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INJURYANDILLNESSPREVENTIONPROGRAM(IIPP)

BerryessaUnionSchoolDistrict1376PiedmontRoad,SanJoseCA95132

408-923-1800

UpdatedOctober2018

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TABLEOFCONTENTS

Acknowledgement 3

Responsibility 3

Compliance 5

Communication 6

HazardAssessment 7

Accident/ExposureInvestigations 8

HazardCorrection 9

TrainingandInstruction 10

ListofTrainingSubjects 11

Recordkeeping 11

GeneralSafeWorkPractices 12

WorkplaceViolence 12

BloodbornePathogenProgram 19

ErgonomicProgram 31

HeatIllnessPreventionProgram 49

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INJURYANDILLNESSPREVENTIONPROGRAM

ACKNOWLEDGEMENT

TheBerryessaUnionSchoolDistricthasdevelopedthisInjuryandIllnessPreventionProgram(IIPP),withtheobjectiveofmaintainingasafeandhealthfulworkenvironmentforallemployees.ThisprogramisincompliancewiththeCaliforniaLaborCodeSection6401.7,andtheCaliforniaCodeofRegulationsTitle8,Sections1509and3203,anditconsistsofthefollowingelements:

• Responsibility• Compliance• Communication• HazardAssessment• HazardCorrection• Accident/ExposureInvestigation• TrainingandInstruction• Recordkeeping

TheDistricthasdevelopedacomprehensiveSafeSchoolsPlan,toprovideasafelearningenvironmentforemployees,volunteersandstudents.ThesafetyofthechildrenandpersonnelistheparamountpriorityofBerryessaUnionSchoolDistrict.TheInjuryandIllnessPreventionProgram(IIPP)foremployeesandvolunteersworksconjunctivelywithsaidplans.

SafetyandaccidentpreventionareessentialtotheBerryessaUnionSchoolDistrict.Westrivetopreventinjuriestostaff,studentsandvolunteers.Bymakingsafetyahighpriorityforeveryemployeeandvolunteer,weattempttoreduceinjuriesandillnesses,increaseproductivity,andpromoteasaferandhealthierenvironmentforallindividualsattheBerryessaUnionSchoolDistrict.Wealsowanttoprotectourenvironmentandcommunity.Asitisnecessary,wewillcontractwithexpertsinspecializedfieldsofsafetyandhealthtomeetthesegoals.

TheBerryessaUnionSchoolDistrictwillprovidethetoolsandeducationnecessaryforeveryemployeeandvolunteertoworkefficientlyandsafely.Weexpecttheseindividualstowillinglyfollowandutilizetheproceduressetforth.Wealsoexpectthatemployeesandvolunteerswillprovidefeedbacktouswhenbettermethodsornewideascometotheirattention.AnyconcernedpersonmaycontacttheBerryessaUnionSchoolDistrictat(408)923-1800.

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RESPONSIBILITY

SafetyOfficial

TheultimateresponsibilityfortheBerryessaUnionSchoolDistrictInjuryandIllnessPreventionPlan(IIPP)restswiththeDirectorofFacilities.Inthisprogram,thispersonwillbereferredastheSafetyOfficial:

Name: MiguelCruzTitle: DirectorofMaintenance,OperationsandTransportationAddress: 1376PiedmontRoad,SanJose,CA95132Telephone: (408)923-1898Email: mcruz@busd.net

Responsibilitiesinclude:

• WorkingwiththeLeadershipTeamofrepresentativesatschoolsitesonhealthandsafetyissues.SeeAppendixBfortheLeadershipTeamlistofcontactsandphonenumbers

• Workingwithuppermanagementtodevelopsafetyandhealthguidelinesandpolicies• PreparinganddistributingtheDistrict’sIIPPandGeneralSafeWorkPractices• Maintainingcurrentinformationonlocal,stateandfederalsafetyandhealthregulations• Servingasliaisonwithgovernmentalagencies

• Planning,organizingandcoordinatingsafetytrainings• Developdepartmentspecificsafeworkpracticesasnecessary• Developingsafetyandhealthinspectionguidelinesandfollowupprocedurestoensurenecessary

correctiveactionistaken

• Reviewinginjuryandillnesstrends• SchedulingandparticipatingontheSafetyCommitteeanditspractices• Establishasystemformaintainingtherecordsofinspection,hazardidentification,correctionand

training

ProgramDirectorsandManagers

• Ensuringappropriatejobspecificsafetytrainingisreceived• Ensuringworkplacesafetyandworkpracticesandproceduresareclearlycommunicatedand

understoodbyemployeesandvolunteersthroughtrainingprograms• Enforcinghealthandsafetyrulesfairlyanduniformlyrelatedtojobperformances• Ensuringsafetyresponsibilitiesareoutlinedinthejobdescriptions,whichgoverntheemployeesand

volunteersundertheirdirection• Evaluatingemployeecompliancewithsafetyguidelinesandpractices• Acknowledgeemployeesandvolunteerswhomakeasignificantcontributiontomaintenanceofa

safeworkplaceanddiscipliningemployeeswhofailtofollowsafeworkpractices

• Encourageemployeesandvolunteerstoreportworkplacehazardswithoutfearandreprisal.• Ensuringperiodic,scheduledworkplaceinspectionsareconductedandthatidentifiedhealthand

safetydeficienciesarecorrectedinatimelyfashion

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• Ensuringaccidentsandinjuriesarereportedandinvestigatedpromptly.• Ensuringinspections/investigationsandemployeehealthandsafetyrecordsarekeptforthe

designatedperiodoftime

• Purchasingappropriatepersonalprotectiveequipment(PPE)• Ensuringworkplacesandequipmentaresafe,wellmaintained,andincompliancewithexternal

agencyregulationsanddistrict’spolicies,programsandpractices.

EmployeesandVolunteers

Immediateresponsibilityforworkplacehealthandsafetyrestswitheachindividualemployeeandvolunteer.Thisinvolves:

• Followingtheestablishedworkproceduresandsafetyguidelinesintheirarea,aswellasthoseidentifiedinthisprogram

• Keepingtheminformedofconditionsaffectingtheirhealthandsafety• Adheringtohealthandsafepracticesintheirworkplace• Usingpersonalprotectiveequipmentasrequiredtoprotectthemfromidentifiedhazards

• Promptreportingtotheirmanagersofpotentialhazardsintheworkplace,injuriesand/oraccidentsoranyunsafecondition.

COMPLIANCE

TheBerryessaUnionSchoolDistrictshallensurethatemployeesandvolunteerscomplywithsafeandhealthyworkpractices.TheBerryessaUnionSchoolDistrictstrivestomaintainasafeandhealthfulworkplaceforallemployees,volunteersandstudents.Ourexperienceshowsthattheefforttakentorecognizeandcorrectsafetyviolationsiscosteffectiveandhelpstoimprovethequalityofeducationalservices.

• ProgramDirectorsandManagersareresponsibleforestablishingandmaintaininggoodhealthandsafetypractices

• ProgramDirectorsandManagerswillberesponsibleforrecognizingconstructivesafetyeffortsforallemployeesandvolunteers

• Theywillencourageemployeesandvolunteerstomakesafetyrecommendations,whichcanbeimplemented

• Employeesrecognizedforfollowingsafeandhealthfulworkpractices• EveryemployeeandvolunteerisexpectedtoparticipateintheDistrict’ssafetyprogram• Overalljobperformanceevaluationswillincludeanaspectofsafetyinvolvement.Program

DirectorsandManagerswillalsorecognizethoseemployeesorvolunteersnotfollowingsafeworkpracticesthathavebeenexplainedtoemployees.Disciplinaryactionwillbeginforemployeesandvolunteers,accordingtodistrictprocedures.

• Employeesandvolunteersreceiveinitialtrainingandretraining,asnecessaryorasrequired• Healthandsafetypracticesareintegratedintonewemployeejobdescriptionsandperformance

appraisals

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• Employeesandvolunteersareencouragedtoreportsafetyandhealthconcernswithnofearofreprisal.

TheDistrict is aware occupational safety and health regulations andworkplace practices are designed toreduce or eliminate employee occupational injuries and illnesses. However, the regulations and workpractices are only effective if all employees faithfully abide by them. Therefore, theDistrict, through theSafetyCommittee,willimplementasystemorsystemstoensurethatallemployeescomplywithworkplacesafetyandhealthpractices.ThecommitteewillreviewandupdatetheIIPPannually.Inthecaseofaworkplaceinjuryorillness,employeeswhodonothaveaDesignatedPhysicianformonfileshouldobtainmedicaltreatmentat:

Alliance OccupationalMedicine1901MontereyRoad Suite #10SanJose,CA95112

or USHealthworksMedicalGroup

1893MontereyRoadSuite#200SanJose,CA95112

or KaiserOn-the-Job

275HospitalParkway,FifthFloorSanJose,Ca95119

or AccessOmniCare

39180FarwellDriveSuite#231Fremont,CA94538

*AdditionallocationavailableonBUSDinsider.

Thesystemorcombinationsofsystemswillincludeanyoneoracombinationofthefollowing:• Training• Newsletters• Intranet• Boardpoliciesandprocedures• Disciplinarylettersfornon-compliantemployees• Handbooks

COMMUNICATION

Werecognizeopen,two-waycommunicationbetweenmanagementandstaffonhealthandsafetyissuesisessentialtoaninjury-free,productiveworkplace.Thefollowingsystemofcommunicationisdesignedtofacilitateacontinuousflowofsafetyandhealthinformationbetweenmanagementandstaffinaformthatisreadilyunderstandableandconsistsofoneormoreofthefollowingitems:

• NewworkerorientationiscompletedwithHRonaoneononebasis.

• ReviewoftheDistrict’sIIPPworkplacesafetyandhealthtrainingprograms• Regularlyscheduledsafetymeetings

• Effectivecommunicationofsafetyandhealthconcernsbetweenworkers,supervisors,including

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translationwhereappropriate• Postedordistributedsafetyinformation• Asystemforworkerstoreportworkplacehazards• ADistrictSafetyCommitteewhichmeetsregularly,preparesminutesofthesafetycommittee

meetings,reviewsthemonthsinspections,accidentsandexposuresasnecessarywithagoalandobjectiveofmaintainingasafeandhealthyworkplace

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Communicationwillconsistofanyoneorcombinationofthefollowing:• Newsletters• DistrictBoardPoliciesandProcedures• Intranet• Annualandmonthlytrainings• Postings

Itistheresponsibilityoftheemployeetoreadandunderstandthematerialprovidedtothem.

NEWEMPLOYEES

MaterialsareprovidedtonewemployeesatNewEmployeeOrientationinformingthemoftheOSHAsafetyregulations,reportingprocedures,andresponsibilities.

MISCELLANEOUS

Whenappropriate,theDistrictmayusewrittencommunicationssuchasinter-districtmemos,newsletters,and workplace postings to supplement the previously described systems and further communicate toemployeesonmattersrelatingtoworkplacesafetyandhealth.Itistheresponsibilityoftheemployeetousethetoolsprovidedtostayinformedofpolicies,proceduresandchanges.

MEETINGS

MeetingswillbeapartoftheDistrict’ssafetyfunctions.Themeetingsareintendedtobebriefsessionstodiscussoneormoresafety itemsandencourageopendiscussionsbetweenemployeesandmanagement.TheDistrictmonthly safetycommitteemeetingscoveramain topiceachmonth.Thesafetycommittee isresponsibleforensuringtheDistrictprovidesallstudentsandstaffwithasafeandhealthfulworkplace.TheSafety Committee is intended to standardize various safety programs and procedures into an effective,uniform program and to ensure compliance with State and Federal Safety regulations. The SafetyCommitteemonthlyminuteswillbepostedontheIntranetinaSafetyfolder.Documentationwillincludeatminimum,thefollowing:

• Meetingtopic(s)• Recommendationswhichmayimproveworkplacesafety• Listofattendees• Dateofmeeting• Timeandlengthofmeeting• Actionitemsandcompletiondates• Reviewofanyworkaccidents/injuriesthathaveoccurredsincethelastmeeting

andrecommendationsforpreventionofsuchinjuriesinthefuture• Inspectionsandrecommendationsforcorrectionofanyhazardsidentified

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HAZARDASSESSMENT

PeriodicinspectionstoidentifyandevaluateworkplacehazardsareperformedbyprofessionalfromDSA,SCCSIG,FireDepartment,variousConsultantServicesandDistrictMaintenanceandOperationsstaff.Inspectionsinclude,butarenotlimitedtothefollowing:

• AsbestosHazardEmergencyResponseAct(AHERA).Inspections(6months/3• years)• DSADesignReviewsandInspectionsbyInspectorofRecordforConstructionProjects• FoodServiceInspections• FireDepartment,AnnualInspections• FireSystemInspectionsandTests(6months)• GroundwaterandStormDrainInspections(Annual)

• HandicappedLiftInspections(6months)• HazardousMaterialsInspectionbytheFireDepartment(Annual)• PropertyLiabilitySafetyInspections(3to5years)• PlaygroundInspections(weekly,quarterly,andallnewinstallations)• WilliamsActInspections(Annual)

Periodicinspectionsareperformedaccordingtothefollowingschedule:

• WhenweinitiallyestablishedtheIIPP• Whennewsubstances,processes,proceduresorequipmentwhichpresentpotentialnewhazards

areintroducedintotheworkplace• Whennew,previouslyunidentifiedhazardsarerecognized• Whenoccupationalinjuriesandillnessesoccur• Wheneverworkplaceconditionswarrantaninspection

PeriodicinspectionsconsistofidentificationandevaluationofworkplacehazardsutilizingapplicablesectionsoftheattachedSiteInspectionforms(availableonintranet)oranyothereffectivemethodstoidentifyandevaluateworkplacehazards.

