POLICY: Safety training will be offered to all employees with occupational exposure. initially before assignment and annually with facility staff when safety review is scheduled. Training records will be retained for 3 years. Each employee wiU have access to the OSHA safety manual and given safety information at time of training. Employee s will hav e tbe opportunity to ask questions. The person supplying training will be knowledgeable about safety and competent to answer questions. Record keeping will incl ude : date, name of employee, social security number (optional), content of program and instructor. New employee record keeping will also incl ude : job classification form, Hepatitis vaccine form and Mantoux test form.

The following wiJl be covered when presenting a safe ty training program:

Revise d Global Hazard Comm u nication Standard (GHS ) & Occupational Ex posure S tand ard (OES)

./ Explanation of contents of GHS and OES

.,/ Infonnation on potential chemical hazards found in work place

.,/ Protective measures (PPE)

.,/ Understanding chemical labels

./ How to use safety data sheets (SDS)

./ Where to find SDS's

.,/ How to clean up a chemica l sp ill

.,/ How to report an accident or exposure

.,/ Location of the safe ty manual and che mica l safe ty plan Bloodbom e Pathogen Standard (BPS)

./ Explanation of the BPS and location of exposure control plan

.,/ Epidemiology and transmission of Hepatitis and HIV

./ Safety for specific job tasks (work practice and eng i nee ring controls)

./ Use of PPE

./ lnfonnation on Hepatitis B vacci ne

.,/ How to report an exposure incident

.,/ H ow exposure incidents are followed up

.,/ Explanation of biohazard la bels

./ W her e to find a copy of regulation and explanation of the contents

.,/ Opportunity for quest ion s and answers

Tuberculosis Infection Control

./ Transmission of TB

.,/ Potential for occupational expos me

.,/ Infection control policie s

.,/ Purpo se of PPD skin testing

./ Medical follow up and eval uation po s t exposure

.,/ Treannent of disease

Mi sce lla neo us Safety

./ Fire safety

./ Electrical safety

./ L iftin g and carrying

./ Instrument/equipment sa fe ty

./ Computer safety (if applicable) Safety Policies Specific to the Facility


./ Nmne of employ ee

./ Date of traini ng

./ Outline of program contents

./ Person who trained employee

./ Trainin g record s mus t be kept for 3 years


The safety trainer mus t be k nowledgea ble about the sub ject matter and able to apply the regulations to the practice and tasks performed by employees. Trainer mus t be able to document competency of specialized courses, degree programs or work expe rienc e. List trainer(s) and year(s) they conducted program:

Year(s) Name of Trainer

continue on additional page if needed (page follows)

w Helpful tip: Compi .le a new employee safety training packet of info rm ation and forms from this manual. Keep a master - ready to copy and give to aU new em ployees. Have them read it, then go over the information with them and ask if the y have questions . Fill out the ''training reco rd " form found at the end of this chapte r. New employees mus t fill out an He patitis form, job risk classification form and Manto ux s tatu s fo rm . T he new employee is now set until your next yearly group traini ng program. Training books with quizzes are available from POC -call for inform ation.


The safety trainer must be knowledgeable about the subject matter and able to apply the regulations to the practice and tasks perfonned by employees. Trainer must be able to document competency of specialized courses, degree programs or work experience. List trainer(s) and year(s) they conducted program:

Name of T rainer


The key to a complete and successful program is planning. The person presenting the program must be knowledgeable about the regulations and be able to relate how the regulations and safety policies relate to the work place. Using a video alone without access to a knowledgeable person to answer questions is a violat ion of the regulations. This check List will be helpful to the safety officer when preparing a program for the facility.

Read the regulations. Do you understa nd them well enough to teach others?

Are you familiar with chemicals in the facility that would be considered haza rdous?

Have chemica l products cha nged since the last time you gave training? Do you have the SOS for the new chemicals?

Can you exp la in chemic al lab els (e.g. NFPA labels)?

fa your hazard communication and chem ical hygiene plan up to date? ls your exposure control plan (Bloodborne Standard) up to date?

Have you observed employees? Are they following Universa l Precautions?

