cal-osha required training by 12-18-2015

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Hazard Communication System Hazardous Chemicals & MSDS’s Emergency Action Plan Laurel Pet Hospital Cal-OSHA Training Radiation Safety Review & Quiz Hazardous Drug Exposure in Veterinary Healthcare Chemicals have become an important element of almost every aspect of modern life. All of these chemicals—from cleaning fluids to pharmaceuticals, pesticides, and paints—are produced in workplaces, and may be used in workplaces downstream. While these chemicals have utility and benefits in their applications, they also have the potential to cause adverse effects. These adverse effects include both health hazards and physical hazards. In order to protect workers from these effects—and to reduce the occurrence of illnesses and injuries caused by chemicals employers need to communicate to employees information about the hazards of the chemicals they use, as well as recommended protective measures. Workers have both a right and a need to know this information, especially so that they can take steps to protect themselves when necessary. Introduction

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Page 1: Cal-OSHA Required Training by 12-18-2015

HazardCommunicationSystem

HazardousChemicals&MSDS’s

EmergencyActionPlan

LaurelPetHospitalCal-OSHATraining

RadiationSafety

Review&Quiz

HazardousDrugExposureinVeterinaryHealthcare

Chemicals have become an important element of almost every aspect ofmodern life. All of these chemicals—from cleaning fluids to pharmaceuticals,pesticides, and paints—are produced in workplaces, and may be used inworkplaces downstream. While these chemicals have utility and benefits intheirapplications,theyalsohavethepotentialtocauseadverseeffects.Theseadverseeffectsincludebothhealthhazardsandphysicalhazards.

Inordertoprotectworkersfromtheseeffects—andtoreducetheoccurrenceof illnesses and injuries caused by chemicals — employers need tocommunicate to employees information about the hazards of the chemicalstheyuse,aswellas recommendedprotectivemeasures.Workershavebotharightandaneedtoknowthisinformation,especiallysothattheycantakestepstoprotectthemselveswhennecessary.

Introduction

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The informational needs of employers to communicate this information toemployees is done through a Hazard Communication Standard (sometimesreferred to as a Hazard Communication System). Under the HazardCommunication Standard (HCS), employers must implement a HazardCommunicationProgram(HCP)fortheirspecificworkplace.

AtLaurelPetHospital,ourHCPcanbe found inawhite, three-ringbinderontheshelfaboveemployeemailboxes.Anyemployeecanaccesstheinformationatanytimeandwithoutpriorauthorization.

Introduction continued…

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Hazard Communication

System

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Hazard Communication System (HCS)

ThepurposeoftheHCSistomakesurethatthe

dangersofchemicalsintheworkplaceare

communicatedtoemployeesinordertoprotectthemagainstillnessandinjury.

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Background• TheHazardCommunicationSystem(HCS) isbasedontheconceptthat

employees have both a need and a right to know the hazards andidentitiesofthechemicalstheyareexposedtowhenworking.

• Employeesalsoneedtoknowwhatprotectivemeasuresareavailabletopreventadverseeffectsfromoccurring.

• The HCS is designed to provide employeeswith the information theyneed.

• HCS is a ‘performance-oriented’ standard that provides guidance fordefininghazardsandforperforminghazarddeterminations.Employershave substantial leeway in deciding what protective measures theymusttaketosafeguardtheiremployees.

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Definition of Hazardous ChemicalsAhazardouschemical,as

definedbytheHazard

CommunicationStandard,

isanychemicalwhichcan

causeaphysicalora

healthhazard.

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Proposition 65 Initiative

Proposition65(formallytitled"TheSafeDrinkingWaterandToxicEnforcementActof1986")isa

Californialawthatwaspassedbydirectvoterinitiativein1986.Itsprimarygoal

istoregulatesubstanceslistedbyCaliforniaasthosewhichcausecancer

orbirthdefects.

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The following warning language is standard for products sold inCalifornia that contain chemicals on the Proposition 65 list.EmployersmustpostthewarningbelowifchemicalsontheProp65 list are used in their facility. This law does not apply tocompanieswith10orfeweremployees.

