OSHA compliance management : a guide for long-term health care facilities

OSHA Compliance Management: A Guide for Long-Term Health Care Facilities......Page 2
Preface......Page 4
The Author......Page 5
Contents......Page 6
A. INTRODUCTION......Page 13
B. TARGET INSPECTION PROGRAM AND THE PEP?ENFORCEMENT POLICIES......Page 14
D. SENATE HEARINGS ON OSHA REFORM......Page 15
E. THE CCP?CHAMBER OF COMMERCE INJUNCTION AND FUTURE DEVELOPMENTS......Page 16
F. THE INTERIM PLAN AND NEW INSPECTION STRATEGY......Page 17
G. OSHA UPDATE?AT A GLANCE......Page 18
B. OSHA CONSULTATIVE SERVICE......Page 19
E. GENERAL RESPONSE OF A FACILITY......Page 20
G. PREEMPTIVE STRATEGY AND THE WARRANT ADVICE......Page 21
B. THE NEW PENALTY AND CITATION CEILINGS......Page 22
C. SCOPE AND PROBABILITY OF INSPECTION......Page 23
1. Serious Violations......Page 24
Base reporting and record-keeping penalties......Page 25
F. PENALTY REALITY......Page 26
C. THE INCIDENT RATE FORMULA......Page 27
D. USE OF INCIDENT RATES......Page 28
V. INTERFACE WITH JOINT COMMISSION......Page 29
C. THE OSHA LIAISON......Page 35
F. LAST-MINUTE OSHA 200 LOG UPDATE......Page 36
1. Equipment......Page 37
O. SPEAKING OUT POLICY, OR MAKING A CASE......Page 38
T. VIDEOTAPING......Page 39
W. SEEKING HELP......Page 40
C. DESCRIPTION OF THE PEP......Page 41
F. HEALTH AND SAFETY ACTIVITIES LOG......Page 42
OSHA PROGRAM EVALUATION PROFILE......Page 44
B. EMPLOYEE PARTICIPATION......Page 45
C. IMPLEMENTATION......Page 46
D. CONTRACTOR SAFETY......Page 47
A. SURVEY AND HAZARD ANALYSIS......Page 48
B. INSPECTION......Page 49
C. HAZARD REPORTING......Page 50
A. ACCIDENT INVESTIGATION......Page 51
B. DATA ANALYSIS......Page 52
B. MAINTENANCE......Page 53
C. MEDICAL PROGRAM......Page 54
A. EMERGENCY PREPAREDNESS......Page 55
VI. SAFETY AND HEALTH TRAINING......Page 56
B. PHILOSOPHY......Page 57
F. EMPLOYEE INVOLVEMENT......Page 58
J. INCENTIVE PROGRAMS......Page 59
3. Incident Report Forms......Page 60
8. Building and Equipment Records......Page 61
B. SAFETY PROGRAM DOCUMENTATION......Page 62
Example 3......Page 63
D. OPTIMAL USE OF THE HEALTH AND SAFETY ACTIVITIES LOG......Page 64
F. WHICH WORDS TO USE......Page 65
H. OTHER PRACTICAL NOTES ON USING THE LOG......Page 66
A. INTRODUCTION......Page 67
C. MOST LIKELY SCENARIO......Page 69
D. ANOTHER POSSIBLE SCENARIO......Page 70
E. SOME RELEVANT DEFINITIONS......Page 71
G. ASBESTOS MANAGEMENT......Page 72
1. Labeling......Page 73
3. Work Control/Permit System......Page 74
4. Operations and Maintenance Work Practices......Page 75
H. CONCLUSION......Page 76
SAMPLE FORM: JOB REQUEST FOR MAINTENANCE WORK......Page 77
SAMPLE FORM: MAINTENANCE WORK AUTHORIZATION......Page 78
B. SUMMARY......Page 79
E. SAMPLE LETTER......Page 80
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1910.1020\0挀\0㘀\0椀\0䈀......Page 82
1910.1020\0挀\0㤀......Page 83
1910.1020\0挀\0㄀㌀......Page 84
1910.1020\0搀\0㄀\0椀椀......Page 85
1910.1020\0攀\0㄀\0椀椀椀\0䄀......Page 86
1910.1020\0攀\0㈀\0椀\0䄀{2}......Page 87
1910.1020\0攀\0㈀\0椀椀\0䐀......Page 88
1910.1020\0昀\0㄀......Page 89
1910.1020\0昀\0㐀\0椀椀\0䌀......Page 90
1910.1020\0昀\0㔀......Page 91
1910.1020\0昀\0㤀......Page 92
1910.1020\0最\0㄀\0椀......Page 93
1910.1020\0椀......Page 94
B. DISCUSSION......Page 95
D. SAMPLE PLAN: THE EXPOSURE CONTROL PLAN......Page 96
2. Definitions to Determine Exposure......Page 97
b. Engineering controls and work practices......Page 99
c. Personal protective equipment PPE......Page 100
d. Hepatitis B virus HBV vaccine......Page 101
e. Postexposure evaluation follow-up......Page 102
f. Housekeeping and laundry......Page 104
h. Training and communicating hazards to employees......Page 106
Transfer of records......Page 107
SAMPLE FORM: EXPOSURE INCIDENT REPORT......Page 108
SAMPLE LETTER: REQUEST FOR SOURCE INDIVIDUAL EVALUATION......Page 109
SAMPLE FORM: EMPLOYEE EXPOSURE FOLLOW-UP RECORD......Page 110
SAMPLE CHECKLIST: POSTEXPOSURE FOLLOW-UP......Page 111
A. INTRODUCTION......Page 113
B. DEFINITIONS......Page 114
2. Hazard Evaluation......Page 115
a. Atmospheric hazards......Page 116
SAMPLE SURVEY: CONFINED SPACE FACILITY......Page 117
Sampling Equipment......Page 118
SAMPLE CERTIFICATION DOCUMENT?RECLASSIFICATION OF A PERMIT-REQUIRED CONFINED SPACE BY INSTITUTING LOCKOUT PROCEDURES......Page 119
