthcare Environmental Health and Safety
Dr Anthony Hackney Professor Physiology and Nutrition Exercise and Sport Science
Cathy Brennan Chemical Hygiene Officer Environment Health and Safety
Dr Daniel Elliott Environmental Affairs Manager Environment Health and Safety
Laboratory and Chemical Safety Committee
This committee focuses on the receipt usage storage and disposal of chemicals along with the emerging issues of
health and safety in the laboratory environment The Laboratory work environment consists of those work units that
are subject to the OSHA Laboratory Standard and laboratory EHS issues not pertaining to biological safety or radia-
tion safety The Lab Safety Committee is responsible for reviewing safety and health policies and procedures review-
ing incidents involving work-related fatalities injuries illnesses or near misses related to laboratory and chemical
safety reviewing employee complaints regarding safety and health hazards analyzing work injury and illness statisti-
cal records related to laboratory and chemical safety conducting inspections of laboratories and worksites utilizing
chemicals at least annually and in response to complaints regarding safety or health hazards reviewing training re-
cords related to laboratory and chemical safety conducting meetings at least once every three months and maintain-
ing written minutes of such meetings
University Health amp Safety Committees
2011 Committee Accomplishments
Minors in Labs Policy update
Lab Ventilation Policy update
Educating lab researchers about national lab safety incidents
Creation and production of new Avert newsletterposter
2012 Committee Goals
Committee involvement in CLIP inspections
Increasing safety awareness at the University via improved and frequent communications
Proposing safety topics based on meeting review of incident and injury data
44 45
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Institutional Biological Safety Committee Members
Dr John Olsen Associate Professor Chair IBC
Dr Ann Matthysse Professor Department of Biology
Dr Dwight Bellinger DVM Professor Laboratory Animal Medicine
Caprice Mellon Deputy Chief of Operations Chapel Hill Fire Department
Sandra F Bradshaw Laboratory Manager Orange Water amp Sewer Authority
Dr Paul E Monahan MD
Associate Professor Pediatrics HematologyOncology Gene Therapy
Deborah Howard CBSP Biological Safety Officer Environment Health and Safety
Dr Penelope J Padgett MPH
Associate Biological Safety Officer Environment Health and Safety
Dr Craig Fletcher DVM DACLAM Director Division of Laboratory Animal Medicine
Dr Amy C Sims Research Assistant Professor Epidemiology
Dr Matthew Wolfgang School of Medicine Cystic Fibrosis Center
Dr P Frederick Sparling MD Professor Medicine Microbiology and Immunology
Mary Beth Koza MBA Director Environment Health and Safety
Institutional Biological Safety Committee (IBC)
The IBC is responsible for the oversight administration and review of UNC‐CH Lab policies and projects involving
research with rDNA and hazardous biological materials that may pose safety health or environmental risks To this end
the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that
the biological aspects of the research are conducted in a safe manner using established biosafety standards principles
and work authorization Safe research includes worker safety public health agricultural and environmental protection
ethics and compliance with applicable biosafety standards and UNC-CH policies
2011 Committee Accomplishments
IBC streamlined its process by putting the registration forms online to be submitted electronically shortening the
turnaround time for protocols that also must be approved by the Institutional Animal Care and Use Committee with
the goal of making the registration process as straightforward as possible for the investigator while being comprehen-
sive in meeting our safety goals
The committee had many successes including a recent DOT PHMSA inspection for all of our select agent paperwork
and packaging
2012 Committee Goals
implement the new select agent regulations
examine how the new regulations affect dual use concerns as it relates to UNC research
oversight of the new offsite Gene Therapy Vector Core
evaluate protocols of dengue virus research bringing the first insectarium to UNC to support the infection of mosqui-
toes at Arthropod Containment Level 2
46 47
University Health amp Safety Committees (Continued)
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Hazards Management Safety Committee
This committee focuses on the emerging issues of health and safety for employees working in the office support ser-
vices and industrial maintenanceconstruction work environments The support services work environment consists
of activities that are conducted outside of the office environment usually involve public contact and may involve haz-