WARNING:ThisproductcontainschemicalsknowntotheStateof California to cause cancer, birth defects, or otherreproductiveharm.

Proposition 65 Initiative

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Who is Covered?

HazardCommunication

Standardsapplytoany

employerwhoseemployees

maybeexposedtochemical

hazardsintheirworkplace.

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Hazard Communication: Scope & Application

• Ahazardcommunicationprogram;

• Labelsandotherformsofwarnings;

• MaterialSafetyDataSheets(MSDS);and

• Training

Employersarerequiredtoprovideinformationtotheiremployeesonhazardouschemicalsusingthefollowingmethods:

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Hazard Communications: Scope & Application

Inworkoperationswhereemployeesonlyhandlechemicalsinsealedcontainers(whicharenotopenundernormalcircumstances),employersmustdothefollowing:

• Ensurelabelsonincomingchemicalsarenotdefacedorremoved;

• MaintaincopiesofanyMaterialSafetyDataSheetsthatarereceivedwithincomingshipments,andimmediatelyobtainMSDS’sforshipmentsthataremissingthem;and

• Provideemployeeswithinformationandtrainingtotheextentnecessarytoprotectthemintheeventofaspillorleakofahazardouschemicalfromasealedcontainer.

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Hazard Communications - Written HCP

Employersmustdevelopawrittenprogramthatcoversatleast:

• Labelsandotherformsofwarnings; • MaterialSafetyDataSheets; • EmployeeInformationandTraining; • Alistofthehazardouschemicals

knowntobepresentatthefacilityalongwithMSDS’sforeachchemical;

• Themethodstheemployerwillusetoinformemployeesofthehazardsofnon-routinetasks;and

• Thehazardsofchemicalsinunlabeledpipes.

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Labeling Requirements

• Eachcontainerofhazardouschemicalsintheworkplacemustbelabeled,taggedormarkedwiththefollowing: 1. Identityofthehazardouschemical;2.Appropriatehazardwarnings;and 3. Nameandaddressofthemanufacturer.

• It is required that the information on the labels remain legible for as long as the chemical is in the workplace.

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Labels

• Alllabelsorotherformsofwarningsmustbe: ›legible ›inEnglish ›prominentlydisplayed

• WarningsinotherlanguagescanalsobeincludedifthereareemployeeswhospeaklanguagesotherthanEnglish.However,informationinEnglishmustalsobeincluded.

• Newlabelsneednotbeaffixedifexistinglabelsalreadyconveytherequiredinformation

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Labels

Manufacturers,importers,distributorsandemployerswhobecomenewlyawareofsignificantinformationregardingchemicalhazardsmust:

• Revisethelabelsforthechemicalwithinthreemonths.

• RevisetheMSDSforthechemicalwithinthreemonths.

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Material Safety Data Sheets (MSDS) • AMSDSforeachhazardouschemicalmustbeavailableinthe

workplace. • EachMSDSmustbeinEnglish(althoughtheemployermay

maintaincopiesinotherlanguagesaswell). • AMSDSshouldcontainatleastthefollowinginformation:

1. Identityofthechemical. 2. Physical&chemicalcharacteristics. 3. Physicalhazardsofthehazardouschemical. 4. Healthhazardsofthehazardouschemical. 5. Primaryroutesofentry. 6. TheOSHAPermissibleExposurelimit(PEL),American

ConferenceofGovernmentalIndustrialHygienists(ACGIH),ThresholdLimitValueandanyotherexposurelimitusedbymanufacturer.

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Storing MSDS Information on a Computer

OSHA allows employers to store

MSDS information on a computer

provided an employee can obtain

theMSDS fromthecomputer. If the

MSDS cannot be accessed by the

employee, or if the actual MSDS is

located offsite, then a company

wouldnotbeincompliance.

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Employee Information & Training

Employeesmustknow:• Thevariouscategoriesofhazards;• Anyoperationsintheirworkareawherehazardous

chemicalsarepresent;• ThelocationandavailabilityofthewrittenHazard

CommunicationProgram;and• Howtoreadandunderstandtheinformationfoundona

MSDS.

