Plant Pathology Department Hutchison Hall, Robbins Hall, and Armstrong Field Station

Transcription

1 Plant Pathology Department Hutchison Hall, Robbins Hall, and Armstrong Field Station

2 UC DAVIS Plant Pathology INJURY AND ILLNESS PREVENTION PROGRAM This Injury and Illness Prevention Program has been prepared by the University of California, Plant Pathology department in accordance with University Policy (UCD Policy & Procedure Manual Section : Safety Management Program) and California Code of Regulations Title 8, Section 3203 (8 CCR, Section 3203). 2

3 UC DAVIS Plant Pathology INJURY AND ILLNESS PREVENTION PROGRAM TABLE OF CONTENTS Preface Department Information I. Authorities and Responsible Parties II. III. IV. System of Communications System for Assuring Employee Compliance with Safe Work Practices Hazard Identification, Evaluation, and Inspection V. Accident Investigation VI. VII. Hazard Correction Health and Safety Training VIII. Recordkeeping and Documentation IX. Resources APPENDICES A. Hazard Alert/Correction Form B. Job Safety Analyses C. Worksite Inspection Forms D. Injury and Illness Investigation Form E. Safety Training Attendance Record 3

4 Department Information Department Name: Plant Pathology Department Director: David Rizzo Address: 354 Hutchison Hall Telephone Number: (530) Buildings Occupied by Department 1. Building: Hutchison Hall Unit(s): Plant Pathology Contact: Andrew Ross or Jennifer Long Phone: (530) or (530) Building: Robbins Hall Unit(s): Plant Pathology Contact: Andrew Ross or Jennifer Long Phone: (530) or (530) Building: Armstrong Field Station Unit(s): Plant Pathology Contact: Andrew Ross or Jennifer Long Phone: (530) or (530)

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6 II. System of Communications 1. Effective communications with Plant Pathology employees have been established using the following methods: X X X X X X X X X X X Standard Operating Procedures Manual Material Safety Data Sheets Quarterly Department Safety Committee meetings Internal media (department intranet) EH&S Safety Nets Training videos through LMS Safety Newsletter (UC safety spotlight) Handouts Building Evacuation Plan Posters and warning labels Job Safety Analysis Initial Hire Job Safety Analysis Annual Review Other (list): CHECK BOXES THAT APPLY (double click on box and enable check as default value) AND WRITE IN ANY ADDITIONAL DEPARTMENT METHODS 2. Employees are encouraged to report any potential health and safety hazard that may exist in the workplace. Hazard Alert/Correction Forms (Appendix A) are available to employees for this purpose. Forms are to be placed in the Safety Coordinator s departmental mail box. Employees have the option to remain anonymous when making a report. 3. Employees have been advised of adherence to safe work practices and the proper use of required personal protective equipment. Conformance will be reinforced by discipline for non-compliance in accordance with University policy (UC Davis Personnel Policies for Staff Members- Section 62, Corrective Action). 6

7 III. System for Assuring Employee Compliance with Safe Work Practices Employees have been advised of adherence to safe work practices and the proper use of required personal protective equipment. Conformance will be reinforced by discipline for non-compliance in accordance with University policy (UC Davis Personnel Policies for Staff Members- Section 62, Corrective Action). The following methods are used to reinforce conformance with this program: 1. Distribution of Policies 2. Training Programs 3. Safety Performance Evaluations Performance evaluations at all levels must include an assessment of the individual's commitment to and performance of the accident prevention requirements of his/her position. The following are examples of factors considered when evaluating an employee's safety performance. Adherence to defined safety practices. Use of provided safety equipment. Reporting unsafe acts, conditions, and equipment. Offering suggestions for solutions to safety problems. Planning work to include checking safety of equipment and procedures before starting. Early reporting of illness or injury that may arise as a result of the job. Providing support to safety programs. 4. Statement of non-compliance will be placed in performance evaluations if employee neglects to follow proper safety procedures, and documented records are on file that clearly indicate training was provided for the specific topic, and that the employee understood the training and potential hazards. 5. Corrective action for non-compliance will take place when documentation exists that proper training was provided, the employee understood the training, and the employee knowingly neglected to follow proper safety procedures. Corrective action includes, but is not limited to, the following: Letter of Warning, Suspension, or Dismissal. 6. In addition to the site specific initial lab safety training for new employees, lab PI s are responsible for review and training all personnel under their supervision on the IIPP, EAP, CHP, and associated lab safety procedures at least annually and when any policy changes are made to safety documentation. This can be accomplished using a combination of the online training systems (LMS and LHAT) and the site specific annual lab safety refresher form. 7