ardous materials These environments can include the Department of Public Safety Department of Environment
Health and Safety Material Support and Housekeeping The industrial maintenance and construction work environ-
ment consists of those work units whose primary activities are performed at various locations around campus and at
fixed locations using industrial-type machines and equipment These units include Facilities Services Electrical
Plumbing HVAC Shops Grounds Athletics Finley Golf Course operations and Electronics Office Service Center and
academic shops such as Dramatic Art
Hazards Management Committee Members
Michael Rolleri Associate Professor of Dramatic Art Chair Hazards Management Committee
Alana Maffessanti Safety Officer Facilities Services Division
George Devinney HVAC Supervisor Energy Services
Connie Bullock Support Services Captain
Public Safety Lisa Daley
Human Resources Manager Energy Services
Steve Kenny Director of Risk Management Services
Susan Smith Chemistry Accounting Services
Larry Henry CRO Energy Services Christine Bhirdo Assistant Operations Director Laboratory Animal Medicine
Ernestine Torain Team Leader Laboratory Animal Medicine
Brian Bogie Engineering Specialist Energy Services
Mary Crabtree Workplace Safety Manager Environment Health and Safety
2011 Committee Accomplishments
Began a more in depth look into the incidents of falls slips and trips that occurred in the office support services and
industrial maintenance and construction areas
Ideas about how to reduce the incident rates of falls slips and trips were solicited from each committee memberlsquos
respective area
2012 Committee Goals
Based on the information from the 2011 research into slips trips and falls the Committee is planning to increase
awareness to the campus community by launching a poster campaign
46 47
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
University Health amp Safety Committees (Continued)
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
University Health amp Safety Committees (Continued)
Occupational Health and Clinical Safety Committee Members
Dr Robert Adams Clinical Assistant Professor Radiation Oncology Chair Occupational Health and Clinical Safety Committee
Dr Enrique Platin Clinical Professor Diagnostic Science amp General Dentistry
Michele Leigh Clark Administrative Support Specialist Radiology
Mike Proctor Facility Maintenance Supervisor Facilities Services
Karen Doran Environment of Care Manager Student Health Services
Janet Perry Workerslsquo Compensation Administrator UNC Healthcare
Dr James Hill Medical Director University Employee Occupational Health Clinic
Jennifer Rees Nurse Supervisor Clinical and Translational Research Center
Amber Kimball Human Resources Manager UNC School of Nursing
Deb Bergman Workerlsquos CompensationClinical Hygienist Environment Health and Safety
Mary Crabtree Workplace Safety Manager Environment Health and Safety
Occupational Health and Clinical Safety Committee (OHSC)
This committee focuses on Occupational Health services for University personnel and the emerging issues of health
and safety for employees working in the clinic environment The clinic work environment is primarily characterized by
activities involving patient contact and exposure to blood or other potentially infectious materials The clinical work
environment frequently has additional health and safety requirements imposed by accreditation organizations such as
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
2011 Committee Accomplishments Created a subcommittee to address occupational clinical hazards of our healthcare students
Explored the CDCAICP recommendations for universal influenza vaccination from the CDCAICP
2012 Committee Goals
Explore ways to reduce blood and body fluid exposures particularly those that occur in the operating room due to
sharps injuries by improving training for house staff and medical students
Recruit new committee members
Review the occupational health and safety of faculty students and staff in clinical training situations
48 49
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
University Health amp Safety Committees (Continued)
Radiation Safety Committee Members
Dr David G Kaufman MD Professor amp Vice Chair for Research Development Chair Radiation Safety Committee
Dr Jian Liu Associate Professor Medicinal Chemistry Natural Products
Dr Louise M Ball Professor Environmental Science amp Engineering
Dr Adrian Marchetti Assistant Professor Marine Sciences
Carolyn Elfland Associate Vice Chancellor for Campus Services
Dr Jeff Sekelsky Associate Professor Biology
Dr Beverly J Errede Professor Biochemistry amp Biophysics
Dr Roger Sit University Radiation Safety Officer Environment Health and Safety
Dr Marija Ivanovic Clinical Associate Professor Radiology
Dr Mahesh A Varia MD Professor Vice Chair Department of Radiation Oncology