Theymustknowthisinformation: • Atthetimeoftheirinitialassignment. • Wheneveranewphysicalorhealthhazardisintroduced

intotheworkplace.

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Employeesmustalsoknow:• Thewaystodetectthepresenceorreleaseofhazardous

chemicalsintheworkarea;• Measurestheycantaketoprotectthemselves;• Howtosafelyhandle,store,anddisposeofhazardous

chemicals;

• HowtoproperlyusePersonalProtectionEquipment(PPE)anditslimitations;

• Howtoproperlyusesafetyequipmentanditslimitations;and

• Emergencyprocedurestheyshouldfollowintheeventofachemicalspill.

Employee Information & Training

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Chemical Hazards and Emergency Response

• Exposuretochemicalsleadstolongtermhealtheffects.• Acuteexposurehappensoveraveryshortperiodoftime,usuallylessthan15minutes.

• Chronicexposurehappensoveralongperiodoftime,usuallyweeksoryears.

• OSHAregulatestheamountofchemicalsanemployeecanbeexposedto.

• OSHA’sPermissibleExposureLimit(PEL)forachemicalisatimeweightedaverage,whichcannotbeexceededoveran8-hourperiod.

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Methods of Detecting Chemicals

Waystodetectchemicalsare:• Byusingcontinuousmonitoringdevicesprovidedbytheemployer.

• Observingthechemical’sappearance,odor,orotherdefinablecharacteristic.

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Spill Control Policy

• Smallspillsarethosespills,whichbytheirvolumeorlowtoxicity,arenotdeemedtopresentahealthhazardtotrainedchemicalusers.

• Largespillspresentahealthhazardundernormalconditions.

Pre-planningforaspillsavestimeandminimizesthedangerstoemployeeswhenandifitactuallyoccurs.Somesubstancesrequirespecialclean-upprocedurestominimizehazards.

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Spill Emergency PlanPre-planningforatoxicchemicalspillmightincludethefollowing: • Determiningthelocationofapotential

spill; • Determiningthequantityofthesubstance

thatmightbespilled; • Knowingthechemicalandphysicalpropertiesofthesubstance

thatmightbespilled(i.e.,itsphysicalstate,vaporpressure,andairorwaterreactivity).

• Knowingthehazardouspropertiesofthesubstance(toxicity,corrosiveattributes,and/orflammability).

• Havingaspillkitpreparedalongwiththeproperpersonalprotectiveequipment.

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Clean Up of Small Spills

• Attendtoanypersonswhomayhavebeencontaminated.Ifpersonalexposureoccurs,havethepersonuseaneyewashstationorsafetyshower.Removethepersonfromtheareaandseekmedicalassistanceifneeded;

• Notifyeveryoneintheimmediateareaofthespill;

• Closeanydoors; • Avoidbreathingvaporsofthespilled

material;

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Clean Up of Small Spills, continued…

• Leaveanylocalexhaustventilationon;

• Securesuppliestoeffectclean-up;

• WeartheappropriatePPEduringcleanup;

and

• Placethecollectedwasteinanappropriate

containerfordisposal.

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Clean Up of Large Spills

• Attendtoanypersonswhomayhavebeencontaminated.Ifpersonalexposureoccurs,havethepersonuseaneyewashstationorsafetyshower.Removethepersonfromtheareaandseekmedicalassistanceifneeded;

• Alertothersintheimmediateareaofthespill.Evacuatepersonnelfromthearea;

• Confinethefumes/vaporsfromthespillbyclosingthedoortotheroomwherethespilloccurred;

• Contactemergencypersonnelfromasafelocation.

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• Beavailableforanyemergencyresponsepersonnelsoyoucanprovideinformationconcerningthespilland/ornotifythemofotherhazardsthatmaybepresentinthearea.