8 IV. Hazard Identification, Evaluation, and Inspection Job Hazard Analyses and worksite inspections have been established to identify and evaluate occupational safety and health hazards. 1. Job Safety Analysis: Job Safety Analysis (JSA) identifies and evaluates employee work functions, potential health or injury hazards, and specifies appropriate safe practices, personal protective equipment, and tools/equipment. JSA s can be completed for worksites, an individual employee s job description, or a class of employees job description. Completed JSA s are located in Appendix B. The following resources are available for assistance in completing JSA s: Laboratory personnel, please refer to the Laboratory Hazard Assessment Tool Non-Laboratory personnel, please refer to the JSA/PPE Certification Forms (Example JSAs are located in Appendix B1 and Appendix B2 of this template) 2. Worksite Inspections Worksite inspections are conducted to identify and evaluate potential hazards. Types of worksite inspections include both periodic scheduled worksite inspections as well as those required for accident investigations, injury and illness cases, and unusual occurrences. Inspections are conducted at the following worksites: 1) Location: Hutchison Hall, Robbins Hall Frequency: Annual Responsible Person: Andrew Ross Records Location: Room 361 Hutchison Hall 2) Location: Armstrong Field Station Frequency: Annual Responsible Person: Andrew Ross Records Location: Room 361 Hutchison Hall Worksite Inspection Forms are located in Appendix C (C1 - General Office and C2 - Laboratory). (Example Worksite Inspection Forms are located in Appendix C of this template (C1 - General Office and C2 - Laboratory). 8

9 V. Accident Investigation University Policy requires that work-related injuries and illnesses be reported to Workers Compensation within 24 hours of occurrence and state regulation requires all accidents be investigated. Plant Pathology employees will immediately notify their supervisor when occupationally-related injuries and illnesses occur, or when employees first become aware of such problems. 1. Supervisors will investigate all accidents, injuries, occupational illnesses, and near-miss incidents to identify the causal factors or attendant hazards. Appropriate repairs or procedural changes will be implemented promptly to mitigate the hazards implicated in these events. Proper injury reporting procedures can be found at The Injury and Illness Investigation Form (Appendix D) shall be completed to record pertinent information and a copy retained to serve as documentation. It can be completed by either the supervisor or the Department Safety Coordinator. 3. Note: Serious occupational injuries, illnesses, or exposures must be reported to Cal/OSHA by an EH&S representative within eight hours after they have become known to the supervisor. These include injuries/illnesses/exposures that cause permanent disfigurement or require hospitalization for a period in excess of 24 hours. Please refer to EH&S SafetyNet #121 for OSHA notification instructions. 9

10 VI. Hazard Correction Hazards discovered either as a result of a scheduled periodic inspection or during normal operations must be corrected by the supervisor in control of the work area, or by cooperation between the department in control of the work area and the supervisor of the employees working in that area. Supervisors of affected employees are expected to correct unsafe conditions as quickly as possible after discovery of a hazard, based on the severity of the hazard. Specific procedures that can be used to correct hazards include, but are not limited to, the following: Tagging unsafe equipment Do Not Use Until Repaired, and providing a list of alternatives for employees to use until the equipment is repaired. Stopping unsafe work practices and providing retraining on proper procedures before work resumes. Reinforcing and explaining the need for proper personal protective equipment and ensuring its availability. Barricading areas that have chemical spills or other hazards and reporting the hazardous conditions to appropriate parties. Supervisors should use the Hazard Alert/Correction Report (Appendix A) to document corrective actions, including projected and actual completion dates. If an imminent hazard exists, work in the area must cease, and the appropriate supervisor must be contacted immediately. If the hazard cannot be immediately corrected without endangering employees or property, all personnel need to leave the area except those qualified and necessary to correct the condition. These qualified individuals will be equipped with necessary safeguards before addressing the situation. Department Chair and Department Safety Coordinator must be notified of any hazards 10

11 VII. Health and Safety Training Health and safety training, covering both general work practices and job-specific hazard training is the responsibility of the Principle Investigator and immediate Supervisor(s) as applicable to the following criteria: 1. Supervisors are provided with training to become familiar with the safety and health hazards to which employees under their immediate direction and control may be exposed. 2. All new employees receive training prior to engaging in responsibilities that pose potential hazard(s). 3. All employees given new job assignments receive training on the hazards of their new responsibilities prior to actually assuming those responsibilities. 4. Training is provided whenever new substances, processes, procedures or equipment (which represent a new hazard) are introduced to the workplace. 5. Whenever the employer is made aware of a new or previously unrecognized hazard, training is provided. The Safety Training Attendance Record form is located in Appendix E. 11

12 VIII. Recordkeeping and Documentation Documents related to the IIPP are maintained in/at/on: Room 361 Hutchison Hall. The following documents will be maintained within the department s IIPP Binder for at least the length of time indicated below: 1. Hazard Alert/Correction Forms (Appendix A form). Retain for three (3) years. 2. Employee Job Safety Analysis forms (Appendix B form) Retain for the duration of each individual s employment. 3. Worksite Inspection Forms (Appendix C form). Retain for three (3) years. 4. Injury and Illness Investigation Forms (Appendix D form). Retain for three (3) years. The following documents will be maintained within the department s IIPP Training Records Binder for at least the length of time indicated below: 1. Employee Safety Training Attendance Records (Appendix E form). Retain for three (3) years. 12