REPORTINGPROCEDURES

Foranyoccupationalinjuryorillnesswhichresultsinlostworktimeofatleastafulldayorshiftbeyondthedateof occurrence, orwhich requiresmedical treatmentbeyond first aid, theemployeemust report theinjury or illness immediately. Jamie Garcia, Human Resources Administrative Assistant, will report theaccident to the appropriate offices according to state and federal laws. For more information regardinginjuryandillnessreporting,contact:

JamieGarcia408-923-1853

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WHERETOSEEKMEDICALATTENTION

Employeesshouldseekmedicalattentionatthefollowingcliniciftheydonothaveadesignatedphysicianonfile:

AllianceOccupationalMedicine1901MontereyRoadSanJose,CA95112408-477-8080

*AdditionallocationsareavailableonBUSDInsiderSERIOUS

INJURYORDEATH

Thefollowingactionisrequired:� Theincidentisreportedtothesupervisor� CAL/OSHAmustbenotifiedimmediatelyorwithin8hoursbytelephone.Thelocal

Cal/OSHADistrictOfficetelephonenumberis1-510-794-2521. SeriousinjuriesorfatalitiesmustbereporttothelocalCal-OSHAareaoffice.http://www.dir.ca.gov/title8/342.html

� Completionof“Employer’sReportofOccupationalInjuryorIllness”form5020within24hours

Thesupervisorshallconductaninitialinvestigationassoonaspossibleanddistributereportsaccordingtoprocedure.

LEGALLYREQUIREDREPORTS

Aseriousinjuryorillnessisonethatoccursinaplaceofemploymentorinconnectionwithanyemploymentwhichrequiresinpatienthospitalizationforaperiodinexcessof24hours,orinwhichanemployeesuffersalossofanymemberofthebodyorsuffersaseriousdegreeofpermanentdisfigurement.

ACCIDENT/EXPOSUREINVESTIGATIONS

Proceduresforinvestigatingworkplaceaccidentsandhazardoussubstanceexposuresinclude:

ProcessandAction

• Visitingtheaccidentsceneassoonaspossible• Interviewinginjuredworkersandwitnesses• Examiningtheworkplaceforfactorsassociatedwiththeaccident/exposure

• Determiningthecauseoftheaccident/exposure• Takingcorrectiveactiontopreventtheaccident/exposurefromreoccurring• Recordingfindingsandcorrectiveactionstaken

Forms

• UseforInjury,IllnessandNearMiss

• FormsarepostedontheINSIDER.CompletedformsaretobeforwardedtoJamieGarciaintheHumanResourcesDept.

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HAZARDCORRECTION

TheDistrictusesaDistrictwideWorkOrderSystemtoaddressanynecessarycorrectionsstemmingfromnearmisses,observedunsafeworkconditionsorcorrectiveactionforaccidentsorinjuries.

Unsafeorunhealthyworkconditionsshallbecorrectedinatimelymannerbasedontheseverityofthehazards.Hazardsshallbecorrectedaccordingtothefollowingprocedures:

• Whenobservedordiscovered,sitesandindividualsarerequiredtoreportnecessaryhazardcorrectionsthroughtheDistrictWorkOrderSystem.Schoolsecretaries,andDistrictOfficeAdministrativeAssistantsarekeycontactsforthissystem

• Safetyconcerns,whichrequireimmediateattention,shouldbephonedintotheMaintenanceandOperationsDepartment.408-923-1892

• TheonlineWorkOrderSystemshouldbeusedforallothercorrectiveactionswhichdonotcreateanimmediatedanger

• Whenanimminenthazardexistswhichcannotbeimmediatelyabatedwithoutendangeringemployee(s)and/orproperty,staffwillremoveallexposedworkersfromtheareaexceptthosenecessarytocorrecttheexistingcondition.Workersnecessarytocorrectthehazardousconditionshallbeprovidedwiththenecessaryprotection

• Allsuchactionstakenanddatestheyarecompletedshallbedocumented.

Unsafepracticesorproceduresthatareobservedshouldbereportedtoimmediatesupervisorstobeaddressedbytakingcorrectiveactionorprovidingnecessarytraining.

TRAININGANDINSTRUCTION

Allworkers,includingmanagersandsupervisors,shallhavetrainingandinstructionongeneralandjob-specificsafetyandhealthpracticesasappropriate.Trainingandinstructionshallbeprovidedasfollows:

• WhentheIIPPisfirstestablished• Toallnewworkers,trainingtobeappropriateasrelatedtothejobandobservationduring

theprobationaryperiod

• Toallworkersgivennewjobassignmentsforwhichtraininghasnotpreviouslybeenprovided• Whenevernewsubstances,processes,proceduresand/orequipmentareintroducedtothe

workplaceandrepresentanewhazard(jobspecific)

• Whenevertheemployerismadeawareofaneworpreviouslyunrecognizedhazard• Tosupervisorstofamiliarizethemwiththesafetyandhealthhazardstowhichworkersundertheir

immediatedirectionandcontrolmaybeexposed

• Toallworkerswithrespecttohazardsspecifictoeachemployee’sjobassignment

WorkplacesafetyandhealthpracticesarebasedonourHazardAssessmentlistanddocumentedinourlistoftrainingsubjects.

Trainingandinstructionwillbeprovidedinanyformatormedia,whichisreadilyunderstandabletoallemployees.Trainingformatsand/ormediamayincludebutarenotlimitedto:

� SeminarsandWorkshops

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Manuals � Policiesandproceduresposted� Booklets� Video,filmorothervisualmedia� Meetings� Newslettersandinter-districtmemos

District management will ensure which all training and instruction provided under the Injury and IllnessProgram are documented. Employees attending or receiving trainingmandated by this programmay berequestedtosignanattendancesheet.

LISTOFTRAININGSUBJECTS

Wetrainourworkersaboutthefollowingtrainingsubjectsasappropriate:

• GeneralSafeWorkPractices

• Goodhousekeeping,fireprevention,safepracticesforoperatinganyconstructionequipment• Safeproceduresforcleaning,repairing,servicingandadjustingequipmentandmachinery• Safeaccesstoworkingareas• HeatStress• Protectionfromfalls• Electricalhazards,includingworkingaroundhighvoltagelines• Properuseofpoweredtools• Lock-out/Tag-outprocedures

• Materialshandling• Chainsawandotherpowertooloperation• Fallprotectionfromelevatedlocations• Useofelevatedplatforms,includingcondorsandscissorlifts• Driversafety• Slips,fallsandbackinjuries• Ergonomichazards,includingproperliftingtechniquesandworkingonladdersorinastooped

postureforprolongedperiodsatonetime

• Personalprotectiveequipment• Hazardouschemicalexposures• Hazardcommunication• Physicalhazards,suchasheat/coldstress,noise• Bloodbornepathogensandotherbiologicalhazards• Emergencyevacuationplan

• Provisionsformedicalservicesandfirstaidincludingemergencyprocedures• SafetyisEveryone’sBusiness

RECORDKEEPING

WearealocalgovernmententityandwearenotrequiredtokeepwrittenrecordsofthestepstakentoimplementandmaintainourIIPP.

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BerryessaUnionSchoolDistrict

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WORKPLACEVIOLENCEINCALIFORNIA

ThecircumstancesassociatedwithworkplaceviolenceinCaliforniacanbedividedintothreemajortypes.TYPEI-Fatalworkplaceassaultsinvolvingapersonenteringasmalllate-nightretailestablishment;TYPEII-Workplaceviolenceeventsinvolvinganassaultorthreatbysomeonewhoiseithertherecipientofortheobjectofaserviceprovidedbytheaffectedworkplaceorthevictim;andTYPEIII-Workplaceviolenceeventconsistsofanassaultbyanindividualwhohassomeemployment-relatedinvolvementwiththeworkplace. It is importanttokeepinmindthataparticularoccupationorworkplacemaybesubjecttomorethanonetype.

TypeI-Fatalworkplaceassaultsinvolvingapersonenteringasmalllate-nightretailbusiness.InCalifornia,themajority of fatalworkplace assaults involve a person entering a small late-night retail establishment,e.g., liquorstore,gasstationoraconveniencefoodstore,tocommitarobbery.Duringthecommissionoftherobbery,aworker,ormorelikely,theproprietor,iskilledorinjured.Workersorproprietorswhohaveface-to-facecontactandexchangemoneywiththepublic,whoworklateatnightandintotheearlymorninghours,andwhooftenworkaloneorinverysmallnumbersareatgreatestriskofaTypeIevent.Whiletheassailantmayfeignbeingacustomerasapretexttoentertheestablishment,heorshehasno legitimaterelationshiptotheworkplace.

Type II - A Type II workplace violence event involves an assault or threat by someonewho is either therecipientortheobjectofaserviceprovidedbytheaffectedworkplaceorthevictim.

Type II events involve fatal or nonfatal injuries to individuals who provide services to the public. Theseeventschieflyinvolveassaultsonpublicsafetyandcorrectionalpersonnel,municipalbusorrailwaydrivers,healthcareandsocialserviceproviders,teachers,salespersonnel,andotherpublicorprivateservicesectorworkerswhoprovideprofessional,publicsafety,administrativeorbusinessservicestothepublic.

OfincreasingconcernareTypeIIeventsinvolvingassaultstothefollowingtypesofserviceproviders:

� Teaching,administrativeandsupportstaffinschoolswherestudentshaveahistoryofviolentbehavior;and

� Othertypesofserviceproviders,e.g.,justicesystempersonnel,customerservicerepresentativesanddeliverypersonnel.

Unlike Type I events which often represent irregular occurrences in the life of any particular at-riskestablishment,TypeIIeventsoccuronadailybasisinmanyserviceestablishments,andthereforerepresentamorepervasiveriskformanyserviceproviders.

Type III - A Type III workplace violence event consists of an assault by an individual who has someemployment-relatedinvolvementwiththeworkplace.ATypeIIIeventusuallyinvolvesathreatofviolence,oraphysicalactofviolenceresultinginafatalornonfatalinjury,byacurrentorformerworker,supervisorormanager;acurrentorformerspouseorlover;arelativeorfriend;orsomeotherpersonwhohasadisputeinvolvingaworkeroftheworkplace.

Available data indicates that a Type III event is not associated with a specific type of workplace oroccupation.AnyworkplacecanbeatriskofaTypeIIIevent.However,TypeIIIeventsaccountforamuchsmaller proportion of fatal workplace injuries than Types I and II. Nevertheless, Type III fatalities oftenattractsignificantmediaattentionandareperceivedasmorecommonthantheyactuallyare.

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INJURYANDILLNESSPREVENTIONPROGRAMFORWORKPLACESECURITYBerryessa Union School District’s Injury and Illness Prevention (IIP) Program for Workplace Securityaddresses the hazards known to be associatedwith the threemajor types ofworkplace violence. Type Iworkplaceviolence involvesaviolentactbyanassailantwithno legitimate relationship to theworkplacewhoenterstheworkplacetocommitarobberyorothercriminalact.

RESPONSIBILITY

Wehavedecidedtoassignresponsibilityforsecurityinourworkplace.TheIIPPAdministratorforworkplacesecurity is Miguel Cruz, Director of MOT and has the authority and responsibility for implementing theprovisionsofthisprogramforBerryessaUnionSchoolDistrict.All administrators are responsible for implementing andmaintaining this IIPP in theirwork areas and foranswering worker questions about the IIPP. A copy of this IIPP is available in the Injury and IllnessPreventionbinderinthemainofficeandisavailableonintranetintheSafetyfolder.All initial reports regarding a workplace violence concern will be reported immediately to Miguel Cruz,DirectorofMOTwhowillnotifytheSuperintendent.

COMPLIANCE

BerryessaUnionSchoolDistricthasestablishedthefollowingpolicytoensurecompliancewithourrulesonworkplacesecurity.

Management of our establishment is committed to ensuring that all safety and health policies andproceduresinvolvingworkplacesecurityareclearlycommunicatedandunderstoodbyallworkers.All workers are responsible for using safe work practices, for following all directives, policies andprocedures,and forassisting inmaintainingasafeandsecureworkenvironment.Oursystemofensuringthatallworkers,includingsupervisorsandadministrators,complywithworkpracticesthataredesignedtomake theworkplacemore secure, and do not engage in threats physical actionswhich create a securityhazardforothersintheworkplace,include:

� Informingworkers,supervisorsandadministratorsoftheprovisionsofourIIPPforWorkplaceSecurity.

� Evaluatingtheperformanceofallworkersincomplyingwithourestablishment'sworkplacesecuritymeasures.

� Recognizingworkerswhoperformworkpracticeswhichpromotesecurityintheworkplace.� Providingtrainingand/orcounselingtoworkerswhoseperformanceisdeficientin

complyingwithworkpracticesdesignedtoensureworkplacesecurity.� Discipliningworkersforfailuretocomplywithworkplacesecuritypractices.