Can you explain work practice and engineering conu·ols, use of personnel protective equipment, housekeeping/disinfecting policies?

Can you explain ho w exposures and injuries are followed up? Have all employees filled out job classifica6on fonns?

Have employees classified in category 1 & 2 been offered HBV vaccines (prior to work assignments with potential exposure) and signed ap propriate forms?

Can you expla in epi demiology and signs and symptoms of hepatitis B & C, HIV and TB? Can you explain the TB infection control program?

Have employees had a baseline Mantoux test?

Have you put together safety trajning inform atio n to give new employees (at time of hire)? Have you kept c urrent with changes in the regulations?

r-- Trai n ing books with quizzes are ava il able fro m POC - ca ll for i nformat i on.


INTRODUCTION: Hepatitis B, Hepatitis C and HIV are spread through contact with the blood and body fl uids of people who are infected with the virus. ln the health care setting, the most common exposures are from needle sticks (80%). Exposure can also be transmitted through splashing to the mucu s me mbranes, co ntact with non -intact skin and contact with comamjnated surfaces.

There are more than 20 other bloodborne diseases that are covered by tbis s tandard. Examples are malaria, syphilis, smallpox, babesiosis, brucello s is, leptospirosis, arboviral infect ions, relapsing fever, Creutzfeldt-Jakob disease and viral hemo rrhagic feve r. OSHA ha s concluded that if the regulations of the bloodbome standard are followed, exposure to these diseases also can be prevented or greatly reduced.


T here are several types of Hepatiti s - A, B, C, D & E. In addition, four more viruses associated wit h acute hepatitis have rece ntly been identified: hepatitis OBY which has 3 varieties (GBY-A, GBY-B and GBY -C) and Hepatitis G (HGV). The followi ng a re some im portant facts about each virus.

H e patiti s A (HA V): Forme rly called infectious he patitis, this is most common in children in deve loping countries but is frequently seen in both c hildre n and adults the western world as well. Patients wit h HAV are most co ntagiou s when they are asymptomatic. By the onset of jaundice, they are us ually no lon ger infectio us.

Tran sm iss ion: HAV is often s us pected after the ingestio n of contamjna ted food (e.g. shellfish). It is

transmitted via the fecal-or al route. Diagnosis is confirmed by the presence of the IgM an tibody directed against HAV in serum during the acute illness. Immunoglobulin is recommended for all people who hav e had house hold and sexual co ntact with the patient.

Prevention: A HAV vaccine has been approved by the Food and Drug Admi nis tration (FDA). There

is no regulation requ ir ing an emp loyer to offer this vaccine to empl.o yees.

Hepatitis B (HBV): Formerly called se rum hepa titis. Annual ly 200,000 - 300,000 people become infe cted with HBY. Many who become infected remain as ymptomatic. however there are more than I0,000 hospital admissions each year from this virus. HBY is transmitted through contact with contami nated blood or blood product s, int ravenous drug use and sex ual contact with an infected partner. Nearly one-t hird of the individuals infected deny a ll known risk factors. It is estimated that there

million earne rs in the United States. Prior to the Bloodbome Pathogen Standard approximately 8,000 - 12 ,000 health care workers were infected each year. That number has been red uced by 95 % due to the law requiring the employer to offer the hepatitis B vaccine! D ia gnosis can be made by testing for HBV sU1f a ce antige n (a nti- HBsAg), a:nti-HBc (lgM, lgG) and anti-HBe. Less than ten perce nt of people who contract HBV go on to be chronic ca r riers.

Transmissio n: Accidental exposure to blood and body fl uids in a health care settin g is the most co mm o n fo nn of transmission among health care workers. O utsid e the hea lth care se ttin g, the virus is conm1only spread through sexual tr ans missio n, shared nee dles , tra ns fusio n and mother to baby. T he virus ca n s tay ac tive in d1i e d fo1m fo r up to two weeks! Chances of transmission from a needle s tick is 5 to 30%

Signs/s ymptoms: The incub a tio n period after exposure is 45 to 180 days. Symptoms can be flu-like if mild. Weight loss, fatig ue, vomit ing and nausea are early indicators. More serio us cases exhibit malaise . painful joint s, m usc ul a r pain, head ache, loss of appetite, enlarged liver and jaundice d. Full recove ry can lake up to six months.

