2010/09/14 City Council Resolution 2010-106RESOLUTION NO. 2010-106
RESOLUTION OF THE CITY COUNCIL OF THE CITY OF ROHNERT PARK
RESCINDING RESOLUTION NO. 91-220, ADOPTING A REVISED CITY OF ROHNERT
PARK INJURY AND ILLNESS PREVENTION PROGRAM (IIPP), AND
DELEGATING TO THE CITY MANAGER AUTHORIZATION
TO APPROVE FUTURE IIPP AMENDMENTS
WHEREAS, in 1991 the State of California adopted Senate Bill 198, which requires all
employers to establish, implement and maintain an effective written Injury and Illness Prevention
Program (IIPP);
WHEREAS, the purpose of the IIPP is to promote the continual improvement of health and
safety in city operations and to eliminate work - related injuries and illnesses; and
WHEREAS, on November 12, 1991, the City Council by Resolution No. 91 -220 adopted an
Injury and Illness Prevention Program;
WHEREAS, in 2005 REMIF hired a consultant to update the City's IIPP; and
WHEREAS, the updated IIPP has been reviewed and revised by the City's Human
Resources consultants and the Citywide Safety Committee, and the updated IIPP is now ready for
adoption and implementation.
NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of Rohnert
Park hereby rescinds Resolution No. 91 -220 and adopts the revised IIPP dated September 2010.
BE IT FURTHER RESOLVED that the City Council hereby delegates to the City Manager
authorization to approve and adopt future IIPP amendments as required by law and as the safety
needs of the City warrant further revisions.
DULY AND REGULARLY ADOPTED by the City Council of the City of Rohnert Park
this 10' day of September, 2010.
CITY OF ROHNERT PARK
ATTEST
qty Clerk / y) 1
Now
U" CAl►PORN�R
BELFORTE: AYE BREEZE: AYE CALLINAN: ABSENT MACKENZIE: AYE STAFFORD: AYE
AYES: (4) NOES: (0) ABSENT' (1) ABSTAIN: (0)
CITY OF ROHNERT PARK
INJURY & ILLNESS PREVENTION PROGRAM (IIPP)
California Code of Regulations Title 8, Industrial Relations
REV: September 2010
CITY OF ROHNERT PARK
Section 1 — Introduction to This Manual
Section 2 — Injury & Illness Prevention Program
Section 3 — Employee Training
Section 4 — Accident Reporting and Investigation
Section 5 — Supplemental Health & Safety Programs
Section 6 - Definitions
Appendices
i Rev: September 2010
Table of Contents
SECTION 1: INTRODUCTION TO THIS MANUAL .......................................................... ..............................1
1.1 CONTENTS ........................................................................................................ ..............................1
1.2 HOW TO USE THIS MANUAL ............................................................................ ............................... 2
SECTION 2. INJURY & ILLNESS PREVENTION PROGRAM ........................................... ............................... 3
2.1 INTRODUCTION ................................................................................................ ..............................3
2.2 SAFETY POLICY ................................................................................................. ............................... 3
2.3 RESPONSIBILITIES ............................................................................................ ............................... 5
2.3.1
CITY MANAGER .................................................................................................... ............................... 5
2.3.2
RISK MANAGEMENT .............................................................................................. ............................... 5
2.3.3
DEPARTMENT DIRECTORS/MANAGERS/CHIEFS .......................................................... ............................... 5
2.3.4
DEPARTMENT SUPERINTENDENTS/SUPERVISORS ......................................................... ............................... 5
2.3.5
DEPARTMENT SAFETY COORDINATOR ....................................................................... ............................... 6
2.3.6
EMPLOYEES .......................................................................................................... ..............................6
2.4 EMPLOYEE COMPLIANCE .................................................................................. ..............................7
2.5 SAFETY COMMUNICATION ............................................................................... ............................... 7
2.5.1 LEGAL REQUIREMENTS ........................................................................................... ............................... 7
2.5.2 CITY SAFETY COMMITTEE ....................................................................................... ...............................
8
2.5.2.1 Purpose ....................................................................................................... ..............................8
ADMINISTRATIVE SERVICES ..................................................................................... .............................15
2.5.2.2 Committee Membership ............................................................................ ...............................
8
2.5.2.3 Safety Committee Organization ................................................................ ...............................
9
2.5.2.4 Safety Committee Role and Scope of Duties ........................................... ...............................
10
2.5.2.5 Safety Committee Responsibilities .......................................................... ...............................
10
2.5.2.6 Safety Committee Records ...................................................................... ...............................
11
2.5.3 CITY HALL COMMUNICATION .................................................................................. .............................11
PERFORMING ARTS CENTER .................................................................................. ...............................
2.5.4 DEPARTMENT COMMUNICATION ........................................................................... ...............................
11
2.5.4.1 Departmental Safety Committee ............................................................. ...............................
12
2.5.4.2 General Safety Meetings ......................................................................... ...............................
12
2.5.4.3 Tailgate Meetings .................................................................................... ...............................
13
2.5.4.4 Briefings .................................................................................................. ...............................
13
2.5.5 HAZARDOUS CONDITION REPORTS ......................................................................... ...............................
13
2.5.6 SAFETY INFORMATION AND POSTINGS .................................................................... ...............................
14
2.6 DEPARTMENTAL SPECIFIC PROCEDURES .......................................................... .............................15
2.6.1
ADMINISTRATION ............................................................................................... ...............................
15
2.6.2
ADMINISTRATIVE SERVICES ..................................................................................... .............................15
2.6.3
ANIMAL S HELTER ................................................................................................ ...............................
15
2.6.4
COMMUNITY SERVICES ........................................................................................ ...............................
15
2.6.5
DEVELOPMENT SERVICES ........................................................................................ .............................15
2.6.6
PERFORMING ARTS CENTER .................................................................................. ...............................
15
Ii Rev: September 2010
2.6.7 PUBLIC SAFETY -FIRE DIVISION ............................................................................. ............................... 15
2.6.8 PUBLIC SAFETY - POLICE DIVISION ........................................................................... .............................15
2.6.9 PUBLIC WORKS .................................................................................................. ............................... 15
2.6.10 SENIOR CENTER .................................................................................................... ............................... 15
SECTION 3: EMPLOYEE TRAINING ............................................................................. .............................16
3.1 HAZARD AWARENESS ...................................................................................... .............................16
3.1.1 SAFETY TRAINING -ALL CITY EMPLOYEES .................................................................. .............................16
3.1.2 SAFETY TRAINING -DEPARTMENT REQUIREMENTS ................................................... ............................... 17
3.1.3 TRAINING DOCUMENTATION ................................................................................. ............................... 17
3.2 RECORDS MANAGEMENT ................................................................................ .............................17
SECTION 4: ACCIDENT REPORTING AND INVESTIGATION .......:.................................. .............................19
3.2 ACCIDENT REPORTING - WORK RELATED ........................................................ .............................19
3.2.1 FIRST AID TREATMENT REPORTING .......................................................................... .............................19
3.2.2 MEDICAL INJURY TREATMENT REPORTING ............................................................... ............................... 19
3.2.3 SERIOUS INJURY REPORTING ................................................................................. ............................... 20
4.1 ACCIDENT INVESTIGATION ............................................................................. ............................... 21
4.1.1 LOG OF OCCUPATIONAL INJURIES & ILLNESSES ......................................................... ............................... 21
SECTION 5: SUPPLEMENTAL HEALTH & SAFETY PROGRAMS ................................... ............................... 22
5.1. HAZARD IDENTIFICATION ............................................................................ ............................... 22
5.1.1
PLANNED INSPECTIONS ........................................................................................ ...............................
22
5.1.2
UNPLANNED INSPECTIONS .................................................................................... ...............................
22
5.1.3
JOB HAZARD ANALYSIS ........................................................................................ ...............................
22
5.1.4
OUTSIDE PROFESSIONALS ..................................................................................... ...............................
23
5.1.5,
OFFICE HAZARDS ................................................................................................ ...............................
23
5.1.6
DEPARTMENT HAZARDS .......................... '......................................... ...................................................
23
5.1.7
HAZARD ABATEMENT ............................................................................................ .............................24
5.1.8
ROLES .............................................................................................................. ...............................
24
5.1.9
RESPONSIBILITIES .................................................................................................. .................:...........24
5.1.10
TRAINING ........................................................................................................... ...............................
24
5.1.11
RECORDS ........................................................................................................... ...............................
25
5.2 HAZARD COMMUNICATION ........................................................................... ...............................
25
5.2.1
MINIMIZING EXPOSURE ....................................................................................... ...............................
25
5.2.2
MATERIAL SAFETY DATA SHEETS ........................................................................... ...............................
25
5.2.3
LABELING ............................................................................................................ .............................26
5.2.4
SPILL RESPONSE ................................................................................................. ...............................
26
5.2.5
EMPLOYEE TRAINING ........................................................................................... ...............................
27
5.2.6
ROLES .............................................................................................................. ...............................
27
5.2.7
RESPONSIBILITIES .................................................................................................. .............................27
5.2.8
TRAINING ........................:................................................................................... .............................27
5.2.9
RECORDS .......................................................................................................... ...............................
28
III Rev: September 2010
5.3 EMERGENCY RESPONSE PLANS ...................................................................... ............................... 28
5.3.1 ROLES .............................................................................................................. ............................... 29
5.3.2 RESPONSIBILITIES .................................................................................................. .............................29
5.3.3 TRAINING ............................................................................................................ .............................29
5.3.4 RECORDS .......................................................................................................... ............................... 29
5.4 FIRST AID & MEDICAL RESPONSE ................................................................... ............................... 29
5.4.1
EYEWASHES ......................................................................................................... .............................30
31
5.4.2
ROLES .............................................................................................................. ...............................
31
5.4.3
RESPONSIBILITIES .................................................................................................. .............................31
31
5.4.4
TRAINING ............................................................................................................ .............................31
35
5.4.5
RECORDS .......................................................................................................... ...............................
31
5.5 HEAT ILLNESS POLICY & PROCEDURE ............................................................. ............................... 31
5.5.1
ACCESS TO SHADE ............................................................................................... ...............................
31
5.5.2
WATER REQUIREMENTS ....................................................................................... ...............................
31
5.5.3
EMERGENCY RESPONSE ........................................................................................ ...............................
31
5.5.4
TRAINING ............................................................................................................ .............................32
35
5.5.5
ROLES .............................................................................................................. ...............................
33
5.5.6
RESPONSIBILITIES .................................................................................................. .............................33
5.5.7
TRAINING ............................................................................................................ .............................33
39
5.5.8
RECORDS .......................................................................................................... ...............................
33
5.6 FIRE PREVENTION PLANS ............................................................................... ............................... 33
5.6.1 ROLES .............................................................................................................. ............................... 33
5.6.2 RESPONSIBILITIES .................................................................................................. .............................34
5.6.3 TRAINING ............................................................................................................ .............................34
5.6.4 RECORDS .......................................................................................................... ............................... 34
5.7 CONFINED SPACES ........................................................................................... .............................34
5.7.1
CONFINED SPACE ENTRANT .................................................................................... .............................35
36
5.7.2
CONFINED SPACE ATTENDANT ............................................................................... ...............................
35
5.7.3
CONFINED SPACE SUPERVISOR .............................................................................. ...............................
35
5.7.4
CONFINED SPACE PERMIT ..................................................................................... ...............................
35
5.7.5
ROLES .............................................................................................................. ...............................
35
5.7.6
RESPONSIBILITIES .................................................................................................. .............................35
5.7.7
TRAINING ............................................................................................................ .............................35
39
5.7.8
RECORDS .......................................................................................................... ...............................
36
5.8 RESPIRATORY PROTECTION ........................................................................... ............................... 36
5.8.1
DUST MASKS ..................................................................................................... ...............................
36
5.8.2
RESPIRATORS ....................................................................................................... .............................36
5.8.3
VOLUNTARY RESPIRATOR USE ............................................................................... ...............................
38
5.8.4
ROLES .............................................................................................................. ...............................
39
5.8.5
RESPONSIBILITIES .................................................................................................. .............................39
5.8.6
TRAINING ............................................................................................................ .............................39
5.8.7
RECORDS .......................................................................................................... ...............................
39
5.9 ENERGY CONTROL .......................................................................................... ............................... 39
iv Rev: September 2010
5.9.1
PROCEDURAL REQUIREMENT OF DEPARTMENTS ....................................................... ...............................
39
5.9.2
PROCEDURAL STEPS REQUIRED ................................................................................ .............................40
42
5.9.3
BLOCKING EQUIPMENT ........................................................................................ ...............................
40
5.9.4
ROLES .............................................................................................................. ...............................
41
5.9.5
RESPONSIBILITIES .................................................................................................. .............................41
47
5.9.6
TRAINING ............................................................................................................ .............................41
48
5.9.7
RECORDS .......................................................................................................... ...............................
41
5.10 HEARING CONSERVATION ............................................................................. .............................41
5.10.1
TRAINING PROGRAM ........................................................................................ ...............................
42
5.10.2
RECORDKEEPING ............................................................................................. ...............................
42
5.10.3
ROLES ........................................................................................................... ...............................
43
5.10.4
RESPONSIBILITIES ............................................................................................... .............................43
47
5.10.5
TRAINING ......................................................................................................... .............................43
47
5.10.6
RECORDS ......................................................................................................... .............................43
48
5.11 BLOODBORNE PATHOGENS ........................................................................ ............................... 43
5.11.1
EXPOSURE DETERMINATION .............................................................................. ...............................
44
5.11.2
TRAINING & INFORMATION ............................................................................... ...............................
44
5.11.3
METHODS OF COMPLIANCE - EXPOSURE CONTROL PLANS ...................................... ...............................
46
5.11.4
HEPATITIS B VACCINE ....................................................................................... ...............................
47
5.11.5
POST EXPOSURE PROTOCOLS ............................................................................. ...............................
47
5.11.6
ROLES ........................................................................................................... ...............................
48
5.11.7
RESPONSIBILITIES ............................................................................................... .............................48
5.11.8
TRAINING ......................................................................................................... .............................48
5.11.9
RECORDS ....................................................................................................... ...............................
48
5.12 REPETITIVE MOTION INJURY PREVENTION ( ERGONOMICS) .......................... .............................48
5.12.1
PROCEDURES .................................................................................................... .............................49
5.12.2
ROLES ........................................................................................................... ...............................
50
5.12.3
RESPONSIBILITIES ............................................................................................... .............................50
5.12.4
TRAINING ......................................................................................................... .............................50
5.12.5
RECORDS ......................................................................................................... .............................50
5.13 TRENCH SAFETY .......................................................................................... .......:.......................
50
5.13.1
ROLES ........................................................................................................... ...............................
50
5.13.2
RESPONSIBILITIES ............................................................................................... .............................50
5.13.3
TRAINING ......................................................................................................... .............................50
5.13.4
RECORDS ....................................................................................................... ...............................
50
5.14 FALL PROTECTION ....................................................................................... ...............................
50
5.14.1
ROLES ........................................................................................................... ...............................
50
5.14.2
RESPONSIBILITIES ............................................................................................... .............................50
5.14.3
TRAINING ......................................................................................................... .............................50
5.14.4
RECORDS ....................................................................................................... ...............................
50
5.15 PERSONAL
PROTECTION EQUIPMENT (PPE) ................................................ ...............................
50
5.15.1
ROLES ........................................................................................................... ...............................
50
5.15.2
RESPONSIBILITIES ............................................................................................... .............................50
5.15.3
TRAINING ......................................................................................................... .............................50
v Rev: September 2010
5.15.4 RECORDS ......................................................................................................... .............................51
SECTION 6. DEFINITIONS ........................................................................................ ............................... 52
6.1 DEFINITIONS OF TERMS AND ABBREVIATIONS USED IN THIS MANUAL ......... ............................... 52
APPENDICES............................................................................................................ ............................... 53
APPENDIX A: HEALTH AND SAFETY FORMS .......................................................................... ............................... 54
APPENDIX B: DEPARTMENTAL TRAINING MATRICES .............................................................. ............................... 64
APPENDIX C: CODE OF SAFE PRACTICES .............................................................................. ............................... 69
APPENDIX D: DEPARTMENTAL SPECIFIC PROCEDURES ............................................................ ............................... 73
vi Rev: September 2010
ROHNERT PARK
HEALTH & SAFETY INTRODUCTION
Sechon 1: lntroduc*' m to This Manual
This section provides a brief overview of the contents and
use of this Employee Safety & Health Program.