Dr Hong Yuan Director BRIC Small Animal Imaging Facility
Mary Beth Koza MBA Director Environment Health and Safety
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement use storage and
disposal of radioactive materials and radiation-producing devices The Committee includes individuals experienced in
the use or application of radioactive materials and radiation devices and provides a peer review of these uses among
researchers at the University The Committee meets at least quarterly to review reports on the receipt and disposal of
radioactive materialsradiation-producing devices and to act on applications for authorization to use these sources
The Committee along with its Chairman is appointed by the Chancellor It makes an annual report of activities to the
Vice Chancellor for Finance and Administration
2011 Committee Accomplishments
Two radioactive materials licenses were inspected with no citations
Successfully licensed two new radiological research facilities the mini-cyclotron facility (2nd in the country) and the
MRPET facility (4th in the country)
Completed first round of GTRI funded security upgrades with a successful ―Assurance Inspection by the funding
agency
2012 Committee Goals
Monitor the startup of the new ABT Biomarker Generator Program which accelerates protons to produce radiophar-
maceuticals used for research
Monitor the startup of the new MRPET facility which utilizes radionuclides for medical imaging
Monitor the continuing development of the new Imaging Research Building
48 49
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Compliance Report amp EHS Management
Inspection Date Agency Observations Nature of Citations
9132011 DOT-PHMSA 0 -
50 51
The University of North Carolina at Chapel Hill (UNC-CH) Department of Environment Health amp Safety supports the
Universitys core mission of teaching research and service by providing comprehensive environmental health and
safety services to the University community This includes education through training and consultation maintaining a
safe environment through recognizing and controlling health and safety hazards ensuring a process of regulatory com-
pliance and minimizing future potential liabilities
Biological Safety
The Biological Safety section at the University of North Carolina at Chapel Hill supports laboratory research to better
our community and world We are committed to serving principal investigators and other researchers in meeting their
responsibilities to ensure that the biological aspects of their research are conducted in a safe manner using established
biosafety standards and principles Safe research requires adherence to applicable worker safety public health agricul-
tural environmental ethical and biosafety standards and University policies
Environmental Affairs
The Environmental Affairs section is committed to a safe and healthy environment for all Our protective philosophy
impacts all that we do including oversight of environmental permitting and compliance activities such as under-
ground above ground storage tank management air quality permits (Title V) and water quality (NPDES) permits
assessing surface water quality storm water management managing wetland issues and performing environmental
assessments at inactive waste sites
Inspection Date Agency Number of Citations Nature of Citations
125 2011 NCDENR-DWQ 0 -
3232011 NCDENR-DWM 0 -
612011 NCDENR-DWQ 0 -
9022011 NCDENR-DWQ 0 -
913-142011 NCDENR DWM and USEPA Region IV 2
40 CFR 26234(c)(1)(i and ii)
and 40 CFR 265173(a)
9212011 NCDENR-DAQ 0 -
1292011 NCDENR-DLQ 1 GS 113A-57(5) 15A NCAC
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Compliance Report amp EHS Management
Radiation Safety
Inspection Date Agency Number of Citations Nature of Citations
711-152011 JACHO 0 -
07272011 DHHS-RPS Xray - 1 15A NCAC 111640
08152011 DHHS-RPS Licenses 0 -
09072011 DHHS-RPS Xray - 1 15A NCAC 111640
09082011 DHHS-RPS and FDA 0 -
11152011 DHHS-RPS Xray 1 15A NCAC 111104
1114amp282011 DHHS-RPS Xray 4 15A NCAC 11603
12282011 DHHS-RPS Xray 0 -
50 51
Radiation Safety
The Radiation Safety section provides comprehensive services to support compliance and safety in radioactive material
and irradiators personnel monitoring x-ray safety and waste management The Radiation Safety sectionlsquos philosophy
is ―As Low As Reasonably Achievable a standard set by the Nuclear Regulatory Commission
ACT Incident Investigation
Safety Committees Grants
Research Management
UNC-CH
EHS
Management
System
PLAN Training
Lab Worker Registration
Lab Safety Plan Hazard Review
CHECK Supervisor
Self-Inspection EHS-CLIP LSP Review
Grant Compliance
DO Experiments
Lab Waste Disposal
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Employee
of the Year
History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee
who met the mission of the organization and whose performance went above the norm