13 IX. Resources 1. UC Office of the President: Management of Health, Safety and the Environment, 10/28/05 2. UC Davis Policy and Procedure Manual, Section , Safety Management Program 3. California Code of Regulations Title 8, Section 3203, (8CCR 3203), Injury and Illness Prevention Program 4. Personnel Policies for Staff Members, Corrective Action, UC PPSM UC Davis Environmental Health & Safety Safety Services Website EH&S SafetyNets Safety Data Sheets 13

14 HAZARD ALERT / CORRECTION FORM Alert Identification No. Department: I. Unsafe Condition or Hazard Name: (optional) Job: Title: (optional) Location of Hazard: Building: Floor: Room: Date and time the condition or hazard was observed: Description of unsafe condition or hazard: What changes would you recommend to correct the condition or hazard? Employee Signature: (optional) Date: II. Management/Safety Committee Investigation Name of person investigating unsafe condition or hazard: Results of investigation (What was found? Was condition unsafe or a hazard?): (Attach additional sheets if necessary.) Proposed action to be taken to correct hazard or unsafe condition: (Complete and attach a Hazard Correction Report, IIPP Appendix E) Signature of Investigating Party: Date: IIPP-Appendix A Completed copies of this form should be routed to the appropriate supervisor and department January 2016 Safety Coordinator, and must be maintained in department files for at least three years.

15 HAZARD ALERT / CORRECTION REPORT Alert Identification No. Department: This form should be used in conjunction with the Hazard Alert Form (IIPP Appendix A), as appropriate, to track the correction of identified hazards. All hazards should be corrected as soon as possible, based on the severity of the hazard. If a serious imminent hazard cannot be immediately corrected, evacuate personnel from the area and restrict access until the hazard can be addressed. Supervisor/Safety Coordinator Name: Supervisor/Safety Coordinator Signature: Telephone: Date: Description and Location of Unsafe Condition Date Discovered Required Action and Responsible Party Completion Date Projected Actual IIPP Appendix A January 2016 Completed copies of this form should be routed to the department Safety Coordinator and kept in department files for at least three years.

16 Job Safety Analysis (Part I) Instructions: 1. Select assessment category. 2. List tasks/activities: Develop a list of activities, tasks, equipment/tools (group similar tasks/activities). 3. Identify and list potential hazards: for each task, activity or equipment/tools, list and describe the potential hazards. 4. Identify and list controls: for each task, activity, equipment/tools, document controls (i.e. training, equipment, written procedures, PPE ). 5. If PPE is required, complete Part II- PPE Hazard Assessment and Certification. 6. Train affected employees on the final assessment and document the training. Repeat assessment when new hazards are identified or introduced into the workplace or at least every three (3) years. Laboratory workers must use the online Laboratory Hazard Assessment Tool (LHAT) for PPE hazard assessment. I am reviewing (check the appropriate box) A worksite A single employee s job description A job description for a class of employees Hazard Evaluator Specify location: Hutchison or Robbins Halls Plant Pathology office areas Name of employee: Position title: Position titles: Location: Signature/Date: TASK/ACTIVITY POTENTIAL HAZARD CONTROL PPE Required? Y/N Computer use N Ergonomic injuries, carpel tunnel, eye strain, arthritis, other wrist/neck/back injuries Ergonomics for computer users safety training and evaluation strongly recommended, ergonomic key boards/chairs/etc. provided upon individual requests Filing, stapling, writing, etc. Repetitive motion injuries Ergonomics training and evaluation strongly recommended, ergonomic equipment provide upon request N General office work Slips, trips, falls, falling objects Safety Training required. Never under any circumstance stand on a chair or other piece of furniture. Always use a step stool of ladder to retrieve items from high locations. Keep floors clear of debris and liquid spills. If a spill can t be cleaned immediately, use the "wet floor" sign to warn others of the potential hazard. Keep furniture, boxes, etc. from blocking doorways, halls and walking space. Do not store heavy objects overhead. Do not top-load filing cabinets, fill from bottom to top. Do not open more than one file drawer at a time. Brace tall bookcases and tall file cabinets to walls. Refer to EH&S SafetyNet # 46 and 83. General office work Electrical hazards Safety Training required. Never use 2 to 3 prong adapters in electrical outlets, all large appliances (refrigerators, microwaves ovens, etc.) are plugged directly into an N N JHA, Version 1.0, November 2014 Page 1 of 3

17 Job Safety Analysis (Part I) outlet, Never overload outlets or daisy chain extension cords/power strips, keep electrical cords away from walk paths, UCD facilities department or MCB shop technicians address all electrical problems (replacing light bulbs, replacing ballasts, cracked or frayed wires, etc.), annual inspections performed by the fire marshal or lab safety professional with EH&S, refer to safety nets # 20 & 109N Handling/moving heavy items Back/lifting injuries Use lift cart or ask for assistance whenever possible, proper lifting procedures followed as per safety net #46, Back injury prevention training required for anyone who lifts heavy objects regularly. General workplace Physical injuries due to fires, earthquakes, workplace violence, etc. Annual training on Departmental Emergency Action Plan (EAP), EAP followed by all employees, copy of EAP available for all employees in mailroom on 3rd floor of Hutchison Hall, workplace violence training available from UCD police department N N JHA, Version 1.0, November 2014 Page 2 of 3