1.1 Contents
This Manual has been created by the City of Rohnert Park as guidance to City
departments' safety and health policies, procedures, and work practices. This
Manual contains the City's Injury & Illness Prevention Program (IIPP). The IIPP
in section 2 is the City's overall employee safety and health guidance document for
the departments. The IIPP identifies the departmental requirements for the
following safety practices:
• Citywide commitment to providing a safe place of employment.
• Basic safety and health responsibilities of management personnel. Each
department is required to expand on these requirements as necessary.
• Accident investigation responsibilities for any incident occurring during the
course of employment for the City.
• Safety and health orientation and training standards for departments.
• Safety and health communication standards for the departments.
• Hazard identification and hazard abatement standards for the departments.
• Standards for discipline for safety infractions and recommended motivational
tools for departments.
Special Hazard Requirements for the departments are noted in Section 5.
Special Hazard Requirements refer to the written policy and procedure required of
any department where the identified, or suspected, exposure to special hazards
exists. This section identifies the hazard, the required policy and procedure, and
sources of additional information regarding the requirements. It is the
department's responsibility to comply with this section. The City's Risk
Management function in the Human Resources Department may be contacted
Rev: September 2010
ROH.NERT PARK
HEALTH & SAFETY INTRODUCTION
where additional assistance is required, or desired, by the department in meeting
the standards of this section.
Section 6 includes definitions of terms used in this Manual. There are Appendices
with forms, training matrices and training resources referenced in this Manual.
Each department is responsible to create detailed safe work practices that address
the nature of the work performed by the department and hazards the performance
of that work creates. Where departments perform new work, face unknown
hazards or need additional assistance in developing safe work practices specific to
their department, the Human Resources Department should be contacted. Safety
and health information within this Manual is not all-inclusive. There are many
CaVOSHA standards governing work performed in each department. The
departments are expected to know those standards governing work performed by
the department.
At various points in this Manual you will find the following icons. These icons are
an indication of the material in that section. Icons are:
These icons are used to highlight the section's
ICON KEY importance to the department and users of this
1- Talo Now Manual. There is a Table of Contents that is keyed to
DWritten Procedure Sections and Section Headings.
k�7Recordkeepiog This Manual has been created by the Human
Resources Department for use by the departments. It
9 Telephone Number is expected to set standards, be a useful reference for
8 Web Address the departments, and to assist the City with
compliance with California Code of Regulations (CCR) Title 8, also known as
General, Construction, and Electrical Safety Orders. Title 8 Safety Orders can be
referenced on the Internet at the California Department of Occupational Safety
and Health, address:
http://www.dir.ca.gov/DOSH/doshi.htn l
At the above site, look up "Regulations ", then the
applicable Safety Order from the list. You may look up
the Section if it-is known or use hypertext links embedded
within this manual to search for the applicable Section.
2 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
1 • y r.`ti. 0 1 • • •
This IIPP is to be used as guidance to each department with their
employee safety and heafth polices and procedure
2.1 Introduction
The purpose of this Injury and Illness Prevention Program (IIPP) is to further the
goals of the City of Rohnert Park to minimize accidental loss to employees, public,
and property as well as to comply with the provisions of the California Code of
Regulations (CCR), the California Labor Code, and Code of Federal Regulations.
This IIPP establishes employee safety and health policy and procedure for the City of
Rohnert Park This IIPP applies to all departments and employees of the City of
Rohnert Park Where other documents are referenced within this IIPP, they shall be
treated as though they are a part of this document.
2.2 Safety Policy
It is the policy of the City to perform its business functions in a professional and
responsible manner that maintains and furthers the safety and health of its
employees, protection of the public and property.
On the following page is the statement of safety policy from the City Manager that
is to be followed by all City employees and volunteers.
3 Rev: September 2010
To All City of Rohnert Park Employees & Volunteers
The City of Rohnert Park cares about your safety and health and we are committed to
providing you a place of employment free from recognized hazards that cause or are likely
to cause you physical harm.
It is the duty of each employee to comply with the occupational safety and health policies
and procedures of the City of Rohnert Park and CaVOSHA regulations.
The City provides this Safety and Health Program as a part of the principles that guide our
conduct as a City, department, manager, or employee.
This Manual covers workplace rules essential to your safety, health, and wellness. These
guidelines help you maintain a safe workplace consistent with federal and state safety and
health standards.
Becoming familiar with the contents of this Manual will teach you about topics vital to
your safety, health, and well - being. The rules contained herein are not all inclusive. City
departments have the responsibility to institute procedures surrounding the work
performed in that department. Your supervisor will issue you instructions covering those
hazardous operations before you start work When in doubt about safety practices,
polices, or procedures consult with your supervisor.
Creating and preserving an injury- and illness -free workplace is an important partnership
among all of us in support of this common goal.
�dmp-14 �Ovwlez City Manager
4 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
2.3 Responsibilities
The following are the responsibilities and accountabilities of City Management.
2.3.1 City Manager
The City of Rohnert Park and its City Manager accept the overall
responsibility and accountability for providing a safe and healthful workplace
for its employees. The City Manager delegates the day-to -day responsibility
and authority for carrying out employee safety and health policy to specific
City personnel.
2.3.2 Risk Management
The Human Resources Department is responsible to ensure that this
document is up-to -date, provide departments with the information and
references to properly implement the standards established by this document,
and ensure that City departments implement the requirements contained
within this document.
2.3.3 Department Directors/Managers/Chiefs
The City Directors, Managers and Chiefs have the following responsibilities:
✓ Ensure that the appropriate IIPP is implemented within their department.
This can consist of components of this document or equal procedures
meeting the standards set by this document.
✓ Develop department - specific safe work practices and requirements for
the use of personal protective equipment.
✓ Periodically review employee injury and illness trends. Take any
necessary preventive action to control the source(s) of these accidents.
✓ Be available for employees to report safety hazards or injury exposures.
✓ Ensure that their department has an Emergency Plan that is designed
with their department in mind and that employees are trained in the Plan.
2.3.4 Department Superintendents/Supervisom
The City Superintendents and Supervisors have the following responsibilities:
Implement an effective safety and health program, consistent with the
requirements of this IIPP and the needs of their department or work unit.
✓ Ensure that employees comply with safe and healthy work practices.
✓ Instruct employees in safe work practices to be followed in daily work
assignments.
✓ Educate employees regarding the proper personal protective equipment
required for daily work assignments and ensure that the appropriate
protective equipment is available for employees.
5 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
• Review medical, fire, earthquake, and pandemic emergency response
plans specific to the department and/or project.
• Inform and train employees in job safety and health practices involving
hazardous substances used in the workplace.
✓ Investigate every accident or employee report of incident to determine
cause, mitigation, and prevention.
✓ Perform periodic hazard inspections of the department or work area.
✓ Hold periodic safety meetings with employees to present job - specific
safety information and answer questions from employees regarding
accident prevention.
✓ Maintain records of hazard inspection and correction, communication of
safe and healthy work practices, progressive discipline for a failure to
follow safe work guidelines, and training.
2.3.5 Department Safety Coordinator
Each department is expected to assign the following responsibilities to one
employee in the department ("Safety Officer") and provide training for this
individual to carry out their responsibilities:
✓ Serve as the point of contact within the department for employee safety
issues.
✓ Support department management with the implementation of this Manual
and safety policy and procedure within the department.
✓ Assist in communicating safety issues within the department.
✓ Serve as a resource regarding safety and health issues to the department.
2.3.6 Employees
Employees are responsible for ensuring their own safety and the safety of
others in the workplace by:
✓ Learn and follow the standards, procedures, and safe work guidelines that
apply to each job assignment.
✓ Discontinue any specific activity that the employee knows could lead to
injury, illness, or damage to property. In such instances employees are
responsible for promptly informing their supervisor.
✓ Use the prescribed personal protective equipment required for a job
assignment or task as it is designed to be used.
✓ Bring to their supervisor's attention any activity, behavior, or unsafe
condition that could cause injury, illness to others, or damage to property.
✓ Report promptly to their supervisor any occupational injury or illness, or
damage to property.
6 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
2A Employee Compliance
Employees are required to follow the safe work guidelines described within this
Manual and their department's safety and health procedures, participate in required
safety and health training, wear required personal protective equipment, and follow
all safety and health rules established by the City. The failure to do any of the
above may result in disciplinary action up to and including termination of
employment. Any disciplinary action would be based on City guidelines and
California law.
The management of each department is required to enforce safe work guidelines,
offer periodic safety training to affected employees, enforce the use of personal
protective equipment, enforce the safety and health rules established by the City,
recognize safe performance, and set a good example through their own behavior.
The most effective method to encourage following safe work practices is to
establish methods to recognize safe performance by employees. This can be
accomplished through recognition for any of the following:
1. Following a specific work practice,
2. Reporting a near miss that assists with understanding a hazard,
3. Groups working a period without injury,
4. Other methods of the department's choosing
2.5 Safety Communication
The City of Rohnert Park uses a variety of methods to communicate safety
information to, and from, employees.
2.5.1 Legal Requirements
The City is required to "have a method of communicating and evaluating
health and safety issues to its employees — in a form that is understandable,
by all affected employees — on matters relating to occupational health and
safety, including provisions designed to encourage employees to inform the
employer of hazards at the worksite without fear of reprisal. Larger
employers are required to establish a health and safety committee ". (Title 8,
Section 3203 and 1509. Injury and Illness Prevention Program. Appendix D).
7 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
2.5.2 City Safety Committee
It is the City's policy to provide a safe working environment, and minimize
workplace hazards and exposures, for all of its employees. To accomplish
this task, a Safety Committee has been established to help recognize, evaluate,
communicate, control and correct hazards in the workplace. This committee
is designed to allow employee participation, thus helping to reduce workplace
hazards and exposures.
2.5.2.1 Purpose
The purpose of the City Safety Committee is to bring workers and
management together in a non - adversarial, cooperative effort to
promote safety and health in each work location. The Safety
Committee helps the employer by making recommendations for
change regarding occupational safety and health issues. The Safety
Committee serves to facilitate and encourage employee knowledge
about safe work practices and accident prevention.
2.5.2.2 Committee Membership
The Safety Committee shall be composed of an equal number of
employer and employee representatives. Employee representatives
shall be volunteers or shall be selected by their peers. When agreed
upon by workers and management, the number of employees on
the Safety Committee may be greater than the number of employer
representatives:
The committee will consist of no fewer than 6 members.
Reasonable efforts shall be made to ensure that members are
representative of the major work activities of the City. Committee
representatives shall serve a continuous term of at least one (1) year.
The Safety Committee will meet quarterly at a minimum.
Consistency in attendance: If a member cannot attend a meeting,
he /she will be responsible for providing an individual (alternate)
from their department to attend the meeting. The member will also
be responsible for ensuring that their alternate relays any pertinent
information to the Committee during the meeting.
Administration Representative
Management Representative
Public Safety- Fire Representative
Public Safety— Police Representative
Human Resources Representative
Rohnert Park Employees' Association Representative
Rohnert Park Public Safety Officers' Association Representative
Service Employees' International Union Representative
8 Rev: September 2010
I N J U R Y & I L L N E S S PREVENTION PROGRAM
2.5.2.3 Safety Committee Organization
Designation Responsibilities
Chairperson To coordinate and instruct the members on
their roles and responsibilities; to assure that
the Committee follow the guidelines set forth
to recognize, evaluate, and control worksite
hazards; to evaluate Safety Inspection Audits
and prioritize action items.
Assistant In addition to the normal member duties,
takes minutes and distribute to all safety
members, information centers, and
appropriate management personnel (with
guidance from Chair); to participate in Safety
Inspection Audits.
Employee To participate in Safety Inspection Audits, set
Representative(s) a good example, assist the City in promoting
health, safety, and in developing an effective
injury and illness prevention program (IIPP);
being consistently alert for conditions that
might cause an injury or illness and bringing
these issues to the attention of the Safety
Committee Chairperson and/or their
department head, assisting with the
investigation of all accidents involving City
property and/or personnel within their
department; assisting the Safety Committee
Chairperson and Safety Committee as
requested; and attending safety related
meetings and providing support to their
department head at his /her request.
9 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
2.5.2.4 Safety Committee Role and Scope of Duties
The Safety Committee shall: Promote a safe work environment
by fostering a strong awareness of occupational health and
safety and work towards reducing or eliminating workplace
accidents, injuries, and illnesses throughout City of Rohnert
Park.
The City of Rohnert Park Safety Committee shall be comprised of a
representative sample of City Employees that serves in an advisory
role to City management. The Safety Committee scope of duties
shall be limited to only Title 8 Occupational Health and Safety
issues.
2.5.2.5 Safety Committee Responsibilities
1. The Safety Committee shall meet to:
a.
Review accident and injury reports and to assure that there
have been measures taken to correct the conditions that
may have caused the accidents.
b.
Review any and all safety inspections and submit to
departments for necessary corrections.
c.
Review all maintenance work orders pertaining to safety and
set priorities on these orders.
d.
Employee involvement: The committee shall establish a
system to allow the members to obtain safety - related
suggestions, reports of hazards, or other information
directly from all persons involved in the operations of the
workplace. The information obtained shall be reviewed at
the next safety committee meeting and shall be recorded in
the minutes for review and necessary action by the City.
e.
The committee shall assist the employer in evaluating the
employer's accident and illness prevention program and
shall make written recommendations to improve the
program where applicable.
f.
The committee shall recommend to the City how to
eliminate hazards and unsafe work practices.
g.
The committee shall establish procedures for investigating
all safety - related incidents including injury accidents,
illnesses and deaths.
h.
Investigate all safety related incidents or accidents and
develop corrective actions in follow-up. Assure that all
members are instructed how to recognize, evaluate, and
control worksite hazards.
i.
Members are encouraged to let employees in their
departments know that safety concerns may be made
anonymously by any employee to any safety committee
member. The Committee member will put the issue on the
Committee agenda for discussion and/or investigation.
j. -
Reviews investigations of alleged hazardous conditions
10 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
brought to the attention of any committee member. When
determined necessary by the committee, it may conduct its
own inspection and investigation to assist in remedial
solutions.
2.5.2.6 Safety Committee Records
Minutes shall be made of each meeting which the
employer (City) shall review and maintain for
three years for inspection by each division.
Copies shall be made available to all City
employees; posted on employee bulletin boards located at Animal
Shelter, City Hall, Community Center, Public Safety, Public Works,
and Senior Center, and sent to each committee member.
All reports, evaluations, and recommendations of the safety
committee shall be made part of the minutes of the safety
committee meeting.
A reasonable time limit shall be established for the City to respond
in writing to all safety committee recommendations.
2.5.3 City Hall Communication
Communication from City Hall and/or Human Resources Department is
distributed through email on an as- needed basis. Any safety and health
information needed to be brought to employees' attention will be started in
this fashion and followed up on by the individual departments. This
communication does not prevent any employee from bringing safety and
health issues of concern to the City through their department, contacting the
Human Resources Department directly, or using the anonymous safety
suggestion boxes located at each City facility.
2.5.4 Department Communication
City departments are allowed flexibility in meeting the requirements of this
section. The operations and hazards of some departments require greater
attention to frequency of safety and health communication. Each department
is responsible to choose the methods and frequency of communication that
are consistent with the hazards and exposures to employees in those
departments, but no less than one of the following three methods:
11 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
2.5.4.1 Departmental Safety Committee
Safety committees composed of management and labor from the
department. The actual number and size of the committee is
dependent upon the size of the department. The safety
committee, if used to meet this safety communication
requirement, shall not meet less than quarterly. The safety
committee reviews the topics below and establishes action plans at
each meeting to address improvements to employee safety or
health, physical deficiencies, or safe work practices, if any.