Former Director Peter Reinhardt initiated the award Beginning that first year a travel-
ing trophy was created and represents the past and future as the base of the trophy is the
base of a lamp in the office of the first director of the department Don Willhoit The re-
cipient is chosen by the Director and emulates the values of organization
Core Values of the Department The organization will
utilize time and resources efficiently value and encourage individual growth and develop-ment collaborate and support each other through the twists and turns
be a safe haven of trust respect and open communica-tion foster constructive debate when appropriate be a resource for new ideas and innovation establish state of the art EHS protocols amp procedures
52 53
Ray Bond was selected 2011 EHS employee of the year because he emulates the mission
and values of the organization every day serving as the quarterback of the Universitylsquos
Hazardous Materials Facility (HMF) He is an expert in classifying packaging and bulk-
ing various waste chemicals and plays a critical role in maintaining compliance with appli-
cable hazardous waste regulations When a colleague left the team Ray continued to per-
form his normal duties at HMF and then took on more responsibility by helping in coor-
dinating and participating in the waste collection efforts Aided by several of his Environ-
mental Affairs associates Ray selflessly stepped up and worked tirelessly to keep the
waste management and disposal process moving as efficiently as possible Raylsquos expertise
in hazardous materials and wastes his teamwork proficiency and dedication to compli-
ance proved to be make a major difference for the Environmental Affairs section
Ray Bond-Senior Hazardous Materials Specialist
Com m u n i c a t i o n - Co l l a b or a t i o n - Cu s tom er S e r v i c e = T h e Pa t h t o Com p l i a n c e
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Innovation
Award
Burton Goldstein
UNC University Entrepreneur in Residence and Professor of the Practice in the Department of Economics Mr Goldstein is also co-author with Chancellor Thorpe of the book ―Engines of Innovation The Entrepre-neurial University in the Twenty-First Century
In 2011 Burton Goldstein presented a program to EHS staff about innovation His keen insight both as a successful entrepreneur attorney and academic was an inspiration to the staff
Innovation Committee In 2011 the department created a new Innovation Committee to create programming that would inspire the staff to develop more innovative ideas for campus health and safety Committee members are Janet Clarke John Covely Dan Elliott Kitty Lynn Penny Padgett Steve Parker Bradford Taylor and Rebecca Watkins
2011 Innovation Award Nominees
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the Chancellorlsquos ―Innovate Carolina program ―to
make Carolina a world leader in launching university-born
ideas for the good of society the EHS department instituted
a new Innovation award for 2010
EHS core values related to innovation
The organization will
utilize time and resources efficiently
be a resource for new ideas and innovation
establish state of the art EHS protocols amp procedures
Qualifications for the Award
To be considered for the award the innovation must
contribute to the improvement of the environment
health or safety at UNC
be in the form of process education customer service
communication policy structure or method
be applied (See definition above)
be in some stage of the process of activation but does
not necessarily have to be completed
have been identified and approved by EHS management
before implementation can begin
Mark Brueckner-Health Physicist LSO-Radiation Safety
Kitty Lynn Safety SensorsFEMA Grant
John Covely amp Cathy Brennan Avert NewsletterPoster
John Covely amp Kitty Lynn Microwave posterMagnet
Jonathan Moore Intra-system RSO support
Dan Vick I-129 Attestation
Rebecca Watkins Web page application
52 53
When maintenance or repair is needed for cesium and x ray irradiators outside com-panies are hired to do the work This means researchers often wait weeks for a repair that can cost thousands of dollars Mark took the initiative to learn how to do many of the incidental repair and maintenance tasks on these important research tools and realized that he could make the repairs This proactive approach not only saved thou-sands of dollars for UNC researchers it eliminated the downtime of the units In one case Marklsquos effort saved three weeks of downtime Another repair saved a world-class researcher more than $15000 in maintenance costs Marklsquos innovative spirit enabled him to go beyond the norm to serve his customers and make the University a safer and healthier place to teach learn and serve