18 Job Safety Analysis (Part I) Training Record Designated Trainer: (signature is required) I have read and acknowledge the contents, requirements, and responsibilities outlined in this document: Name Signature Date JHA, Version 1.0, November 2014 Page 3 of 3

19 Job Safety Analysis (Part I) Instructions: 1. Select assessment category. 2. List tasks/activities: Develop a list of activities, tasks, equipment/tools (group similar tasks/activities). 3. Identify and list potential hazards: for each task, activity or equipment/tools, list and describe the potential hazards. 4. Identify and list controls: for each task, activity, equipment/tools, document controls (i.e. training, equipment, written procedures, PPE ). 5. If PPE is required, complete Part II- PPE Hazard Assessment and Certification. 6. Train affected employees on the final assessment and document the training. Repeat assessment when new hazards are identified or introduced into the workplace or at least every three (3) years. Laboratory workers must use the online Laboratory Hazard Assessment Tool (LHAT) for PPE hazard assessment. I am reviewing (check the appropriate box) A worksite A single employee s job description A job description for a class of employees Hazard Evaluator Specify location: Name of employee: Position title: Position titles: Location: Signature/Date: TASK/ACTIVITY POTENTIAL HAZARD CONTROL PPE Required? Y/N No Vehicular transportation (car, truck, bicycle, etc.) Transportation (walking, hiking, etc.) Equipment use (pumps, sprayers, tractors, chain saws, pruners, etc.) Collision or traffic accident related injuries (crushes, cuts, scrapes, sprains, strains, breaks, burns, etc.) Falls, trips, slips (cuts, scrapes, sprains, breaks, strains, bruises, bumps, etc.) Minor to severe injuries (crushes, cuts, abrasions, sprains, strains, breaks, electrical shock, etc.) Registered UC Davis employee with valid driver s license required, successful completion of the UCD safe driver awareness training program strongly recommended (access course at: Appropriate field attire required (i.e.: closed toe/closed heel shoes, long pants, no sandals, no shorts, no bare shoulders, no bare midriffs), triannual field safety training required Standard Operating Procedures (SOP's) required for any hazardous equipment use, documented training on equipment required through UC Davis Learning Management System (LMS) (Ex: hand and power tool training course for anyone who uses a chain saw), all equipment must be in good working order with all safety controls in place (EX: chain break and guard on chain saw, etc.) No Yes JHA, Version 1.0, November 2014 Page 1 of 3

20 Job Safety Analysis (Part I) Environmental hazards (climate, weather, animals, insects, plants, etc.) Exposure or contact related injuries (heat illness, heat stress, cold stress, bee stings, poison oak, bites, allergies, etc.) Annual heat illness prevention training required, tri-annual field safety training required No Chemical, biological, or pesticide application (fertilizer, bio-control agents, fungicides, insecticides, herbicides, etc.) Lifting, climbing, repetitive motion Power tools and equipment hazards (welders, drill presses, table saw, grinders, hand drills, circular saws, radial arm saw, etc.) Exposure related injuries (ingestion, inhalation, burns, poisoning, rash, irritation, allergy, etc.) Back injuries, falls from ladders, repetitive motion injuries, etc. Minor, severe, to fatal injuries (crushes, cuts, abrasions, sprains, strains, breaks, electrical shock, etc.) Qualified applicator certificate required for insecticide use, hazardous communications training or UC fundamentals of lab safety course and laboratory hazard assessment tool training required, triannual field safety training required Appropriate safety training required for task (i.e.: ladder safety training for persons who climb ladders, ergonomics training for repetitive motion activities, etc.) All person using equipment or tools must be trained on the safe use and operation of that tool prior to using, All PPE's are provided by the department to ensure the safety of operators. PPE's must be worn by power tool or equipment operators at all times Yes No Yes JHA, Version 1.0, November 2014 Page 2 of 3

21 Job Safety Analysis (Part I) Training Record Designated Trainer: (signature is required) I have read and acknowledge the contents, requirements, and responsibilities outlined in this document: Name Signature Date JHA, Version 1.0, November 2014 Page 3 of 3