✓ Review of any employee accident, or incidents that could have
caused injury, that have occurred since the last meeting.
✓ Discussion of physical condition inspection reports and action
taken or assigned to abate hazards.
✓ Recommendations of new policies, procedures, or work
practices necessary to prevent injuries or illnesses.
✓. Identification of employee training needs and scheduling the
required employee training.
✓ Review and discussion of any other safety and health issues
brought to the committee by its members.
The results of the safety committee meetings, and
any action taken by the committee, are posted for
employees on the Safety Bulletin Board. Safety
committee meeting minutes are kept for one year.
This technique is best suited to those
departments with large staff that require
representation through a committee in order to effectively
communicate employee safety and health issues.
2.5.4.2 General Safety Meetings
General department safety meetings are one method that meets the
requirement for communication of existing, new, or revised safe
work practices required in meeting employee safety communication
requirements. This method requires a department to have
periodic, department -wide, employee meetings at which
employee safety and health is one topic. Such meetings are not
to be held less than semi-annually when used to meet this standard.
These meetings may include any of the following:
✓ Discussion of safety and health issues
operations, present safe work practices
specific safety and health exposures.
specific to department
or a project that has
12 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
✓ Presentation of videos or films illustrating employee safety and
health topics.
✓ Outside speakers on employee safety and health.
✓ Review of injury or illness trends or incidents in the
department.
✓ Solicitation of employees regarding safety and health issues of
concern to them.
Record of these meetings, topics discussed, and
attendance is required. Records are kept for one
year. This technique is best suited for
administrative departments without significant
hazards or injury and illness exposures.
2.5.4.3 Tailgate Meetings
Departments with maintenance and construction projects should
hold tailgate meetings. This is best suited to departments with
crews working at different work sites on a daily or weekly basis.
Tailgate meetings are brief, formal or informal discussion of crew
safety. Tailgate meetings are best when they are led by the crew
supervisor and include a discussion of that week's or day's activity,
hazards, and accident prevention critical to the safety of performing
the tasks discussed. Departments choosing this form of safety
communication hold the tailgate meetings no less than every
ten working days.
Records are kept of these meetings for three years.
Records consist of the topic covered at the
meeting, the presenter's name and a signed list of
attendees.
2.5.4.4 Briefings
A variation of tailgate meetings for the Public Safety Department is
to comply with this Section through holding. frequent "briefings."
These briefings cover both operational and safety issues affecting
sworn personnel in the department.
2.5.5 Hazardous Condition Reports
Employees are encouraged to report previously unrecognized hazards that
could cause injury, illness, or death of an employee or to a member of the
public, or damage to property.
Employees should report hazards to their supervisor or manager and expect
that the hazard shall be evaluated and abated; consistent with the potential it
creates. When a report of hazard is made to their manager, and there is no
response within 5 working days, they may report it to the Human Resources
13 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
Department. Employees may report hazards without fear of reprisal and may
also report hazards anonymously.
Whenever an employee reports. a hazard, it is evaluated with regard to the
potential injury or illness it creates. Based upon this evaluation, the hazard
may be abated immediately, temporary measures may be taken until the
hazard is abated fully, or the hazard may be scheduled for future abatement.
In some cases the hazard maybe deemed to be insignificant and abatement is
not required. The employee reporting the hazard is always informed of the
outcome of their hazard report.
2.5.6 Safety Information and Postings
Each City facility maintains bulletin boards with occupational safety and
health information. Bulletin boards are placed where employees gather
periodically, such as time clocks, employee break rooms, changing rooms or
locker rooms. Safety and health information posted on this bulletin board
consist of the following:
Permanent Postings
Cal /OSHA Poster, "Safety & Health Protection on the Job "
Workers' Compensation Notice regarding current insurance carrier,
medical provider(s), and employee rights.
Emergency Evacuation Map and Emergency Response Information
Temporary Postings
Annual OSHA Statistical Report —Annually, during February -April, the
Cal /OSHA Form 300A is posted for employee review.
Safety Committee results, if applicable
Safety Promotional Information
Safety Posters
Any other pertinent safety communication not required to be more urgently
communicated. The safety bulletin boards may be used for safety memos
and other non - critical information regarding safety, safety meetings, and
minutes from safety meetings
In addition to the above choices, each department maintains methods for
encouraging employees to report hazards to the department.
14 Rev: September 2010
INJURY & ILLNESS PREVENTION PROGRAM
2.6 Departmental Specific Procedures
City departments are authorized to write their own specific illness and injury
prevention plans /programs that follow the guideline and directions of this Citywide
plan. .
2.6.1 Administration
2.6.2 Administrative Services
2.6.3 Animal Shelter
2.6.4 Community Services
2.6.5 Development Services
2.6.6 Performing Arts Center
2.6.7 Public Safety - Fire Division
Injury and Illness Prevention Program (Temporary Draft- October 2009) —
See Appendix D.
2.6.8 Public Safety - Police Division
2.6.9 Public Works
2.6.10 Senior Center
15 Rev: September 2010
ACCIDENT REPORTING AND INVESTIGATION
Section 3: Employee Training
3.1 Hazard Awareness
All employees new to the city, department, job, or task are provided with hazard
awareness training for the jobs and tasks that they will be performing. Job Hazard
Analysis (if performed for that job) and the applicable Safety Rules (See Section 5)
are used for training employees regarding job hazards, personal protective
equipment, and safe work practices.
Employees are trained whenever new substances,
processes, procedures, or equipment are introduced to the
workplace and represent a new hazard. Employees shall
also be trained whenever a previously unrecognized
hazard is identified.
Any employee who has responsibility for the direction of the work of other
employees is trained regarding the safety and health hazards to which employees
are exposed.
3.1.1 Safety Training - All City Employees
Employees in all departments are trained in the following, at a minimum:
✓ Information regarding the City's IIPP and information contained .within
Employee Safety A Health Standards Manual.
✓ Emergency Action Plan and Fire Prevention for the location the
employee is assigned.
✓ Hazard Communication regarding the hazardous substances that are in
the workplace(s) of the employee, material safety data sheets, how to
access them, and the full content of the Hazard Communication
Program.
✓ Work Related Injury and Illness Reporting. Work-related injury
reporting and the employees' rights under workers' compensation laws.
16 Rev: September 2010
A C C I D E N T R E P O R T I N G AND I N V E S T I G A T I O N
3.1.2 Safety Training - Department Requirements
Each City department is responsible to train employees in the hazards
and prevention of injury specific to that department. This training shall
be performed when the employee is first assigned to the department,
whenever an employee changes position or is assigned a new task or piece of
equipment to operate; and in some cases annually. Training may consist of
formal training supported by audio visual aids and speakers, or informal,
operational instruction that identifies the proper work practices, necessary
personal protective equipment, and operational hazards should the employee
fail to follow the safe work practices. See Section 5 additional requirements
based upon department exposure.
3.1.3 Training Documentation
All employee safety training is documented and that documentation
maintained for three years. Documentation includes:
✓ Course content.
✓ Course handouts.
✓ When the training was conducted.
✓ Attendance roster (readable).
✓ Instructor's name and title.
✓ Any additional training on the same topic and its
schedule.
3.2 Records Management
Recordkeeping requirements under Rohnert Park Risk
Management requirements are as follows:
17 Rev: September 2010
ACCIDENT REPORTING AND INVESTIGATION
Record
Retain
Where
Training Records
3 Years
City Clerk
Inspection Records
3 Years
Department/
Human Resources
Accident Investigation
3 Years
Department/
Human Resources
Safety Committee
3 Years
City Clerk
Minutes
Employee Health &
3 Years
City Clerk
Safety Communication
Records
Tailgate Meeting Minutes
3 Years
Department
Medical Records
30 Years
(1)
Human Resources
Exposure Records
30 Years
(Z)
Human Resources
(1) Confidential
(2) Confidential if a bloodbome pathogens exposure
18 Rev: September 2010
ACCIDENT REPORTING AND INVESTIGATION
Section 4: Accident Reporting and Investigation
3.2 Accident Reporting - Work Related
All injuries and illnesses arising from, or in the course of, employment with the
City, are reported immediately to the appropriate supervisor. The supervisor and
injured employee follow the City - specific injury and illness response procedures
that are posted on the facility's' safety or employee bulletin board. The following
are the basic steps for responding to first aid, medical treatment, serious injuries
(serious injuries are those requiring hospitalization for more than 24 hours,
amputation, or unconsciousness), and death. Physical damage to vehicles is
reported under the risk management policy for Vehicles.
3.2.1 First Aid Treatment Reporting
For injury /illness requiring first aid treatment the fast aid is to be provided
promptly by appropriately trained personnel or by a licensed medical
provider. Incidents involving first aid treatment are reported to the
supervisor of the injured employee. Injuries or illness when first aid is
provided by a licensed medical provider (hospital, urgent care center, or
physician) must be reported to Human Resources Department within 24
hours of notification of the injury /illness. The supervisor is responsible to
investigate the injury /illness as required under investigation procedures (see
next section).
3.2.2 Medical Injury Treatment Reporting
1. Obtain medical treatment for the injured worker at one or more medical
facilities identified by the City as an approved medical provider (See
appendix of safety bulletin board postings).
2. The injured worker is required to complete an Errrplo)w's Claim for
Workers' Compmatzon form.
3. Supervisor is required to complete Superusor's Report of I4wy and file with
the appropriate department head and Human Resources Department
within 24 hours of notification of the injury /illness.
4. Supervisor follows up with any injured workers who lose time from work
This involves weekly contact with any injured worker receiving disability
19 Rev: September 2010
ACCIDENT REPORTING AND INVESTIGATION
payments for workers' compensation to ensure they are recovering and
that the worker understands they are wanted back at work.
5. Supervisor takes steps to prevent a similar event from occurring in the
department. An accident investigation is performed and submitted to
the Human Resources Department within 5 days of notification of the
injury /illness (see next section).
3.2.3 Serious Injury Reporting
Serious injuries are those defined as:
1. Requiring in- patient hospitalization for more than 24
hours for other than observation, or
2. Results in an employee loss of any portion of their
body, or
3. Results in any degree of permanent disfigurement, or
4. Results in death of the employee.
Note: Serious injury or illness does not include any injury, illness, or death
caused by the commission of a Penal Code violation, except Section 385 of
the Penal code, (code prohibits working within 6 feet of a high voltage line
defined as 750 volts or more with a piece of equipment capable of contacting
the line) or a vehicle accident on a public street or highway.
Serious injuries as defined above are reported to
Cal /OSHA within 8 hours of the supervisor learning of
the injury or death. The number to call for Cal/ OSHA
is (707) 576 -2388. These injuries are also reported
immediately to the Human Resources Department, City
of Rohnert Park. Follow the logic tree below for
accident reporting:
20 Rev: September 2010
ACCIDENT REPORTING AND INVESTIGATION
M
Employee
Reports Injury
Medical
First Aid Treatment
Treatment Only I Required
Is Injury
Report to "Serious"
Manager (Defined Above)
Investigate
Injury Causes No
Report to
Manager & HR
Dept.
Accident Investigation
Report to
Yes CaVOSHA,
Manager, & HR
Dept.
Investigate
Injury Causes
Accident investigation is utilized as one method for identifying previously
unrecognized hazards. The appropriate supervisor, using the Aaident/Incrcient
Imestigation form, performs accident investigation. This report is to be completed
and provided to the Designated Safety Coordinator and filed with the Human
Resources Department. The report is to be completed within five (5) days of the
supervisor being notified that an accident or work-related injury occurred.
This report identifies the probable causes and prevention of the accident
Where action is recommended to prevent similar accidents, record of action
taken shall be kept See the Appendix for a copy of the Accident/ Incident
Investigation form.
4.1.1 Log of Occupational Injuries & Illnesses
The City maintains an OSHA 300 Log of Occupational Injuries and Illnesses.
The instruction and definition of recordable injuries and illness to be
recorded are on the back of the Log itself. This Log is kept by calendar year.
At the end of each calendar year the Log is totaled and signed by Human
Resources. During the months of February, March, and April a summary
form (300A) is posted on the safety bulletin board(s) for employee
information regarding recordable injuries and illnesses. Each Log is kept as a
record for five years.
21 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
�.�.. =3 l l=k i [1 7M- % 7.
��.
Supplemental Health and Safety Programs refer to department
requirements for written procedures and employee training for the
control of hazards unique to the department's operations.
5.1. Hazard Identification
Hazard identification is the responsibility of managers and supervisors as identified
under Responsibilities. Managers and supervisors of each department are responsible
to identify and abate employee safety and health hazards. The frequency of hazard
identification is based upon the department's activities and hazards. No City
department is to perform hazard identification responsibilities less than quarterly.
Acceptable hazard identification methods include:
5.1.1 Planned Inspections
Planned inspections are performed monthly or quarterly by one or more
persons. They follow an inspection checklist or can be based upon the
knowledge the inspector has of the department or site being inspected.
When appropriate, one or more members of a safety committee may perform
these planned inspections.
5.1.2 Unplanned Inspections
Unplanned inspections are performed
performed based upon a new project
identify hazards, the site of a previous
impromptu review of worksite hazards.
5.1.3 Job Hazard Analysis
based upon need. They may be
being started in order to properly
accident or near accident, or the
When performed, a job hazard analysis (JHA) identifies the major tasks
performed by that job classification, potential hazards, injuries, and illness
that the employee is to be cautious about, and the safe job procedures to be
utilized in safely performing the task. JHA's are useful for jobs or tasks with
severe injury exposures, or jobs seldom performed but with significant injury
or illness potential. When performed, JHA's are to be used for training new
22 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
employees, used as a reference whenever an employee is not familiar with the
tasks to be performed, and to be used for training employees with new job
assignments.
5.1.4 Outside Professionals
Departments have the flexibility to hire professionals to perform inspections
of the worksite, budget allowing. These professionals should be familiar with
the hazards and operations of the department, and public entities in general.
5.1.5 Office Hazards
Periodic surveys of the office environment and work practices are performed
quarterly. Record of these inspections are kept along with record of action
taken to correct any hazards identified. These inspections shall identify the
status of, at a minimum, the following areas:
✓ Ergonomics of office workstations and ergonomic hazards to employees
✓ Electrical cord and receptacle usage
✓ Trip and fall hazards
✓ Securingfile cabinets
✓ Posting of emergency evacuation plan
✓ Employee knowledge of the emergency plan
✓ Housekeeping
✓ Material Safety Data Sheets (MSDS) availability
5.1.6 Department Hazards
Each department, utilizing City Basic Safety Inspeaion forms or another one
more specific to their department, performs periodic hazard inspections.
These inspections focus upon employee injury and illness exposures.
Records of these reviews shall be kept along with record of action taken to
correct any hazards identified. While the inspection forms guide the
inspections, they cover, at a minimum:
23 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
✓ Safe work practices of employees
✓ Availability and use ofpersonal protective equipment such as eye, head,
hand, hearing, or face protection.
✓ Material handling, storage, and lifting
✓ Machinery, equipment, and electrical safety
✓ Trip, slip, or fall hazards
✓ Health exposures from noise, chemicals, or outside contractors
✓ Posting of emergency evacuation plan
✓ Employee knowledge of the emergency plan
✓ Housekeeping
✓ Material Safety Data Sheets (MSDS) availability
Inspections results are brought to department safety
committees, or if none exist, to management
personnel. Decisions are made regarding abatement
priorities for hazards (see next page) and abatement
steps are recorded. Hazard identification (inspections)
and abatement information are required to be in
writing and maintained for 3 years.
5.1.7 Hazard Abatement
Whenever hazards, unsafe work practices, violations of OSHA or
CaVOSHA, and unsafe equipment are identified the following steps are
taken:
1. Immediately abate the hazard and record the action.
2. Fully abate the hazard as soon as practical in accordance with the severity
of the exposure and warn employees regarding the hazard until fully
abated
3. Inform the appropriate subcontractor or vendor of the hazard and
request that they abate the hazard within a time frame consistent with the
degree of severity the hazard creates.