COMMUNICATION

AtBerryessaUnionSchoolDistrict,werecognizetomaintainasafe,healthyandsecureworkplacewemusthaveopen, two-waycommunicationbetweenallworkers, includingadministratorsandsupervisors,onallworkplace safety,healthandsecurity issues.Ourestablishmenthasa communication systemdesignedtoencourage a continuous flow of safety, health and security information between management and ourworkerswithout fearof reprisaland ina formthat is readilyunderstandable.Ourcommunicationsystemconsistsofthefollowingitems:

� PeriodicreviewofourIIPPforWorkplaceSecuritywithallpersonnel� Trainingprogramsdesignedtoaddressspecificaspectsofworkplacesecurityuniquetoour

establishment� Regularlyscheduledsafetymeetingswithalldistrictpersonnelwhichincludeworkplace

securitydiscussions

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� Asystemtoensurethatallworkers,includingmanagersandsupervisors,understandtheworkplacesecuritypolicies

� Postedordistributedworkplacesecurityinformation� Asystemforworkerstoinformmanagementaboutworkplacesecurityhazardsorthreatsof

violence� Proceduresforprotectingworkerswhoreportthreatsfromretaliationbythepersonmaking

thethreats� Addressingsecurityissuesatourworkplacesecurityteammeetings

HAZARDASSESSMENT

District personnelwill be performingworkplace hazard assessment forworkplace security in the formofperiodicinspections.Periodicinspectionstoidentifyandevaluateworkplacesecurityhazardsandthreatsofworkplaceviolenceareperformedbythefollowingobserver(s)inthefollowingareasofourworkplace:

MiguelCruz DirectorofMaintenance,OperationsandTransportationDanNorris MaintenanceSupervisor

Periodicinspectionsareperformedaccordingtothefollowingschedule:

� WhentheIIPPforWorkplaceSecuritywasinitiated� Whennew,previouslyunidentifiedsecurityhazardsarerecognized� Whenoccupationalinjuriesorthreatsofinjuryoccur� Wheneverworkplacesecurityconditionswarrantaninspection� Monitorinspectiondaily

Periodic inspections for security hazards consist of identification and evaluation of workplace securityhazardsandchangesinestablishmentperforminspectionsforeachtypeofworkplaceviolencebyusingthemethodsspecifiedbelowtoidentifyandevaluateworkplacesecurityhazards.InspectionsforTypeIworkplacesecurityhazardsinclude:

� Assessingtheexteriorandinterioroftheworkplaceforitsattractivenesstorobbers� Assessingtheneedforsecuritysurveillancemeasures,suchasmirrorsorcameras� Postingofsignsnotifyingthepublicthatlimitedcashiskeptonthepremises� Assessingproceduresforworkerresponseduringarobberyorothercriminalact� Assessingproceduresforreportingsuspiciouspersonsoractivities� Postingofemergencytelephonenumbersforlawenforcement,fireandmedical

serviceswhereworkershaveaccesstoatelephonewithanoutsideline.� Limitingtheamountofcashonhandandusingtimeaccesssafesforlargebills

InspectionsforTypeIIworkplacesecurityhazardsincludeassessing:

� Accessto,andfreedomofmovementwithin,theworkplace� Adequacyofworkplacesecuritysystems,suchasdoorlocks,securitywindows,security

alarmsystem,physicalbarriersandrestraintsystems� Frequencyandseverityofthreateningorhostilesituationsthatmayleadtoviolentacts

bypersonswhoareservicerecipientsofourestablishment� Workers'skillinsafelyhandlingthreateningorhostileservicerecipients� Effectivenessofsystemsandprocedurestowarnothersofasecuritydangerortosummon

assistance,e.g.,alarmsorpanicbuttons� Theavailabilityofworkerescaperoutes� InspectionsforTypeIIIworkplacesecurityhazardsincludeassessing� HowwellBerryessaUnionSchoolDistrict’santi-violencepolicyhasbeen

communicatedtoworkers,supervisorsormanagers

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� HowwellBerryessaUnionSchoolDistrict’smanagementandworkerscommunicatewitheachother

� Ourworkers',supervisors'andmanagers'knowledgeofthewarningsignsofpotentialworkplaceviolence

� Accessto,andfreedomofmovementwithin,theworkplacebynon-workers,includingrecentlydischargedworkersorpersonswithwhomoneofourworker'sishavingadispute

� Frequencyandseverityofworkerreportsofthreatsofphysicalorverbalabusebymanagers,supervisorsorotherworkers

� Anypriorviolentacts,threatsofphysicalviolence,verbalabuse,propertydamageorothersignsofstrainorpressureintheworkplace

� Workerdisciplinaryanddischargeprocedures

INCIDENTINVESTIGATIONSBerryessaUnionSchoolDistricthasestablishedthefollowingpolicyforinvestigatingincidentsofworkplaceviolence. Our procedures for investigating incidents of workplace violence, which includes threats andphysicalinjury,include:

� Reviewingallpreviousincidents� ReportingtheincidenttotheSanJosePoliceDepartment� ReportingtheincidentasaMajorIncidentReport� Visitingthesceneofanincidentassoonaspossible� Interviewingthreatenedorinjuredworkersandwitnesses� Examiningtheworkplaceforsecurityriskfactorsassociatedwiththeincident,includingany

previousreportsofinappropriatebehaviorbytheperpetrator� Determiningthecauseoftheincident� Takingcorrectiveactiontopreventtheincidentfromrecurring� Recordingthefindingsandcorrectiveactionstaken

HAZARDCORRECTION

Hazards,whichthreatenthesecurityofworkers,shallbecorrectedinatimelymannerbasedonseveritywhentheyarefirstobservedordiscovered.CorrectivemeasuresforType11workplacesecurityhazardsinclude:

� Controllingaccesstotheworkplaceandfreedomofmovementwithinit,consistentwithbusinessnecessity.

� Ensuringtheadequacyofworkplacesecuritysystems,suchasdoorlocks,securitywindows,physicalbarriersandrestraintsystems.

� Providingworkertraininginrecognizingandhandlingthreateningorhostilesituations,whichmayleadtoviolentactsbypersonswhoareservicerecipientsofourestablishment.

� Ensuringadequateworkerescaperoutes.CorrectivemeasuresforType111workplacesecurityhazardsinclude:

� EffectivelycommunicatingourDistrict'santi-violencepolicytoallemployees,supervisorsormanagers

� ImprovingcommunicationbetweenourDistrict'smanagementandemployees� Increasingemployees’,supervisors’andmanagers’awarenessofthewarningsignsof

potentialworkplaceviolence� Controllingaccessto,andfreedomofmovementwithin,theworkplacebynon-workers,

includingrecentlydischargedworkersorpersonswithwhomoneofourworker'sishavingadispute

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� Ensurethatallreportsofviolentacts,threatsofphysicalviolence,verbalabuse,propertydamageorothersignsofstrainorpressureintheworkplacearehandledeffectivelybymanagementandthatthepersonmakingthereportisnotsubjecttoretaliationbythepersonmakingthethreat

� Ensurethatworkerdisciplinaryanddischargeproceduresaddressthepotentialforworkplaceviolence

� Ensurethatworker’splacedonadministrativeleaveturnintheirkeysandotherBerryessaUnionSchoolDistrictpropertyattimeofactiontaken

� Ensurethatworkers’onextendedleaveturnintheirkeysandotherBerryessaUnionSchoolDistrictpropertyattimeofleave

TRAININGANDINSTRUCTION

BerryessaUnionSchoolDistricthasestablishedthefollowingpolicyontrainingallworkerswithrespecttoworkplacesecurity.

Allworkers,includingadministratorsandsupervisors,shallhavetrainingandinstructionongeneralandjob-specificworkplacesecuritypractices.TrainingandinstructionshallbeprovidedwhentheIIPPforWorkplaceSecurityisfirstestablishedandperiodicallythereafter.Trainingshallalsobeprovidedtoallnewworkersandtootherworkers forwhomtraininghasnotpreviouslybeenprovidedand toallworkers, supervisorsandadministrators given new job assignments for which specific workplace security training for that jobassignment has not previously been provided. Additional training and instruction will be provided to allpersonnelwhenevertheemployerismadeawareofneworpreviouslyunrecognizedsecurityhazards.

Generalworkplacesecuritytrainingandinstructionincludes,butisnotlimitedto,thefollowing:

� ExplanationoftheIIPPforWorkplaceSecurityincludingmeasuresforreportinganyviolentactsorthreatsofviolence

� Recognitionofworkplacesecurityhazardsincludingtheriskfactorsassociatedwiththethreetypesofworkplaceviolence

� Measurestopreventworkplaceviolence,includingproceduresforreportingworkplacesecurityhazardsorthreatstomanagersandsupervisors

� Measurestosummonothersforassistance� Workerroutesofescape� Notificationoflawenforcementauthoritieswhenacriminalactmayhaveoccurred� Emergencymedicalcareintheeventofanyviolentactuponaworker

BerryessaUnionSchoolDistricthaschosenthefollowingitemsforTypeIItrainingandinstructionformanagers,supervisorsandemployees:

� Dealingwithangry,hostileorthreateningindividuals� Location,operation,care,andmaintenanceofalarmsystemsandotherprotectivedevices� Communicationprocedures� Awarenessofindicatorsthatleadtoviolentactsbyservicerecipients

BerryessaUnionSchoolDistricthaschosenthefollowingitemsforTypeIIItrainingandinstructionforadministrators,supervisorsandemployees:

� Pre-employmentscreeningpractices� Awarenessofsituationalindicatorsthatleadtoviolentacts� Managingwithrespectandconsiderationforemployeewell-being� Reviewofanti-violencepolicyandprocedures

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Cal/OSHAConsultation-AreaOffices

California Division of Occupational Safety and Health Enforcement Office in Fremont 39141 Civic Center Dr., Suite 310 Fremont, CA 94538-5818 Phone 510-794-2521 Fax 510-794-3889

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BerryessaUnionSchoolDistrict

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PolicyStatementItisthepolicyoftheBerryessaUnionSchoolDistricttoeliminateorminimizeoccupationalexposuretobloodbornepathogensinaccordancewithfederalandstateregulations.Allhumanbloodandotherpotentiallyinfectiousmaterialswillbetreatedasifknowntobeinfectiousforhumanimmunodeficiencyvirus(HIV),HepatitisBvirus(HBV),andotherbloodbornepathogens.

Scope:TheExposureControlPlan(ECP)appliestoallemployeeswithactualorpotentialexposuretobloodbornepathogensatallsites.

Regulation:CCR-Titlen8,Section5193

PlanAdministrationTable1providestherolesandcontactinformationfortheadministrationofthebloodbornepathogensprogram.

Table1

ProgramContactInformation

Task Name/Department Phone Plan Administrator Jamie Garcia, Human

Resources Work: 408-923-1853

Supplies (PPE, cleaning materials, other)

Dan Norris, MOT Work: 408-923-1893

Medical recordkeeping Jamie Garcia , Human Resources Work: 408-923-1853

Training Jamie Garcia , Human Resources Dan Norris, MOT

Work: 408-923-1853 Work: 408-923-1893

Exposure incident contact Jamie Garcia , Human Resources Work: 408-923-1853

TheECPadministratorisresponsibleforimplementationoftheECP,andwillmaintain,review,andupdatetheECPatleastannually,andwhenevernecessarytoincludenewormodifiedtasksandproceduresandtoreflectneworrevisedemployeepositionswithoccupationalexposure.

MaintenanceandOperationswillprovideandmaintainallnecessaryPPE,engineeringcontrols(e.g.,sharpscontainers),andlabelsasrequiredbythestandard,andwillensurethatadequatesuppliesoftheaforementionedequipmentareavailableintheappropriatesizes.

JamieGarcia,willberesponsibleforensuringallmedicalactionsrequiredbythestandardareperformedandthatappropriateemployeehealthandOSHArecordsaremaintained.

JamieGarciaandMayraWaller,siteadministratorsandprogrammanagerswillberesponsiblefortrainingasappropriate,documentationoftraining,andmakingthewrittenECPavailabletoemployees,theregulatingauthority,andrepresentativesoftheCaliforniaOccupationalSafetyandHealthAssociation(CalOSHA).

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JamieGarciawillactastheinitialcontactforreportingexposureincidentsandensuretheappropriateresponseiscarriedout.

Thoseemployeesdeterminedtohaveoccupationalexposuretobloodorotherpotentiallyinfectiousmaterials(OPIM)mustcomplywiththeproceduresandworkpracticesoutlinedinthisECP.

Annual Plan Review and Update ThisECPwillbereviewedandupdatedannually,andwhenevernewhazardsareintroducedintheworkplaceorconditionschangethatwouldresultinachangeinoccupationalexposurebyemployees.

ACCESS TO THE ECP EmployeescoveredbythebloodbornepathogensrulesandpolicieswillreceiveanexplanationofthisECPduringtheirinitialtrainingsession.Itwillalsobereviewedintheirannualrefreshertraining.AllemployeescanreviewthisplanatanytimeduringtheirworkshiftsbycontactingHumanResources.AcopyoftheECPwillbeprovidedfreeofchargetoanyemployeewhorequestsit.

DefinitionsUniversalprecaution—anapproachtoinfectioncontrolwhereasallhumanbloodandcertainhumanbodyfluidsaretreatedasifknowntobeinfectiousforHIV,HBV,andotherbloodbornepathogens.

Bloodbornepathogen—microorganismsthatarepresentinhumanbloodandcancausediseaseinhumans.Thesepathogensinclude,butarenotlimitedto,hepatitisBvirus(HBV),hepatitisCvirus(HCV),andhumanimmunodeficiencyvirus(HIV)whichcausesacquiredimmunedeficiencysyndrome(AIDS).