Location of Confined Spaces......Page 120
Training......Page 121
C. SUMMARY......Page 122
B. SUMMARY......Page 123
C. UPDATE......Page 124
B. SUMMARY......Page 125
E. HAZARD COMMUNICATION PROGRAM OUTLINE......Page 126
1. General......Page 127
SAMPLE TOOL: CHEMICAL SAFETY MANAGEMENT REVIEW......Page 128
SAMPLE CHECKLIST: AREA/OPERATION HAZARD EVALUATION......Page 129
6. Training [Required]......Page 130
Hazard communication training outline [required elements]......Page 131
7. Contractor Employers [Required]......Page 132
SAMPLE LETTER REQUESTING MSDS FROM SUPPLIERS WHO INSIST MSDSs ARE NOT REQUIRED OF THEM......Page 133
MSDS TERMS GLOSSARY AND CHEMICAL SAFETY PRIMER FOR THE LAY USER......Page 134
C. UPDATE......Page 136
3. Sequence of Lockout/Tagout Procedure......Page 137
7. Periodic Inspection......Page 138
SAMPLE FORM: TRAINING ROSTERS FOR LOCKOUT/TAGOUT PROCEDURES......Page 139
A. INTRODUCTION......Page 140
C. SUMMARY......Page 141
Introduction......Page 142
On-Site Hazard Assessment......Page 143
Selection of Appropriate Personal Protective Equipment......Page 144
SAMPLE FORM: CERTIFICATION OF TRAINING FOR PERSONAL PROTECTIVE EQUIPMENT......Page 146
C. UPDATE......Page 148
B. SUMMARY......Page 149
1. Management Commitment and Employee Involvement......Page 150
3. Hazard Prevention and Control......Page 151
4. Work Practices/Administrative Controls......Page 152
6. Training and Education......Page 153
Introduction......Page 154
Data Review [basic]......Page 155
Equipment Review [basic]......Page 156
Hazard Abatement [basic]......Page 157
Nursing department job-specific training [basic]......Page 158
Laundry department job-specific training [optional]......Page 159
Nursing Department Ergonomics Management [basic]......Page 160
Work Practices and Administrative Controls......Page 161
Early recognition and reporting......Page 162
Policy 1......Page 163
B. SUMMARY......Page 164
D. CONTENTS......Page 165
The Situation......Page 166
OSHA Requirements......Page 167
Practical Guidance......Page 168
OSHA Inspection Procedure......Page 172
General Duty Clause......Page 173
2. Medical surveillance......Page 174
3. Base management of infected employees......Page 175
5. Engineering controls......Page 176
Respiratory Protection......Page 177
Accident Prevention Signs and Tags......Page 178
Summary......Page 179
CHECKLIST OF A COMPLETE TB CONTROL PROGRAM......Page 180
Alternative—Disposable HEPA Respirators......Page 182
Section 2—Medical Surveillance......Page 183
Section 3—Hazard Evaluation......Page 184
Section 4—Fit Testing......Page 185
Section 7—Employee Training......Page 186
B. SUMMARY......Page 187
Appropriate Responses to Harassment or Threat......Page 188
Investigation of Reported Cases......Page 189
Former Employees......Page 190
Security and Security Personnel......Page 191
Assessment and Abatement—Workplace Analysis and Follow-Through......Page 192
Upon admission......Page 193
Dementia programs......Page 194
Coping strategies training......Page 195
B. SUMMARY......Page 197
A. INTRODUCTION......Page 198
D. TRANSLATING OSHA TRAINING REQUIREMENTS TO A FACILITY’S EXISTING TRAINING TITLES......Page 199
Tuberculosis......Page 200
Personal Protective Equipment \0倀倀䔀......Page 201
SAMPLE: SURVEY QUESTIONS......Page 202
Appendix A: Risk Map of a Long-term Care Facility with Potential Hazards......Page 205
Appendix B: Job Safety and Health Protection......Page 208
Consultation......Page 209
Posting Instructions......Page 210
Appendix C: OSHA Mandatory Compliance Cross Reference Tracker......Page 211
Appendix D: OSHA Inspection Preparedness Checklist for Long-Term Care Facilities......Page 224
II. OSHA 200 LOG—AVAILABLE, COMPLETE, AND ACCURATE......Page 225
IV. HAZARD COMMUNICATION......Page 226
VI. TUBERCULOSIS—INFECTION CONTROL PLAN......Page 227
IX. EMERGENCY AND DISASTER PLAN......Page 228
XIII. GENERAL ELECTRICAL SAFETY......Page 229
XVI. EYEWASH......Page 230
XIX. MISCELLANEOUS......Page 231
Appendix E: Files for Downloading on CRC Web Site......Page 232
Appendix F: OSHA 200 Log of Injuries and Illnesses Guide......Page 234
B. GENERAL SUMMARY......Page 235
3. FIRST AID......Page 236
4. MEDICAL TREATMENT......Page 237
9. ACTUAL PRINTED INSTRUCTIONS OSHA 200 LOG FORM......Page 238
E. OSHA 101 FORM......Page 239