Whenever subcontractors or vendors willfully or negligently ignore the
correction of safety violations such subcontractors or vendors shall be
reported to the department manager.
5.1.8 Roles
5.1.9 Responsibilities
5.1.10 Training
24 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
5.1.11 Records
5.2 Hazard Communication
Hazard communication applies to any hazardous substance present in the
workplace that employees may be exposed to under normal working conditions, or
in a reasonably foreseeable emergency. Hazardous substances are categorized as:
Health Hazards — Substances that are toxic, carcinogenic, irritants, corrosives, or
other health hazards.
Physical Hazards — Substances that are combustible, flammable, explosive,
oxidizers, pyrophorics, compressed gasses, or other physical hazards.
Exempted from this regulation are products packaged and intended for use by the
public (consumer products) when the exposure from such products is not
significantly greater than consumer exposure. Hazardous waste is exempted when
regulated under Resource Conservation and Recovery Act (RCZA) an
Environmental Protection Agency Act. Tobacco and food products are exempted.
Wood products are exempted, but not hazardous substances known to be present
in the wood as impurities (treated lumber). Insecticides are exempted if labeled,
used and applied according to California regulations (Food & Agriculture, Title 3)
for such chemicals by licensed applicators.
5.2.1 Minimizing Exposure
Each department is responsible to minimize exposure to hazardous materials,
through the following steps:
✓ Substituting materials with those of lower hazard or toxicity,
✓ Isolating the exposure to hazardous materials through physical barriers,
distance, or separation by length of time to or between exposures,
✓ Ventilation through the use of increased'general or local ventilation to
reduce exposure,
✓ Administrative controls by limiting the frequency and numbers of
employees exposed,
✓ Personal protective equipment to reduce the impact of exposure.
This may include respiratory, face, skin, hand, eye, or body protection.
5.2.2 Material Safety Data Sheets
A material safety data sheet "DS) accompanies all hazardous materials
used in the City. The following criteria apply to these MSDS:
✓ They are maintained in a three -ring binder in a location, or locations that
are readily available to employees during working hours.
25
Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
✓ They are readily available to the employees using, or exposed to,
hazardous substances.
✓ They are identified during employee training on hazards in the workplace.
✓ They are preceded in the three -ring binder by an inventory of hazardous
materials of each MSD sheet contained in the binder.
Each department obtains material safety data sheets for hazardous substances
to which employees may be exposed. These MSDS are placed in a three -ring
binder and made available to all employees. Individual departments are
responsible to obtain MSD sheets from vendors and subcontractors if the
hazardous materials used by vendors and subcontractors may expose
employees. Vendor or subcontractor MSD sheets are kept in a separate
binder that is appropriately labeled. All MSD sheets are preceded by an
inventory of all hazardous materials represented by the MSD sheets.
The department is responsible to keep material safety data sheets current with
hazardous materials in use within the department. Material safety data sheets
from outdated materials should be filed in a separate binder and maintained
for at least 3 years after the material has been discontinued. There is no
requirement to maintain the documentation; however, should an exposure be
reported years later, the City must be able to recreate the materials the
employee was exposed to, for how long and under what conditions.
5.2.3 Labeling
Hazardous materials shall be used only in their original container with their
manufacturers' label; or in a secondary container and labeled identically with
the original.
Hazardous Materials Are Not To Be Used In Unlabeled,
or Improperly Labeled, Containers.
5.2.4 Spill Response
City employees are required to report hazardous or suspected hazardous
material spills. In the event of a hazardous material spill or leak, City
employees are to respond according to the following two categories:
Emergency Response - A spill or leak that is an immediate threat to the
life, health, or safety, of City employees or contractors, or the public. In the
event of this category of spill or leak, report the emergency by calling 911 and
following City spill response guidelines.
Non - Emergency Response - Those spills or leaks that that do not
provide an immediate threat to the life, health, or safety, of City employees or
contractors, or the public. Report internally according to City spill response
26 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
guidelines and clean up according to those guidelines.
5.2.5 Employee Training
All employees who are handling hazardous substances or who work near and
around such substances are trained regarding safe use of those substances.
Training is updated whenever a new hazardous substance is introduced to the
work place. Training for employees includes:
✓ Information on the substances to which employees are exposed.
✓ The requirements of the Hazard Communication Standard and the
employees' right to know regarding hazards of the chemicals with which
they work
✓ The location of chemical inventories and materials safety data sheets for
the substances to which they are exposed.
✓ Methods and observations that may be used to detect a leak or exposure
to substances covered under. this section.
✓ Measures employees can take to protect themselves from substances
covered by this section.
✓ Emergency procedures followed in the event of a spill or accidental
contact.
✓ First aid treatment utilized in the event of an exposure.
✓ Disposal methods for the hazardous substances used in the workplace.
• Employees' rights to receive information regarding hazardous substances
to which the employee may have been exposed.
• Information regarding chemicals known to the State to cause cancer or
reproductive toxicity (Proposition 65 Warning).
The site below reaches the Cal/OSHA. regulation
governing Hazard Communication.
http://www.dir.ca.zov/Title8/5194.htmi
5.2.6 Roles
5.2.7 Responsibilities
5.2.8 Training
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SPECIAL HAZARD PROGRAM REQUIREMENTS
5.2.9 Records
5.3 Emergency Response Plans
A written emergency action plan is required and posted at each physical facility
operated by the City. This plan details emergency response and evacuation. On
these evacuation plans is an indication of where employees are to gather to be
counted to ensure all employees have left the building.
Detailed emergency response plans are to be developed
by each department for each facility that they occupy.
For departments sharing occupancies . with other
departments, emergency response plans are to be
coordinated between departments. Plans are to cover
the following:
✓ Actions to take in case of medical emergency, identification of the medical
facility used by the City for employee injuries and illnesses, and the
communication method used to summon medical assistance.
✓ Actions to take in case of fire. Communication method used to summon fire
department and the exact location of the facility. Facilities are to be evacuated
in case of fire and employees are not to fight fires unless the City has trained
them in the use of fire extinguishers.
✓ Actions to take in case of earthquake. Information on shelter and
communication.
✓ Actions to take in case of bomb threat. If received by telephone, take as much
information as possible, including location and time for detonation of the
bomb, and immediately report this information to the police.
✓ Emergencies shall be announced, as appropriate, by using the voice, intercom,
or other methods based upon the facility, telephone equipment, and number of
employees possibly affected by the emergency.
Training employees in emergency response procedures is performed in the
following manner and frequency:
✓ Designate and train a sufficient number of employees to assist in the orderly
emergency evacuation from each facility that is occupied. The employees
must be advised of their responsibilities under the plan at the following
intervals:
• When the plan is first developed,
• Whenever employee actions or responsibilities change under the plan,
and
o Whenever the plan is changed.
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SPECIAL HAZARD PROGRAM REQUIREMENTS
✓ Upon initial assignment each employee receives a review of those parts of the
plan that the employees must understand in order to protect themselves in
case of an emergency.
The site below reaches the Cal/OSHA standard
governing Emergency Response.
http:// www.dir.ca.gov /Title8 /3220.html
5.3.1 Roles
5.3.2 Responsibilities
5.3.3 Training
5.3.4 Records
The City has identified medical providers that serve as the designated medical
provider for injuries and illnesses occurring as a result of work performed by City
employees. The designated providers are posted in each facility occupied by City
employees. Management employees are expected to have this information readily
available to employees in case of any medical emergency. Medical provider
information is available from the Human Resources Department.
To avoid delays in medical treatment at isolated locations, employees should take
the following precautions:
✓ Don't work alone at an isolated location.
✓ Have first aid supplies readily available at isolated locations (within vehicles or
facilities).
✓ Have a reasonable number of personnel trained in fast aid techniques for those
departments which work outside or at facilities outside City limits and at a
greater distance to medical facilities.
Fast aid supplies are inspected quarterly by the department responsible. Minimum
supplies consist of:
29 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
Latex glozes Plastic airuaypmWor
Safety Pins E)r drasing pudeet
Sdssm 1 -mcb wide adlaesize tape
Tria%*dar &arranges
Ad5aiw diusings
The number of fast aid materials is based upon the number of personnel at that
jobsite or location according to the CaVOSHA standard. See the link at the end of
this section for CaVOSHA's site dealing with first aid supplies.
5.4.1 Eyewashes
Suitable eyewash or body drenching facilities are required whenever
employees are exposed to injurious corrosive substances that may injure their
eyes or body. This may consist of the following:
1. Portable (Self - Contained, Gravity -Fed) Eyewash Stations
An ANSI approved portable eyewash station, containing purified
preserved buffered saline solution prepared by the manufacture and
factory sealed to resist contamination, shall be provided employees
whenever working conditions warrant it. Follow the manufacturer's
recommendations for maintenance.
2. Self- Contained, Pressurized Eyewash Stations
Approved, pressurized eyewash stations, containing purified, preserved,
buffered, saline solution, prepared by the manufacturer and factory sealed
to resist contamination, shall be provided employees whenever working
conditions warrant it. Follow manufacturer's recommendations for
maintenance.
3. Plumbed Eyewash Station
Where workplace conditions warrant, plumbed emergency eyewash
stations are to be provided employees to irrigate offending chemical(s)
from the affected eye. Plumbed eyewash stations must deliver flushing to
both eyes at a minimum flow rate of 0.4 gallons per minute for 15
minutes. Water flushed into the eye at the station must be in the
temperature range of 60F to 95F and needs to be clean and free of
contamination to reduce the potential of causing additional damage to the
cornea of the eye from chlorine, solids (rust particles), irritants, and
microbial contaminates inherent to plumbed water. To ensure water
quality, the eyewash station should be filtered and flushed at least
monthly.
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SPECIAL HAZARD PROGRAM REQUIREMENTS
The site below reaches the Cal/OSHA standard
governing fast aid and medical response:
htt2:// www.dir.ca.,aov /Title8 /3400.html
5.4.2 Roles
5.4.3 Responsibilities
5.4.4 Training
5.4.5 Records
All outside workers are provided, when practical, the following in order to reduce
the possibility of a heat related illness:
5.5.1 Access to Shade
1. Shade is identified, or created, for employees whose work outside exposes them
to heat and the possibility of heat illness. Shade may consist of natural; man-
made temporary or permanent structures. Access to shade may differ from site
to site but will be identified. Shade meets the requirements of an area; such
that objects cast no shadow and are an area cooler than direct sunlight. Autos
in the sun without air conditioning running do not meet this qualification.
2. Should shade not be readily available, supervisor or manager will make available
cooling measures other than shade such as misting machines.
3. Examples of shade meeting the above definition for City employees include:
a. Official vehicles with the air conditioning running, or
b. Shade trees adjacent to the work area, or
c. Umbrellas or canopies (equip work vehicle with umbrella if work site is
not known to have effective shade).
5.5.2 Water Requirements
Potable water is provided to each employee allowing a rate of consumption
of one quart per hour per employee where it is not plumbed and
continuously available. Employees are responsible to fill water containers on
vehicles prior to leaving their yard or shop each morning.
5.5.3 Emergency Response
1. Employees suffering from heat illness, or believing a preventive recovery
period is required, are provided access to shade and the time to recover.
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SPECIAL HAZARD PROGRAM REQUIREMENTS
Employees are allowed a period of no less than five (5) minutes whenever
heat illness is indicated by one or more symptoms. Employees may make
use of this access to recovery shade whenever they believe it to be
necessary to prevent heat illness. Employees in critical functions must
provide reasonable notice to their supervisor in order for the employee's
function to be replaced prior to the employee vacating the position.
2. Each fixed work site has specific address for the site posted, or
maintained in the work vehicle, should emergency response be required.
If an address is not applicable, directions to the site are provided in
simple terms.
3. Each work site or work vehicle is equipped with emergency response
numbers, even if that consists of calling 911. Emergency number and site
address or directions are located in the same place.
4. Employees or managers seeing the symptoms of heat illness are to allow
employees adequate time to recover from these symptoms. Should an
employee's symptoms require, emergency medical care should be sought
by either calling 911 or through transportation to a local hospital or clinic
if that is appropriate.
5.5.4 Training
Employees receive initial orientation regarding heat illness and on -going
training on projects through tailgate safety meetings. Training covers the
following topics:
1. The environmental and personal risk factors for heat illness.
2. Rohnert Park procedures for identifying, evaluating, and controlling
exposures of heat illness.
3. The importance of frequent consumption of small quantities of water, up
to 4 cups per hour, under extreme conditions of work and heat.
4. The importance of acclimatization to the heat and work performed.
5. The different types of heat illnesses and the common signs and
symptoms.
6. The importance of immediately reporting any signs of heat illness to a
supervisor. This includes signs in yourself or others.
7. The department procedure for responding to heat illnesses including how
emergency medical will be provided if indicated.
8. How to provide clear and precise directions to the worksite if it is not a
street or road address easily identifiable by emergency response
personnel.
In addition to the above training, managers, supervisors, and foreman are
provided training on the following:
1. The information required to be provided as a result of this heat illness
policy and procedure.
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SPECIAL HAZARD PROGRAM REQUIREMENTS
1 How to implement this heat illness policy and procedure on City projects.
3. The procedures the supervisor follows when an employee exhibits
symptoms consistent with possible heat illness, including the emergency
response procedures.
5.5.5 Roles
5.5.6 Responsibilities
5.5.7 Training
5.5.8 Records
• - - - 1Z a
Each department develops a fire prevention plan covering the potential fire hazards
in the department. These plans include the following:
✓ Potential fire hazards, and their proper handling and storage procedures,
ignition sources such as smoking, welding, cutting and their control procedures,
and the type of fire protection equipment used for control.
✓ Job titles of personnel responsible for maintaining fire prevention or
extinguishing equipment. In those instances where this is another department
or outside contract, just identify which department is responsible for the
contract or maintenance.
✓ Job titles of personnel responsible for control of flammable and combustible
waste.
✓ Housekeeping procedures.
The department reviews the plan, or those parts of the
plan that the employee must know in case of emergency,
with each employee upon initial assignment. The written
plan is made available to employees upon request. The
plan maintenance and implementation is the
responsibility of each department with exposure to potential fire hazards.
Departments without exposure need not develop or maintain a plan.
5.6.1 Roles
The site below reaches the Cal/OSHA regulation
governing Fire Prevention Plans.
http:// www.dir.ca.gov /Title8 /3221.htmL
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SPECIAL HAZARD PROGRAM REQUIREMENTS
5.6.2 Responsibilities
5.6.3 Training
5.6.4 Records
5.7 Confined Spaces
A confined space procedure is required of a City department when the
following conditions exist:
1. Space is large enough, and so configured, that an employee can bodily enter
and perform assigned work; and
2. Space has limited means for entry or exit, and
3. Space is not designed for continuous employee occupancy.
Confined space permit entry procedures are required when, in addition to
the above, any of the following conditions exist:
1. Contains or has a potential to contain a hazardous atmosphere; or
2. Contains a material that has the potential for engulfing an entrant; or
3. Has an internal configuration such that an entrant could be trapped or
asphyxiated by inwardly converging walls or by a floor which slopes downward
and tapers to a smaller cross - section; or
4. Contains any other recognized serious safety or health hazard
Hazardous atmospheres include those that expose employees to the risk of death,
incapacitation, or impairment of ability to self - rescue, injury, or acute illness.
All confined spaces are to be considered "permit required" spaces
until pre -entry procedures demonstrate otherwise.
Written operating procedures governing the
identification, testing and entry into a confined space
meeting the above definition are established by the
respective department prior to allowing employees to
enter confined spaces. Permit-Required Confined spaces
require a written permit system. Only employees trained
in the confined space operating procedure established by the department are
allowed to enter confined spaces.
Confined space procedures include:
✓ Employee training in confined space entry, rescue, and if required, respiratory
protection.
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SPECIAL HAZARD PROGRAM REQUIREMENTS
✓ Procedures to determine whether the confined spaces require a permit entry
procedure (sewer lines always require a permit entry system).