Treatment: The re is no stand ard treatment othe r than supp ortive the rapy for symptoms.

Preve ntion: He pat iti s B is preventa ble ! I-TBV vaccin ation mus t be offe red (free of charge) within 10 working days of initial assignment to a ll e mployees occupati o nall y ex posed (job classificatio n 1 & 2) to blood or other potentially infectio us materials, unl ess the em ployee had a previous record of HBV vacc ina tio n or unless antibody testing has revealed that employee is iJnm un e o r the vacc ine is contrai ndicated for medical reaso ns. Pre-sc ree ning is not a prerequis ite fo r receiving the vacc ine. The vaccine is g iven in three doses - initi a l, 1 month and 6 months. Th e CDC recomme nds follow up tes tin g one month after comple tin g vaccine se1i es to co nfir m the employee has develo ped immu nity since 10% do not. If the blood test comes back negative, the vaccine se ries s hould be re-give n. If i mmunit y has no t de ve lo p e d after the seco nd series, this s hould be docume nted and no furth er vaccines will be g iven. If the employee initially declines the HBV vaccination, but at a later date decides to acce pt it, the vacc ine is provided at that tim e. Any emp loyee who dec lines the HB V vaccinations M UST sign the declination sta tement fo und in the reco rd keeping sec tion of this manual. Th e vacc ine is belie ved to be good for Iife.

He p at iti s C: Fonn erl y called non-A, no n-B hepatitis. thi s is now the mos t com mo nl y acq uired hepatitis. It is es timated that ove r 4 mi II io n Americans are infected. It is responsi ble for 8,000 - I 0 ,0 000 deat hs each year. Today it is one of the most co mm o n reason s for fu ture liver trans plantation d ue to ci rrhosis and/or hepatoce llula r ca rc in o ma due to HC V. The diagnosis ca n be made by o ne tes t - a positi ve IgG antibody to HCV (IgG anti- HCV). Over 80% of people with HCV become chronic ca1Tie rs .

T r a ns miss io n: T he transmission is the same as he patitis B - co ntaminated blood prod ucts, intravenous drug use and sexual co ntact with an infec ted partne r. In additio n. co ntamination fro m rece iving a blood transfu s io n is very co mmon. This proble m is being rec tified by test ing al l donors for the virus. Approximately 50 % of those infec te d deny all risk factors. In the health care setting, the m os t co mm on reaso n for infection would be exposure to co nt ami na te d bloo d or bloo d pr o ducts. Cha nces of trans mission from a nee dl e stick is 5 to 10%

S ign s/S ympt oms: Hepatitis C us uall y ties dormant in the li ver for many years ( 10-20 years!) before any significa nt symptoms appear. Liver proble m s a nd a bno rm al li ver function tests are the most co mmo n sy mp toms.

Trea tme nt: lnteiferon and ribavirin have been app roved for treatment. Many drug com panies are working on ne w treat me nts.

Prevent io n: No vacc ine is available. Univ ersal and S tandard precautio ns mus t be strictly followed.

Hepatitis D: Fonnerly called delta hepatitis, this virus is found mainly in IV-drug users who are carriers of the hepatitis B virus and multiple transfused individuals. Hepatitis B must be present for the bepatis O virus to spread. HOV may be diagnosed by detecting IgM anti-HD V and IgG anti-HOV in serum during early infection and by the appearance of total or lgM-specific delta antibody (anti-HDV) dming or after infection. No vaccine is available.

Hepatitis E : Formerly called enteric, or epidemic, non-A , non-B hepatitis, this virus resembles hepatitis A. HEV occurs most frequently in children and young adults. The clinical course is similar to that of hepatitis A. It is transmitted via the fecal-oral route. No vaccine is available. A test for Anti­ HEY is not com me rcia ll y available at this tim e .

Reference: MLO, "A lesson in the ABCs of hepatitis", Joyce Schwartz, MD and Kathy Stellato, MT(ASCP), January 1997.