Exposureincident—aspecificeye,mouth,othermucousmembrane,non-intactskin,orparenteral(i.e.,needlestick)contactwithbloodorotherpotentiallyinfectiousmaterialsthatresultsfromtheperformanceofanemployee’sduties.

Occupationalexposure—reasonablyanticipatedskin,eye,mucousmembrane,orparenteralcontactwithbloodorotherpotentiallyinfectiousmaterialsthatmayresultfromtheperformanceofanemployee'sduties.“GoodSamaritan”actssuchasassistingaco-workerwithanosebleedarenotconsideredoccupationalexposure.

Otherpotentiallyinfectiousmaterials(OPIM)—bodyfluidsvisiblycontaminatedwithblood,includingsalivaindentalprocedures,semen,vaginalsecretions,amnioticfluid,andothersuchmaterialwhereitisdifficulttodifferentiatebetweenbodyfluids.

Percutaneousinjury—exposurebyinjectionorabsorptionthroughtheunbrokenskin.

Personalprotectiveequipment(PPE)—protectivecoveringforthehead,eyes,hands,feet,andbody,suchasnitrileorotherliquid-resistantgloves,afacemask,oranapron.

Sharps—anyobjectcontaminatedwithbloodorOPIMthatcanpenetratetheskin,includingneedles,scalpels,woodormetalsplinters,brokenglass,brokencapillarytubes,andexposedendsofdentalwires.

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EmployeeExposureDeterminationDeterminationsforemployeeexposurearemadeforatriskjobclassificationswhereoccupationalexposuretobloodorOPIMoccurs,islikelytooccur,orispossibletooccur.

Table2containsalistofalljobclassificationsinwhichemployeesareathighriskoforlikelytohaveoccupationalexposuretobloodbornepathogens;trainingfortheseclassificationsismandatory.

Table2

LikelyOccupationalExposure—JobClassifications

Job Classification Department/ Work Area Exposure Task/Procedure Custodian M&O Cleaning up after students, assist in first aide Health Assistant Student Services Administering first aide Nurse Student Services Administering first aide and injections Pre-school staff Student Services Student contact, toileting Para-educator I and II Special Education Student contact, toileting Special Education Teacher Special Education Student contact School Secretaries Site Administering first aide

Table3containsalistofjobclassificationsinwhichemployeesmayatsometimehaveoccupationalexposure,includingpart-time,temporary,contract,orperdiememployees.Thelistincludestasksandprocedures,orgroupsofcloselyrelatedtasksandprocedures,forwhichoccupationalexposuremayoccurfortheseindividuals;trainingfortheseclassificationsisadvisablebutnotmandatory.

Table3

PossibleOccupationalExposure—JobClassifications

Job Classification Department/ Work Area Exposure Task/Procedure Bus Driver Transportation Student contact School Office Specialists and School Office Assistants

Site Administering first aide

Ifanemployeebelievesheorshemaybeoccupationallyexposedtobloodbornepathogensandhisorherjobclassificationortasksdonotappearontheabovelists,theemployeeshouldcontactMailaNguyen.

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Implementation and Control Measures

UNIVERSAL PRECAUTIONS

AllemployeeswilluseuniversalprecautionsinordertopreventcontactwithbloodorOPIM.AllbloodandOPIMwillbeconsideredinfectiousregardlessoftheperceivedstatusofthesource.

Engineering Controls and Work Practices Engineeringcontrolsandworkpracticeswillbeimplementedtopreventorminimizeexposuretobloodbornepathogens.SchoolSiteadministratorsandRobertReyes,MaintenanceSupervisorareresponsibleforensuringthattheengineeringcontrolsandworkpracticesareimplementedandupdatedasnecessary.

Thefollowingengineeringcontrolswillorhavebeenimplemented:

• PPEsdistributed• Newemployeeorientationtraining• Annualreviewtraining• UpdateBloodbornePathogenExposureControlPlanannually• Periodicinformationarticlespublished• Postingsatallsites

Thefollowingworkpracticeswillbefollowed:

• WashhandsimmediatelyaftercontactwithbloodorOPIM• Exposedemployeeswillwashtheirhandswithrunningwaterandsoapassoonaspossibleafter

usingtheantisepticalternatives• WhenskinormucousmembranesareexposedtobloodorOPIM,thoseareasofthebodywillbe

washedorflushedwithrunningwaterassoonaspossibleaftercontact• AfterremovalofPPE(e.g.,gloves,facemask)usedduringexposuretobloodorOPIM,the

employee(s)willwashhandsorotherexposedskinareaswithrunningwaterandsoapassoonaspossible

DanNorris,MaintenanceSupervisorevaluatesnewexposurecontrolproceduresandnewproductsregularlybyreviewingtheSafetyDataSheets(SDS)andconsultingwithStudentServicesandHumanResources.

Housekeeping—Cleaning and Decontamination Allequipment,workareas,andworkingsurfaceswillbecleanedanddecontaminatedimmediatelyorassoonaspossibleafteranyspillofbloodorOPIMmaterials,aftercompletionofprocedures,andattheendoftheworkshiftifthesurfacemayhavebecomecontaminatedsincethelastcleaning.

Decontaminationofsurfaces,equipment,andworkareaswillbeaccomplishedbyusingthefollowingmaterials:

• EnviroxConcentrate118

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Blood-orOPIM-contaminatedwastewillbeplacedincontainerswhichareclosable,constructedtocontainallcontentsandpreventleakage,appropriatelylabeledorcolor-coded,andclosedpriortoremovaltopreventspillageorprotrusionofcontentsduringhandling.

Theprocedureforhandlingsharpsdisposalcontainersis:

1. NotifyM&Oforpickup2. M&OdisposesinthehazardouswastecontainerbyHealthServices3. M&OdisposessharpsatKaiserPermanente.Dropoffrequiresasignaturefromthereceivingperson

anddepartmentatKaiser.

Theprocedureforhandlingblood-orOPIM-contaminatedwasteis:

1. Disposeofhazardouswasteinadesignatedbag.2. NotifyM&Oforpickup3. M&Odisposesinthehazardouswastecontainer4. M&Ocallsforhazardouswastepickupfromadesignatedcompany

Contaminatedsharpswillbediscardedimmediatelyorassoonaspossibleincontainersthatareclosable,puncture-resistant,leakproofonsidesandbottoms,andappropriatelylabeledorcolor-coded.Cleansharpsdisposalcontainersareavailableatsitehealthoffice.

Bins,pails(e.g.,washoremesisbasins),cans,andsimilarreceptacleswillbeinspectedanddecontaminatedonaregularlyscheduledbasis,andcleanedanddecontaminatedassoonaspossibleaftervisiblecontamination.

Brokenglasswarethatmaybecontaminatedwillonlybepickedupusingmechanicalmeans,suchasabrushanddustpan.

Sharps Injury Prevention Thefollowingsharpssaferdevicesandengineeringcontrolswillbeimplemented:

• NeedlelessIVsystem• Self-sheathing

Allemployeeswillcomplywiththefollowingworkpracticecontrolstoreduceexposuretosharps:

• Contaminatedneedlesandothercontaminatedsharpswillnotbebent,recapped,orremoved• Shearingorbreakingcontaminatedneedlesisprohibited• Contaminatedreusablesharpsmustbeplacedindesignatedreusablesharpscontainers• Anybending,recapping,orneedleremovalmustbeaccomplishedbytheschoolnurse

Sharpsdisposal.Sharpsdisposalcontainersareinspectedandmaintainedorreplacedbytheschoolnursewhenevernecessarytopreventoverfilling.

Reviewandupdateprocedures.Thisfacilityidentifiestheneedforchangesinengineeringcontrolsandworkpracticesforthemanagementofsharpsthrough:

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• ReviewofOSHArecords• Interviewswithemployeesresponsiblefordirectpatientcare

HumanResourceswillevaluatenewproceduresandnewproductsregularlybyreviewingnewstateandfederalrequirementsandstudentneeds.

Bothfront-lineworkersandmanagementofficialsareinvolvedintheprocessforevaluatingnewproceduresandproductsinthefollowingmanner:

UnioninputStateandFederalguidelinesDistrictneeds

StudentServicesisresponsibleforensuringthatapprovedrecommendationsfromtheevaluationsareimplemented.

PPE PPEisprovidedtoouremployeesatnocosttothem.PPEwillbechosenbasedontheanticipatedexposuretobloodorOPIM.ThePPEwillbeconsideredappropriateonlyifitdoesnotpermitbloodorOPIMtopassthroughorreachtheemployee’sclothing,skin,eyes,mouth,orothermucousmembranesundernormalconditionsofuseandforthedurationoftimewhichitwillbeused.

Table4describesindetailhowPPEwillbeprovidedandthetypesofPPEthatwillbegiventoemployees.

Table4

ProvisionofPPEtoEmployees

How Provided PPE Distributor Procedures Requiring PPE

Type of PPE Required

M&O Department Dan Norris Cleaning Gloves, glasses, clothing Yard Duty Site Administrator

Program Managers First Aide Gloves

Health Services Site Administrator Program Managers

Cleaning and first aide Gloves

Training Site Administrator Program Managers

Cleaning and first aide Gloves

Site Staff Site Administrators Cleaning and first aide Gloves

AllPPEwillbecleaned,laundered,anddisposedofbytheemployer.Allrepairsandreplacementswillbemadebytheemployer.

AllPPEwillberemovedpriortoleavingtheworkarea.Ifvisiblycontaminated,PPEwillbeplacedinanappropriatelydesignatedareaorcontainerforstorage,washing,decontamination,ordisposal.Thedesignatedareasare:

• CustodialCloset

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PrecautionswhenusingPPE:AllemployeesusingPPEmustobservethefollowingprecautions

• WashhandsimmediatelyorassoonaspossibleafterremovalofglovesorotherPPE• RemovePPEafteritbecomescontaminated,andbeforeleavingtheworkarea• UsedPPEmaybedisposedofinthehazardouswastecontainer• Wearappropriategloveswhenitcanbereasonablyanticipatedthattheremaybehandcontactwith

bloodorOPIM,andwhenhandlingortouchingcontaminateditemsorsurfaces;replaceglovesiftorn,punctured,contaminated,oriftheirabilitytofunctionasabarrieriscompromised

• Utilityglovesmaybedecontaminatedforreuseiftheirintegrityisnotcompromised;discardutilityglovesiftheyshowsignsofcracking,peeling,tearing,puncturing,ordeterioration

• Neverwashordecontaminatedisposableglovesforreuse• Wearappropriatefaceandeyeprotectionwhensplashes,sprays,spatters,ordropletsofbloodor

OPIMposeahazardtotheeye,nose,ormouth• RemoveimmediatelyorassoonasfeasibleanygarmentcontaminatedbybloodorOPIM,insucha

wayastoavoidcontactwiththeoutersurface

Blood-contaminated PPE IfPPEorpersonalclothingissplashedorsoakedwithbloodorOPIM,thepersonwearingthePPEorclothingwillremovethecontaminatedclothingassoonaspossible.Thisclothingwillbelaunderedattheemployer’sexpense.Suchclothingwillbeidentifiedascontaminatedandanyemployeeexposedtoitwillbenotifiedandprotectedfromexposure.

Gloves Gloveswillbewornwhereitisreasonablyanticipatedthatemployeeswillhavehandcontactwithblood,OPIM,non-intactskin,andmucousmembranes.GloveswillbeavailablefromRobertReyes,MaintenanceSupervisor,healthassistants,andsiteadministrators.

Disposablegloveswillnotbewashedordecontaminatedforreuseandwillbereplacedwhentheyaretorn,punctured,orwhentheirabilitytofunctionasabarrieriscompromised.Utilityglovesmaybedecontaminatedforreuseprovidedthattheintegrityofthegloveisnotcompromised.Utilitygloveswillbediscardediftheyarecracked,peeling,torn,punctured,orexhibitothersignsofdeteriorationorwhentheirabilitytofunctionasabarrieriscompromised.

PPE Training Allemployeescoveredundertherequirementsofthisplanwillbetrainedtoproperlyuse,puton,takeoff,decontaminate,maintain,andstorePPE.TrainingintheuseoftheappropriatePPEisprovidedbyHumanResources,StudentServicesandsiteadministrators.

Disposable PPE Disposableglovesandpaperfacemasksmustnotbeusedagainoncetheyareremoved.Neverwashordecontaminatedisposableglovesforreuse.Replacethemassoonaspossibleaftertheybecomecontaminatedoriftheyaretorn,punctured,ortheirabilitytofunctionasabarrieriscompromised.

DisposablePPEmaybediscardedintheregulartrashifithasnovisiblecontaminationwithbloodorOPIM.PlacePPEwithvisiblecontaminationwithbloodorOPIMinasharpsorbiohazardcontainer.

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HEPATITIS B VACCINATION

HumanResourcesandsiteadministratorswillprovidetrainingtoemployeesonhepatitisBvaccinations,addressingsafety,benefits,efficacy,methodsofadministration,andavailability.

ThehepatitisBvaccinationseriesisavailableatnocostafterinitialemployeetraining.

Whenanemployeeelectstobevaccinated,alicensedhealthcareprofessionalwillconductamedicalevaluation.

Vaccinationisencouragedunless:

• Documentationexiststhattheemployeehaspreviouslyreceivedtheseries;• Antibodytestingrevealsthattheemployeeisimmune;or• Medicalevaluationshowsthatvaccinationiscontraindicated.