✓ Confined space procedure for purging hazardous substances.
✓ Air quality testing procedure to determine the level of oxygen and toxic,
flammable or explosive air contaminants.
✓ General or local ventilation procedures as required based upon above testing.
✓ Methods for isolating space from supply lines capable of creating hazardous
conditions. Exception to this is sewer lines that cannot be isolated. Sewer line
entry requires a separate procedure and emergency response procedure to
prevent being engulfed.
✓ Lockout procedures used to secure electrical systems, pressure systems, piping,
machinery or moving equipment.
✓ Identification and training for personnel entering confined spaces containing
hazardous gases requiring the wearing of protective equipment.
✓ Emergency response procedures.
Emergency Response personnel (Police & Fire) treat all confined spaces entered
under emergency conditions as potentially harmful to employees. Supplied air
respirators and protective clothing are utilized under these conditions. Emergency
response procedures are the responsibility of the
individual department.
The site below reaches the CaVOSHA regulation
governing Confined Space Entry.
=://www.dir.ca.L,ov/Title8/sb7gl6alO8.html.
5.7.1 Confined Space Entrant
5.7.2 Confined Space Attendant
5.7.3 Confined Space Supervisor
5.7.4 Confined Space Permit
5.7.5 Roles
5.7.6 Responsibilities
5.7.7 Training
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SPECIAL HAZARD PROGRAM REQUIREMENTS
5.7.8 Records
5.8 Respiratory Protection
City departments requiring employees to use respiratory protection or providing
respiratory protection for voluntary use must have a respiratory protection program
that addresses the requirements in this section. Should respiratory protection be
required, its use is enforced. If respiratory protection is. not required, but is desired
by the employees, there are a number of conditions below that must still be met.
Whenever it is reasonable to suspect that employees may be exposed to
concentrations of airborne contaminants in excess of levels permitted by
CaVOSHA, CCR Title 8, §5155(c), the department is to monitor the work
environment so that exposure to employees can be measured or calculated. For the
adequate protection of employees, the person supervising, directing or evaluating
the monitoring and control methods shall be versed in the standard and shall be
competent in industrial hygiene practice.
The steps, in order of priority, in controlling airborne contaminants, are as follows:
1. Prevent harmful contamination through engineering controls. Examples
include changing materials to less harmful ones, general dilution ventilation
(opening doors or use of fans to direct ventilation), and exhaust ventilation
(hoods or squirrel -cage suckers).
Z. Use administrative controls to prevent harmful contamination. Examples
include limiting employee exposure or changing work practices to reduce
frequency or volume of exposure.
3. Use of respiratory protection. Whenever respiratory protection is utilized, the
requirements in this section must be followed.
5.8.1 Dust Masks
The following sections apply to all respiratory protection devices that maybe
worn by employees in the course of work for the City, with the exception of
dust masks. Dust masks voluntarily utilized in dusty, but non - toxic,
conditions do not require the following procedures. Whenever work creates
dusty conditions, efforts are taken to reduce employee exposure to dust
through wetting it, local exhaust ventilation, or other appropriate means. If
these steps are not successful in reducing dust below acceptable levels, dust
masks can be, provided to, and worn by, employees. Required dust mask
use due to toxic conditions requires that the department follow respirator
procedures for initial medical exam, fit testing, and maintenance and cleaning
(if reusable).
5.8.2 Respirators
The City minimizes the need for respiratory protection by employees in the
regular performance of job tasks. Whenever possible, general and local
ventilation is utilized, as well as administrative controls, to reduce employee
exposure to airborne contaminants. This minimisation does not apply to
36 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
emergency response personnel and their requirement for respiratory
protection.
Whenever it is reasonable to suspect that an employee is exposed, or suspects
they may be exposed, to airborne contaminants, the department shall assess
the exposure. Should the measurements indicate the need for respiratory
protection, appropriate respirators shall be provided, fit - tested, and the
employee trained regarding their use. Measurements indicate a need for
protection when they exceed the permissible exposure limits identified by
Cal/OSHA. Employees shall not utilize respiratory protection unless they
have an opinion from a licensed healthcare provider (physician) stating that it
is safe for them to wear one.
City department responsibilities for respiratory protection include:
✓ Measuring, or having measured, potential exposure to harmful airborne
contaminants when it is reasonable to suspect that employees are exposed
in concentrations above those permissible in CCR Title 8, §5155(c).
✓ Requiring and enforcing the use of respiratory protection where
employees are exposed to harmful airborne contaminants when
protection cannot be assured by engineering or administrative controls.
✓ Developing written respirator guidelines for use,
type of respirator, fit testing, employee training, and
care of respirators where department operations and
activities require the use of respirators.
✓ Supplying the appropriate respirators based upon assessing the exposure
and user requirements (face size, user facial hair, and seal).
✓
Determining, through a licensed healthcare provider, that the employee is
physically able to perform the work while wearing the required respiratory
protection. The medical status of persons assigned to use respiratory
protection is reviewed no less than annually. This should consist of no
less than questioning the employee as to whether, "there are any changes
in medical or physical conditions that alter their ability to safely wear a
respirator." At the time of fit testing the department should also observe
any changes that they may believe have changed the user's ability to safely
wear a respirator. Any possible changed conditions should then be
evaluated by a licensed healthcare provider.
✓ Fit - testing respirators to employees each time a new type of respirator is
assigned and/or fit testing annually.
✓ Providing training for employees in the proper use and care of
respirators.
✓ Providing sanitary storage and maintenance for respirators.
✓ Naming a "program administrator" to manage the department's
respiratory protection program. This individual should be knowledgeable
37 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
regarding department respiratory hazards, respirators necessary for
protection, and the provision of Cal/OSHA respirator standard.
Employee responsibilities for respiratory protection include:
✓ Wearing respirators when required to do so based upon exposure and
department requirements.
✓ Wearing respirators only after having been provided a physical and
training on the use of respirators.
✓ Inspecting respirators prior to each use to ensure it is suitable to be used,
or reporting any defects noted.
✓ Reporting any exposure that the employee believes justifies respirator
protection for the employee.
5.8.3 Voluntary Respirator Use
Voluntary use of a respirator occurs when an employee requests a respirator
even though the use of one is not required by a standard and the department
has determined that its use is not necessary to protect the health of the
employee. The department can provide respirators at the request of
employees or permit employees to use their own respirators as long as the
department determines that the respirator's use will not in itself create a
hazard. When respirators are used voluntarily, only certain respiratory
protection program elements must be met. Departments must:
1. Conduct employee medical evaluations.
2. Establishprocedures for cleaning, storing, and maintaining respirators.
3. Give employees a copy of CCR, Title 8, § 5144, Appendix D, (Mandatory)
In
fa=tion for Ernplo}a�s Using Respirators When Not Required Under the
Stanbn� which provides basic information on the proper use of
respirators.
It is recommended . for any department that has exposure to airborne
contaminants that the department educates itself regarding the exposure,
exposure limits and the requirements for mandatory and voluntary use of
respirators.
The site below reaches the Cal/OSHA regulation
governing Respiratory Protection and the
control of airborne contaminants.
=: / /www.dir .ca.gov /Title8 /sb7gl6a107.htn 1
The following site is a list of publications elaborating how to meet standards
compliance. In this list, go to "respiratory protection" for an excellent guide
on how to put a written respirator program together.
=://www.dir.ca.zov/dosh/PubOrder.as
38 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
5.8.4 Roles
5.8.5 Responsibilities
5.8.6 Training
5.8.7 Records
5.9 Energy Control
Employees who operate, clean, service, adjust or repair machinery and equipment
are required to lock, block, or tag equipment that is worked on. Such employees
are required to fully understand and follow the lockout procedures and are known
as "authorized employees." Employees not required to lock, block, or tag out
equipment, but still affected by such activities, are required to understand the locks
and tags such that they do not defeat the purpose of them. This group of
employees is known as "affected employees."
City equipment meeting the requirement for lockout. is those which have energy
(electrical, mechanical, hydraulic, pneumatic, or other) that cannot be disconnected
from its energy source. Equipment that can be unplugged does not have to follow
these lockout procedures as long as the power cord end is within sight of the
authorized employee. Even unplugged equipment may need to have a secondary
power source blocked, see Blocking below.
All departments who repair, service, adjust, or clean equipment are required to have
department - specific Lockout/Tagout procedures. Each City department has
different equipment that meets the criteria for lockout procedures. Departments
are required to develop a list of equipment that meets the criteria of this section
and add new equipment to this list as required.
The City shall audit, or have audited, the lockout procedure and its effectiveness in
departments on an annual basis. Someone other than those employing the lockout
procedure performs such audits.
5.9.1 Procedural Requirement of Departments
Each City department requiring use of the lockout
procedure must have a written procedure that covers all
of the following:
✓ Methods for locking out the main power source to prevent unexpected or
inadvertent movement of the machine.
✓ Methods for locking or tagging equipment. Locks and tags are preferred
jointly, unless there is a sound reason why only one method can be used.
✓ Methods for lockout by multiple personnel.
39 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
✓ Test methods to ensure the switch or valve cannot be operated.
✓ Identification of the reason for the lockout, your name and method of
contact, and date the tag was put in place on the tag.
✓ Methods for releasing stored or blocked stored energy (mechanical,
hydraulic, air, etc) before equipment is.locked -out for repairs.
✓ Provisions for appropriate safety locks individually keyed to employees
personally.
✓ Methods for employees to keep personal control of your key(s) while
safety locks are in use.
✓ Methods allowing only the employee exposed to the hazard to place or
remove the safety lock
• A method to check the safety of the lockout by attempting a start-up after
making sure no one is exposed.
• Identification of department equipment requiring lockout and where to
lockout that equipment.
✓ Training authorized employees in the procedures, and affected employees
in an overview of the procedure and what to do in case locks or tags are
encountered.
5.9.2 Procedural Steps Required
The procedural sequence followed in locking out equipment is:
✓ Initiate lockout notice with announcement of maintenance or repair
schedule. Ensure maintenance schedule for all equipment includes
applicable lockout requirement.
✓
Notify all affected employees that a lockout is being performed.
✓ If the equipment is operating, shut it down by normal stopping
procedures (switch, stop button, etc.).
✓ Disconnect the source of energy for the equipment. Reference the
department lockout list for identification of equipment and their
respective lockout locations.
✓ Lockout the equipment with the lock assigned for this purpose.
✓ Check to ensure that no personnel are exposed and operate the
equipment's on or start switch to ensure the equipment is de- energized.
Return buttons to their neutral position after this check is performed.
✓ The equipment may now be adjusted, cleaned, or repaired. Guards may
be removed for this purpose.
5.9.3 Blocking Equipment
Some machine's operating parts and certain mechanical equipment can slip
accidentally. Blocking -out machinery and equipment can prevent this
40 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
potential hazard. If blocking is required, develop procedures based upon the
following:
✓ Physically block-out air operated, gear driven, hydraulically operated
units, or suspended parts of a machine or equipment to prevent
movement.
✓ Bleed down steam, air or hydraulic cylinders.
✓
Block-out gears, dies and other mechanisms.
✓ Put blocks under raised dies, lifts, or any equipment that might descend,
slide, fall or roll.
✓ Release coiled springs, spring- loaded devices and security cams.
✓ Use blocks or special stands under raised vehicles, machines or
equipment to prevent failure or slippage of the jack or elevating device.
The site below reaches the Cal/OSHA regulation
governing lockout/tagout procedures for use while
cleaning, repairing, servicing, or adjusting equipment.
http: // www.dir.ca.gov /Title8 /3314.html
5.9.4 Roles
5.9.5 Responsibilities
5.9.6 Training
5.9.7 Records
LEI 1 . 110,0 ms,
OSHA has prescribed the limits established by the American Conference of
Governmental Industrial Hygienists (ACGIH) as a standard for occupational noise
exposure. Both the sound pressure level of the noise and the total duration of the
noise exposure are considered to determine if these limits are exceeded.
Exposure to noise equaling or exceeding 85 dB in the A scale (dBA) for an eight -
hour period (referred to as a time — weighted average) establishes the point at which
the City department must develop a hearing conservation program. Whenever the
time - weighted average exposure (TWA) exceeds 85 dBA for 8 hours, or
information indicates the employee exposure may equal or exceed 85 dBA TWA,
the City department does the following:
✓ Monitors, or has monitored, the employee(s) noise level exposure. This can be
performed through either area or personal monitoring and should be
performed by someone who is trained in the use of the measuring equipment.
41 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
Area monitoring is generally unacceptable for jobs with high worker mobility or
high impact sound levels.
✓ Repeats monitoring whenever there is a change in equipment, the addition of
new equipment, or changes in work procedures such that additional employees
may be exposed or attenuation provided by the hearing protectors may no
longer be sufficient to protect employees.
✓ Establishes and maintains an audiometric testing program for the employee.
This includes annual testing at no cost to the employee and evaluation of the
results by a trained technician.
✓ Informs the employee of any threshold shift in their ability to hear.
✓ Takes steps through engineering or administrative procedures to reduce the
employee exposure to less than 85 dBA TWA.
✓ Provides hearing protectors for employees and requires their use for the
following employees:
o Those employees exposed to more than 85 dBA for an 8 -hour TWA, and
• Have not had a baseline audiometric test, or
• Whose audiometric exams have indicated a threshold shift, or
• &y employee exposed to more than 90 dBA for an eight -hour TWA.
The City provides hearing protectors for employees who are required to use them
for protection against noise exposure. These protectors shall include different
types and sizes in order to meet the variety of fit requirements of employees.
Employees exposed to noise requiring the use of hearing protectors are trained in
the use and fit of the protectors. Should anyone believe that they are exposed to
noise levels in excess of the above levels, it should be reported and the appropriate
measures of the exposure shall be made. Headsets for playing music are not
acceptable for hearing protection, or allowable when operating any City equipment.
5.10.1 Training Program
Whenever a City department has employees exposed to noise levels at or
above 85dBA for an 8 -hour TWA, the department provides training to the
employee and ensures employee participation. Training program is
repeated annually. Content of training is:
✓ The effects of noise on hearing
✓ The purpose of hearing protectors
The purpose of audiometric testing
The department is to make available Article 105 of General Industry Safety
Orders, Title 8 (see hypertext below) to the employees and to post in the
workplace. The department is also to make available to employees any
information pertaining to this standard from Federal OSHA.
5.10.2 Recordkeeping
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SPECIAL HAZARD PROGRAM REQUIREMENTS
Accurate records of the employee exposure
measurements are to be maintained for at
least two years, although it is
recommended, that if not repeated, they be
kept as long as they reflect current
exposure.
Audiometric test results shall be kept for the duration of the affected
employee's employment.
Access to these records is granted to any employee, former employee,
representatives designated by employees, or authorized representatives of
the Division of Occupational Safety & Health (DOS" upon request with
reasonable notice.
The site below reaches the Cal/OSHA
regulation governing Hearing
Conservation.
=:// www. dir .ca.gov /Title8 /sb7gl5alO5.html
The site below reaches Federal OSHA's website regarding hearing
conservation:
http: / /www.cdc.gov /niosh/96- 11o.html
5.10.3 Roles
5.10.4 Responsibilities
5.10.5 Training
5.10.6 Records
It is the City's policy to protect the health and safety of employees through the
establishment and enforcement of this exposure control plan that eliminates or
minimizes occupational exposure of employees to blood-borne pathogens. This
exposure control plan identifies employees who are subject to occupational
exposure to blood-borne pathogens, establishes information and training standards
for those employees, establishes a voluntary immunization program for the
Hepatitis B virus that provides protection for City employees from occupational
exposure to blood -borne disease.
Bloodborne pathogens refer to pathogenic microorganisms that are transmitted in
human blood and body fluids. This section details controls to prevent employee
exposure, procedures to follow to clean-up spills, and a post - exposure protocol to
follow. The most widely known bloodborne pathogens are hepatitis (B & Q and
43 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
human immunodeficiency virus (HIV). Of these three most common bloodborne
pathogens, hepatitis B is the most infectious.