Hepatitis Foundation International, Hepatitis C.

Will Dula and Steven Anderson, Hepatitis C infection, Advance Laboratory. June 1998.


Ca us e: Acquired Immune Deficie nc y Syndrome is a disease caused by the Human Immunodeficiency Virus (HIV). The virus is carried, reproduced and spread to others in blood or blood products. Persons infected with .HN are initially asymptomatic for an average of l O years.

Transmission: Among health care workers, direct blood contact through needle stick inj ury, open wound contact or mucus membrane contact is the most common cause. Contracting HIV from a single needle stick is less than 0.3%. HIV will on ly stay active for a matter of seconds upon exposure to air. Causes of transmission outside this setting would be sexual, shared needles , mother to baby and transfusion.

Signs/Symptoms: Most personnel who acquire infection following percutaneous expos ure develope the HIV antibody within 6 - 12 weeks after exposure. Some generaJ sig ns a nd symptoms of AIDS include fatigue. malaise. fever, loss of appetite, weight loss, night sweats, bruising or bleeding, ,rnemia and long-lasting viral, bacterial or fungal infections. The disease is always fatal.

Treatment: Researchers have yet to find a safe and effec ti ve cure for AIDS. S uppo rtive treatment such as antibiotics, anti-fu ngal agents, and proper nutrition can temporarily relieve some of the symptoms. There is no vaccine ava ila ble for disease.

Prevention for Health Care Workers:

Personal protective equ ipme nt will be used when handling ALL blood. ALL blood and body fluids will be treated as potentially infectio us. Universal precautions will always be observed. ALI needle stick injuries or exposmes will be reported at once, documented and followed up as outli ned in the post­ exposme plan.


Medical Consultation and Examina tion:
All medical examinatio ns, consuJtatioo, vacc inat ions and post-exposure management are performed by or under the direct supervision of a licensed physician without cost or loss of pay to the employee and at a reasonable time and place. The employee must be cooperative and follow the regulations for post­ exposure evaluation as outlined in the Bloodborne Pathogen Standard . All result s from evaluations are private and confidential. It is imperative that the work up following exposure starts as quickly as possible. The CDC recommend s within 2 hours if possible. If indicated post exposure prophylaxis (PEP) treatment will be admini stered. The extent of the follow-up will be determined after the injury is thoroughly evaluated. A post exposure bot line has been set up to assis t physici ans providing follow­ up evaluations - (888) 448-4911.

Post Ex po s ure:

Most reported seroco nver sions take place wi thin 6 to 12 weeks. T he exposed health care worker must take proper precautions during the initial 12 week s (or longer) to prevent the possible transmissio n of HIV or HBV to others. The CDC and the S urgeo n General's reconunendations indude:

• Do not donate blood or plasma

• lnfonn potential sex panners of possible exposure and take adequa te precau tions.

• Clean up and disinfect any spills of your blood or bodily fluids.

• Refrain from sharing any item s which may be contaminated with blood, such as razors or toothbrushe s.


Fires can be encountered anywhere. The fire safety program will be reviewed annu ally by the safe ty officer. The management will provide training and information on the fire policy at the time of employment and review annually. Your local fire company or a private agency can provide information and perform an inspection of faciljty.


1. Adequate fire extinguishers will be located in the facility. Inspection of fire extinguishers will be documented on an inspection tag.

2. Fire exits will be marked with an ilJu minated exit s ign.

3. If the exits are not immediately apparent, they will be marked with "direction to" exit signs. 4. Fire exits will be kept free of obstructio n.

5. All doors will be labeled (e.g. closet, restroom) to prevent confusion to patients and visitors.

6. If facility has a fire alarm system or sprinkler system, it will be teste d annually.

7. All employees will participate in mock fire drill. Some employee s will act as patients.

8. Do not use elevators to evacuate building (if applicable).

9. An evacuation plan will be posted in the fa c ili ty. (a grid to desig n one is on page 7-12).

Th e fo llo wing i s a brief fir e emergency plan:

How fire is reported: Duties of employe es:

Evacuation Policy:

Meeting area after evacuatio n and accoun ting of all personnel and patients:


.I DO NOT endanger yourself, patients, vis itors or staff.