Followingthemedicalevaluation,acopyofthehealthcareprofessional’swrittenopinionwillbeobtainedandprovidedtotheemployeewithin15daysofthecompletionoftheevaluation.Theevaluationwillbelimitedtowhethertheemployeerequiresthehepatitisvaccineandwhetherthevaccinewasadministered.

VaccinationwillbeprovidedbyKaiseriftheemployeeisaKaisermemberortheDistrictappointedclinicforallotheremployees.

Declinationofthevaccine.Ifanemployeedeclinesthevaccination,theemployeemustsignadeclinationform(attachedtothisECP).Employeeswhodeclinemayrequestandobtainthevaccinationatalaterdateatnocost.SigneddeclinationformsarekeptinHumanResources.

ExposureIncidentManagement

EXPOSURE INCIDENT REPORT

AnyincidentthatresultsinoccupationalexposuretobloodorOPIMwillbereportedimmediatelytoKeenanandAssociates.AseparatereportmustbecompletedbyeachpersonexposedtobloodorOPIM.Thereportwillincludethenameofthepersonexposed,thetimeanddateoftheincident,andadeterminationofwhetheranexposurehasoccurred.Ifexposurehasoccurred,apost-exposureevaluationwillbeperformed.

POST-EXPOSURE EVALUATION AND FOLLOW-UP

Aconfidentialmedicalevaluationandfollow-upwillbeconductedbyKeenanandAssociates.Afterinitialfirstaidormedicalattention,thefollowingactivitieswillbeperformedby

AllianceOccupationalMedicine1901MontereyRoad

or KaiserOccupationalMedicineClinic275HospitalParkway,Suite565

SanJose,CA95112 SanJose,CA95119408-477-8080 408-972-6800

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• Documenttheroutesofexposureandhowtheexposureoccurred• Identifyanddocumentthesourceindividual(unlesstheemployercanestablishthatidentificationis

infeasibleorprohibitedbystateorlocallaw)• Obtainconsentandmakearrangementstohavethesourceindividualtestedassoonaspossibleto

determineHIV,HCV,andHBVinfectivity;documentthatthesourceindividual’stestresultswereconveyedtotheemployee’shealthcareprovider

• IfthesourceindividualisalreadyknowntobeHIV,HCVand/orHBVpositive,newtestingneednotbeperformed

• Assurethattheexposedemployeeisprovidedwiththesourceindividual’stestresultsandwithinformationaboutapplicabledisclosurelawsandregulationsconcerningtheidentityandinfectiousstatusofthesourceindividual(e.g.,lawsprotectingconfidentiality).

• Afterobtainingconsent,collectexposedemployee’sbloodassoonasfeasibleafterexposureincident,andtestbloodforHBVandHIVserologicalstatus

IftheemployeedoesnotgiveconsentforHIVserologicaltestingduringcollectionofbloodforbaselinetesting,preservethebaselinebloodsampleforatleast90days.Iftheexposedemployeeelectstohavethebaselinesampletestedduringthiswaitingperiod,performtestingassoonasfeasible.

ADMINISTRATION OF POST-EXPOSURE EVALUATION AND FOLLOW-UP

MailaNguyenensuresthatthehealthcareprofessional(s)responsibleforemployee’shepatitisBvaccinationandpost-exposureevaluationandfollow-uparegivenacopyofthebloodbornepathogensregulation.MailaNguyenwillensurethatthehealthcareprofessionalevaluatinganemployeeafteranexposureincidentreceives:

• Adescriptionoftheemployee’sjobdutiesrelevanttotheexposureincident• Adescriptionofroute(s)ofexposure• Circumstancesofexposure• Ifpossible,resultsofthesourceindividual’sbloodtest• Relevantemployeemedicalrecords,includingvaccinationstatus

TheDistrict’sappointedclinicwillprovidetheemployeewithacopyoftheevaluatinghealthcareprofessional’swrittenopinionwithin15daysaftercompletionoftheevaluation.

PROCEDURES FOR EVALUATING THE CIRCUMSTANCES SURROUNDING AN EXPOSURE INCIDENT

HumanResourceswillreviewthecircumstancesofallexposureincidentstodeterminethe:

• Engineeringcontrolsinuseatthetime• Workpracticesfollowed• Descriptionofthedevicebeingused(includingtypeandbrand)• Protectiveequipmentorclothingthatwasusedatthetimeoftheexposureincident(gloves,eye

shields,etc.)• Locationoftheincident• Procedureortaskbeingperformedwhentheincidentoccurred• Employee’straining

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StudentServicesDepartmentandHumanResourceswillrecordallpercutaneousinjuriesfromcontaminatedsharpsinaSharpsInjuryLog.

EmployeeTraining

AllemployeeswhohaveoccupationalexposuretobloodbornepathogenswillreceiveinitialandannualtrainingconductedbyHumanResourcesand/orsiteadministrator/ProgramManager.

Allemployeeswhohaveoccupationalexposuretobloodbornepathogenswillreceivetrainingontheepidemiology,symptoms,andtransmissionofbloodbornepathogendiseases.Inaddition,thetrainingprogramcovers,ataminimum,thefollowingelements:

• AcopyandexplanationoftheOSHAbloodbornepathogenstandard• AnexplanationofourECPandhowtoobtainacopy• Anexplanationofmethodstorecognizetasksandotheractivitiesthatmayinvolveexposureto

bloodandOPIM,includingwhatconstitutesanexposureincident• Anexplanationoftheuseandlimitationsofengineeringcontrols,workpractices,andPPE• Anexplanationofthetypes,uses,location,removal,handling,decontamination,anddisposalofPPE• AnexplanationofthebasisforPPEselection• InformationonthehepatitisBvaccine,includinginformationonitsefficacy,safety,methodof

administration,thebenefitsofbeingvaccinated,andthatthevaccinewillbeofferedfreeofcharge• Informationontheappropriateactionstotakeandpersonstocontactinanemergencyinvolving

bloodorOPIM• Anexplanationoftheproceduretofollowifanexposureincidentoccurs,includingthemethodof

reportingtheincidentandthemedicalfollow-upthatwillbemadeavailable• Informationonthepost-exposureevaluationandfollow-upthattheemployerisrequiredtoprovide

fortheemployeefollowinganexposureincident• Anexplanationofthesignsandlabelsand/orcolorcodingrequiredbythestandardandusedatthis

facility• Anopportunityforinteractivequestionsandanswerswiththepersonconductingthetraining

session

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Recordkeeping

TRAINING RECORDS

Trainingrecordsarecompletedforeachemployeeuponcompletionoftraining.Thesedocumentswillbekeptforatleast3yearsinHumanResources.

Thetrainingrecordswillincludethe:

• Datesofthetrainingsessions• Contentsorasummaryofthetrainingsessions• Namesandpersonsconductingthetraining• Namesandjobtitlesofallpersonsattendingthetrainingsessions

Employeetrainingrecordsareprovideduponrequesttotheemployeeortheemployee’sauthorizedrepresentativewithin15workingdays.SuchrequestsshouldbeaddressedtoJamieGarcia

MedicalRecords

Medicalrecordsaremaintainedforeachemployeewithoccupationalexposureinaccordancewiththeemployeeexposureandmedicalrecordsregulation.JamieGarciaisresponsibleformaintenanceoftherequiredmedicalrecords.TheseconfidentialrecordsarekeptinHumanResourcesforatleastthedurationofemploymentplus30years.

OSHA RECORDKEEPING

AnexposureincidentisevaluatedtodetermineifthecasemeetsOSHA’sRecordkeepingRequirements(29CFR1904).

InjuryLog

InadditiontotheOSHArecordkeepingrequirements,allpercutaneousinjuriesfromcontaminatedsharpsarealsorecordedinaSharpsInjuryLog.Allincidentswillincludeatleast:

• Thedateoftheinjury• Thetypeandbrandofthedeviceinvolved(syringe,sutureneedle)• Thedepartmentorworkareawheretheincidentoccurred• Anexplanationofhowtheincidentoccurred

TheSharpsInjuryLogisreviewedaspartoftheannualprogramevaluationandmaintainedforatleast5yearsfollowingtheendofthecalendaryearcovered.Ifacopyisrequestedbyanyone,itwillhaveanypersonalidentifiersremovedfromthereport.

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Berryessa Union School District

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IntroductionBerryessaUnionSchoolDistricthaswrittenanddevelopedthisprogramtocomplywiththeprovisionsofSection5110ofTitleEightoftheCaliforniaCodeofRegulationsandtoaddresstheproblemofrepetitivemotioninjuriesthatresultfromwork-relatedactivity.

The“ErgonomicsInjury&IllnessPreventionProgram”outlinesthepoliciesandproceduresthatarebothnecessaryandrequiredtocontrolRMI’sandcomplywiththevariousprovisionsoftheergonomicssafetyregulations.AlthoughacopyofthecurrentCaliforniastandardiscontainedinthismanual,significantchangesshouldbeanticipatedoverthecomingmonthsandpossiblyyears.TheFederalOSHAhasissuedaproposedergonomicsstandardthatcouldimpactCaliforniainthenearfuture.

BerryessaUnionSchoolDistrictwillcontinuetostayinformedofthechangesinergonomicrulesandregulations,andwewillmakechangestoourprogramasregulationsevolve.Inthemeantime,thefollowingprocedureswilldefineourapproachtoworkplaceergonomicsuntilthosechangesareapprovedandadopted.

ProgramScope&Administration

STANDARD

Undercertainspecificcircumstances,employersarerequiredtodevelopafour-steppreventionprogramtocopewithrepetitivemotioninjuriesintheworkplace.

SPECIFICCRITERIA

1. Thissection(5110)appliestoajob,process,operation,orothergroupworkclassificationwherearepetitivemotioninjury(RMI)hasoccurredtotwoormoreemployees.

2. ThetwoRMI’smusthaveoccurredwithinasingleprocess,operation,orothersimilarworkgroup

classificationtoactivatetherequirementsofthissafetyregulation.3. TheRMImusthavebeenpredominatelycausedbyawork-relatedrepetitivejobactivity.

Predominatelymeansover50%causedbyworkactivity.4. ThetwoormoreemployeesincurringtheRMI’smusthavebeenperformingthesamejobprocessor

operationofidenticalworkactivity.5. TheRMI’smusthavebeenmusculoskeletalinjuriesthathavebeenobjectivelyidentifiedanddiagnosedbya

licensedphysician.6. TheRMI’smusthavebeenreportedtotheemployerbytheinvolvedemployeeswithinthelasttwelve

months,butnotpriortoJuly3,1997.7. EmployerswithnineorfeweremployeesareNOLONGERexemptedfromthisregulationasofaCalifornia

CourtofAppealsdecisioninJanuary2000.

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WorkSiteEvaluation&HazardAssessment

STANDARD

Alljobclassificationsand/orcategoriesthatarecoveredbythissectionorsafetystandardmustbeevaluatedandexaminedforexposureandhazardsthatmaycauseRMI’s.

SPECIFICCRITERIA

1. Aswithotherportionsofthisstandard,theexposureevaluationisrequiredaftertwoormoreRMI’soccurtotwoormoreemployees.

2. Theexposurefactorsthatneedtobeidentifiedwithineachseparatejobcategoryinvolverepetitionand

force.HighrepetitionwithstrongforceshasthemostseriousexposuretoRMI’s.3. Repetitionreferstothenumbertimesanidenticalactivityisrepeatedduringaspecifictimeperiod.Afew

repetitionsperhourdoesnotconstituteahighlyrepetitiveactivity.4. Forcereferstotheamountofenergyorstrengthneededtoperformanactivity.Themoreforcethatis

needed,thelesstherepetitionsneededtopotentiallycauseanRMI.

ControlofWork-RelatedRMIExposures

STANDARD

WhenaspecificworkgrouporcategoryhasdemonstratedthepotentialforRMI’s,aneffortshallbemadetocontroland/ormitigatetheworkexposures.TheRMIexposuresshallbeaddressedinatimelymannerandtotheextentfeasible.

SPECIFICCRITERIA

1. Onemethodformitigatingexposuresistheredesignofajob.Redesignmeanschangingthewaythejobisperformedsorepetitionandforceexposuresarereduced.Insomecasesredesignmayinvolvetransferringdutiestootherlessstressfuljobcategories.

2. Anothermethodinvolvesreducingforceandrepetitionstressthroughteamwork.Anexampleofbasic

teamworkincludesrequiringtwopeopletoliftaheavyobject.Otherideascanbeidentifiedduringthejobevaluationphase.

3. Anothertechniqueinvolvestheuseofrestbreaksandworkpacing.Short,frequentbreaksareusually

preferabletolongerlessfrequentbreaks.4. Jobrotationisanotherconceptthathasapracticalapplicationinsomeworksituations.Workerskilland

aptitudearerequiredforthisconcepttobepracticalandeffective.5. Engineeringcontrolsareanotherexposurereductionconceptandinvolvereducingthesizeofcontainers,

installinghandlesorgripsforliftingorpushing,increasingthesizeofwheelstoimproverolling,andotherideasidentifiedduringtheexposureevaluationprocess.

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6. Modificationstoclericalorcomputerworkstationsoradjustablefurniture,suchasstoolsorchairsshouldbeconsideredasremediestoRMIexposures.

7. Costandpracticalityareconceptsthatmustbeappliedtothephrase“totheextentfeasible.”ReducingRMI

exposuresshouldnotputabusinessatfinancialriskorprohibittheactualperformanceofthejob.Conversely,ideasknowntotheemployerbutnottakenwhichmayreduceRMIexposuretoagreaterextentwithoutimposingsignificantlyincreasedcostmustbeconsidered.