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Environment Health and Safety - 1120 Estes Drive Extension Chapel Hill NC 27599 - 919-962-5507 - ehsuncedu
Reasons for creating the Award
In order to emphasize the departmentlsquos core values and to
support the attribute of collaboration among EHS employees
as well as between EHS employees and other University em-
ployees or other groups or organizations the department
instituted a new Collaboration award for 2010
EHS Core Values related to collaboration
The organization will
value and encourage individual growth and development
collaborate and support each other through the twists and
turns
be a safe haven of trust respect and open communication
foster constructive debate when appropriate
Qualifications for the Award
The recipient must exhibit outstanding contribution to collabo-
ration by fulfilling one or more of the following attributes
Agreement about objectives
Respect for specialist expertise of another person
Joint working shared effort shared responsibilities
Blurring of professional boundaries (no use of rank in proc-
ess)
Open and transparent lines of communication within groups
and between people
Behavior that instills confidence and respect for others
Open and full discussions of all issues (no shortchanging of
another personlsquos idea)
Empathy for others
Collaboration
Award Collaborative Project
Development of a web based on-line scheduling system for the UEOHC
Becca Artinian EHS-UEOHC
Mary Crabtree EHS
Jim Hill EHS-UEOHC
Dirk Kumashiro Information Technology
Ann Law EHS-UEOHC
Sherice Love EHS-UEOHC
Vanessa Wise EHS-UEOHC
2011 Collaboration Award Nominees
Ray Bond Waste management team
Larry Daw Waste management team
Deb Howard Work with staff and colleagues
Mike Long Waste management team
Steve Parker Waste management team
Roger Sit Work with staff and colleagues
Bradford Taylor Work with UNC Healthcare
Daryle White Waste management team
Collaborative Project
Installation of security equipment supporting campus re-search for the Global Threat Reduction Threat Initiative
Dwayne Ayers Facilities Services
Mark Brueckner EHS-Radiation Safety
Jeff Carter UNCH Doug Fleming Facilities Services
Sherwood McLamb Life Safety
Quintel Henry School of Medicine
Ron Johnson Life Safety
Michael Reitz Public Safety
Cleopatre Robinson UNCH
Roger Sit EHS-Radiation Safety
Kevin William UNCH
54 55
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
Awards - Recognitions - Presentations
Appointments - Certifications amp
Acknowledgements
About the covers The front and back covers contain only a partial listing of the work activities by the EHS staff in 2011
Annual Report Acknowledgements
Testimonials Phillip Barnar Robert Bosworth Mike Bunting Mary Covington Michael Jay Kenneth R Muller James Spurling Ronit Weingarden
Contributors Catherine Brennan Mary Crabtree Daniel Elliott Kim Haley Dr James Hill Deborah Howard Mary Beth Koza
Kitty Lynn Billy Mitchell John Murphy Sharon Myers Janet Phillips Roger Sit Daniel Vick
UNC Printing Arnold Ferguson Glenn Haugh
Copy and Design
John A Covely
54 55
Awards
Employee of the Year (see page 52)
Innovation Award (see page 53)
Collaboration Award (see page 54)
The University received the North Caro-lina Department of Labor Certificate of Safety Achievement First Year Gold Award
Rebecca Watkins Web Applications Tech-nician received the Star Heel Award for her work in informational design and post-ing of flu clinic information
Dan Vick Export Control Specialist re-ceived the Star Heel Award for his work on the I-129 process
Recognitions
Roger Sit and Jonathan Moore served as Executive Council members of the North Carolina Health Physics Society
John A Covely Public Communications Specialist was selected to serve on the Marketing Committee of the Campus Safety Health and Environmental Man-agement Association
John Murphy Occupational and Environ-mental Hygiene Manager and Mary Beth Koza EHS Director were selected to serve on the North Carolina Department of La-bor Permissible Exposure Limit Advisory Committee
Publications
Dan Elliott Environmental Affairs Man-ager was co-author of a manuscript enti-tled Hexachlorocyclohexanes in the Envi-ronment Mechanisms of Dechlorination published in the Environmental Science amp Technology journal
Presentations
John A Covely Public Communications Specialist made two presentations on mar-keting and communications at the 2011 Campus Safety Health and Environmental Management annual conference
Roger Sit Radiation Safety Officer made a presentation on ―TOREV Team of Radio-logical Emergency Volunteers at the bian-nual meeting of North Carolina Health Physics Society
Jonathan Moore Associate Radiation Safety Officer made a presentation on ―Every Day Uses of Radiation at the NC Science Teachers Associationlsquos 42nd An-nual Professional Development Institute
