# Presentation: 330203

## VA Safety and Health ProgramOccupational Safety and Health

*Basic Safety for Supervisors*

**S 0.1**

## Basic Safety for Supervisors:Objectives of the Course

- Establish VA Safety & Health Program
- Communicate
- Identify, Recognize, Abate

**S 0.2**

**Notes:**
#2
Slide: S 0.2
Slide Title: Objectives of the Course	
Upon completion of this course, supervisors in their work units will be able to:
1.	Establish VA Safety and Health Program and ensure a safe and healthy work environment as prescribed by the Department of Veterans Affairs, Regulatory Agencies, and moral responsibilities.
2.	Communicate safety issues and safety concerns to their workers through an education and training program.
3.	Identify, recognize and abate hazards in the work place.

## VA Safety and Health Program

- Purpose
- Goals
- Total Quality Improvement (TQI)
- Responsibilities - Public Law 91-596
- Regulations and Standards

**S 1.0**

## Purpose

- Implementation of safety program
- Training in safety methods and practices

**S 1.1**

**Notes:**
#4
Slide: S 1.1
Block 1/Module 1
VA Safety and Health Program/Purpose
1. 	To help employees understand VA Safety Program.
2.	To train employees in safety methods and practices.

## Goals

- Present VA Occupational Safety and Health Program
- Specify the requirements of OSHA and JCAHO standards
- Instruct in record keeping and documentation procedures
- Instill an attitude to do job safely
- Create a safe work place

**S 1.2**

**Notes:**
#5
Slide: S 1.2
Block 1/Module 2
VA Safety and Health Program/Goals
1.	All employees will become familiar with VA Safety Program.
2.	Employees will know the requirements of OSHA and JCAHO standards as pertaining to their jobs.
3.	Employees will become familiar with their parts in submitting reports and forms within the time frame as required by the enforcing agencies.
4.	Employees will be convinced that doing a job safely is part of doing the job right and safety is a responsibility of each individual.
5.	Employees will maintain a safe environment and prevent accidents.

## Total Quality Improvement (TQI)

- What is TQI?
- TQI Goals

**S 1.3**

**Notes:**
#6
Slide: S1.3
Block 1/Module 3
VA Safety and Health Program/Total Quality Improvement System (TQI)
What is TQI? 
TQI is the application of quantitative methods (quality tools) and human resources to improve and control:
Materials and services supplied to the organization
The work processes resulting in the products and services delivered by the organization
The satisfaction of customer needs and expectations
TQI Goals
Do the right things
Do things right the first time
Strive for continuous improvement
Satisfy customers
Source: TQI Awareness News. For more information consult TQI Implementation Guide available from the TQI division at the St. Louis Employee Education Center, FTS 700-280-4922.

## Responsibilities -Public Law 91-596

- Employer and Employees
- Employee Rights and Duties

**S 1.4**

**Notes:**
#7
Slide: S 1.4
Block 1/Module 4
VA Safety and Health Program/Responsibilities - Public Law 91-596

Public Law 91-596 Occupational Safety and Health Act
Duties
Section 5(a)
Each employer - (1) shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees;
(2) shall comply with occupational safety and health standards promulgated under this Act.
Section 5(b)
Each employee shall comply with occupational safety and health standards and all rules, regulations, and orders issued pursuant to this Act which are applicable to his own actions and conduct.

## Regulations and Standards

- VA
*Directives and Guidelines*
- Regulatory Agencies
*OSHA  29 CFR 1960, 1926, 1910*
*EPA     40 CFR and DOT  49 CFR, *
*NRC    10 CFR*
- JCAHO
*Environment of Care Standards*

**S 1.5**

**Notes:**
#8
Slide: S 1.5
Block 1/Module 5
VA Safety and Health Program/Regulations and Standards

Discuss each standard as applicable to your facility.
.

## Program Structure

- Staff and Support Functions
- Facility Safety Committees
- Hazard Surveillance Program

**S 2.0**

**Notes:**
#9
Slide: 2.0
Block 2: Program Structure
Number of Modules: 3
Present Block 2 (all 3 modules) in about 15 minutes.