Clean Up of Large Spills, continued…

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Handling Eye Exposure Emergencies

Ifaneyeinjuryoccurs,quickactioncanpreventapermanentdisability.Forthisreason: • Emergencyeyewashstationsshouldbeplacedinallhazardousworkareas;

• First-aidinstructionsshouldbepostedclosetopotentialdangerspots;and

• Employeesmustknowwheretheclosesteyewashstationisandhowtogettherewithrestrictedvision.

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Eye Wash Station

• E y e Wa s h S t a t i o n s a r emandatory for facilities ifhazardouschemicalsareused.

• Eye Wash Stations must be nomore than 10 feet away fromtheworkarea(withunimpededtraveldistance).

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Chemical InventoryTheemployerisrequiredto

compilealistofanyhazardouschemicalpresentintheworkplace

alongwithitscorrespondingMaterialSafetyDataSheets.All

employeesmusthaveaccesstothisinformationduringtheirwork

shifts.

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The Revised Hazard Communication

Standard

(based on a Globally Harmonized System)

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The Globally Harmonized System

T h e r e v i s e d h a z a r dcommunication standard is anattempt to bring uniformity tohazard classification, labeling ofc h e m i c a l s , a n d s a f e t yinformation. This revision willbring US workplaces in line withmeasures being implemented bycountriesthroughouttheworld.

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• Hazardclassification:Providesspecificcriteriaforclassificationofhealthandphysicalhazards,aswellastheclassificationofmixtures.

• Labels:Chemicalmanufacturersandimporterswillberequiredtoprovidealabelthatincludesaharmonizedsignalword,pictogram,andhazardstatementforeachhazardclassandcategory.Precautionarystatementsmustalsobeprovided.

Major Changes to the Hazard Communication Standard

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Major Changes to the Hazard Communication Standard

• SafetyDataSheets:MSDS’swillnowbecalledSafetyDataSheets(SDS)andhavea16-sectionformat.

• Informationandtraining:EmployersarerequiredtotrainworkersbyDecember1,2013onthenewlabelelementsandSafetyDataSheetformattofacilitaterecognitionandunderstanding.

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Benefits of the New HCS

• Toprovideincreasedsafetyforaffectedemployees. • To reducethenumberofaccidents,fatalities,injuries,andillnessesassociatedwithexposurestohazardouschemicals.

• Toenableemployeesthatareexposedtochemicalsfasteraccesstoinformationaboutthehazardsassociatedwiththechemicals.

• Toincreasetheuseofexposurecontrolsandworkpracticesthatcanreducethesafetyandhealthrisksassociatedwithexposure.

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HealthHazard Flame ExclamationMark

•Carcinogen •Mutagenicity •ReproductiveToxicity •RespiratorySensitizer •TargetOrganToxicity •AspirationToxicity

•Flammable •Pyrophorics •Self-Heating •EmitsFlammableGas •Self-Reactives •OrganicPeroxides

•Irritant(skinandeye) •SkinSensitizer •AcuteToxicity(harmful) •NarcoticEffects •RespiratoryTractIrritant •HazardoustoOzoneLayer(NonMandatory)

HCS Pictograms and Hazards under the New HCS Standard

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GasCylinder Corrosion ExplodingBomb

GasesunderPressure •SkinCorrosion/burns •EyeDamage •CorrosivetoMetals

•Explosives •Self-Reactives •OrganicPeroxides

HCS Pictograms and Hazards under the New HCS Standard

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HCS Pictograms and Hazards under the New HCS Standard

FlameoverCircle Environment(NonMandatory)

SkullandCrossbones

Oxidizers AquaticToxicity AcuteToxicity(fatalortoxic)

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ChemicalsreceivedbyfacilitiesmaycontainthenewGHSlabels.DetailsontheGHSlabelinclude:• ProductidentifiermeansthenameornumberusedforahazardouschemicalonalabelorintheSafetyDataSheet(SDS)

• Signalwordmeansawordusedtoindicatetherelativelevelofseverityofhazardandalertthereadertoapotentialhazardonthelabel.Thesignalwordsusedare"danger"and"warning.""Danger"isusedforthemoreseverehazards,while"warning"isusedforthelesssevere.