Deborah Howard Biological Safety Man-ager taught a seminar on biological safety at the North Carolina Association for Bio-medical Research conference and a seminar on exporting at the American Biological Safety Association conference
Mary Beth Koza EHS Director presented a program on ―Building Connections - Coordination and Communications be-tween IACUCs and IBCs - 3 Is at a joint meeting of the North Carolina Association for Biomedical Research and the Massa-chusetts Society for Medical Research
Mary Beth Koza EHS Director presented a poster on ―BSL3 Operations and Mainte-nance Team at UNC-CH at the National Institutes of Health Division of Technical Resourceslsquo Lessons Learned Confer-ence for BSL-ABSL-2 and BSL-3ABSL-3 Facilities
(Presentations continued)
Mary Beth Koza EHS Director gave two presentations at the Campus Safety Health and Environmental Management Association Annual Conference ―The Management of Animal Handling and the ―Future of EHS
Dan Elliott Environmental Affairs Man-ager presented a program on ―Traditional RCRA or Subpart K ndash UNC-CHlsquos Foray into the Waste Management Weeds (Co-authors are Mary Beth Koza Steve Parker and Mike Long)
Certifications
Janet Clarke Environmental Specialist received the certificate ―Stormwater BMP Inspection and Maintenance Certification
Mary Crabtree Workplace Safety Man-ager received her certification as a train-ing instructor of JLG aerial work plat-forms
Mary Crabtree Workplace Safety Man-ager received her authorization as OSHA General Industry Outreach Trainer
Neah Tucker Occupational Field Hygien-ist received her authorization as OSHA General Industry Outreach Trainer
Appointments
Mike Long EHS Environmental Special-ist was appointed Associate Chemical Hygiene Officer
Adam Swift was appointed Fire Safety Inspector
Roger Sit Radiation Safety Officer was appointed Adjunct Assistant Professor in the department of Nuclear Engineering at North Carolina State University
Paper for this report is Forest Stewardship Council certif ied to contain product from well -managed forests controlled sources and 30 recycled post consumer fiber All inks are environmentally safe synthetic and dry -based
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
ity in the ENVR-401 class in the department of Environmental Science and Engineering+ Conducted 58 ergonomic evaluations providing recommendations and loaned
some ergonomic products+ Processed and managed 590 workerslsquo compensation claims with medical treatment work status and monthly expenditures and assisted five
workerslsquo compensation employees with specific return-to-work plans+ Tested 767 fume hoods and initiated 121 maintenance requests to correct variances ensuring workers
are adequately protected from hazardous chemicals+ Conducted 240 on-site BSL-2 lab safety audits to verify implementation of new CDCNIH Biosafety regulations and
procedures+ Assisted in coordinating and participated in Graduate Student Orientation Fair informing new laboratory researchers about EHS services and policies+ Re-
viewed 466 new andor updated Laboratory Safety Plans and reviewed deficiencies with PIlsquos and Safety Supervisors ensuring compliance with the Universitylsquos Chemical
Hygiene Plan+ Collected 90041 kg of RCRA hazardous and non-hazardous waste and 42667 kg of RCRA hazardous waste+ Processed 19 shipments of hazardous and
mixed waste totaling 79720 kg+ Provided 102 fire drills for residence halls libraries and health facilities+ Completed installation of Safe-T-elements and Safe-T-Sensors in
residence halls with funding from a second FEMA grant+ Distributed Safety First newsletter to more than 200 UNC Building Emergency Coordinators+ Completed bar
code system for identification providing a comprehensive and efficient tracking and inspection process for the campus fire extinguishers+ Managed 22 in-house asbestos
abatement projects including ambient air and personnel monitoring and provided nine asbestos abatement design specifications for Facilities Services+ Conducted a qualita-
tive risk assessment of Sign Shop work activities providing a comprehensive review and risk ranking of chemicals used in the shop+ Calibrated 362 radiation instruments+
Inspected and tested 265 X-ray tubes+ Monitored 1535 employees for external radiation exposure+ Implemented an online scheduling system and automated check-in
system for clinic appointments reducing no-show appointments and allowing for efficient use of medical staff time+ Provided oversight of the IACUC animal handler medi-
cal review to monitor potential health effects from working with animals improving work practices for animal research+ Implemented clinical immunization review for all
Dentistry staff+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Provided direct assistance for 212 shipments of equip-
ment samples and research materials+ Investigated four incidents of laboratory spills accidents and procedural problems involving potentially infectious materials result-