.I REMAIN CALM at all times, reass ure patients and visitors..

.I Only attempt to put out fires that s mall eno ugh to handle safely.

.I Whenever you see any smoke or Dame - pull the fire alarm!

.I Do not open a door un.less you are s ure it is safe

.I Stay close to the floor where it is less smokey.

.I To en hance your breath ing, cover your mouth and nose with a wet clo th.

Fire Prevention - Fire Extinguisher Types and Use

Fire Extinguisher Use:
,/ Before fightin g any fire - call 911,the fire department o r oth er fir e e me rge ncy numb er.

.I Do no t attempt to fight the fi re if there is cons iderable heat, smoke, fumes or the possibility that you can be trapped by the fire.

,/ Know the loca tion of the nea res t fire extinguisher.

.I To use the fire ex tinguis her - remember "PASS":

I ) full the pin - point the nozzle away from you and release the locking mechanism.

2) Aim lo w - hold the ex ting uis her upri ght and aim at the base of the fire.

3) Squeeze the trigge r; the extin guis hin g age nt may come out with co nsiderable force or no ise .

4) S weep the no zz le from side to side, drivin g the fire back. Recharge or repla ce after use .

Fire Extingu i sher Location a nd Quality Co n tro l

,/ Check charge once a month. This is do ne by the facility (log follows).

,/ AnnuaJ maintenance must be recor ded - rag s ho uld be punched, stamped or signed.

,/ Fir e e xtinguisher will be provided, mo unted and identifie d for easy accessibilit y to employees

,/ If fi re ex tinguis her is removed for service - a replacement will be provided during absence .

Types of F ir e Ext i ngu i s h ers:

All fu-e ex ting uis hers are not crea ted equaJ. Th e type of fu·e extin g uis her must be appropriate for type of fire it will fight. Fire ex ting uis hers are classified and labeled according to "what is burning". Th e codes use d are as follows:

"A" in a diamond: ordina ry co mbu st ibl es - wood, paper, rubber, house hold rubbish and many plas tics.

"B" in a square: flammabl e liquid s - oil , greases, tars, oil-ba se d paints, lacquers, flammable gases and some plastics .

"C" in a circle: "plu gge d in " elecu·icaJ eq uip ment - ho use hold appliances, com puter equipme nt, house/ building wiring and fuse boxes.

Emp lo yee Training:

,I Employees will be trained on how to use a fire extinguisher at orientation and annually.

) ) )






LOGS CHECKED HERE > Location: Location: Location: Location:






Evac uation ro utes for facility.

./ Review OSHA regulations for fire safety that follow

.I Post evacuation plan

Fire Safety Inspection Record

Agency performing inspection:._ _

_ _ _

_ _ _

_ _ _

_ _ _

_ _ _ _ _


Area Inspected

D eficie ncie s Noted

Corrective Action Taken

Date Corrected


OSHA Standard 1910.36 - COMPLETE

  • _, General requirements.

(a) Application. This subpart contains general fundamental requirements essential to providing a safe means of egress from fire and like emergencies. Nothing in this subpart shall be construed to prohibit a better type of building construction, more exits, or otherwise safer conditions than the minimum requirements specified in this subpart. Exits from vehicles, vessels, or other mobile structures are not covered by this subpart.

(b) Fundamental requirements.

(1) Every building or structure, new or old, designed for human occupancy shall be provided with exits sufficient to permit the prompt escape of occupants in case of fire or other emergency. The design of exits and other safeguards shall be such that reliance for safety to life in case of fire or other emergency will not depend solely on any single safeguard; additional safeguards shall be provided for life safety in case any single safeguard is ineffective due to some human or mechanical failure.

(2) Every building or structure shall be so constructed, arranged, equipped, maint.ained, and operated as to avoid undue danger to the lives and safety of its occupants from fire, smoke, fumes, or resulting panic during the period of time reasonably necessary for escape from the building or structure in case of fire or other emergency.