EmployeeTraining

STANDARD

WhenthissectionisactivatedbytheexistenceoftwoormoreRMI’swithaspecificjobclassification,certainspecifictrainingrequirementsareactivated.

SPECIFICCRITERIA

1. Employeeswithinoneormoreofthejobcategoriescoveredbythestandardshouldbemadeawareoftheemployer’sergonomicspreventionprogramanditsspecificprovisions.

2. EmployeesshouldbemadeawareofthevariousworkinjuryexposuresdiscoveredduringtheRMIinjury

exposureevaluationprocess.3. Thevarioussymptomsandthelong-termconsequencesoftheinjuriescausedbyRMI’sshallbe

communicatedtoemployeeswithintheaffectedworkgroups.4. Employeeswithinaffectedjobgroupsmustbemadeawareoftheimportanceofreportingofsymptomsso

interventionscanbemoreeffective.5. Trainingshallincludeanunderstandingofallexposurecontrolmethods,suchasjobredesign,workstation

modification,exercisetechniques,andotherideasdiscussedinthesectiononexposurecontrolandreduction.

Workstation Evaluation

Thepropersetupoftheworkstationisthekeytoofficeergonomics.Animproperofficearrangementwillpromotepoorposture,increasedphysicalstress,andcancauseincreasedfatigueandmayleadtosymptomsofrepetitivemotioninjuries(RSI’s).AllErgonomicevaluationsarerequestedtoJamiGarciaandmayrequireadoctor’snote.

Theevaluationmustinvolveacomprehensivereviewofallfactors,however,thechairistheplacetostart.Theseatheightshouldbeadjustablesothelegsoftheemployeecanbeproperlypositionedsothethighsareparallelwithfloorandthefeetarefirmlyrestingonthefloor.Thelegsshouldnothangnorshouldtheybebentattheanklessotheemployee’stoescantouchthefloor.Theseconditionswillleadtomuscletightening,tension,andfatigue.

Thebackofthechairshouldhaveagoodlumbarpad,whichgivessolidsupporttothesmallcurveofthelowerback.Thebackpadshouldbeadjustablesothelowerportionridesinthesmallofthebackwheresupportis

35

needed.Ifthepadistoolowitwillnotprovidetheneededsupportandtheseatpadwilltendtopushtheuser

YOU AND YOUR V D T

36

towardtheedgeofthechair.Backpadtiltisavaluableoption,butnotasnecessaryastheheightadjustments.Backpadtiltallowstheusertobringthelumbarpadforwardorbackasneeded.

Armrestsareoneofthoseaccessories,whichcanbedescribedasapersonaloption.Somepeoplelikethemandsomedon't.Theimportantthingistobesuretheheightofthearmrestislowenoughtoallowthearmstohanginanaturalpositionsotheshouldersarenotcompresseduptowardtheneck.Thisconditionwillalsoleadtomusclefatigueintheshoulderandneckarea.Armsrestsareusuallyremovableandsomehaveanadjustableheight.

Thepropersizeoftheseatpadwillvarywiththesizeoftheuser.Thebackofthelegsshouldclearthefrontoftheseatpadby2to4inches.Iftheclearanceismuchlarger,theseatisprobablytoosmallandtheusermayfeelliketheyarenotbeingadequatelysupported.Thiswillpromotemuscletighteningandwillprobablyleadtoachingmusclesandlegfatigue.

Otherchairfeaturesincludeseatpadtilt,adjustablelumbarsupports,andarotationaladjustmenttothearmrest.Allofthesefeaturesaddcostandcomfort,however,theyarenotasimportantastheotherfeatures.Oncetheproperchairhasbeenselectedwecanmovetheemployeeintotheworkareatocheckotherfactors.Thekeyboardandmouseset-uparethenexttargetsforreview.Thearmsshouldbepositionedsimilarlytothelegs.Theyshouldbeparallelwiththefloorandthewristshouldbeintheneutral(straight)position.Ifthisisonthedesktop,itmaybetoohigh.Ifanadjustabletrayisbeingused,itmaybepositionedimproperly.Theadjustablekeyboardtraywithmousesupportisprobablythemostdesirablesetupformostsituations.Theadjustmentallowstheusertopositionthekeyboardandmouseattheproperlevelandproperanglewithoutchangingthepositionofthelegsandfeet.

Themonitorshouldbeplaceddirectlyinfrontoftheworker,anditshouldbelowenoughthatthetopofthescreenisabout5degreesbeloweyelevelwhenlookingstraightout.Thedistanceisrecommendedbetween16to22inchesallowingtheheadtorestcomfortablyovertheshoulders.Glasses,personalchoiceandtheneedfordesksurfacecouldaffectthedistance.Thedistanceisaconcern,butitisnotascriticalastheheightandthelocation.Workingwithheadtiltedbackand/ortwistedtothesidewillleadtoneckcrampsandfatigue.Bifocalsarediscouragedbecauseoftherequiredheadtilt.Asingleprescriptionlensisrecommendedforthecomputeruser.

Otheraccessoriesincludetheworkholder.TheholdersthatmountonthetopofthemonitorwithVelcroareeffectivebecausetheyleavethedesksurfaceclearandtheykeeptheworkclosetothescreen.Anofficeproductscatalogcontainsavarietyofdifferentdesignsandlocatingthepropertypeshouldbenoproblem.Itisimportanttoavoidtwistingthenecktolookatcopywork,whichispositionedonareturnortableofftotheside.Keepthecopyworkinfrontoftheuserandatthesamedistanceasthescreen.

Thediagraminthenextsectiondisplaysthevariousfactorsdiscussedabove.Reviewthedrawingandreviewtheinformationincluded.Byusingthediagram,theaboveinformation,andthechecklist,whichfollows;youshouldbeabletocompleteaneffectiveworkstationreview.

37

Ingeneral,movethefrequentlyusedobjectsintoaprimaryspacethatisclosesttoyou.Becarefultotakeintoconsiderationyourleft/rightpreferencestoreducereachingandstretching.Movefreelyandworkhealth

38

ERGONOMIC EXERCISES

RELEASINGHAND,WRIST&SHOULDERTENSION

STRETCHING –Placeyourhandsoutinfrontofyou.Thenspreadyourfingersasfarapartaspossible.Holdforfivesecondsandthenrelax.Repeatthisprocessfivetimes.

ROTATIONS –Rotateyourwrists,keepingyourfingersrelaxedandyourelbowsstill.Withyourhandsextended,firstturnyourpalmsupandthenrotateyourpalmsdown.Repeattheexercisefivetimes.

HANDSHAKING –Withyourhandsextended,relaxyourmusclesandletyourhandsdangleatthe

wrists.Thenshakeyourhands.First,shakethemupanddownandthenshakethemfromsidetoside.Repeattheexerciseuntilthetensionisgone.

REACHING –Placeyourarmsoveryourhead.Withyourfingersstretched,reachtowardtheceiling.Holdthestretchforfivesecondsandthenrelax.Repeatfivetimes.

ROLLING –Usingawidecircularmotion,rollyourshouldersbackward.Repeattheexercisefivetimes.

SHIFTING –Whilesittinginyourchair,movearoundtoloosenup.Slouch,slump,lookawayfromthescreen,anddangleyourarms.Repeatasoftenasnecessary.

NECKGLIDES –Whileseated,glideyourneckforwardandhold.Thenglidethenecktotherearandhold.Keepthechinlevel.Repeattheexercisefivetimes.

DEEPBREATHING –Closeyoureyes,inhaleandholdyourbreathwhiletighteningyourentirebody.Slowlyexhaleandrelax.Repeatfivetimes.

EYERELAXATION –Usingtheindexandmiddlefingergentlymassagetheeyeareajustaboveand

belowthebrow–firstinaclockwisedirectionandthenacounter-clockwisedirection.

FINGERSTRETCHES –Withhandsatyoursidesandkeepingthewriststraight,curlthefingerstothebaseofthefingersbendingonlythejoints.Straightenthehandsandrelax.Repeatfivetimes.

39

ExercisesandRelaxationTechniques

RepetitionandforceareimportantfactorsinthestudyofergonomicsandindeterminingthecauseofRSI’s.Repetitionandforcecoupledwithanimproperworkstationsetupcaninsomecasesleadtodiscomfort,fatigue,andthesymptomsofRSI’soveralongerperiodoftime.

Repetitionreferstothenumberoftimesaworkerhastocompletehand,arm,andfingermanipulations.Forcereferstotheamountofeffortorstrainthatmustbeexertedwitheachrepetition.Ahighnumberofrepetitionswithheavyforcearethemostundesirablesituation.Thereareanumberofwaystheeffectsofforceandrepetitioncanbemitigated.

Exercisesareanexcellentwaytorelievesomeofthestressandtightnessintheneck,fingers,hands,andshoulders.Thereareseveraldifferentexercisesincludedinthissectionthatcanbeperformedatthedesk.Additionally,therearesoftwareprogramsavailablethatremindtheworkerswhentotakebreaksandshowthemhowtoexerciseproperly.

Takingrestbreaksfromthekeyboardtodocopying,filing,andothertasksisanotherwaytoreducethebuild-upoftensionandfatigue.Evenshortbreaksarebeneficialbecausetheyallowforsomerecoveryinthemusclesandtendons.Andinaddition,shortbreaksallowforamentalrest,whichcanhaveamajoreffectonreducingstressbuildup.

Schedulingisanothermethod,whichcanbeusedtoavoidprolongedperiodsatthekeyboard.Bybreakingupavarietyofdutiessuchasfiling,copying,keying,andothertasks,theemployeecanlimitkeyingtofourone-hourperiodsratherthanoneprolongedfour-hourperiod.Theshortsegmentsallowforrecoverybetweensegments.

Takingbreaks,organizingtheworksoavarietyoftaskscanbemixedoveraperiodofafewhoursispreferredratherthanspendingprolongedperiodsatonerepetitivemotiontask.

40

40

OFFICE ERGONOMICS

General

Location: Date:

Jobs: UsedFor:

MainTopic Yes No Comments

WORKERPOSITIONING

1. Aretheworker’sforearmsandwristsparalleltothefloorandtheupperarmsrestingathis/hersideswhenpositionedatthekeyboardortheworksurface?

ο ο

2. Aretheworker’sthighsparalleltothefloor? ο ο

3. Aretheworker’sfeetflatonthefloororafootrest?

ο ο

4. Isthereatleast2inchesofclearancebetweentheworker’sthighsandtheworkingsurface?

ο ο

5. Istherespacebetweentheedgeoftheseatpanandthebackoftheworker’sknees?

ο ο

6. Aretheworker’spalmsandwristsfreefromtouchingthekeyboardordeskedge?

ο ο

7. Isthetopoftheviewingscreenateyelevel? ο ο

8. Doesthechairbackrestsupportthecurveoftheworker’slowerback?

ο ο

WORKSTATIONSETUP

9. Doestheworkerreferprimarilytoitemsplacedinfrontofhim/her?

ο ο

10.IstheVDTmonitorpositionedperpendiculartowindowlight?

ο ο

11.Isthereglarefromoverheadlight? ο ο

12.Isthescreenbetween18-24inchesfromtheworker’seyes?

ο ο

13.Cantheworkspacebeadaptedforeitherrightorleft-handuse?

ο ο

14.Areallfrequentlyuseditemswithina6-to14-inchreachoftheworker?

ο ο

15.Arefrequentreachesbelowshoulderheightand/orabovekneeheight?

ο ο

16.Doesthearrangementoftheworkareaallowaccesstoallequipmentandjobaidswithouttwisting?

ο ο

41

OFFICE ERGONOMICS

General

Location: Date:

Jobs: UsedFor:

MainTopic Yes No Comments

17.Areallcablesroutedoutoftheworker’sway? ο ο

WORKSPACE

18.Istherespacetoperformalltasksattheworkstation(atleast24”deepand24”)?

ο ο

19.Areworksurfacesand/orequipmentcornersoredgesroundedandsmooth?

ο ο

KEYBOARD

20.Isthekeyboarddetachablefromthemonitor? ο ο

21.Canthekeyboardadjust inangle?(ANSIrecommendsadjustabilitybetween0-25degrees.)

ο ο

22.Doesthekeyboardhaveamattefinish? ο ο

23.Isthekeyboardpositionedonauseradjustableheight/tiltsupport?

ο ο

MONITOR

24.Canthemonitorheightbeadjustedbytheuser?

ο ο

25.Doesthemonitortilt?Swivel? ο ο

26.Areimagesonthescreenclear/sharpandeasytoread?

ο ο

27.Isthescreenanti-glare? ο ο

28.Ifthereisglare,isthereananti-glarefilteroraVDThood?

ο ο

29.Arethereadjustablebrightnessandcontrastcontrols?

ο ο

DOCUMENTHOLDER

30.Isthedocumentholderpositionedatasimilardistancefromtheworkers’eyestothemonitor?

ο ο

31.Isthedocumentholderpositionedtoallowneutralheadpositioning?

ο ο

CHAIR

42

OFFICE ERGONOMICS

General

Location: Date:

Jobs: UsedFor:

MainTopic Yes No Comments

32.Cantheworker,whenseated,easilyadjustthechair?

ο ο

33.Isthelumbarsupportadjustableinheightandangle?Doesitlock?