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• Hazard statement means a statement assigned to a hazard class andcategory that describes the nature of the hazard(s) of a chemical,including,whereappropriate,thedegreeofhazard.

• Pictogram means a composition that may include a symbol plus othergraphicelements, suchasaborder,backgroundpattern,or color, that isintendedtoconveyspecific informationaboutthehazardsofachemical.Eight pictograms are designatedunder this standard for application to ahazardcategory.

• Precautionary statement means a phrase that describes recommendedmeasures that should be taken to minimize or prevent adverse effectsresultingfromexposuretoahazardouschemical,or improperstorageorhandling.

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Ionizing Radiation Safety

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Radiation: Definition• Radiationisatypeofenergythattravelsatveryhighspeedsintheformofparticlesandelectromagneticwaves.

• Radiationcanbeclassifiedintotwomajordivisions: ➢ ionizingradiation. ➢ non-ionizingradiation

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Ionizing Radiation• Ionizingradiationsourcesarefound

inawiderangeofoccupationalsettings,includinghealthcarefacilities,industries,nuclearreactorsandsupportfacilities,testinginstruments,andresearchinstitutes.

• Ionizingradiationcanbefoundintheformofgammaraysandx-rays.Itisfoundinparticleforminalpharadiation,betaradiation,andneutroradiation.

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Non-ionizing Radiation• Non-ionizing radiation sources include

appliances suchas tanningbeds,high-energy lasers used for pub l i cente r ta inment purposes , h i ghfrequency heaters, microwave dryersand high powered broadcasting andradarstations.

• An individual who handles, operates,orworksinanenvironmentwhereanytypeofradiationsource ispresentcanbe subject to occupational radiationexposure.

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Radiation Exposure

➢ amountofradiation; ➢ thedurationofexposure; ➢ thedistancefromthesource;

and ➢ thetypeofshieldinginplace.

• Radiation exposure occurs when unprotectedemployeesarenearamachineinoperation.

• Thedegreeofexposuredependsonthe

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Biological Effects of Radiation Exposure

Themostradiosensitivecellsare: • Thecellsofanunbornchild; • Bloodcellsandthecellsinbloodproducingorgans;

• Reproductivecells(sperm/egg); • Digestivetractcells;and

• Immaturewhitebloodcells.

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Radiation Area• “RadiationArea"meansanyarea,accessibletopersonnel,inwhich

thereexistsradiationatsuchlevelsthatamajorportionofthebodycouldreceiveinany1houradoseinexcessof5Millirem,orinany5consecutivedaysadoseinexcessof100Millirem.

• Highradiationareameansanyarea,accessibletopersonnel,inwhichthereexistsradiationatsuchlevelsthatamajorportionofthebodycouldreceiveinanyonehouradoseinexcessof100Millirem.

• Anemployermaypermitanindividualinarestrictedareatoreceivedosestothewholebodygreaterthanthosepermittedaboveaslongasthedosetothewholebodydoesnotexceed3Milliremsduringanycalendarquarter.

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Engineering ControlsRadiationexposure/contaminationcanbecontrolledusingengineeringandadministrativecontrols.Engineeringcontrolsinclude: • Time–personnelminimizingtheirtimeofcontactwith

radiationinordertoreducetheamountofradiationabsorbedintotheirbodies.

• Distance–contaminatedparticulatesandgasesareusuallydilutedifthedistancefromtheradiationsourceisincreased.

• Shielding–anyformofbarrierbetweentheworkerandthesourceofradiationthatprotectstheworkerbyabsorbingtheradiation.Thegreatertheshieldingaroundtheradiationsource,thelesstheexposure.

• ProperVentilation–airborneradioactivematerialorairborneradioactivityneedstobeproperlyventilated.

• ContainmentDevices–shouldbeusedforbothdryandwetcontaminatedmaterials.

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Administrative Controls• Warning signs – must be posted in all areas

where radiation fields may be present. Thesesigns should include all information about theextentandthenatureoftheradiationhazard.

• Mass limitations – radiation exposure, use andhandlingshouldbelimited.