22 WORKSITE INSPECTION FORM General Office Environment Location: Inspector: Date: Phone: Department: Administration and Training Are all safety records maintained in a centralized file for easy Yes No NA 1. access? Are they current? Have all employees attended Injury & Illness Prevention Program Yes No NA 2. training? If not, what percentage has attended? Does the department have a completed Emergency Action Plan? Yes No NA 3. Are employees being trained on its contents? Are chemical products used in the office being purchased in small Yes No NA 4. quantities? Are Material Safety Data Sheets needed? Are the Cal/OSHA information poster, Workers Compensation Yes No NA 5. bulletin, annual accident summary posted? Yes No NA 6. Are annual workplace inspections performed and documented? General Safety Yes No NA 7. Are exits, fire alarms, pullboxes clearly marked and unobstructed? Are aisles and corridors unobstructed to allow unimpeded Yes No NA 8. evacuations? Is a clearly identified, unobstructed, charged, currently inspected Yes No NA 9. and tagged, wall-mounted fire extinguisher available as required by the Fire Department? Are ergonomic issues being addressed for employees using Yes No NA 10. computers or at risk of repetitive motion injuries? Is a fully stocked first-aid kit available? Is the location known to all Yes No NA 11. employees in the area? Are cabinets, shelves, and furniture over five feet tall secured to Yes No NA 12. prevent toppling during earthquakes? Are books and heavy items and equipment stored on low shelves Yes No NA 13. and secured to prevent them from falling on people during earthquakes? Yes No NA 14. Is the office kept clean of trash and recyclables promptly removed? Electrical Safety Are plugs, cords, electrical panels, and receptacles in good Yes No NA 15. condition? No exposed conductors or broken insulation? Yes No NA 16. Are circuit breaker panels accessible and labeled? Are surge protectors being used? If so, they must be equipped Yes No NA 17. with an automatic circuit breaker, have cords no longer than 15 feet in length, and be plugged directly into a wall outlet. Yes No NA 18. Is lighting adequate throughout the work environment? Are extension cords being used correctly? They must not run Yes No NA 19. through walls, doors, ceiling, or present a trip hazard. Are portable electric heaters being used? If so, they must be UL Yes No NA 20. listed, plugged directly into a wall outlet, and located away from combustible materials. IIPP-Appendix C1-Office January 2016 Completed copies of this form should be routed to the department Safety Coordinator and must be maintained in department files for at least three years.

23 Laboratory Safety Review Checklist One Shields Ave Davis, CA Phone: (530) Fax: (530) U C Davis Environmental Health and Safety Laboratory Safety Review Checklist Principal Investigator: Lab Contact: Building: Department: Date: Phone: Room Number(s): Lab Name/Function: Please check Yes, No, Serious Violation or Not Applicable for each item. All No responses require follow-up within 30 days, unless otherwise noted and all Serious Violations require 3 day follow-up. # Y N S NA ITEM CARCINOGENS Last updated 3/6/2014 REFERENCE 1 Work and storage areas properly marked and controlled CCR Title (g) 2 California regulated inventory reported to EH&S CCR Title Carcinogen self audit complete UCD Carcinogen Safety Manual 4 Carcinogen Standard Operating Procedures available CCR Title CHEMICAL 5 Containers clearly labeled with contents and primary hazard(s) CCR Title (h), SN19, SN42 6 Chemical storage containers in good condition CCR Title (c), PP Corrosive chemicals stored below eye level CCR Title A, SN42 8 Combustible materials not stored with flammable chemicals CCR Title , NFPA30,SN19 9 Commonly used abbreviations posted in prominent location 10 Hazardous chemicals not stored on floor CCR Title , NFPA Lab free of expired or unneeded chemical CCR Title A, SN19 12 Maximum of 60 gallons flammables per storage unit/ max 3/fire area CCR Title (a), 13 Less than 10 gallons of flammables outside flammable storage NFPA 30, NFPA 45, PP290-65,SN19 14 Flammables used away from ignition sources 15 Flammable liquid storage containers 2 gallon or less CCR Title Flammable storage refrigerator/freezer approved and labeled NFPA , PP290-65, SN31 17 Incompatible materials properly segregated Pyrophoric chemicals segregated, contained and labeled; Entire building equipped with automatic sprinkler system Chemical storage cabinets clearly labeled (flammables, corrosives, etc) CCR Title (a), SN4, SN19, SN42 CCR Title CCR Title , SN135 CCR Title (b), CCR Title , PP290-65

24 20 Strong acids and strong bases stored in secondary containers CCR Title , NFPA400,SN42 21 Last updated 3/6/2014 Organic peroxides and other time sensitive materials dated when first opened; managed properly and disposed of promptly upon expiration CCR Title NFPA , SN23 22 Water reactive chemicals segregated, contained and labeled CCR Title , SN19, SN42 DOCUMENTATION 23 Appropriate signage posted (Right to Know) at all entrances to lab CCR Title , NFPA Building Emergency Evacuation Route posted CCR Title , SN19, SN Chemical Hygiene Plan updated within past 12 months CCR Title , PP290-27, SN33 26 CIS updated within past 12 months CCR Title (e), CCR Title , PP290-27, SN33 27 Emergency contacts posted at entrance to laboratory CCR Title , SN Department Illness and Injury Prevention Plan available and up-todate. CCR Title , PP Emergency Action Plan available and up-to-date CCR Title , PP290-56, SN19 30 Emergency assistance information posted CCR Title (f) 31 Hazard Assessment completed UCOP Policy, PP Medical Surveillance Program properly documented CCR Title (g), PP Readily accessible SDS s (hard copy or online) CCR Title (g), PP290-27, SN33 34 Annual self-inspection complete CCR Title Staff aware of procedure to report exposures or concerns CCR Title Staff aware of procedure to report incidents and near misses CCR Title Written Standard Operating Procedures available and current CCR Title , PP290-56, SN33 ELECTRICAL 38 3-prong plugs in 3-prong outlets 39 Appropriate clearance in front of electrical panels (36 ) NFPA /408.4, SN19 40 Electrical cords not a trip hazard NFPA Plugs, cords and receptacles in good condition UCD PP290-85, SN20, Fire Net 42 Extension cords used only temporarily (<90 days) CCR Title , SN19, SN20 43 No overloaded outlets, no daisy-chained extension cords or strips NFPA B, SN19, SN20 44 GFCI devices used within 6 of water source (post 2010) NFPA (B)(5), SN19 45 High voltage equipment clearly labeled CCR Title High voltage equipment properly guarded CCR Title Major equipment plugged directly into outlet UCD PP290-85, SN20 48 Appropriate personnel trained in Lock Out/Tag Out program CCR Title Power strips near liquids have surge protection EQUIPMENT 50 Appropriate safety information posted on equipment 51 Centrifuges are maintained to ensure safe operation 52 Moving parts of equipment properly guarded (opening < 1/2 ) CCR Title , SN115