ο ο

34.Isthelumbarsupportatleast12incheswideand6-9incheshigh(ANSI)?

ο ο

35.Isthetensiononthebackrestsupportadjustable?

ο ο

36.Isthecenterofthelumbarsupportbetween6-10inchesabovetheseatpan(ANSI)?

ο ο

37.Ifchairhasarmrests,aretheyadjustableinheight?

ο ο

38.Ifchairhasarmrests,dotheyallowworkertogetclosetotheworksurface?

ο ο

39.Ifchairhasarmrests,aretheyatleast18.2inchesapartfromeachother(ANSI)?

ο ο

40.Ifchairhasarmrests,aretheyatleast2incheswide?

ο ο

41.Ifchairhasarmrests,aretheedgescontouredandpadded?

ο ο

42.Isthefrontseatpanedgerounded? ο ο

43.Doestheseatpantilt?Lock? ο ο

44.Istheseatplanatleast18incheswide(ANSI)? ο ο

45.Istheseatpandepthbetween15-17inches(ANSI)?

ο ο

46.Doestheseatpanadjustinheightbetween16to20-½inches(ANSI)(excludesdraftingchairs)?

ο ο

47.Doesthechairhavea5-leggedswivelbase? ο ο

48.Doesthechairhavewheelsorcastersthatallowmobilityoncarpetedfloors?

ο ο

49.Isthechairpadded? ο ο

43

OFFICE ERGONOMICS

General

Location: Date:

Jobs: UsedFor:

MainTopic Yes No Comments

50.Doemployeesfeelthatthechairiscomfortable(ask)?

ο ο

FOOTREST

51.Ifafootrestisused,isitatleast2incheshigh(ANSI)andadjustableangle?

ο ο

52.Ifafootrestisused,doesitallowtheworkertopositionhimself/herselfcorrectlyattheworkstation?

ο ο

ENVIRONMENT

53.Arelightlevels19to46footcandles(fc)overallattheVDTworkstation(ANSI)?

ο ο

54.Istasklighting(50to100fc)providedforvisuallydemandingtasks?

ο ο

55.Dolightsshineintheworker’seyes? ο ο

56.Iftherearewindows,arewindowtreatmentsused(blinds,curtains,etc.)?

ο ο

57.Doallsurfacesattheworkstationhavenon-reflective(mattefinishes)whichreduceglare?

ο ο

58.Arecolorsattheworkstationneutral? ο ο

59.Istheworkareafreeofdrafts? ο ο

60.Istheworkareawellventilated? ο ο

61.Istheworkareanoisy? ο ο

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Berryessa Union School District

45

HeatIllnessPrevention

Scope:ThisPlancoversemployeeswhoareexposedtoheatorhotconditionsatorabovethethresholdlevelsforworkareasandactivitiesidentifiedintheheatstresshazardassessment.

Policy:Thisorganizationiscommittedtoprotectingemployeesfromthehazardsofhotconditionsandtopreventingheat-relatedillnessesattheworkplace.Wewillidentify,evaluate,andcontrolpotentialexposureofouremployeestoextremetemperature,humidity,andotherheat-relatedfactors.PlanAdministration

PlanAdministrator/DesignatedPerson(s).ThePlanAdministrators,MiguelCruz,DirectorofMaintenance,OperationsandTransportation,DanNorris,MaintenanceSupervisor,NestorCampana,ProjectCoordinator,areresponsibleforimplementingtheHeatStressPreventionProgram,monitoringworkareaheatconditionsandforensuringthatemployeesaretrainedtorecognizethesignsandsymptomsofheatstressillnessesorinjuryandwhattodoiftheseoccur.

TheAdministratormaydesignateandauthorizeotherpersonneltoimplementspecificcomponentsofthePlan.

Supervisors.Supervisorsareresponsibleforencouragingemployeestofrequentlyconsumewaterorotheracceptablebeveragestoensurehydration.

Employees.Employeesareresponsibleformonitoringtheirownpersonalfactorsforheat-relatedillnessincludingconsumptionofwaterorotheracceptablebeveragestoensurehydration.

PlanReviewandUpdateThisPlanwillbeperiodicallyreviewedandupdatedwhen:

• Newactivitiesorequipmentthatcreatesheatstressareintroducedintotheworkplace.• Evaluationsofheatstresshazards,injuries,andillnessesdemonstratethatthecurrentPlanis

outdatedornoteffective.• RegulatoryorapplicablenationalconsensusstandardschangethatrequirethisPlantobeupdated.

DEFINITIONSAcclimatizationoracclimateisthephysiological(i.e.,physical,mechanical,andbiochemical)changethatallowsthehumanbodytoadaptorgetusedtotheeffectsofanewphysicalenvironmentorclimate.Afteraperiodofacclimatization,thesamephysicalactivitywillproducefewercardiovasculardemands.Theworkerwillsweatmoreefficiently,causingbetterevaporativecooling,andthuswillmoreeasilybeabletomaintainnormalbodytemperatures.

Calorieistheamountofheatrequiredtoraise1gramofwater1°Celcius(C)(basedonastandardtemperatureof16.5to17.5°C).

46

Conductionisthetransferofheatbetweenmaterialsthatcontacteachother.Heatpassesfromthewarmermaterialtothecoolermaterial.Forexample,aworker’sskincantransferheattoacontactingsurfaceifthatsurfaceiscooler,andviceversa.

Convectionisthetransferofheatinamovingfluid.Airflowingpastthebodycancoolthebodyiftheairtemperatureiscool.Ontheotherhand,airthatexceeds85°Fahrenheit(F)canincreasetheheatloadonthebody.

Drybulb(DB)temperatureisthemeasurementoftheheatcontentoffreelyexposedairmeasuredbyathermalsensorthatisshieldedfromdirectradiantenergysources.

Evaporativecoolingtakesplacewhensweatevaporatesfromtheskin.Highhumidityreducestherateofevaporationandthusreducestheeffectivenessofthebody’sprimarycoolingmechanism.

Globetemperatureisthetemperatureinsideablackened,hollow,thincopperglobe.

Heatisameasureofenergythatistransferredbyadifferenceintemperature.

Metabolicheatisaby-productofthebody’sactivity.

Naturalwetbulb(NWB)temperatureismeasuredbyexposingawetsensor,suchasawetcottonwickfittedoverthebulbofathermometer,totheeffectsofevaporationandconvection.Theterm“natural”referstothemovementofairaroundthesensor.

Radiationisthetransferofheatenergythroughspace.Aworkerwhosebodytemperatureisgreaterthanthetemperatureofthesurroundingsurfacesradiatesheattothesesurfaces.Hotsurfacesandinfraredlightsourcesradiateheatthatcanincreasethebody’sheatload.

Heat-RelatedIllnessesIllnessasdefinedbyOSHAisgenerallynotinstantaneousandoccurssometime(hoursordays)aftertheinitialexposuretoanoccupationalhazard.Forexample,aninstantaneousreactionsuchasaburnaftertouchingahotsurfaceisconsideredaninjury;whereasadelayedreactiontoahotenvironmentsuchasheatexhaustionthatoccurshoursaftertheinitialexposureisconsideredanillness.

Heatcollapseisaconditionwherethebraindoesnotreceiveenoughoxygenbecausebloodpoolsintheextremities,resultinginalossofconsciousness(faintingorsyncope).Thisreactionissimilartothatofheatexhaustionanddoesnotaffectthebody’sheatbalance.However,theonsetofheatcollapseisrapidandunpredictable.Heatsyncopeisafaintingepisodeordizzinessthatusuallyoccurswithprolongedstandingorsuddenrisingfromasittingorlyingposition.Factorsthatmaycontributetoheatsyncopeincludedehydrationandlackofacclimatization.

Heatcrampsareusuallycausedbyperforminghardphysicallaborinahotenvironment.Thesecrampshavebeenattributedtoanelectrolyteimbalancecausedbysweating.Crampscanbecausedbybothtoomuchandtoolittlesalt.Crampsappeartobecausedbythelackofwaterreplenishment.Becausesweatisahypotonicsolution(±0.3%sodiumchloride),excesssaltcanbuildupinthebodyifthewaterlostthroughsweatingisnotreplaced.Thirstcannotbereliedonasaguidetotheneedforwater;instead,

47

watermustbetakenevery15to20minutesinhotenvironments.Underextremeconditions,suchasworkingfor6to8hoursinheavyprotectivegear,alossofsodiummayoccur.Recentstudieshaveshownthatdrinkingcommerciallyavailablecarbohydrate-electrolytereplacementliquidsiseffectiveinminimizingphysiologicaldisturbancesduringrecovery.

Heatexhaustionisaconditionwithsymptomsofheadache,nausea,vertigo,weakness,thirst,andgiddiness.Faintingassociatedwithheatexhaustioncanbedangerousbecausethevictimmaybeoperatingmachineryorcontrollinganoperationthatshouldnotbeleftunattended;moreover,thevictimmaybeinjuredwhenheorshefaints.Also,thesignsandsymptomsseeninheatexhaustionaresimilartothoseofheatstroke,amedicalemergency.

Heatfatigueisatemporarystateofdiscomfortandmentalorpsychologicalstrainarisingfromprolongedheatexposure.Itisgenerallycausedbyfluidloss.Workersunaccustomedtotheheatareparticularlysusceptibleandcansuffer,tovaryingdegrees,adeclineintaskperformance,coordination,alertness,andvigilance.Thereisnotreatmentforheatfatigueexcepttoremovetheheatstressbeforeamoreseriousheat-relatedconditiondevelops.Theseverityoftransientheatfatiguewillbelessenedbyaperiodofgradualadjustmenttothehotenvironment(heatacclimatization).

Heatrashis“prickly”heatmanifestedasredpapules(i.e.,small,inflammatory,irritatedspotsonskin)andusuallyappearsinareaswheretheclothingisrestrictive.Itisthemostcommonprobleminhotworkenvironments.Assweatingincreases,thesepapulesgiverisetoapricklingsensation.Pricklyheatoccursonskinthatispersistentlywettedbyunevaporatedsweat,andheatrashpapulesmaybecomeinfectediftheyarenottreated.Inmostcases,heatrasheswilldisappearwhentheaffectedindividualreturnstoacoolenvironment.

Heatstrokeisaconditionwhenthebody’ssystemoftemperatureregulationfailsandbodytemperaturerisestocriticallevels.Thisconditioniscausedbyacombinationofhighlyvariablefactors,anditsoccurrenceisdifficulttopredict.Heatstrokeisamedicalemergency.Theprimarysignsandsymptomsofheatstrokeareconfusion,irrationalbehavior,lossofconsciousness,convulsions,alackofsweating(usually),hotanddryskin,andanabnormallyhighbodytemperature(e.g.,arectaltemperatureof41°C(105.8°F)).Ifbodytemperatureistoohigh,itcausesdeath.Theelevatedmetabolictemperaturescausedbyacombinationofworkloadandenvironmentalheatload,bothofwhichcontributetoheatstroke,arealsohighlyvariableanddifficulttopredict.

HAZARDASSESSMENTTheAdministratorordesigneewillconductaninitialinspectionandhazardassessmentofallworkareasandenvironmentswherehotconditionsareanticipatedormayoccur.Heorshewillperiodicallyconductfollow-upinspectionstoensurecompliancewiththisPlanandtoevaluatetheeffectivenessofheatstresscontrolmeasures.

Duringtheassessmenttheinspectorwill:

• Determinebuildingandfacilityoperatingcharacteristicsthatmaycause,contributeto,oralleviatehotconditions.

48

• Determinewhetherengineeringandadministrativecontrolsarefunctioningproperly• Verifyinformationobtainedfromemployeeinterviews• Performtemperaturemeasurementsandmakeotherdeterminationstoidentifypotentialsources

ofheatstress

Investigatorswilldiscussanyoperations,whichhavethepotentialtocauseheatstresswithengineersorotherknowledgeablepersonnel.Awalk-aroundinspectionwillcoverallaffectedareas.Heatsourcessuchasfurnaces,ovens,andboilers,andrelativeheatloadperemployeewillbenoted.

HeatStressFactorsThefollowingworkplacefactorswillbeconsideredintheassessmentforheatstress:

• Airtemperature• Radiantheatsources• Conductiveheatsources• Humidity• Directphysicalcontactwithhotobjects• Workloadactivityandduration• Semi-permeableorimpermeableprotectiveclothing

Thefollowingworkerheatsensitivityfactorswillalsobeconsideredinevaluatingthepotentialforheatstress:

• Age• Weight• Degreeofphysicalfitness• Degreeofacclimatization• Metabolism• Useofalcoholordrugs• Medicalconditionssuchashypertension• Priorheatinjury(predisposesanindividualtoadditionalinjury)

HEATSTRESSPREVENTIONPROGRAMThisHeatStressPreventionProgramdescribescontrolsandworkpracticestoprotectemployeesfromheatstresswhileworkinginhotconditions.

ProgramImplementationCriteriaTheAdministratorordesigneewillimplementtheHeatStressPreventionProgramwhentheactionlevelsforhotconditionsintheWBGTareexceeded.

HeatStressEngineeringControlsThefollowingengineeringcontrolswillbeimplementedbeforeandincombinationwithworkpractices.

GeneralVentilationGeneralventilationwillbeusedwherefeasibleandpracticaltodilutehotairwithcoolerair.Portableorlocalexhaustsystemswillbeprovidedforsmallareaswheregeneralventilationisnotfeasibleorpractical.Ifthedrybulbtemperatureishigherthan85°Fandtheairisdry,evaporativecoolingmaybe

49

improvedbyairmovement.Whenthedrybulbtemperatureexceeds85°andtherelativehumidityis100%,airmovementwillmaketheworkerhotterandforcedventilationwillnotbeusedtoalleviateheatstress.