It is not reasonably anticipated that many City employees will be exposed to
bloodborne pathogens. The exceptions are noted below. Those who have been
identified by the City as "reasonably anticipating" exposure to bloodborne
pathogens follow an exposure control plan designed to minimize exposure. Any
employee, who believes that the exposure exists for them, and has not been identified,
should bring their concern to the attention of their supervisor.
5.11.1 Exposure Determination
The following tasks and procedures are reasonably anticipated to involve
exposure to blood, body fluids, or other potentially infectious materials:
✓ Performing fast aid duties and /or emergency medical treatment other
than as a collateral duty;
✓ Performing mouth to mouth resuscitation other than as a collateral
duty; or,
✓ Performing custodial duties in bathrooms, jail area, library, parks, or
other public area where needles may have been disposed of in trash
receptacles.
All personnel in at least the following job classifications are determined
to have Occupational Exposure or Potential Occupational Exposure:
Public Safety
Sworn Personnel
Community Services Officer
Evidence Technician.
Volunteer Auxiliary Firefighter
Reserve Public Safety Officer
Public Works
Maintenance Worker I & II
Seasonal Maintenance Assistant
Public Services Supervisor
5.11.2 Training & Information
Recreation:
Recreation Services Manager
Recreation Supervisor
Lifeguards
Recreation Leader
Facility Attendant
Employees in the above classifications receive training at no cost to the
employee provided during working hours. The department provides
training on bloodborne pathogens within 10 days of hire and annually
thereafter.
Training includes, at a minimum, the following elements:
1. A copy of the standard and an explanation of the contents;
2. A general explanation of the epidemiology and symptoms of
bloodborne diseases;
44 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
3. An explanation of the modes of transmission of blood borne
pathogens;
4. An explanation and copy of this Bloodbome Policy,
5. An explanation of the appropriate methods for recognizing tasks and
other activities that may involve exposure to blood and other
potentially infectious materials;
6. An explanation of the use and limitations of methods that will prevent
or reduce exposure including appropriate engineering controls,
administrative or work practice controls, and personal protective
equipment;
7. Information on the types, proper use, location, removal, handling,
decontamination and disposal of personal protective equipment;
8. An explanation of the basis for selection of personal protective
equipment;
9. Information on the hepatitis B vaccine, including information on its
efficacy, safety, method of administration, the benefits of being
vaccinated, and that the vaccine and vaccination shall be offered free of
charge;
10. Information on the appropriate actions to take and persons to contact
in an emergency involving blood or other potential infectious materials;
11. An explanation of the procedure. to follow if an exposure incident
occurs, including the method of reporting the incident, the medical
follow-up that will be made available, and the procedure for recording
the incident on the Sharps Injury Log (Sharps Injury Log pertains to
medical personnel only);
12. Information on the post - exposure evaluation and follow-up that the
employer is required to provide for the employee following an exposure
incident;
13. An opportunity for questions.
Training Records contain the following:
1. The dates of the training sessions;
2. The contents or a summary of the training sessions;
3. The names and qualifications of the person(s)
conducting the training; and
4. The names and job titles of all persons attending training sessions.
45 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
Training Records are maintained for 3 years from the date on which the
training occurred.
5.11.3 Methods of Compliance - Exposure Control Plans
Those departments with exposed employees must create an Exposure
Control Plan. Departments required to have an Exposure Control Plan are:
Public Safety
Public Works
Recreation
You are not required to have an Exposure Control Plan if the sole exposure
is the likely provision of first aid as a collateral duty to injured workers or
public prior to emergency personnel arriving.
The Exposure Control Plan is reviewed annually and updated as needed.
Universal precautions are observed by all city employees in order to prevent
contact with blood or other potentially infectious materials. All blood or
other potentially infectious material shall be considered infectious
regardless of the perceived status of the source individual.
Work practice controls are identified in the department exposure control
plan and cover at least the following:
1. Engineering controls that will reduce the exposure are identified as the
primary control step. This includes the use of "safety' needles for
emergency response personnel, or the documentation on why they
cannot be used.
2. Work practice controls that will reduce the exposure are identified as
the second control step.
3. Personal protective equipment necessary to protect employees and
reduce the exposure. The location of specific personal protective gear
such as face, hand, body, and eye protection is specifically identified in
the department exposure control plan.
4. Personal sanitation practices to reduce and control bloodborne
pathogens exposure.
5. Proper practices for the disposal of "sharps" or syringes regardless of
where found. This applies predominately to Emergency Response
personnel and Recreation and Parks.
6. Spill clean-up procedures, if applicable.
7. Post - exposure evaluation and follow up are identified in the Exposure
Control Plan (see Post Exposure Protocols below).
46 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
Hepatitis B vaccine provisions (see below).
5.11.4 Hepatitis B Vaccine
Hepatitis B Vaccination is available to the above job classifications upon
hire or any time thereafter and to any employee after exposure. All
employees of the City who come in contact with bloodborne pathogens in
the normal course of their work duties shall be offered the Hepatitis B
vaccine, at no cost to the employee. The vaccine shall be offered within ten
(10) working days of their start of employment, unless the employee has
previously had the vaccine or who wishes to submit to antibody testing
which shows the employee to have sufficient immunity.
Employees who do not elect to participate in the vaccination program are
required to complete the declination form. Employees who initially decline
vaccination can elect at any other time to commence vaccination. Record
of completion or declination of the vaccination program shall be filed in a
Confidential Medical File.
Vaccination services are provided during work hours, and employees shall
be provided with transportation to vaccination service sites if not available
at the employee's work site, or with mileage reimbursement if applicable.
A copy of this procedure shall be provided to the medical services provider
selected by the City to provide Hepatitis B vaccinations to City employees.
5.11.5 Post Exposure Protocols
Should a City employee be exposed to bloodborne pathogens in the course
of employment, the following protocols are a part of individual exposure
control plans:
✓ Reporting requirements, including immediate notification of the
supervisor and, if necessary, completion of workers' compensation
forms. An accident investigation is always completed after an exposure
incident.
✓ Post exposure evaluation and follow-up care shall be made available at
no cost to all employees who have an exposure incident.
✓ Immediately following an exposure incident, the employees shall be
provided a free confidential medical evaluation, confidential medical
counseling, and follow-up care outlined. The licensed medical provider
is provided a copy of the requirements under CaVOSHA (see link
below).
✓ Documentation of the route of exposure, circumstances in which the
incident occurred and identification and documentation of the source
individual, unless the source is unknown, shall be placed on the
exposure treatment sheet.
47 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
✓ The source individual's blood shall be tested as soon as possible, after
consent is obtained, for HIV infectivity. Unsuccessful attempts made
to obtain consent shall be documented. HBV testing shall be ordered
immediately on the source blood if available. Specimen may be frozen
until HIV consent is obtained.
✓ Source testing for HBV and/or HIV need not be repeated when the
source individual is known to be infected with HMV or HIV.
✓ The results of the source individual's blood tests shall be made available
to the exposed employee. The employee shall be informed of
applicable laws.
✓ Exposed employees shall be offered the hepatitis B vaccine. Should the
employee decline the hepatitis B vaccine; the employee shall sign a
declination form. Should the employee change their mind regarding
accepting hepatitis B vaccine in the future, it shall be provided to the
employee at no cost.
All findings, diagnosis, and medical records regarding exposure shall
remain confidential and maintained by the City. Medical records are kept
for thirty years.
The site below reaches the Cal/OSHA
regulation governing bloodborne
pathogens.
http:/ /www.dirca.gov /Title8 /5193.html
5.11.6 Roles
5.11.7 Responsibilities
5.11.8 Training
5.11.9 Records
The purpose of this Policy is to minimize repetitive motion pain and injuries
through proper workstation setup for new employees, early reporting of suspected
repetitive motion injuries, an evaluation of workstations upon request, controlling
the ergonomic hazards that cause repetitive motion injuries, and to provide for
training where similar workplace activities occur.
Each department is directed toward developing the specific policies and procedures
that are required for their department to minimize repetitive motion injuries to
employees. While a majority of the exposure may be related to workstation design,
48 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
some repetitive motion injuries stem from tool use, material handling, and other
activities.
5.12.1 Procedures
New Employees - New employees may request a workstation evaluation if
experiencing discomfort, or if questions regarding workstation adjustment
arise. This is to be requested through your supervisor and provided by the
Human Resources Department.
Existing Employees — All departments are required to have polices and
practices that emphasize early reporting of pain associated with repetitive
motion injuries. Upon knowledge of a report of pain, the following steps
are followed:
✓ Employees are asked if theywish medical attention.
✓ The report of pain associated with repetitive motion injuries is reported
to the Human Resources Department. At Human Resources
Department's discretion, someone from that department or an outside
contractor shall evaluate the source of the pain. An evaluation, with
recommendations, if any, for relief of the pain, is scheduled within a
reasonable time.
✓ Employees who receive evaluations for suspected repetitive motion
injuries are recommended to follow the evaluator's suggestions.
✓ Should the pain not be relieved based upon the initial evaluation and
good faith efforts by the employee to improve repetitive motion
behaviors, a specialist in ergonomics shall also evaluate the employees'
work
Training — Employees are trained in the prevention of repetitive motion
injuries based upon their job assignment. At the least this training consists
of:
✓ Communication of this policy.
✓ Training in methods of adjusting chairs, tables, monitors, and
keyboards.
✓ Training in methods of safe tool use.
✓ The symptoms of repetitive motion injuries.
✓ The equipment available to relieve workstation stress (lumbar support
pillows, footrests, alternative mice, and alternative keyboards.
✓ The importance of early reporting of repetitive motion pain and injury.
49 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
The site below reaches the Cal/OSHA regulation
governing control of repetitive motion injuries.
=: // www.dir.ca.gov /Title8 /5110.html
5.12.2 Roles
5.12.3 Responsibilities
5.12.4 Training
5.12.5 Records
5.13 Trench
5.13.1 Roles
5.13.2 Responsibilities
5.13.3 Training
5.1 3A Records
5.14 Fall Protection
5.14.1 Roles
5.14.2 Responsibilities
5.14.3 Training
5.14.4 Records
5.15.1 Roles
5.15.2 Responsibilities
5.15.3 Training
50 Rev: September 2010
SPECIAL HAZARD PROGRAM REQUIREMENTS
5.15.4 Records
51 Rev: September 2010
D E F I N I T I O N S
Section 6. Definitions
6.1 Definitions of terms and abbreviations used in this
Manual
ANSI American National Standards Institute
Cal /OSHA California Occupational Safety and Health Administration
Cal /OSHA California Occupational Safety Standards, Title 8 of California
Standards Code of Regulations.
CCR Title 8 California. Code of Regulations, Title 8, Safety and Health Codes
Competent One who is capable of identifying existing and predictable
Person hazards in the surroundings or working conditions which
are unsanitary, hazardous, or dangerous to employees, and
who has authorization to take prompt corrective measures
to eliminate them.
DOSH California Department of Occupational Safety & Health
Incident Any event that is unexpected and has the potential to cause injury
or illness to personnel, damage to property, or has caused any of
the previous.
JSA Job Safety Analysis
OSHA Federal Occupational Safety & Health Administration
Qualified Person One who by reason of training, experience, or instruction has
demonstrated the ability to perform safely all assigned duties, and
when required, is properly licensed.
TWA Time - weighted average. Refers to noise level exposure over a
period of time. See Hearing Conservation.
52 Rev: September 2010
53 Rev: September 2010
Employee Safety Suggestion
New Employee Orientation Training
Employee Training Documentation (for Groups)
Individual Employee Training Documentation
IIPP Awareness Level Presentation Evaluation
Personal Protection Equipment Assignment
Immediate Supervisor's Report of Employee Injury
Accident/ Incident Investigation
Confined Space Permit
Bloodbome Pathogen Exposure
54 Rev: September 2010
Q�,ERr nARV
EMPLOYEE SAFETY SUGGESTION FORM
' CITY OF ROHNERT PARK
TITLE 8 HEALTH AND SAFETY FORM
CnttFOx 40
This form is for use by employees who wish to make suggestions or report an unsafe condition
or practice.
Name (option):
Date:
Location or area of unsafe condition or action:
What unsafe condition or action did you see?
What do you think might have caused this?
How would you suggest improving safety?
Has this been reported to the supervisor or Safety Coordinator? Yes No
• The City of Rohnert Park encourages employees to participate in communications
involving safety.
• The City of Rohnert Safety Committee will investigate every suggestion and advise the
employee of the response following the bi- monthly Safety Committee meeting at which
the suggestion is considered.
• Responses to anonymous suggestions will be written and posted on the employee
bulletin boards.
55
j?'pkkNERT Pqq
NEW EMPLOYEE
ORIENTATION TRAINING
s9 G2i
CITY OF ROHNERT PARK
atcFOR;KO TITLE 8 HEALTH AND SAFETY FORM
Employee Name:
Job Position:
Date(s) of Training:
Trainer:
Check off each item as you discuss it with the new employee:
1. Reviewed safety policies and the location and contents of the IIPP.
2. Explained functions of health and safety committee.
3. Covered employee rights to ask questions and provide information /suggestions
regarding health and safety issues; to notify management of any condition
he /she believes to be hazardous without fear of reprisal; and to receive
information regarding any hazards associated with their job assignment.
4. Encouraged to make suggestions and report hazards at any time using the
Employee Safety Suggestion Form.
5. Reviewed health and safety rules, practices, responsibilities and disciplinary
procedures defined in the IIPP.
6. Reviewed accident and injury reporting procedures.
7. Reviewed emergency action plan and evacuation routes.
8. Located first aid kits and fire extinguishers and use of fire extinguishers.
9. Discussed existence and location of: (a) the Hazard Communication Program
and MSDS documents; (b) the Ergonomics Program; (c) the Exposure Control
Plan for Bloodborne Pathogens; (d) the Chemical Hygiene Plan for City Process
Laboratories; (e) the Confined Space Program; (f) the Hot Work Procedures; (g)
the Procedure for Hazardous Energy Control ( "Lockout/Tagout "); and (h) the
Respiratory Protection Program. Performed training as it applies to employee's
position.
I acknowledge that I received information on the above subjects during my orientation.
Employee Signature: Date:
I have instructed the employee in the items checked above.
Signature of Trainer: Date:
Describe training materials and aids used for training (attach copies, if applicable).
56
SZpttNERT'7A4k �
91 C?
" " FOR 'A
EMPLOYEE TRAINING
DOCUMENTATION
CITY OF ROHNERT PARK
TITLE 8 HEALTH AND SAFETY FORM
Name of Trainer
Date
Work Location /Job Class
Number of Hours
Training Topic(s)
Training Materials and Aids (attach a copy of materials, if applicable)
Print Name
Signature
57
OliNERT PA,q
INDIVIDUAL EMPLOYEE
TRAINING DOCUMENTATION
62
CITY OF ROHNERT PARK
TITLE 8 HEALTH AND SAFETY FORM
Employee Name
Date
Work Location /Job Class
Number of Hours
Name and Title of Trainer
Describe the training:
List training materials utilized, including written materials and handouts,
videos, etc. (attach copies, if applicable):
I acknowledge that I received the training described above.
EMPLOYEE SIGNATURE: DATE:
I have instructed the employee as described above.
SIGNATURE OF TRAINER: DATE:
58
IIPP AWARENESS LEVEL
192 PRESENTATION EVALUATION
CITY OF ROHNERT PARK
c "'FO`s'1 TITLE 8 HEALTH AND SAFETY FORM
Employee Name:
Job Position:
Date(s) of Training:
Trainer:
Please take a minute now or at your convenience to answer a few questions and provide
comments or suggestions, if any, about the presentation. If you wish to complete the
evaluation at a later date, please return the form to Terri Griffin or John McArthur.
1. Did you feel the presentation provided you with enough information on the topics included in
the IIPP?