## Staff and Support Functions 

- Safety Officer
*Service/Phone*
- Industrial Hygienist
*Service/Phone*
- Safety Specialist
*Service/Phone*
- Safety Technician Trainee
*Service/Phone*

**S 2.1**

## Facility Safety Committee

- Hazard and/or Accident Report(s)
- Safety Subcommittees
- Safety Subcommittee Minutes on Agenda

**S 2.2**

**Notes:**
#11
Slide: S 2.2
Block 2/Module 2
Program Structure/Facility Safety Committees

1.	Explain and give the duties of the facility safety committee and the sub-committees.
2.	Use meeting notices, minutes and agenda to describe the role and function of the various committees.
3.	The following is a sample of a notice for meetings:
Safety, Occupational Health, and Fire Protection Committee
Chairperson
___________________________ (Name)
____________________________ (Title)
Monthly meetings are held on the third Thursday in the Medical Center Director’s Conference Room.

## Hazard Surveillance Program

- Participate in Hazard Surveillance Reviews
- Be Proactive and Motivated Towards Abatement
- Participate and Cooperate in Monthly Administrative Grand Rounds

**S 2.3**

**Notes:**
#12
Slide: S 2.3
Block 2/Module 3
Program Structure/Hazard Surveillance Program
Identify local Hazard Surveillance Program.

## Accident Prevention Program

- Causation Factors and Abatement Measures
- Reporting

**S 3.0**

**Notes:**
#13
Slide: S 3.0
Block 3: Accident Prevention Program
Number of Modules: 2
Present Block 3 (both the modules) in about 25 minutes.

## Causation Factors and Abatement Measures

- Unsafe Act and/or Unsafe Condition
- Contributing and Immediate Causes
- Corrective Action(s) and Follow Up

**S 3.1**

**Notes:**
#14
Slide: 3.1
Block 3/Module 1
Accident Prevention Program/Causation Factors and Abatement Measures
Review common causes of accidents and include examples. See the Supplementary Material section for the following:
Common Causes of Accidents/Incidents
Solutions (Methods) for Solving Health and Safety Problems
Corrective Actions to Prevent Recurrence of Accident/Incident

## Reporting

- Accidents, Illnesses, and/or Incidents
*VA Form 2162*
*OSHA Forms CA-1 or CA-2*
- Hazards
*Notification*

**S 3.2**

**Notes:**
#15
Slide: 3.2
Block 3/Module 2
Accident Prevention Program/Reporting
1.	Explain the need and use of forms.
2.	Emphasize the necessity for immediate notification.

## Employee Training

- Site Specific Safe Work Practices
- Training Based on Compliance and Work Site Needs
- Training Records
- Safety Staff Support

**S 4.0**

**Notes:**
#16
Slide: S 4.0
Block 4: Employee Training
Number of Modules: 4
Present Block 4 (all 4 modules) in about 10 minutes.

## Site Specific Safe Work Practices

- Workplace Hazards
- Need for PPE

**S 4.1**

**Notes:**
#17
Slide: S 4.1
Block 4/Module 1
Employee Training/Site Specific Safe Work Practices
Review workplace hazards and the need for PPE (Personal Protective Equipment) as applicable.

## Training Based on Compliance and Work Site Needs

- 29 CFR 1910
- Additional Training Requirements
*may appear in certain other standards (ANSI, NFPA, etc.)adopted by reference in Part 1910 and therefore mandatory*

**S 4.2**

**Notes:**
#18
Slide: S 4.2
Block 4/Module 2
Employee Training/Training Based on Compliance and Work Site Needs
1.	Follow 29 CFR 1910 training requirements.
2.	See Appendix B for training required by OSHA for General Industry.

## Training Records

- Compliance
- Documentation

**S 4.3**

**Notes:**
#19
Slide: S 4.3
Block 4/Module 3
Employee Training/Training Records
1.	Training records are a part of compliance with the safety standards.
2.	Training should be documented by subject in accordance with the local policies and should include date of training, topic, a brief description of the course, and a list of participants.
3.	See the Supplementary Material section for a sample Employee Safety and Health Training Record.