25 53 Secondary containment for vacuum pump present FIRE 54 Aisles, exits, adjoining hallways free of obstruction CCR Title , SN19 55 Fire alarms, bells, horns and/or strobes free of obstruction CCR Title Fire extinguisher properly mounted CCR Title Fire extinguisher maintenance tag current CCR Title Fire extinguisher available as required CCR Title Fire extinguisher fully charged; pin and/or security seal intact CCR Title Fire doors unobstructed and easily closed CCR Title , SN19 61 FUME HOODS 18 of clearance between stored items and fire sprinklers, 24 w/o sprinklers CCR Title (c)10 62 Audible/visual alarm and/or visual airflow monitor functional CCR Title (e),SN19, SN35 63 Chemical work done more than 6 from front of hood CCR Title A, SN35 64 Certified within one year CCR Title (e),SN19, SN35 65 Fume hood illumination is working 66 Functional fume hood not used for storage, cluttered CCR Title A, SN19, SN35 67 Users understand how to check for airflow and annual certification sticker CCR Title Fume hood users have completed specific fume hood training CCR Title Proper sash height indicated and adhered to CCR Title GAS 70 Compressed gas cylinders stored upright and adequately secured CCR Title , SN42, SN60 71 Compressed gas cylinders labeled with contents and hazards CCR Title Compressed gas cylinders have full/empty tags attached CCR Title , SN42 73 Compressed gas cylinders stored separately CCR Title , SN42, SN60 74 Toxic gases properly stored in ventilated cabinet/fume hood CCR Title Compressed gas cylinders capped when not in use CCR Title , SN42, SN60 GENERAL SAFETY 76 Ceiling tiles in place and in good repair NFPA 77 Ergonomic evaluations done for computer work in excess of 4 hours CCR Title Food and drink stored away from haz mat; consumed outside of lab CCR Title A, PP Mechanical devices used for pipetting CCR Title A, SN19 80 Spills promptly cleaned by individuals trained to respond to spill CCR Title A, SN13 81 Floor is in good repair to prevent slips, trips and falls CCR Title A 82 Furnishings in lab easily decontaminated CCR Title A 83 Lab surfaces clean, organized, free of chemical contamination CCR Title , 5191A 84 Sink available near exit for hand washing (soap and paper towels) CCR Title Last updated 3/6/2014

26 85 Sinks labeled Industrial Water Do Not Drink CCR Title Lab air negative to hallway CCR Title A 87 Refrigerators/freezers appropriately labeled according to use CCR Title A, SN31 88 Ergonomic evaluations done for repetitive motion activities CCR Title Vacuum systems fitted with traps or protective filter PERSONAL PROTECTIVE EQUIPMENT (PPE) 90 Appropriate gloves available for use with hazardous activities CCR Title , PP290-50,SN50 91 Equipment or process sound levels that may exceed 85 dba CCR Title 5096,PP290-53, SN Face shield available if required CCR Title , PP Gloves worn when skin contact with hazards may occur CCR Title , PP290-50,SN50 94 Lab coats, appropriate to activity are worn CCR Title , PP Lab coats, properly fitted, are available CCR Title , PP Glove(s) removed prior to exiting lab, handling telephone, etc. CCR Title (4)(F), PP Long pants worn as required by UCD PPE policy UCOP PPE, PP PPE properly cleaned and disinfected or properly disposed of CCR Title , 3383, SN13 99 Respirator users have been evaluated by EH&S and included in campus respiratory protection program CCR Title , PP290-50, SN Eye protection available and used as required by UCD PPE policy CCR Title , PP290-50,SN5 101 SAFETY EQUIPMENT Adequate supply of specialty PPE available (i.e. UV/IR glasses, lab aprons, cryogenic gloves) CCR Title (f), PP Emergency eyewash/showers accessible within 10 sec (55 feet) CCR Title (c), SN Emergency eyewash and shower stations free of obstruction CCR Title (c), SN19, SN Tests for eyewash and shower current and documented CCR Title (e), SN Appropriate chemical spill kits available CCR Title A, SN13, SN Calcium gluconate paste available for HF exposure 107 First Aid Kit accessible, stocked with unexpired products CCR Title (c) SEISMIC 108 Heavy items are stored on lower shelves CCR Title A, SN Shelving, file cabinets 5 or over and other tippable items anchored CCR Title A, SN Overhead storage is secured CCR Title A, SN Hazardous material storage shelves have lip or guard CCR Title ,SN52,SN83 TRAINING 112 All personnel completed Fundamentals of Lab Safety UCOP Policy 113 Specialized training for lab specific hazards documented CCR Title , 5191, Spill training documented CCR Title Training on lab specific SOPs documented CCR Title Training on Chemical Hygiene Plan documented CCR Title Last updated 3/6/2014