Yes No
2. If you checked "No," about which topic(s) would you have preferred additional information?
3. Any additional comments or suggestions?
59
pNR xr',I?�
PERSONAL PROTECTIVE EQUIPMENT
- ASSIGNMENT FORM
CITY OF ROHNERT PARK
TITLE 8 HEALTH AND SAFETY FORM
All affected employees must receive PPE training that includes when PPE is necessary, what
PPI is necessary and why; how to wear PPE properly; PPE limitations and capabilities; and PPE
care and maintenance. Each affected employee must be fitted property with the assigned PPE.
The following individual has been assigned PPE, has been fit tested, and has received training.
Employee: Training /Issuance Date:
Name and Title of Trainer:
The following is a list of PPE assigned to this employee, including the manufacturer; model and
any identification numbers:
PPE Type /Description
Manufacturer
Model, Style, Size, Other
Identifier
60
FORWARD TO PERSON RESPONSIBLE FOR FILING FIRST.REPORT OF INJURY - PFRsoNN;:i mr)ADTAACKIT
Department
Analysis.of Please mark the reasons that, in your opinion, caused the accident. In most cases theremill be several reasons under both
IMMEDIATE SUPERVISOR'S REPORT OF EMPLOYEE INJURY .
AN UNSAFE CONDITION EXISTED (Check all that apply)
Defective equipment — tools r Slippery or uneven walking surfaces
Please Complete in Detail
Name of Injured
Age Married? Male G
What have you done to eliminate this condition?
Female C
ate of Accident
Hour a.m. Job Title
Lack of Training = Not using personal safety devices — Horseplay
m
rany?
What have you done to correct this act?
Date injured worker given claim form
Names of
of report
Witnesses
ss
Was injured acting in
O f physician
regular line of duty?
Did injured leave work? Date Time a.m.
bid injured return to Date Time .m. a.m.
work?
.m.
IMMEDIATE SUPERVISOR'S EVALUATION
Analysis.of Please mark the reasons that, in your opinion, caused the accident. In most cases theremill be several reasons under both
Accident unsafe conditions and unsafe acts contributing to the accident. Fill out in detail.
AN UNSAFE CONDITION EXISTED (Check all that apply)
Defective equipment — tools r Slippery or uneven walking surfaces
= Equipment not properly guarded Faulty layout of facilities
= Poor working conditions (light, ventilation) L Poor Housekeeping
Other(specify) —
What have you done to eliminate this condition?
AN UNSAFE ACT RESULTED FROM (Check all that apply)
Lack of Training = Not using personal safety devices — Horseplay
Not following rules Physical or mental handicap G Improper work method
Haste, chance taking = Boredom;
inattention
Other (specify Improper body position
What have you done to correct this act?
Date injured worker given claim form
Time
Dept. Head Signature
Dept. Safety Officer
Supervisors signature
of report
. — I iW- uvA v04, wnvma, toA y041b - (M) 938 -2388
61
SUPERVISOR'S REPORT OF INJURY
WHEN AN ACCIDENT OCCURS ON THE JOB
SUPERVISOR:
1. Determine. extent and nature of injury. See that proper first
aid is applied.
2. If injury requires doctor's attention, render first aid to
prevent shock, bleeding, etc. Call ambulance or doctor
immediately.
3. Accompany injured employee to doctor if shock is apparent
or if not in condition to drive alone.
4. When time permits, give claim form to the injured worker.
5. `. Complete "Supervisor's Report. of Injury" and notify your _.
office immediately.
6. Determine cause of accident and correct hazard to prevent .
re- occurrence.
7. Know which members of crew have had first aid training
and using them when needed.
8. Replenish first aid supplies after use.
9. Advise your office when injured employee returns to work
FOR ANY AND ALL QUESTIONS ABOUT WORKERS'
COMEPNSATION CALL:
MARK FERGUSON AT (707) 938 -2388
2001 -kh
CONFINED SPACE ENTRY PERMIT Effective Date:
Revision #:
CITY OF ROHNERT PARK Revision Date:
TITLE 8 HEALTH AND SAFETY FORM
Locko ut/De -energ ized/Try-out
Line(s) broken /capped /flushed
Valve out/isolation
Lines are drained, washed, purged
Space is cleaned, drained, washed, purged
Ventilation for fresh air working & effective
Procedures reviewed with each employee
Employees informed of specific hazards
Hot work permit (attached if required)
Lighting adequate (explosion - proof)
Secure area (post, isolate)
PART 4 AIR MONITORING
Full body harness wf'D" ring
Retrieval device
Personal fall arrest system(s)
SCBA (2 min. ready & checked out)
Other protective clothing & equipment
Specify
Communication equipment
Specify
Other rescue equipment
Specify
Monitoring device checked & calibrated Yes /No Date and Time By Whom
Instrument(s) Used Model / Type Serial or Unit #
Tests to be Taken Entry Level Pre - Entry Readings Time Pre -Entry Readings
Percent of Oxygen 19.5% to 23.5% _
Lower explosive limit (LFL) Under 10% _
Carbon Monoxide 25 ppm* _
Aromatic Hydrocarbons 1 ppm - 5 ppm* _
Hydrogen Sulfide 10 ppm* 15 ppm ** _
Chlorine Gas 0.5 ppm*
Other(s) _
" 8 hr. time - weighted avg.: Employee can work in area 8 hrs (longer with appropriate respiratory protection)
Short-term exposure limit: Employee can work in the area up to 15 minutes. (No more than four times per shift.)
Note: if toxic air contaminant exceeds % the entry limit, additional control measures should be implemented.
Initial air test in compliance? Yes or No Signature of person performing test:
Continuous monitoring required? Yes or No (Use Supplemental Air Testing Form for additional monitoring)
Time
PART, 5 AUTHORIZED PERSONS back '.of ttiJs,`form for duties)
Attendant(s) Standby
Confined space entrants Entry time Exit time Confined space entrants Entry time Exit time
':PART 6= SU,RERVISQR AUTHOEIZA,T, #QN„
I certify that all required precautions have been taken and the necessary equipment is provided for safe entry and work in this confined space
Name (print) Time: Date: Signature:
Cancelled by Time: Date: Signature:
62 Page 1 of 2
This section outlines the roles, duties and routine safety procedures for all confined entries. The section supervisor shall oversee confined space operations and ensure these
general requirements are followed.
Duties of the Entry Supervisor
1) Knows the space hazards, the mode, signs or symptoms, and consequences of exposure that may be encountered during entry,
2) Performs and directs pre -entry procedures,
3) Verifies that space is safe for and authorizes entry,
4) Verifies appropriate entries have been made on the permit, that all tests specified have been conducted and that procedures, (rescue) equipment
and services are in place before endorsing the permit or the certificate of safe entry and allowing work to commence,
5) Terminates or cancels the permit when the situation or conditions warrant such action,
6) Removes unauthorized persons from the space, and
7) Transfers authority under the permit insuring consistency and maintaining acceptable entry conditions at all times.
8) Insures that the duration of the permit may not exceed the time required to complete the assigned task of job identified on the permit.
9) The entry supervisor shall terminate entry and cancel the entry permit when:
A) The entry operations covered by the entry permit have been completed; or
B) A condition that is not allowed under the entry permit arises in or near the permit space.
10) The Entry Supervisor shall retain each canceled entry permit to facilitate the annual review of the permit space program as required by law. Any
problems encountered during entry operations shall be noted on the pertinent permit so that appropriate revisions to the permit space program can
be made.
Duties of the Attendants
1) Remains outside the space unless relieved by another qualified and trained attendant,
2) Knows the hazards signs, symptoms, modes and consequences of exposure that may be faced in the space to be entered,
3) Is aware of possible behavioral effects of hazard exposure,
4) Continuously maintains accurate count, identification and communications with authorized entrants by lifeline, signals, radio or voice,
Note: Attendants may also perform rescue if trained and equipped to do so safely and relieved by another qualified Attendant.
5) Monitors activities inside and outside the space to determine if evacuation is required,
6) Orders evacuation when:
A) A prohibited or unexplained condition is detected;
B) Behavioral exposure effects are observed; or
C) The attendant cannot effectively and safely carry out all duties and responsibilities.
7) Initiates on -site rescue procedures and summons additional emergency agency support (Fire Department) when entrants require assistance
escaping from the space,
8) Takes the following action when unauthorized persons approach:
A) Warns persons they must stay away;
B) Orders them to exit immediately if they have entered the space; and
C) Informs the entry supervisor and entrants if unauthorized personnel enter the space.
9) Performs non -entry rescues or other support services as needed during an incident.
10) One standby employee, "attendant ", stationed outside the confined space, must have a current CPR/First Aid Card and be ready to give emergency
assistance.
11) If emergency assistance should be needed, contact emergency services immediately and follow rescue procedures. The worker should be
removed from the confined space as soon as any sign of distress becomes evident. Contaminated clothing should be removed and emergency
first aid procedures, including resuscitation if necessary, should immediately be instituted by the qualified personnel pending the arrival of an EMT
or removal to a treatment facility.
Duties of the Authorized Entrants
1) Knows the hazards, signs symptoms, modes and consequences of exposure that may be faced ruing entry.
2) Properly uses equipment.
3) Communicated with attendant to allow attendant to monitor entrant status and be able to order their evacuation.
4) Alerts the attendant whenever:
A) Entrant recognizes a warning sign, symptom or signal indicating a dangerous situation or overexposure; or
B) Entrant detects a prohibited condition.
5) Evacuates the space whenever the evacuation signal is given; or a dangerous situation or condition is recognized.
Standby Duties
At least one additional employee, who may have other duties within sight or call of the Attendant must be available. If this is not possible, the Attendant
must be in radio contact with someone who can summon emergency response personnel.
RESCUE PLAN AND EMERGENCY RESPONSE
The local fire department is the designated emergency response service. City of Healdsburg employees shall have available:
1) A rescue plan and procedures for anticipated confined space entry emergencies.
A) Attendant (standby personnel) will be present and responsible for maintaining communication with entrants, monitoring conditions in and out of confined space,
preventing unauthorized entry, and initiating evacuation and emergency procedures.
B) When air is contaminated, oxygen deficient, or IDLH:
i) Entry and standby personnel must be trained in the use of self- contained breathing apparatus; and in the respiratory protection program.
ii) Entry personnel shall wear self - contained breathing apparatus, or airline respirator with 5- minute escape pack.
C) Contact with the local fire department must be possible in case of a personal medical emergency orjob - related accident. This maybe done by two -way radio
communication, cellular phone or equivalent means (Operations center).
D) Rescue personnel:
iii) Equip team members with personal protective equipment prior to confined space entry. Rescue persons must know how to use and wear any personal
protective equipment that might be used during an actual rescue. A qualified person prior to start of work shall inspect the rescue equipment.
iv) At least one member of each rescue team must hold current certification. in basic first aid and CPR.
v) The rescue team is assembled, and a plan of action is to be developed PRIOR to entry.
vi) Each member of the rescue team must know the emergency action plan for confined space rescue.
a) The rescue team members must be trained to understand the nature of potential hazards, the need to perform appropriate testing, and how to
perform safe entry.
b) Members shall be trained in methods of self - rescue.
c) Member shall be made aware of any modifications, or changes, to normal work practices used in confined space.
d) When rescue services are used, the City of Healdsburg Safety Officer will inform them of the hazards they may confront so they can equip and
conduct themselves appropriately.
e) If an entrant becomes exposed to a substance, a MSDS or similar written information, shall be made available to medical workers.
Page 2 of 2
Administration
Administrative Services
Development Services
Public Works and Community Services
Public Safety
r; 1 7,77771
63 Rev: September 2010
IIPP DEPARTMENTAL TRAINING MATRIX
ADMINISTRATION DEPARTMENT
General IIPP PPE &
(including all sub - First Aid / Confined Bloodborne Respiratory Hot Works Procedures
Hazard
Energy
Use of Fire Emergency
Hearing
Heat Illness
programs) Ergonomics CPR Space Pathogens Protection & Permitting
Communications
Control
Extinguishers Action Plan
Conservation
Prevention
i Trench Safety
Fall Protection_
City Manager :. 2 -- 2 2 -AL L - 2 -AL -' 2 -AL 2 -AL 2 -A
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Assistant City Manager _ 2 2 2 -AL 2 -AL 2-AL 2 -AL 2 -AL
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2 -AL
2 -AL
City Clerk — 2 -- 2 _ 2 -AL 2 -AL 2 -AL ! 2 -AL _ 2 -AL
3
2 -AL
A
A
2-AL
A-
2 -AL
2-AL -
Housing & Redevelopment Manager 2 2 2 -AL 2 -AL - 2 -AL 2 -AL 2 -AL
3
2 -AL
A
A
2-AL
A
2 -AL
2 -AL
Human Resources Manager 2 2 2 -AL 2 -AL 2 -AL 2 -AL 2 -AL
3
2 -AL
A
A
2-AL
A
2 -AL
2 -AL
I
Human Resources Analyst ' 2 2 2 -AL 2 -AL 2 -AL 2 -AL 2 -AL
3
2 -AL
-- A
A
2 -AL
A
2 -AL
2 -AL
Human R - T 2 -AL
Human Resources Technician PIT 2 2 - -' 2 -AL 2 -AL 2 -AL 2 -AL "
3
2 -AL
A
A
2 -AL
A
- 2 -AL
2 -AL
- - --
De ut Cit Clerk 2 2 2 -AL 2 -AL !
p Y i Y __. -__- _ - -- -- -' 2 -AL` 2 -AL 2 -AL "
T - --
3
- - - -- -- - --
2 -AL
A
A -- -
2 -AL
- -- - --
- - - A
2 -AL
2 -AL
- - -- - - - --
Secretary II __. - _ ?_ 2_ 2 -AL 2 -AL 2 -AL 2 -AL _ 2 -AL
- - -
- -
3
- - - --
_ 2 -AL
- A
A - - --
2 -AL
- -.. _. --- - -- -
- A-
2 -AL --
2 -AL
-- - -
REQ NS - - -- REQ NS I REQ REQ INS-
INS
iNS
REQ
INS
REQ
eNote 1 iSee Note 2 _ See Note 3 See Note 4 See Note 2 See Note 5 See Note 4
T --
- -- -- - - -
-_ Note 4
See Note 6
See Note 7
- -- -
AL - Awareness Level Training = general overview
'See
i
I
i
UL - User Level Training - professional level or practioner level training (higher level of detail)
A = Initial Upon Assignment and Annual (User Level) S = Initial Upon Assignment and Semi - annual (User Level)
2 -AL = Initial Upon Assignment and Every 2 Years (Awareness Level Only) 2 = Initial Upon Assignment and Every 2 Years (User Level) 3 = Initial Upon Assignment and Every Three Years (User Level)'
st determine ne-- c- e- s- s
REQ- g Y q P u-
e i- _ - - required - - -
_-
- - Y ;� - -
m- -
-
---
- --
-
- - - - - - --
= - -- -
-
-
- - - --
- -
--er
----- -a -frequency.
- - - --- - - - - - - ------ - - - - --
Notes: �
_
- - - - - - - --
--
._ - - -
T
�
1 Geneal IPP training satisfies all supplemental program Awareness Level (AL) training requirements.
--
- -- -------
� - - - -- --
�
—
2. Training is only required for those who will be specified in the written program pertaining to this subject. Training of all City personnel is not required.
3. Except for firefighters and police officers, first aid /CPR training is only required urred in the absence of an infirmary, clinic, or hospital in near proximity to the workplace and only need to train enough employees ogees to cover the situation.
rvisors
4. Training is only required for those who perform these procedures and thei r supervisors.
5 Trainn if only required for those who wear respirators and their supervisors.
--
-�
_
- - - - L. --- - - - --
-
- --
-- --
--
-
--
- - -
-- --
6. c drills.
9 9 emergency procedures ( q ) d usually involved periodic drills. I !
I
. The noise training program must be repeated annually for each employee included n the hearing ---- _- p._ - - - - -� exposed -- in -- er - -
ng conservation program (those exposed to levels in excess of of 85 dBA on an eight hour time - weighted average basis.