## Safety Staff Support

- Consultation
- Services
- Training Aids

**S 4.4**

**Notes:**
#20
Slide: S 4.4
Block 4/Module 4
Employee Training/Safety Staff Support
1.	Supervisors are responsible for providing safety training to the employees under their supervision and not the safety and health personnel.
2.	Services of the safety and health staff are available for consultation on matters of training requirements, training strategy and training aids.

## Inspection, Evaluation, and Abatement

- Area Inspections and Evaluations
- Hazard Recognition Concepts
- OSHA Checklist Review

**S 5.0**

**Notes:**
#21
Slide: 5.0
Block 5: Inspection, Evaluation and Abatement
Number of Modules: 3
Present Block 5 (all 3 modules) in about 10 minutes.

## Area Inspections and Evaluations

- Inspection Criteria Report
- Abatement and Follow Up

**S 5.1**

**Notes:**
#22
Slide: S 5.1
Block 5/Module 1
Inspection, Evaluation and Abatement/Area Inspections and Evaluations
1.	Review facility inspection requirements and activities. Include JCAHO’s semi-annual review requirement.
2.	Review the types of hazards found in the facility. 

## Hazard Recognition Concepts

- System Analysis Approach to Safety
*In a task oriented system **man, machine and environment are the three components involved to perform the task.*

**S 5.2**

**Notes:**
#23
Slide: S 5.2
Block 5/Module 2
Inspection, Evaluation and Abatement/Hazard Recognition Concepts
1.	Explain System Analysis Approach to safety.
2.	Discuss the solutions (methods) for solving health and safety problems.
(a)	Engineering Controls
-	Removing the hazard (contaminants)
-	Improve ventilation system
-	Redesign work area
(b)	Administrative Measures
-	Limit exposure time
-	Use a less hazardous substance
-	Training
(c)	Personal Protective Equipment (Last Resort) 	

## OSHA Checklist Review

- OSHA Checklist for General Industry*Prepared by **The Department of Labor**Division of Education, Training & Consultation*

**S 5.3**

**Notes:**
#24
Slide: 5.3
Block 5/Module 3
Inspection, Evaluation and Abatement/OSHA Checklist Review
1.	Review the checklist as applicable.
2.	See Appendix C for the OSHA Checklist for General Industry.

## Fire Prevention and Protection

- Fire Prevention
- Fire Protection
- Fire Plan

**S 6.0**

**Notes:**
#25
Slide: S 6.0
Block 6: Fire Prevention and Protection
Number of Modules: 3
Present Block 6 (all three modules) in about 10 minutes.

## Fire Prevention

- Attitude/Safe Practices
- Storage
- Hot Work Permits

**S 6.1**

**Notes:**
#26
Slide: S 6.1
Block 6/Module 1
Fire Prevention and Protection/Fire Prevention
Expound on the need of fire prevention (as for example, in the case of preservation of records and property) by stressing safe work practices - house keeping, storage, hot work permits, plan activation, etc.

## Fire Protection

- Detection
- Extinguishing Devices

**S 6.2**

**Notes:**
#27
Slide: S 6.2
Block 6/Module 2
Fire Prevention and Protection/Fire Protection
1.	Describe the types of local detection systems.
2.	Describe the locations of local detection systems.
3.	Describe the functions of local detection systems.
4.	Describe the use of extinguishers.

## Fire Plan

- Evacuation Procedures
- Fire Drills

**S 6.3**

**Notes:**
#28
Slide: S 6.3
Block 6/Module 3
Fire Prevention and Protection/Fire Plan
1.	Procedure in case of fire
2.	Emergency numbers
3.	Role and frequency of fire drills

## Industrial Hygiene Program

- Right to Know Law
- Hazardous Chemicals and Waste Management
- Monitoring and Sampling
- Medical Surveillance
- Ergonomics

**S 7.0**

**Notes:**
#29
Slide: S 7.0
Block 7: Industrial Hygiene Program
Number of Modules: 5
Present Block 7 (all 5 modules) in about 25 minutes.