• SafetyProcedures–includesproperhousekeeping,maintenanceandhygiene.

• Safety Training – workers should be trained to protect themselvesfrom radiation hazards, and to perform their work without anymishaps.

• PersonalProtectiveequipment (PPE)–canbeworntoprotect fromradiationexposure.

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Monitoring Radiation• PersonalDosimeters

➢ Filmbadges ➢ Thermoluminescence

detectors(TLD) ➢ Pocketdosimeters

• DirectReadingSurveyMetersandCounters

• ContinuousMonitors • Long-TermSamplers

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Mandatory Requirements• Every employer must supply appropriate monitoringequipment,suchasfilmbadges,pocketchambers,pocketdosimeters, or film rings, and require the use of suchequipment.

• Employers must maintain records of the radiationexposure of all employees for whom monitoring isrequired and advise each employee of his individualexposure at least yearly. At the request of a formeremployee an employermust furnish to the employee areportoftheemployee'sexposuretoradiationrecords.

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Emergency Action Plan

Title 8 Section 3220

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Fire SafetyIntroduction • Firesandexplosionskillmorethan200andinjure

morethan5,000workerseachyear. • Thereisalongandtragichistoryofworkplace

firesinthiscountrycausedbyproblemswithfireexitsandextinguishingsystems.

• OSHArequiresemployerstoprovideproperexits,firefightingequipment,andemployeetrainingtopreventfiredeathsandinjuriesintheworkplace.

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• Anexitrouteisacontinuousandunobstructedpathoftravelfromanypointwithinaworkplacetoaplaceofsafety.

• Anexitrouteconsistsofthreeparts: › Exit; › Exitaccess;and › Exitdischarge.

• Anexitrouteincludesallverticalandhorizontalareasalongtheroute.

Exit Route

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Exit Route

Arefugeareais:• Aspacealonganexitrouteprotectedfromfirebyabarrierwithatleasta1-hourfire

resistancerating;or• A floor with at least 2 spaces, separated from each other by smoke-resistant

partitions,inabuildingprotectedbyanapprovedautomaticsprinklersystem.

Exit is that part of an exit route that is generallyseparated fromotherareas toprovideaprotectedwayoftraveltotheexitdischarge.

Exitaccess is thatpartofanexitroutethat leadstoanexit.

Exit discharge is that part of an exit route that leadsdirectly outside or to a street, walkway, refuge area,publicway,oropenspacewithaccesstotheoutside.

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Exit Routes: Basic Requirements • Exitroutesmustbepermanentandtheremustbeenoughexits intheproperarrangementforquickescape.

• Exitsmustbeseparatedbyfire-resistantmaterials.• An opening into an exit must be protected by an approved self-closing firedoor that remainsclosedorautomaticallycloses inanemergency.

• Thenumberofexitroutesmustbeadequate.Atleast2exitroutesmust be available in aworkplace to permit prompt evacuationofemployees.

• Exitroutesmustbelocatedasfarawayaspracticalfromeachothersothatifoneisblockedbyfireorsmoke,employeescanevacuateusingthesecondexitroute.

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Exit Doors Must Be Unlocked

• Exitdoorsmustbeabletoopenfromtheinsideatalltimeswithoutkeys,tools,orspecialequipment.

• Adevicesuchasapanicbarthatlocksonlyfromtheoutsideispermitted.

• Exitdoorsmustbefreeofanydeviceoralarmthatcouldrestrictemergencyuseifthedeviceoralarmfails.

• Exitdoorsmaybelockedfromtheinsideonlyinmental,penal,orcorrectionalfacilitieswherethereisconstantsupervision.

LockedandBlockedexit

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Side-Hinged Exit Door

• Aside-hingeexitdoormustbeusedtoconnectanyroomtoanexitroute.

• Aside-hingedoorthatconnectsanyroomtoanexitroutemustswingoutinthedirectionofexittraveliftheroomisdesignedtobeoccupiedbymorethan50peopleorcontainshighhazardcontents.

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Exit Route Capacity and Dimensions

• Thecapacityofanexitroutemustbeadequate.• Anexitroutemustsupportthemaximumpermittedoccupantloadforeachfloorserved.