(3) Every building or structure shall be provided with exits of kinds, numbers, location, and capacity appropriate to the individual building or structure, with due regard to the character of the occupancy, the number of persons exposed, the fire protection available, and the height and type of construction of the building or structure, to afford aU occupants convenient facilities for escape.

(4) In every building or structure exits shall be so arranged and maintained as to provide free and unobstructed egress from all parts of the building or structure at all times when it is occupied. No lock or fastening to prevent free escape from the inside of any building shalJ be installed except in mental, penal, or corrective institutions where supervisory personnel is continually on duty and effective provisions are made to remove occupants in case of fire or other emergency.

(5) Every exit shall be clearly visible or the route to reach it shall be conspicuously indicated in such a manner that every occupant of every building or structure who is physically and mentally capable will readily know the direction of escape from any point, and each path of escape, in its entirety, shall be so arranged or marked that the way to a place of safety outside is unmistakable. Any doorway or passageway not constituting an exit or way to reach an exit, but of such a character as to be subject to being mistaken for an exit, shall be so arranged or marked as to minimize its possible confusion with an exit and the resultant danger of persons endeavoring to escape from fire finding themselves trapped in a dead-end space, such as a cellar or storeroom, from which there is no other way out.

(6) In every building or structure equipped for artificial illumination, adequate and reliable illumination shall be provided for all exit facilities.

(7) In every building or structure of such size, arrangement, or occupancy that a fire may not itself provide adequate warning to occupants, fire alarm facilities shall be provided where necessary to warn occupants of the existence of fire so that they may escape, or to facilitate the orderly conduct of fire exit drills.

(8) Every building or structure, section, or area thereof of such size, occupancy, and arrangement that the reasonable safety of numbers of occupants may be endangered by the blocking of any single means of egress due to fire or smoke, shall have at least two means of egress remote from each other, so arranged as to minimize any possibility that both may be blocked by any one fire or other emergency conditions.

(9) Compliance with this subpart shall not be construed as eliminating or reducing the necessity for other provisions for safety of persons using a structure under normal occupancy conditions , nor

.. -.. ,....

r ...._

U.S. Department of Labor

Program Highlights

Fact Sheet No. OSHA 93-41


- Exit routes from buildings must be clear and free

Fire safety is important business. According to National Safety Council figures, losses due to workplace fires in 1991 totaled $2.2·billion. Of the 4,200 persons who lost their lives due to fires in 1991, the National Safety Council estimates 327 were workplace deaths. Fires and burns accounted for 3.3 percent of all occupational fatalities.

There is a long and tragic history of workplace fires in this country. One of the most notable was the fire at the Triangle Shirtwaist Factory in New York (?ity in 1911 in which nearly 150 women and young girls died because of locked fire exits and inadequate fire extinguishing systems.

History repeated itself several years ago in the fire in Hamlet, North Carolina, where 25 workers died in a fire in a poultry processing plant. It

- appears th t here, too, there were problems with fire Jxits and extinguishing systems.

When OSHA conducts workplace Inspections, It checks to see whether employers are complying with OSHA standards for fire safety.

OSHA standards require employers to provide proper exits, fire fighting equipment, and employee training to prevent fire deaths and injuries in the workplace. ·

Building Fire Exits

- Each workplace building must have at least two means of escape remote from each other to be used in a fire emergency.

- Fire doors must not be blocked or locked to prevent emergency use when empl9yees are within the buildings. Delayed opening of fire doors is per­ mitted when an approved alarm system is integrated into the fire door design.

of obstructions and properly marked with signs designating exits from the building.

Portable Fire Extinguishers

- Each workplace building must have a full complement of the proper type of fire extinguisher for the fire hazards present, excepting when employer wish to have employees evacuate instead of fighting small fires.

- Employees expected or anticipated to use fire extinguishers must be instructed on the hazards of fighting fire, how to properly operate the fire extinguishers available, and what procedures to follow in alerting others to the fire emergency.

- Only approved fire extinguishers are permitted to be used in workplaces, and they must be kept in good operating condition. Proper maintenance and inspection of this equipment is required of each employer.

- Where the employer wishes to evacuate employees instead of having them fight small fires there must be written emergency plans and employee training for proper evacuation.