ing in changes in work processes+ Supported regulations on animal care and use by participating in semi-annual inspections of satellite facility+ Assessed potential chemi-
cal exposures by monitoring air concentrations in four employee-breathing zones and four laboratory work areas and made suggestions for controls to eliminateminimize
chemical health hazards+ Processed 24 shipments to TSDFs totaling 29429 kg of hazardous waste+ Recycled 12565 kg of spent fluorescent light tubes+ Recycled
13881 kg of lead non-PCB ballasts and other metals+ Reclaimed 1377000 gallons of water at Kenan Stadium in one month+ Provided new safety tools for the emergency
response team Items included True Defender meter mercury clean-up pads formaldehyde pads and two new Sperian gas meters+ Provided six work-study students an
opportunity to assist in fire safetylsquos day-to-day operations giving them a better understanding of fire safety while improving response and staff availability for other respon-
sibilities+ Collected water samples from potable water fixtures checking for lead contamination in five buildings+ Conducted carbon monoxide monitoring of gasoline-
powered 4-wheel vehicles for department of Grounds and Chilled Water+ Conducted 67 bioassays for potential internal radiation exposure+ Conducted 568 collaborative
laboratory inspections+ Conducted 756 radiation safety laboratory inspections+ Developed and implemented a fitness-for dutypre-employment medical evaluation for
employees working in BSL-3 designated facilities as part of UNClsquos Biosurety program+ Developed and implemented an improved international travel policy for faculty and
staff in support of UNC Global initiatives+ Consulted with Facilities Services and Construction Design regarding roof access and fall protection for employees serving
Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections with the Energy Service Committee+ Conducted 13 Institutional Animal Care and Use
Committee inspections in accordance with their guidelines and regulations+ Assisted the University of Virginia and Appalachian State University with export control and
shipping requirements+ Supported animal care and use research by monitoring vaporizers with waste gas scavengers in animal surgeries+ Participated in clean up of nine
chemical spills in campus laboratories+ Performed 121 stormwater outfall inspections to identify potential illicit discharges including physical inspection of the outfall and
development of documentation+ Assisted the Archaeology department in constructing a sediments settling basin at Carolina North as a sediment control measure protect-
ing nearby surface water outfall(s)+ Provided eight monthly training sessions for EHS emergency response team improving their knowledge effectiveness+ With Chemical
Safety staff designed and implemented hands on-drill for use of the TruDefender in the event of a spill+ Coordinated mobile-van audiometric testing of Public Safety de-
partment employees+ Installed 339 confined space entry signs on HVAC air handling units+ Participated in the Facilities
Services Safety Committee review of occupational safety and health issues affecting Facilities Serviceslsquo employees+ Acquired
approximately $5k worth of lead bricks to be given to new labs for shielding of radioactive materials+ Provided radiation cali-
bration services to sister UNC campuses (Appalachian State UNC Greensboro and North Carolina Central) and to local law
enforcement agencies+ Obtained influenza vaccines in conjunction with Campus Health through the NC Immunization Program
(NCIP) reducing the Universitylsquos costs for flu vaccination+ Revised blood borne pathogen exposure protocol for employees of
the University UNC Healthcare and UNC students to reflect recent changes in recommended post-exposure prophylaxis+ Assisted DLAM with workerslsquo compensation
return-to-work and job specific training for cage handling+ Developed a website survey page to collect data about microwaves and stoves in non-housing areas+ Worked
closely with the Department of Commercelsquos Bureau of Industry Security to classify purified Dengue Virus proteins for export to Israel+ Applied for and received three
USDA Import Permits three CDC Import Permits and one DOC Export License+ Collaborated with UNCH on strategies for transferring tissue samples from the hospital
to UNC labs via vehicles+ Investigated nine research laboratory accidentsincidents evaluated root causes and provided recommendations for modifications of work opera-
tions to prevent future incidents+ Coordinated with DLAM on new SOP-Handling Chemical Hazards ensuring husbandry staff and researchers follow safe operating proce-
dures when hazardous chemicals are used in animals+ Reviewed more than 300 IACUC applications including reviewing and approving Chemical Hazard forms ensuring