27 117 Training on IIPP documented CCR Title Training to manage or handle hazardous waste documented WASTE 119 Biomedical waste (red bag) properly disposed of HSC Secondary containment used for biomedical waste CCR Title Chemical waste containers compatible with contents; good condition CCR Title , SN8, SN Chemical waste containers closed except when in use CCR Title , PP All hazardous waste disposed of by EH&S UCD PP290-65, SN8, SN Hazardous waste in secondary containment CCR Title , PP290-65,SN Chemical waste containers properly tagged/dated/labeled for disposal CCR Title , PP290-65, SN8, SN42, SN All wastes within regulatory time limits CCR Title , SN Sharps containers appropriately labeled with contents, hazards HSC Sharps container s contents are not past the fill line CCR Title , SN3, SN Sharps disposed of in appropriate sharps container CCR Title Tight fitting lid in place on biomedical waste HSC Universal waste properly labeled/discarded/contained; < 1 year CCR Title , SN122 Comments: Corrective Action Items: Follow Up: Laboratory Survey Conducted by: PI or Lab Supervisor/Manager Signature: Date: CCR HSC NFPA PP SN California Code of Regulations Health and Safety Code National Fire Protection Association UCD Policy and Procedure Safety Net Last updated 3/6/2014

28 IIPP Appendix D January 2016 Please access the Injury Reporting Procedure page on the Safety Services website. Complete the electronic Employer's First Report as soon as practicable.

29 SAFETY TRAINING ATTENDANCE RECORD Training Topic: (attach a copy of the training session curriculum) Date: Instructor: Location: Training Aids: Time: Attendees Please print and sign your name legibly. Use additional sheets if necessary. No. Print Name Signature/Date IIPP-Appendix E January 2016 Completed copies of this form should be routed to the department Safety Coordinator and must be maintained in department files for at least three years.

30 Employee Name: Lab PI: DEPARTMENT OF PLANT PATHOLOGY, ENTOMOLOGY & NEMATOLOGY INITIAL SAFETY TRAINING FOR NEW EMPLOYEES The Departments of Plant Pathology, Entomology and Nematology, pursuant to State Law, has instituted an Injury and Illness Prevention Program [ IIPP ]. This program is designed to help mitigate health related problems associated with the work place. In general, it is the Department s responsibility to provide information and resources so that you, the employee, can perform your job in a safe manner. (see E. H. & S. SafetyNet #33 and others listed below) Your responsibility is to: 1. Participate in safety training sessions (see your right-to-know SafetyNet #40). 2. Study, learn, and understand the hazards associated with your job and the appropriate health and safety precautions, protective equipment, and emergency measures for your workplace. 3. Follow all rules, safety guidelines and established safe work practices. 4. Report unsafe work practices or conditions to your supervisor or Department Safety Coordinator. 5. Offer suggestions and/or comments to improve and maintain a safe work environment. This check list must be completed with your supervisor as you take a walk through of your work area. Make certain that you have identified the following safety features and that you have been introduced to following general safe lab practices. Lab orientation will be followed by training on safety procedures that you will need for your specific job. I. EMERGENCY PROCEDURES Access & Egress Evacuation Procedures. Location of exits noted. Importance in maintaining clear exits, doors and aisle ways. Train to lab specific Emergency Action Plan. Primary and secondary assembly areas noted Evacuation of disabled explained (if applicable) Train location and activation of fire alarm pull station Fire extinguishers. Location(s) noted. Emergency Eye Wash and Showers. Location(s) and operation. (SafetyNet #66) General Earthquake Safety, Bomb Threat, Active Shooter, and Disaster Procedures Earthquake: Shelter in place, watch for falling objects UC Davis Police Department Warn Me, o Cell phone registration recommended Chemical spill kits. Location(s) noted. SafetyNet #13 posted in the lab. SafetyNet #127 (if applicable). Procedures regarding response to an accidental spill should be described. Neutralization of strong acid or strong base Mercury (SafetyNet #16) First aid kit. Location noted, components described and use explained. Emergency Response Obtain medical care Call 911 Phone location noted and dialing instructions covered Emergency Response Guide use explained and location noted Report injury or symptoms of illness to supervisor within 24 hours. Report all serious work related injuries or illnesses to EH&S within 8 hours o Explain serious injury or illness (loss of body part, surgery, hospitalization > 24 hours, death)