Emergency Evacuation Planning

- Emergency action plans are required describe the routes to use and procedures to be followed by employees. Also procedures for accounting for all evacuated employees must be part of the plan. The written plan must be available for employee review.

- Where needed, special procedures for helping physically impaired employees must be addressed in the plan; also, the plan must include procedures for those employees who must remain behind temporarily to shut down critical plant equipment before they evacuate.






orce of


This is one of a series of fact sheets highlighting U.S. Department of Labor programs. It Is Intended as a general ription only

and does not carry t

l opinion.

• • •• • • .: ...,......

- The preferred means of alerting employees to a fire emergency must be part of the plan and an employee alarm system must be available throughout the workplace complex and must be used for emergency alerting for evacuation. The alarm system may be voice communication or sound signals such as bells, whistles or horns. Employees must know the evacuation signal.

- Training of all employees in what is to be done in an emergency is required. Employers must review the plan with newly assigned employees so they know correct actions in an emergency and with all employees when the plan is changed.

Fire Prevention Plan

- Employers need to implement a written fire prevention plan to complement the fire evacuation plan to minimize the frequency of evacuation. Stop­ ping unwanted fires from occurring is the most efficient way to handle them. The written plan shall be available for employee review.

- Housekeeping procedures for storage and

...-cl eanupof flammable materials and flammable waste

1st be included in the plan. Recycling of

. mmable waste such as paper is encouraged; however, handling and packaging procedures must be included in the plan.

- Procedures for controlling workplace ignition sources such as smoking, welding and burning must be addressed in the plan. Heat producing equipment such as burners, heat e changers, boil­ ers, ovens, stoves, fryers, etc., musf be properly maintained and kept clean of accumulations of flammable residues; flammables are not to be stored close to these pieces of equipment.

- All employees are to be apprised of the potential fire hazards of their job and the procedures called for in the employer's fire prevention plan. The plan shall

be reviewed with all new employees when they begin their job and with all employees when the plan is changed.

Fire Suppre ss ion System

- Properly designed and installed fixed fire suppression systems enhance fire safety in the workplace. Automatic sprinkler systems throughout the workplace are among the most reliablefire fighting means. The fire sprinkler system detects the fire, sounds an alarm and puts the water where the tire and heat are located.

- Automatic fire suppression systems require proper maintenance to keep them in seNiceable condition . When it is necessary to take a fire sup­ pression system out of service while business continues, the employer must temporarily substitute a fire watch of trained employees standing by to respond quickly to any fire emergency in the normally protected area. The fire watch must interface with the employers' fire prevention plan and emergency action plan.

- Signs must be posted about areas protected by total flooding tire suppression systems which use agents that are a serious health hazard such as carbon dioxide, Halon 1211, etc. Such automatic systems must be equipped with area pre-discharge alarm systems to warn employees of the impending discharge of the system and allow time to evacuate the area. There must be an emergency action plan to provide for the safe evacuation of employees from within the protected area. Such plans are to be part of the overall evacuation plan for the workplace facility.



•I• I

• .......


Fault y elec uical wiring a nd faulty equipment is o ne of the commo n ca uses of fires. FACILITY POLICY:

I. All la boratory/medica l diagnostic eq uipmenL will be ground ed.

2. Surge s uppr essors will be use d on compute1ize d equipme nt.

3. Defective cords will be repaired immediately. Equipm ent will be unpl ugge d and no t used until repair is made.

4. If any equipm ent produc es a tinglin g sensa tion it will be immediately unplu gged a nd no t use d

un til se rviced.

5. AU ins trum ents mus t be ground ed us ing three prong plugs . Thi s includ es ho use hold type a ppliances in the facility.

6. Extension cords will be avoided if possible. If use d make sure they, u·e appropriate for the

e lec ttical c urrent generated by equipm e nt.

7. . Unplug equipme nt when re placing fuses. Fuse d that blow freq uently indicate a problem.