## Right to Know LawHazard Communication Standard

- MSDS (Material Safety Data Sheet)
- Labeling
- Training

**S 7.1**

**Notes:**
#30
Slide: S 7.1
Block 7/Module 1
Industrial Hygiene Program/Right to Know Law
1.	Hazard Communication Standard helps to protect one’s right to work in a safe and healthful environment. Every employee has a right to know the hazards of the chemicals they work with.	
2.	Make sure that employees know how to access MSDS and that they know how to find the needed information in a MSDS. 
3.	Discuss the importance of labels, tags and other markings to identify the chemical hazards present within the containers of hazardous chemicals.	

## Hazardous Chemicals and Waste Management

- “Cradle to Grave” Concept
- Written Program
- Segregation of Waste
- Disposal

**S 7.2**

**Notes:**
#31
Slide: S 7.2
Block 7/Module 2
Industrial Hygiene Program/Hazardous Chemicals and Waste Management
1.	The generator (any person or institution) of hazardous waste is responsible for the damage to the environment or any threat to the safety and health of the community resulting from improper disposal of the waste. The generator remains responsible even when the waste has been accepted and removed from the facility by an approved contractor.	
2.	JCAHO requires a written safety management plan which includes detailed procedures for the handling of hazardous waste.
3.	Waste is any material no longer useful to a facility. However, a determination must be made to classify any material as waste.
4.	Segregation of waste should take place at the point of origin. Consult your facility policy and procedures for information.
5.	Regulations for treatment and disposal of waste differ from state to state and from city to city. Consult your facility policy and procedures for information.

## Monitoring and Sampling

- Permissible Exposure Limit (PEL)
- Time Weighted Average (TWA)
- Threshold Limit Value (TLV)

**S 7.3**

**Notes:**
#32
Slide: S 7.3
Block 7/Module 3
Industrial Hygiene Program/Monitoring and Sampling
1.	Overexposure to many chemicals causes injury and sickness. Permissible Exposure Limit (PEL): defines the permitted exposure of an employee to contaminants.
2.	Time Weighted Average (TWA) defines the average exposure of a worker over a given time.
3.	Threshold Limit Values (TLV) are the concentrations to which workers may be exposed 8 hours a day over extended periods of time without adverse effects.	

## Medical Surveillance

- Required by OSHA
*By Substance or Agent*
*By Occupation*
*For Respirator Use*
- Required by VA
*By Substance or Agent*
-  Recommended By VA
*By Substance or Agent*
*By Occupation*

**S 7.4**

**Notes:**
#33
Slide: S 7.4
Block 7/Module 4
Industrial Hygiene Program/Medical Surveillance
VA medical centers are required to establish medical surveillance programs for any listed chemical or agent identified by industrial hygiene survey to which the employees are exposed (or could be exposed) above the action level.		

## Ergonomics

- The goal of ergonomics is to fit the job to the worker, not the worker to the job.

**S 7.5**

**Notes:**
#34
Slide: S 7.5
Block 7/Module 5
Industrial Hygiene Program/Ergonomics
Ergonomics is designing workplace and tools to minimize the strain to the body and emotional stress to the worker. 		

## Emergency Preparedness

- Emergency Preparedness Plans
- Emergency Notification Procedures

**S 8.0**

**Notes:**
#35
Slide: S 8.0
Block 8: Emergency Preparedness
Number of Modules: 2
Present Block 8 (both modules) in about 10 minutes.

## Emergency Preparedness Plans

- Facility Involvement
- Internal and External Plans
*Annual Review*
- Facility-wide Semi-annual Activation
- Critique
*Drill(s)*

**S 8.1**

**Notes:**
#36
Slide: S 8.1
Block 8/Module 1
Emergency Preparedness/Emergency Preparedness Plans
1.	Emphasize that the involvement is facility-wide.
2.	Review includes service specific plans.
3.	Ensure follow-up activities and documentation after critique.

## Emergency Notification Procedures

- Notification
*Internal and External*
- Executing and Updating

**S 8.2**

**Notes:**
#37
Slide: S 8.2
Block 8/Module 2
Emergency Preparedness/Emergency Notification Procedures
Ensure that call back rosters are current.
Review of Emergency Preparedness Plan by Facility Safety Committee is required annually.
Corrections/Changes to any activated plan, identified during a critique session, must be implemented as soon as possible.