FansFanswillbeprovidedwheregeneralventilationisinsufficientorimpracticalandwhenevaporativecoolingwillbeimprovedbyairmovement.

AirCoolingorConditioningAircoolingorconditioningsystemswillbeprovidedwherefeasibleandpractical.

InsulationHeatingpipeswillbeinsulatedorotherwiseshieldedtoreduceradiantheat.

CoolRoomCoolroomswillbeusedasarecoveryareanearhotjobs.

HeatStressPreventionWorkPracticesWorkpracticeswillbeimplementedtoreducetheriskofelevatinganemployee’scorebodytemperature.Heatstresspreventionpracticesthatmaybeimplementedindividuallyorincombinationinclude:

• Employeeworkandrestintervals• Continualpersonalmonitoringofphysiologicalsignsofheatstress• Providecoolliquids• Establishandimplementacclimatizationschedules• Usewarm-weathercoolinggarments• Reducethephysicaldemandsofwork,e.g.,excessiveliftingordiggingwithheavyobjects• Providerecoveryareassuchasair-conditionedenclosuresandrooms• Useshiftssuchasearlymorning,coolpartoftheday,ornightwork• Useintermittentrestperiodswithwaterbreaks• Usereliefworkers• Useworkerpacing• Assignextraworkersandlimitworkeroccupancy,orthenumberofworkerspresent,especiallyin

confinedorenclosedspaces• Scheduleworkinhotconditionsforthecoolerpartoftheday• Scheduleroutinemaintenanceandrepairworkinhotareasforthecoolerseasonsoftheyear.

EmployeeWork/RestIntervalsTheAdministratorordesigneewilldeterminethework/restintervalsandcommunicatethemtoemployeesbymeetingwiththeminthemorning.Work/restintervalsareadjustedthroughouttheworkshiftasneededandcommunicatedtoeachemployeeattheconclusionofanapplicablerestperiod,priortoreentryintoaworkarea.

FluidReplacement

50

Sincedehydrationisaprimarycauseofheatillness,employeesoneachsitewillberemindedontheimportanceofliquidconsumption.Onecup(8oz.)every20minutesisrecommended.Amplesuppliesofliquidsareavailableateachsite.

PersonalProtectiveEquipmentTheAdministratorordesigneewilldeterminethetypesofPPEthatmaybeusedtominimizeheatstressafterengineeringcontrolsandworkpracticeshavebeenimplementedandworkersarestillexposedtoheatstresshazards.

ReflectiveClothingReflectiveclothingvariesfromapronsandjacketstosuitsthatcompletelyenclosetheworkerfromnecktofeetandcanstoptheskinfromabsorbingradiantheat.Becausemostreflectiveclothingdoesnotallowairexchangethroughthegarment,thereductionofradiantheatmustmorethanoffsetthecorrespondinglossinevaporativecooling.Forthisreason,reflectiveclothingshouldbewornaslooselyaspossible.Insituationswhereradiantheatishigh,auxiliary-coolingsystemscanbeusedunderthereflectiveclothing.

WettedClothingWettedclothingiseffectivewhenreflectiveorotherimpermeableprotectiveclothingisworn.Theclothingmaybewettedterryclothcoverallsorwettedtwo-piece,whole-bodycottonsuits.Thisapproachiseffectiveunderconditionsofhightemperatureandlowhumiditywhereevaporationfromthewettedgarmentisnotrestricted.

ACCESSTOSHADE

Shadestructures,Air-conditionedvehicles,andaccesstobuildingwillbeopenedandplaceascloseaspracticaltotheworkers,whenthetemperatureequalsorexceeds80degreesFahrenheit.Whenthetemperatureisbelow80degreesFahrenheit,accesstoshadewillbeprovidedpromptly,whenrequestedbyanemployee.

MONITORINGTHEWEATHERThesupervisorwillbetrainedandinstructedtocheckinadvancetheextendedweatherforecast.Weatherforecastscanbecheckedwiththeaidoftheinternet(http://www.nws.noaa.gov/),orbycallingtheNationalWeatherServicephonenumbers(seeCAnumberbelow)orbycheckingtheWeatherChannelTVNetwork.Theworkschedulewillbeplannedinadvance,takingintoconsiderationwhetherhightemperaturesoraheatwaveisexpected.Thistypeofadvanceplanningshouldtakeplaceallsummerlong.

CALIFORNIADial-A-Forecast

• SanFrancisco(831)656-1725(#1)

HANDLINGHEATWAVES/HIGHHEAT/ACCLIMIZATIONDuringaheatwaveorheatspike,theworkdaywillbecutshortorrescheduled(exampleconductedatnightorduringcoolerhours.

Effectivecommunicationbyvoice,directobservation(applicableforworkcrewsof20orfewer),mandatorybuddysystem,orelectronicmeanswillbemaintained,sothatemployeesattheworksite

51

cancontactasupervisorwhennecessary.Ifthesupervisorisunabletobeneartheworkers(toobservethemorcommunicatewiththem),thenanelectronicdevice,suchasacellphoneortextmessagingdevice,maybeusedforthispurposeifreceptionintheareaisreliable.

Employeeswillberemindedconstantlythroughouttheworkshifttodrinkplentyofwaterandtakepreventativecool-downbreakwhenneeded.

Employeesandsupervisorswillbetrainedontheimportanceofacclimatization,howitisdevelopedandhowthesecompanyproceduresaddressit.

Thesupervisorwillbeextravigilantwithnewemployeesandstayalerttothepresenceofheatrelatedsymptoms.

EMERGENCYRESPONSE/HANDLINGASICKEMPLOYEETheAdministrator,DesignatedPerson(s),ordesigneewillimplementthefollowingemergencyresponseproceduresforthetypeofheatstressindicated.

Allforemanandsupervisorswillcarrycellphonesorothermeansofcommunication,toensurethatemergencymedicalservicescanbecalled.Checkswillbemadetoensurethattheseelectronicdevicesarefunctionalpriortoeachshift.

Whenanemployeeisshowingsymptomsofpossibleheatillness,stepswillbetakenimmediatelytokeepthestrickenemployeecoolandcomfortableonceemergencyservicerespondershavebeencalled(toreducetheprogressiontomoreseriousillness).Undernocircumstanceswilltheaffectedemployeebeleftunattended.

Duringheatwavesorhottemperatures,workerswillberemindedandencouragedtoimmediatelyreporttotheirsupervisorsanysignsorsymptomstheyareexperiencing

Emergencyservicesproviderwillbecalledimmediatelyifanemployeedisplayssignsorsymptomsofheatillness(decreasedlevelsofconsciousness,staggering,vomiting,disorientation,irrationalbehavior,incoherentspeech,convulsions,redandhotface),doesnotlookOKordoesnotgetbetterafterdrinkingcoolwaterandrestingintheshade.Whiletheambulanceisinroute,firstaidwillbeinitiated(cooltheworker:placethworkerintheshade,removeexcesslayersofclothing,placeicepackinthearmpitsandgroinareaandfanthevictim).Donotletasickworkerleavethesite,astheycangetlostordiebeforereachingahospital.

HeatStrokeIfaworkershowssignsofpossibleheatstroke,professionalmedicaltreatmentwillbeobtainedimmediately.Thesupervisororco-workerswilltakethefollowingstepstotreataworkerwithheatstroke:

1. Call911andnotifythesupervisor.2. Movethesickworkertoacool,shadedarea.

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3. Cooltheworkerusingmethodssuchassoakinghisorherclotheswithwater,spraying,sponging,orshoweringhimorherwithwater,andfanninghisorherbody.

Theworkershouldbeplacedinashadyareaandtheouterclothingshouldberemoved.Theworker’sskinshouldbewettedandairmovementaroundtheworkershouldbeincreasedtoimproveevaporativecoolinguntilprofessionalmethodsofcoolingareinitiatedandtheseriousnessoftheconditioncanbeassessed.Fluidsshouldbereplacedassoonaspossible.Themedicaloutcomeofanepisodeofheatstrokedependsonthevictim’sphysicalfitnessandthetimingandeffectivenessoffirst-aidtreatment.Regardlessoftheworker’sprotests,noemployeesuspectedofbeingillfromheatstrokeshouldbesenthomeorleftunattendedunlessaphysicianhasspecificallyapprovedsuchanorder.

HeatExhaustionHeatexhaustionrespondsreadilytoprompttreatment.Aworkersufferingfromheatexhaustionshould:

• Restinacool,shaded,orair-conditionedarea.• Drinkplentyofwaterorothercool,nonalcoholicbeverages.• Takeacoolshower,bath,orspongebath.

Workerssufferingfromheatexhaustionwillberemovedfromthehotenvironmentandgivenfluidreplacement.Theywillalsobeencouragedtogetadequaterest.

HeatSyncope(Fainting)Workerswhoexhibitsignsofheatsymptomswillbeinstructedbyasupervisororco-workersto:

• Sitorliedowninacoolplacewhentheybegintofeelsymptoms.• Slowlydrinkwater,clearjuice,orasportsbeverage.

HeatCrampsWorkerswithheatcrampsshould:

• Stopallactivity,andsitinacoolplace.• Drinkclearjuiceorasportsbeverage.• Notreturntostrenuousworkforafewhoursafterthecrampssubside,becausefurtherexertion

mayleadtoheatexhaustionorheatstroke.• Seekmedicalattentioniftheworkerhasheartproblems,theworkerisonalow-sodiumdiet,orthe

crampsdonotsubsidewithinonehour.

HeatRashWorkersexperiencingheatrashwillbetreatedaccordingtothefollowingprocedures:

• Directedtoworkinacooler,lesshumidenvironmentwhenpossible.• Keeptheaffectedareadry.• Usedustingpowdertohelpincreasecomfort.

SUPERVISORANDEMPLOYEETRAININGAllsupervisorswillbetrainedpriortobeingassignedtosuperviseotherworkers.TrainingwillincludethewrittenproceduresforBerryessaUnionSchoolDistrictandthestepssupervisorswillfollowwhenemployeesexhibitsymptomsconsistentwithheatillness.Supervisorswillbetrainedontheir

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responsibilitytoprovidewater,shade,cool-downrests,andaccesstofirstaidaswellastheemployees’righttoexercisetheirrightsunderthisstandardwithoutretaliation.

Allemployeeswhoareexposedorpotentiallyexposedtoheatstresswillreceivetrainingregardingheatstress-relatedinjuriesandillnessesandpreventionmeasuresatthetimeofassignmenttoworkactivitiesthatinvolvehotconditions.

Supervisorswillbetrainedonhowtotracktheweatheratthejobsite(bymonitoringpredictedtemperaturehighsandperiodicallyusingathermometer).Supervisorswillbeinstructedon,howweatherinformationwillbeusedtomodifyworkschedules,toincreasenumbersofwaterandrestsbreaksorceaseworkearlyifnecessary.

Thefollowingtopicswillbecoveredduringsafetytrainingforheatstress:

• Knowledgeofthehazardsofheatstress,includingenvironmentalfactorsthatmightcontributetotheriskofheat-relatedillness(temperature,humidity,radiantheat,airmovement,conductiveheatsources,workloadactivityandduration,andpersonalprotectiveequipment)

• Recognitionofpredisposingfactors,dangersigns,andsymptoms(e.g.,age,degreeacclimatization,medicalconditions,consumingalcohol,caffeineuse,nicotineuse,anduseofmedicationsthataffectthebody’sresponsetoheat)

• Theimportanceoffrequentdrinkingofsmallquantitiesofwater

• Awarenessoffirst-aidproceduresforheatstrokeandotherheatstress-relatedillnesses• Theprocedureforreportingsignsandsymptomsofheat-relatedillnessinthemselvesandco-

workers• Employeeresponsibilitiesinavoidingheatstress• Useofprotectiveclothingandequipment,includingtheimportanceofremovingheat-retainingPPE,

suchasnon-breathablechemicalresistantclothing,duringbreaks• Firstaidandotheremergencyresponseprocedures

Initial/RefresherTrainingPersonnelcoveredbythisPlanwillreceiverefresherheatstresstrainingatleastonceperyearbyPlanAdministrator/DesignatedPerson(s)described,andwheneverthereisachangeinworkassignmentorhotconditions,orwhenanewheatsourceisintroducedtoaworkarea.InitialandrefreshertrainingwillbecompletedduringAnnualSafetyDayIn-servicesorduringdepartmentstaffmeetings.

RECORDKEEPINGHeatstress-relatedillnessesthatarerelievedbyfirstaidanddonotrequireadditionalmedicaltreatmentwillnotberecordedininjuryandillnessrecords.

Heatstress-relatedillnessesthatrequiremedicaltreatmentbeyondfirstaidwillberecordedasanillnessorinjuryandillnessrecordkeepingforms.Forexample,theadministrationoffluidsbyintravenousinjectionsisrecordableasmedicaltreatment,andmoreseriouscasesofheatdisordersinvolvingsuchinjectionswillbeenteredintotheinjuryandillnessrecords.Inaddition,anydiagnosisbyaphysicianorotherlicensedhealthcareprofessionalofheatsyncope(faintingduetoheat)willberecorded.

Updatedon10/2018andapprovedthroughBUSDSafetyCommitteeon11/2018

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