8. Do no t o verlo ad elec tri cal o utle ts .

9. Ne ver remove the grou nding prong from any plug.

10. Neve r handl e e lec tri cal equipment with we t hand s.

11. Cord will no t be "pinched" behind desks and walls to prevent friction. Cords will not be "snaked" und er rugs .

12. C ords that cross aisles, are between desks or cross e ntran ces or exits will be covered or taped down.

13. Unpl ug by holdin g plug - never pull by cord.

14. Kno w where the circ uit breake r/fuse box is lo ca te d . Make sure eac h breaker/fuse is labeled to indicate the elec trical li ne it se rvices.

REME MBER: If there is a fire - electricity and water do not mix ! Use a fire ex tin g ui sher made for use in elec t1i ca l fires.


The princip les of accident prevention are fundamental. Used on a day-to-day basis, they can virtually elimi nate accidents. Some of these principles are common sense, good work habits, knowing your environment, getting help when needed and being safety conscio us at all times. Accidents will be reported as soon as possible (within 48 hours) to the safety officer or employer and followed up as needed. An accident incident report form is found in the record keeping section of this manua l. Detailed infom1ation on ergo nom ic safety and inj urie s can be found in chapter l 0 - E rgo nomics .

Prevent ing Falls:

1. Never leave or store articles (boxes, trash ca ns, etc.) in hallways, stairways or passageways.

2. Keep halls free of materials that can cause slipping, falling and serous injury.

3. Never walk on wet floor. Wet floors will be marked by sign.

4. Straighten or remo ve rugs or mats tha t do not li e flat on the floor.

Equipment/Instrument Safety:

l. Know ho w to correc tly operate any eq uipme nt/ inst rument that you may have. Follow the man ufacturers safety recommenda tions.

2. If equi pment/instrument needs repair - turn power off before removing the cove r.

3. After repair - replace the cover before operating.

4. Copy the equipme nt/i nstrume nt safety page from the manufacturer and add to this manual.

General Bus iness Office Safety

1. Close drawers and doors immediately after using them.

2. Never stand on furniture to reach high p laces.

3. Open file cabinet drawers one at a time.

4. Put heavy fi le s in the bottom drawers of the file cabinets. 5. Use handles when closing drawers and files .

6. Store sharp objects s uc h as pens, pencils , letter opene rs o r scissors in drawers or with the Lips pointing down in a co ntainer.

7. . Do not tilt the chair you are s itting in on its back two legs.

8. Carry pencils, scissors and other shar p objects with the tips pointing down.

9. Use a ladde r or step stool to ret1ieve or sto re items that are located above your head.

10. Keep fingers away from the ejector slot when loading or testing stapling devices.

J1. Use a staple re mover, not your fi ngers , for removing staples.

12. Do not place your finger s in or near the feed of a paper shredder.

13. Turn any piece of equipment off before perfonning any service on it.

14. At the e nd of the day, the last person .leaving the office wilJ check that all the office elec tr ic al equipment (typewriters, copy machines, computers, etc.) have been turned off. The coffee pot and appliances in the Lunch room will be checked and unpl ugged . Windows will be closed and alJ door s locked .

15. If employees leave the building af ter da rk, make sure the parking lot is well lit. Make sure

walkways are sho ve led and salted in winter (if applicable).


First Name Middle Initial Last Name

bas completed an OSHA Safety Training Program covering:



This certificate indicates your successful participation in a program instructing you of your rights as a worke r and the proper handli ng of hazardous and infectious sub s tances in the workplace. This certificate is good for 1 year from date below and must be renewed annually.

Date Employee Signature

_ _ _

_ _ SS#

_ _ _

_ _ _ (optional)

Employees Job Title

Instructor's Signatu re

E mployer's Signature


As required by the OSHA's Bloodborne Standard and Hazard Communication Standard, initial training and re-training safety programs will be provided to employees. Additional safety topics appropriate to the tasks performed will be added as needed. A session was conducted as indicated below:

Date of training:


Initial training for a newly hired employee Annual training of employees

Employees attending training program:

Name(s): SS# (optional):

Subjects covered:

Signature of Trainer: _ _ _

_ _ _ _

_ _ _ _ _ _

_ _ _

_ Title:

Note: This record will be retained by employer for 3 years from date.