• Capacitymustnotdecreaseinthedirectionofexitroutetraveltotheexitdischarge.

• Ceilingmustbeatleast7-½ft.or2.3mhighwithnoprojectionreachingapointlessthan6ft.-8in.or2mfromfloor.

• Anexitaccessmustbeatleast28in.wideatallpoints

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Maintenance, Safeguards and Operational Features for Exit Routes

• Exit routes must be unobstructed tominimizedanger.

• Arrangeexitroutessothatemployeeswillnothavetotraveltowardahighhazardarea,unlessitiseffectivelyshieldedbypartitions.

• Emergencysafeguards(e.g.,sprinklersystems,alarmsystems,firedoors,exitlighting)mustbeinproperworkingorderatalltimes.

ObstructedExitRoute

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Exit Signage• Each exit must be clearly visible andmarkedbyasignreading“Exit”.

• LettersofExitsmustbe6incheshigh.• Directional signs must be installedwhere the way to exit is not readilyapparent.

• Put “NOT AN EXIT” signs on doors,passageways, and stairways that arenotpartofanexit.

• Adequateillumination• Signsmustnotbeobstructed.

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Exit Signage• Ifthedirectionoftraveltotheexito r e x i t d i s c h a r g e i s n o timmediatelyapparent, signsmustbe posted along the exit routeindicating the direction to thenearestexit.

• The line-of-sight to an exit signmustbeclearlyvisibleatalltimes.

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Exit Signage

Eachdoorwayorpassagealongan exit access that could bemistaken for an exit must bemarked“NotanExit”or similardesignation, or be identified bya sign indicating its actual use(e.g.,closet).

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Emergency Action Plan• Describesactionsthatmustbetakentoensure

employeesafetyinemergencies. • Includesfloorplansormapswhichshow

emergencyescaperoutes. • Tellsemployeeswhatactionstotakein

emergencysituations. • Coversreasonablyexpectedemergencies,such

asfires,explosions,toxicchemicalreleases,hurricanes,earthquakes,andfloods.

• Procedurestoaccountforallemployeesafteranemergencyevacuationhasbeencompleted.

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FirePreventionPlan

Theplanmustinclude: • Alistofthemajorfirehazardsandhandling,

storage,andcontrolprocedures. • Procedurestocontrolaccumulationsofflammable

andcombustiblewastematerials. • Proceduresforregularmaintenanceofsafeguards

installedonheat-producingequipmenttopreventtheaccidentalignitionofcombustiblematerials.

• Namesandjobtitlesofpeopleresponsibleforthemaintenanceofequipmentandsystems.

• Namesandjobtitlesofpeopleresponsibleforthecontroloffuelsourcehazards.

• Trainingforallemployeeswhohaveresponsibilitiesintheplan.

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Portable Fire Extinguishers

If portable fire extinguishersareusedintheworkplace,theymust be mounted on a walland identified so that workerscan access them withoutsubjecting themselves topossibleinjury.

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Extinguisher ClassificationLetterclassificationsareassignedtoextinguisherstodesignatethetypeoffireonwhichitwillbemosteffective. • ClassA–ordinarycombustibles

(wood,cloth,paper). • ClassB–flammableliquids,gases,

greases. • ClassC–energizedelectrical

equipment. • ClassD–combustiblemetals. • ClassK-CookingOilsandFats.

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Maintaining Portable Fire Extinguishers

• Must be maintained fully chargedandinoperablecondition.

• Mustkeepintheirdesignatedplacesatalltimesexceptduringuse.

• Must receive at least an annualmaintenancecheck.

• Must show a record of the annualmaintenance dates; employersmustkeepthisrecordfor1-year.

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Portable Fire Extinguisher Training and Education

• Whereportablefireextinguishershavebeenprovidedforemployeeuseintheworkplace,employeesmustbefamiliarwiththe:➢Generalprinciplesoffireextinguisheruse.➢Hazardsofincipient(beginning)stagefirefighting.