31 Safety Documents Safety Data Sheets (formerly material safety data sheets, MSDS), importance and sections explained. Employees must read and understand all sections of Safety Data Sheets (MSDS) before working with any chemicals. o Location within the lab or website - Location and training on the Chemical Hygiene Plan, including Training Materials and Safety Forms. o Employee must read and understand Chemical Lab Safety Manual Explain the importance and confirm deadlines for completing UC Laboratory Safety Fundamentals course, the Laboratory Hazard Assessment Tool, Initial Laboratory Safety training, Refresher Laboratory Safety training, Greenhouse and Field Safety training, Heat Illness Prevention training, any Specialized Safety training necessary (biosafety cabinet, safe driver, radioactive materials, cryogenic liquids, etc.) o Consult UC Davis Training Matrix for Laboratory Personnel to determine appropriate coursework Employee must read, understand, and sign the Injury and Illness Prevention Plan, the Emergency Action Plan Standard Operating Procedures (protocols) for all hazardous procedures performed in lab, Chemical Standard Operating Procedures for all hazardous chemicals in lab o Location noted, importance, applicable signatures, and procedures explained NOTE: new employees cannot work in lab, greenhouse, or field until all applicable safety training is complete II. STANDARD OPERATING PROCEDURES FOR LABORATORIES Introduction to the work area, safety features and safe working practices. Personal protective equipment (PPE) Location or assignment of appropriate equipment. (see general chemical lab safety manual or SafetyNet #19) o Lab coat and safety eye wear to be worn when working with or within 3 meters of someone working with hazardous materials o Lab coat types and uses explained (flame resistant, barrier, standard) o Safety eyewear types and uses explained (face shield, eye goggles, safety glasses) o Gloves how to do on and off, types and uses explained, online glove selection guide o (safety net #50) Other PPE s location noted and uses explained (autoclave gloves, leather gloves, knee pads, aprons, etc.) Fume hoods, location noted controls and equipment explained (SafetyNet #35, UC Laboratory Safety Fundamentals, Fume Hood Safety training) Laminar Flow Hoods o o Clean/Sterile Benches, locations noted instructions for use provided Biosafety Cabinets, specialized training certification required II. STANDARD OPERATING PROCEDURES FOR LABORATORIES Introduction to the work area, safety features and safe working practices. Chemical storage & handling [including transport]. (SafetyNet#33, #42) Flammables Corrosives and contact hazardous chemicals (Phenol, SafetyNet #22) Reactive and incompatible chemicals (SafetyNet #4) Campus-regulated Chemical Carcinogen Plan chemical & SOP specific. Reproductive toxins, highly toxic chemicals and chemicals of unknown toxicity Explain proper containment, handling and labeling of chemicals; emphasize the need to label solutions properly (full chemical name, manufacturer, known hazards, date prepared) Explain the Global Harmonized System (GHS) for chemical labels

32 Hazardous waste. Procedures outlined and explained. Autoclaving and double containment explained. Labeling procedures explained (school, department, lab PI, room #, contact phone #, date) o NOTE: Plant Pathology and Nematology do not use the red biohazard waste bags, only clear or orange autoclave bags are allowed for disposal of hazardous waste from plant material Chemical Waste, Sharps and Broken Glass containers (SafetyNets #3, 43, 110). Location(s) of receptacles noted. Other laboratory hazards. Location(s) noted. Syrings & Needles (SafetyNet #62) Potential electrical hazards Cryogenic liquids, dry ice, ultra-low freezers (SafetyNet #58) Autoclaves (SafetyNet #26), Hot Plates Compressed Gas Cylinders (SafetyNet #60) Ultraviolet Radiation (SafetyNet #106) Introduction to personal hygiene practices and behavior. Smoking is prohibited on all UC campuses across California Wash hands before leaving laboratory. Note where food and drink consumption and storage is allowed and prohibited. Appropriate dress for the work place closed toe & closed heel shoes, long pants, no sandals, no bare midriffs, and no bare shoulders The removal of one glove to open doors, operate elevators, etc. is recommended in all common areas Emphasize safety aspects of keeping neat, clean and organized work stations. Back safety (lifting hazards) Falling, tripping, slipping hazards. Never stand/climb on chairs Other laboratory hazards. Location(s) noted. III. HEAT ILLNESS PREVENTION, GREENHOUSE, AND FIELD SAFETY TRAINING Employees who are exposed to temperatures of 85 F and higher must be given Heat illness prevention training. This is likely to include greenhouses, agricultural fields and the Armstrong field station. A separate training module is required. Greenhouse and field safety training. Offered periodically from Ron Lane at Environmental Horticulture, watch for notifications of when and where I have completed my Initial Safety Training and have been informed of the above safety considerations. Signature of Employee Printed Name Date Signature of Lab Safety Contact / PI Printed Name Date Return the ORIGINAL signed form to 367 Briggs Hall for Briggs and Academic Surge labs or 347 Hutchison Hall for Hutchison and Storer Hall labs to receive keys to your lab room Place a copy in your Laboratory Safety & Training Manual to document training