research compliance for animal care and use+ Facilitated renewal of the Universitylsquos Title V air permit by NC DENRlsquos Division of Air Quality to include three new emer-
gency generators+ Obtained a provisional Large Quantity Generator ID number to support the abatement of lead debris and non-friable asbestos during renovation of the
Finley Course Pro Shop and closed out the ID number with EPA+ Prepared two stormwater permit renewal applications on behalf of the Institute of Marine Sciences in
Morehead City and submitted DWQ+ Participated in a North Carolina Department of Labor Subcommittee evaluating the proposed Short Term Exposure Limit for carbon
monoxide+ Participated in a Steam Humidification Committee evaluating and proposing a sampling strategy to determine source of odor associated with the steam on
campus+ Provided free materials to PIlsquos including 20 lead bricks one Geiger counter and 10 pieces of Plexiglas shielding+ Obtained a regulatory waiver for the Dental
School to use portable x-ray devices (Nomad) for non-human research+ Received processed and delivered 1222 containers of radioactive materials for PIlsquos research+
Developed online travel immunization forms for faculty and staff in support of UNC Global initiatives+ Credentialed two staff to use the NC Immunization Registry assist-
ing employees in obtaining up-to-date immunization records+ Upgraded spriometry equipment for the UEOHC reducing wait times for appointments+ Provided an over-
view of shipping and export regulations to the Vice Dean of the School of Pharmacy+ Trained 867 researchers in basic principles of research at BSL-2 such as proper tech-
nique and waste handling and trained 201 researchers in enhanced BSL-2 procedures+ Trained 5494 Housekeeping staff members Facilities Services personnel research-
ers and Child Care providers in Bloodborne Pathogens and Exposure Control programs+ Performed more than 90 CLIP inspections assessing campus laboratory safety
and compliance+ Worked with OACU and DLAM to submit letter to AAALAC for upcoming site visit and University accreditation+ Met with Waste Industries OWRR
and EHS Biosafety section regarding switching from metal cans to red sharps containers+ Utilized a new pole camera to quickly locate a leaking OWASA sewer line saving
6ndash9 hours of UNC employee time over previous investigation methods+ Collaborated with Energy Services personnel on installation of reclaimed water signage at all toilets
and urinals in the new NC Botanical Gardens Visitor Education Center+ In conjunction with UNC Information Technology department upgraded the online e-510 waste
disposal process improving tracking of hazardous versus universal waste requests+ Implemented bump testing of gas monitoring instruments for confined space in Energy
Services supported areas+ Participated in meetings with EHS and Energy Services developing a protocol to address concerns about campus drinking water+ Processed
eight applications for new source licenses for new faculty members+ Processed 31 applications for license modifications for faculty members+ Reviewed 56 IRB research
protocols utilizing radioactive materials for human use+ Hired an Occupational Field Hygienist to assist with education and evaluation of workplace health and safety+
Evaluated ergonomic products Zodi chair Rollermouses HON chairs Embody chair Capisco chair and anti-fatigue insoles+ Hired four Federal Work Study Students to
assist with archiving of records that must be maintained in accordance with OSHA+ Trained 107 researchers in identifying and registering projects meeting the NIH
Guidelines for Research Involving Recombinant DNA Molecules+ Trained 567 researchers maintenance and emergency personnel in specialized biological safety meeting
regulatory requirements of the CDC and NIH for biological agent management+ Trained 159 Facilities Services personnel in responding to potentially infectious sewage
spills+ Initiated ventilation shutdown protocol (signage and walkthrough) for installation of chemical fume hoods on second floor of GMRB+ Added Machinery section to
online lab safety plan+ Provided oversight and compliance of the University remediation projects covering underground tank removal and source area treatment of satu-
rated soils and groundwater+ Worked with personnel at Horace Williams airport to repair piping in containment sump and to facilitate final hydrostatic testing of repaired
systems+ Provided respiratory and other EHS services for Marine Science department in Morehead City NC+ Consulted with Facilities Services and Con-
struction Design regarding roof access and fall protection for employees serving Brinkhous Bullitt HVAC fans+ Conducted four walk-through safety inspections
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