• Theemployershallprovideannualtrainingtotheiremployeesanduponinitialemployment.

• Assignedemployeeswhowilluseextinguishersmustreceiveinstructionandpracticeintheoperationoftheequipment.

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A Quick Recap• Theremustbeenoughexitsforquickescape.• Exit routes must be marked, well lit, and free ofobstructions; locksmustnotbeusedto impedeorpreventescape.

• Foremployerswithmorethan10employees,anemergencyactionplanandfirepreventionplanmustbeinplace.

• Fire extinguishers must be regularly inspected andmaintained,andemployeesmustbe trained inhowtousethem.

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Hazardous Drug Exposure in Veterinary Health Care

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CommonHazardousDrugsFoundinHealthcare

Facilities• Drugsusedforcancer

therapy.• Someantiviraldrugs.• Hormoneagents.• Bioengineereddrugs.

Common Hazardous Drugs Found in Veterinary Facilities

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Thesedrugscancause:• Skinrashes.• Adversereproductiveoutcomes(includinginfertility,spontaneousabortions,andcongenitalmalformations).

• Leukemiaandotherformsofcancers.• Organtoxicity.• Geneticdamage.• Birthdefects.

Dangers of Workplace Exposures to Hazardous Drugs

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Factors that Reduce Exposures

Employerscanreduceexposurebyusing:•MedicalSurveillancePrograms•EngineeringControls•WorkPracticeControls•PersonalProtectiveEquipment

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Medical Surveillance Programs Consists of…• Reproductiveandgeneralhealthquestionnairescompletedatthetimeofhireandperiodicallythereafter.

• Laboratorywork,includingcompletebloodcountandurinalysiscompletedatthetimeofhireandperiodicallythereafter.Additionaltests,suchasliverfunctionandtransaminasetestsmaybeconsidered.

• Physicalexaminationscompletedatthetimeofhireandthenasneededforanyworkerwhosehealthquestionnaireorbloodworkindicatesanabnormalfinding.

• Follow-upforthoseworkerswhohaveshownhealthchangesorhavehadasignificantexposure(substantialskincontact,cleaningalargespill,etc.).

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Engineering Controls Consists of…

• Biologicalsafetycabinets/isolators• Adequateventilation• Useofclosedsystemtransferdevices• ClosedIVsystems• SyringesandIVsetswithLuer-LokTMfittingsforpreparingandadministeringhazardousdrugs.

• Disposingofsharpsincontainersusedfordrug-contaminatedsyringesandneedles.

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Work Practice Controls Consists of…• TrainingonhowtoreadMSDS’s• Trainingonspecifichazardousdrugshandledatthefacility.• Improvedproceduresforthepreparation,administrationandhandlingofhazardousdrugs.

• Evaluatingsourcesofexposure.• Writteninventoryofallhazardousdrugsintheworkplace.• Handlinghazardouswastesandcontaminatedmaterialsseparatelyfromothertrash.

• Cleaninganddecontaminatingworkareasbeforeandaftereachactivityinvolvinghazardousdrugsandattheendofeachshift.

• Cleaningupsmallspillsofhazardousdrugsimmediately,andusingpropersafetyprecautionsandPPE.

• Cleaninguplargespillsofhazardousdrugswiththehelpofanenvironmentalservicespecialist.

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Proper Personal Protective Equipment Consists of…

• Wearing Disposable gowns made of polyethylene-coated polypropylene material (which is non-lintingandnon-absorbent).

• Wearing two pairs of powder-free, disposablechemotherapy gloves, with the outer one coveringthegowncuff.

• Usinga faceshieldwhensplashestotheeyes,nose,ormouthmayoccur(andwhenadequateengineeringcontrolssuchproperventilationisnotavailable).

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You Have Finished the Presentation…

Nowthatyouhavefinishedthepresentationportionofthetrainingprogram,youmusttakethequiz,

consistingof40questions,andreceiveascoreofatleast70%(nomorethan12incorrectanswers).

Thelinkforthequizis:www.tinyurl.com/lphoshaquiz

ThankYou!