- -
- - -
-
7
- - - -
- -
64
IIPP DEPARTMENTAL TRAINING MATRIX
ADMINISTRATIVE SERVICES
s im
. .. .... -..Tai f , , .. ..:: ... . . ......::..,. C .. .., i .,..,.. ..,..... . , - ...,.... .:, a .:z...:. .... --. ?. -<:: ...::' ..'.. ... .. 1:;..1
x
P STIO E RAN.N
`a ..,:x...x:.x... ,,....,..... w,.. r'...,.. ela��uw'.' xSaa'[. .:.<.�.�...���tt�...a....e..,.. ,us ...... .... .......... .,........ �.. �v...,.ay.,.. :....t.,.».,,.. T ..E.:a.,... .......:x ...........
>,.::,...�,_ ..................... ..._....a_..,,, i .,nw.,...,Aa,s�. ...a «.,..:.. \ ....:.:a.. ...., ,n,.,. �� ,�,. ,. . , ., r,, r .......... ,.,, •,..:: .,. „ ........ ,.........., a.,....... .. , . , .,...._.,., ._., „ ,._, ... ,,........ „ ,...,..
j General IIPP PPE &
(including all sub - First Aid / Confined Bloodborne Respiratory Hot Works Procedures . Hazard Energy 1 Use of Fire Emergency Hearing Heat Illness Fall
programs) i Ergonomics CPR Space _Pathogens Protection_ & Permitting Communications Control Extinguishers Action Plan Conservation Prevention Trench Safety'', Protection
--
r
Director of Administrative Services 2 2 2 -AL
i 2 -AL
2 -AL 2 -AL 2 -AL 3
2 -AL
A A
-
2-AL
_ A
2 -AL
2 -AL
Accounting Manager 2 2 2 -AL
! 2 -AL
--
% 2 -AL 2 -AL 2 -AL 3
2 -AL
A A
2 -AL
A
2 -AL
2 -AL
-!-
Utility Billing Revenue Su ep rvisor - 2 _ - _ 2 2 -AL
2 -AL
2 -AL 2 -AL - - _ 2 -AL - - -3
2 -AL
A A
_ 2 -AL
A
2 -AL
2-AL
Payroll Specialist 2 2 2 -AL
2 -AL
2 -AL 2 -AL 2 -AL 3
2 -AL
A ._._ A
2 -AL
A
2 -AL
2 -AL
- g -
- - -- - - -- - -- - -- =
A A
2 -AL
A
2 -AL
2-AL
Accounting Sp alli t l Ck_) 2 2 2 -AL
i
2-AL
2, AL 2 -AL 2 -AL 3
2 -AL
A A
- 2 -AL
A
2 -AL
2-AL
Accounting Specialist II (Bus. Lic.)
- - -- 2 2 2 -AL
- . -g- _ 2 -AL
Purchasin A ent
Information S stems O erations Mana er : 2 2 2 -AL
y - -� .. g - - - - -- -
Information Systems Technician _ - 2- - 2 2 -AL
2 -AL
j 2 -AL
2 -AL
2 -AL
2 -AL 2 -AL 2 -AL 3
- -- - - - - =- -
2 -AL 2 -AL ` 2 -AL 3
2 -AL 2 -AL 2 -AL 3
-1 -- - - - - - --
2 -AL 2 -AL 2 -AL 3
_'
2 -AL
2 -AL
2 -AL
r
2 -AL
-
A A
A A
A A -
A A
2 -AL
2 -AL
2 -AL
2 -AL
- - -- - --
A
A
A
- - - - --
A
- - --
2 AL
2 AL
2 AL
- -- - - --
2 -AL
2 AL
2-AL
2 -AL -
- 2 -AL
Information Systems Interns 2- _ _2 1 2 -AL
Theatre Mana er 2 2 2 -AL
-- 9 --
Part-time Technical Advisor 2 2 1 2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL j 2 -AL 3
i--
2 =AL 2 -AL 3
2 -AL 2 -AL 3
2 -AL
j 2 -AL
j 2 -AL
A A
A A
-
I A A
2 -AL
- -- -
2 -AL
2 -AL
A
- A
A
2 -AL
T2 -AL
2 -AL
2 AL
- - --
2 -AL
2 -AL
REQ REQ
NS-
NS
REQ" REQ
�Se NS
REQ
REQ
See Note 1 See Note 2 See Note 3
-- - - - - - -- --
-
See Note 4
- - -- - -- - -- - --
See Note 2 See Note 5 _ ISee Note 4
- - - - - -- - -' -_- -- - -- - -- - -- _-- - - -_--
�
Se
See Note 4
-- -._ - -
I See Note 6
Se
- --
,See Note 7
- ------
- - - -
-
-
- --
AL- Awareness Level Training - _general overview -- - - -- - -- - �-
-- - --
I
UL - User LevelTraining - professional level or practioner level training (higher level of detail)
A = Initial Upon Assignment and Annual User Level S = Initial Upon Assi nment and Semi- annual ( _User Level)-- _
i
_
2 -AL = Initial Upon Assignment and Every 2 Years (Awareness Level Only) 2 - Initial Upon Assignment and Eve 2 Years (User Level) 3 - Initial Upon Assignment and Every Three Years User Level
- - -
- -_ --
- -- --
- enc
REQ - Freque� s ecified is required b re ulation N/S - Trainin is re uired b fre uenc is not s ecified - em to er must determine necessa fre u
P -- 4 - -Y 9 - -- 9 q q P P rY qY
1. General IIPP training satisfies all supplemental program Awareness Level (AL) training requirements.
2. Training is only required for those who will be specified in the written program pertaining to this subject. Training of all City personnel is not required
i
3.- Except for firefighters and police officers, first aid /CPR training is only required in the absence of an infirmary, clinic, or hospital in near proximity to the workplace and only need to train enough employees to cover the situation.
_
47 is only required for those who perform these procedures and their supervisors.
1
_Training
5. Training if only required red for those w- h- o w- e- ar respirators and t-he- ir supervisors.
—
I
-
- -
-- --
-
--- - - -
6. is refers to ener— a w in -evacuation and emergency -procedures (fire, B art4 ware etc. ) an usually involved periodic drills.
ncluded in the hearin conservation ro ram those - --
' excess of of 85 dBA on an eight hour time - weighted average basis.
7. The noise trainin ro ram must be re Bated annuaIl for each em to ee i g p g ( exposed to levels in
9 P 9 - p- y P Y
--
--- - --- --- - - - - --
-
65
IIPP DEPARTMENTAL TRAINING MATRIX
DEVELOPMENT SERVICES DEPARTMENT
4 5�F
x�
,v ar
s..a
.cx ,.. � nz. ,v..
...
_... ........ .., e >..
. TYPE OF TiRAENiNG . E
> r 2. �
.,,...
�'.
.a ✓_... ,. .... . c. a ....:... v.. .,.... ., ..:» r.
, ,.. as .... ..x ... _ ... '•l ..
":ar �5 ....,;... >....» pgi' '\,.; v' !_..,:.,,» . a«` bs ,d »..n....>w� «...ay...r.....t« ......... ...... -r -. ................».......
. �.....ea' ,..
..
,:
.. .,..,
.�.�....,. »x... »e.`5».
>._._ x.. .,, ».
General IIPP PPE &
(including all sub First Aid / Confined .i Bloodborne Respiratory Hot Works Procedures Hazard
Energy Use of Fire
Emergency
Hearing
Heat Illness
Fall
programs) Ergonomics ^ CPR Space _ Pathogens Protection & Permitting Communications
Control Extinguishers
: Action Plan
Conservation !
Prevention
Trench Safety Protection
-
Director of Development Services ''i 2 2 2 -AL 2 -AL 2 -AL 2-AL 2 -AL 3
2 -AL _ A
A
- 2 -AL
A
2 -AL 2 -AL
2 -AL 2 -AL
Deputy City Engineer 2- 2 2 -AL 2 -AL _ 2 AL 2 AL 2 -AL 3 2 -AL A A 2 -AL
-- - - -
A
—_
Planning & Building Manager- �! 2 _ -T 2 2 -AL 2 -AL- - 2 -AL 2 -AL 2 -AL 3
2 -AL A
A
-- - 2 -AL
- A
2 -AL 2 -AL
_ -
2 -AL 2 -AL
Deputy t-def Building Official 2 2 2 -AL I 2-AL 2 -AL 2 -AL 3 2 -AL A -' A 2 -AL
A
Public Works Inspector - - 2 2 2 -AL S 2-AL A 2 -AL - -- 3
-- --
A - - -A -
A
-- A
A
- - -_A - - -_ -- - A -
-- - 9 - -- 2- - 2 2 -AL 2 -AL 2 AL 2 -AL 2 -AL 3
Senior - -- - - - --
- 2 -AL A
A
-- -
2 -AL
- -
A
2 -AL 2 -AL
2 -AL 2 -AL
Management Anal st 2 2 2 -AL 2 -AL 2 -AL I 2 -AL _� 2 -AL ` 3
Y-
g
2 -AL A
A
2 -AL
A
- - - - ---
- -g - - - -- -- -- - - - - -A
Assistant 2 2 2 -AL 2 -AL 1 2-AL ! 2 -AL 2 -AL 3
-- -- -
2 -AL
�. A
A
-- -
2 -AL
_.__ -_ _ --
- A
2 -AL 2 -AL
-- -__
2 -AL 2 -AL
- _ - -- ^--
Community ment Assistant!: _ -- 2 2 - - -.. -- - -- -' --
Cominl nity - - -- 2 -AL 2 -AL 2 -AL 2 -AL 2 -AL 3
{; 2 -AL A
A
2 -AL
A -,
1 REQ REQ' NS !NS
- REQ ,NS
REQ NS REQ -
INS REQ
NS
- -
REQ
I!, See Note 2 See Note 3 ; See Note 4 See Note 2 See Note 5' See Note 4
See Note 4
See Note 6
See Note 7
-
AL - Awareness Level Training = general_ overview
UL - User Level Training - professional level or practioner level training (higher level of detail)
UL
A = Initial Upon Assignment and Annual (User Level) S = Initial Upon Assignment and Semi - annual (User Level)
2 -AL = Initial Upon Assignment and Every 2 Years (Awareness Level Only) 2 = Initial Upon Assignment and Every 2 Years (User Level) 3 = Initial Upon Assignment and Every Three Years (User Level)
!
-
REQ = e u-e— nc specified ecif- i- e- d is required by regulation. N/S = Trainin is required by frequency is not specified employer de termine necessary ry frequenc - --
I
�---- - - - - --
-- ---
- - -
-
—
- - - -Fr- - - _
-must
i
-
-- -
-f-General raq l 9 f PP lI program Awareness (AL) requirements.
j
s I s
-
- - -I
2. Training onlY uiedfor those who es be specified in thewrittenp ogram pertaining to this subject. Training of all City P ersonne is not required.
- -
-_ - --
_-
-
--
-
3. Except for firefighters and police officers, first aid /CPR training is only required in the absence of an infirmary, clinic, or hospital in near proximity to the workplace and only need to train enough employees to cover the situation.
_
4 Training is only required for those who perform these procedures and their supervisors.
i
5. Training if only required for those who wear respirators and their supervisors.
6. This refers to general building evacuation and emergency procedures (fire, earthquare,
etc.) and usually
involved periodic drills. ;
-a
--
___
-_.__
I
7. The noise training conservation program (those exposed to levels m excess of of
g program must be repeated annually for each employee included in the hearing_conse— p 85 dBA on an eight hour time - weighted average basis.I
!
66
IIPP DEPARTMENTAL TRAINING MATRIX
PUBLIC WORKS & COMMUNITY SERVICES DEPARTMENT
Training Training = general - overview
UL - User Level -professional level -a- tone- r - l- e-v- el tr- ain- in - - - h- i - e - r - leve l el - of d- e- ta-il - - -- - - -- - -I_ - - -- - -
- -- -
I I
A - Inrtial Upo Assi nment and Annual (User Level) S = -Initial Upon Assignment and Semi-annual User Level) - - - __- - __ - - _ -_ -_, - }_ - --
2 -AL - Initial U pon Assi gnment and Every Years Awaeness Level only) 2- Initial Upon Assignment and Eve ry 2 Years Level , 3 - Initial U p on Assi g nment and Eve Three Years User Level)
REQ Frequency specified s i i is i i _i _ _ m- g i qw y_ u y i specified must determine necessary frequency.l
Notes:
1. General IIPP training satisfies all supplemental program Awareness Level (AL) training requirements.
9 Y 4 P program pertaining 1 9 City personnel required.
2. Training is only required for those who will be specified m the written ro ram ertainin to this subject. Training of all Ci is not
-�- - - - - - - -- ..i...-- - - ---- --- -. ..._...._.
3. Except for firefighters and police officers, first aid /CPR training is only required in the absence of an infirmary, clinic, or hospital in near proximity to the workplace and only need to train enough employees to cover the situation. -_.......
- -- I - - -
-- 4. Trainin is onl Y re q uired for those who perform orm these P rocedures and their
5. Training if only for those who wear respirators and their supervisors. rssu.
� --
6. This refers to general building evacuation and emergency P rocedures (fr_e-, ? a_rt _ hq uare, etc. ) and usually involved periodic drills.
- - -- - -
7. The noise training program must be repeated annually for each employee included in the hearing conservation program (those exposed to levels in excess of of 85 dBA on an eight hour time - weighted average basis.
67
General IIPP
(including all sub-
programs)
Ergonomics
First Aid/ I Confined Bloodborne
!, CPR Space Pathogens
PPE &
Respiratory I Hot Works Procedures' Hazard
Protection & Permitting Communications
Energy
Control
Use of Fire
Extinguishers
Emergency
Action Plan
Hearing
Conservation
Heat Illness
Prevention
I
Trench Safety; Fall Protection
Administration and Recreation
Director of Public Works & Community Servicei 2
Administrative Analyst 2
Administrative Assistant (Conf.) -- 2
Dispatcher 2
Recreation Services Manager 2
2
2
2
2
2
- 2 -AL _
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
2-AL_
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
- 2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
_2 -AL-
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
_
3
3
3
3
3
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
A
A
A
A
A
A
A
A
A
A
2 -AL
2 -AL
_ 2 -AL
2 -AL
2-AL
A
A_
_A
A
A
I
2 -AL
2 -AL
2 -AL
2 -AL
-AL
2 -AL
-2 -
2 -AL
2 -AL
2-AL
2 -AL _
2 -AL
2 -AL
2 -AL
-
2 -AL
Recreation Supervisor
Part -time Technical Advisor
_ --
Lifeguard
- -- - - --
Operations and Maintenance
Utilities Services Supervisor
General Services Supervisor
Arborist
Electrician _.
Senior E ui ment Mechanic
g -- -
Equipment Mechanic
2
2
2
- - -- - - -- -
2
2
2
_ 2 _
-. 2
2
2
2
2 -AL
- --
2-AL
2-AL
2-AL
2 AL
2 -AL
2 -AL
2 -AL
2 -AL
2 -AL
, 2 -AL
- 2 -AL
2 -AL
2 -AL
MIL
2 -AL
2 -AL
' 2 -AL' (' --
3
3 __
�__
3
-- -- -
2
2 -AL
2 -AL
2 -AL
- --
A
A
A
A
- - - - -- ,-
A
A
A
2 -AL
2 -AL
A
A
2 -AL 2 -AL 2 -AL 2 -AL
-- ...- -- - - — -
- A
A
_2 -AL A _._._ __!
- -
A A
__.__
2 -AL -
-
- 2 -AL
—
A
A
3 S A 'A
3 S A _ `A
3`" 2 A - A
2 -AL 2 A A
-- -T
2 -AL 2 A T A
__ -
A
A
A A
A
A
�A
_ 3 -- S A rt
3 S A A
A A
A
A
--
A
A A
A
-
A
-"
3 S A A
_mm
_
3 2 A A
A
A A
A
A
3 S A A
t
3
2 -AL
2 -AL - --
- -- - -- --
2
2
2
-
A
P
A
A
A
_ A
A
- -
A
- -
A
-
- - - -
A
- -
A
Technician
�er vls ng Maintenance Worker
Su t
Maintenance Worker II
Maintenance Worker 1
Maintenance Helper
p
- - -
2
2
2
2
j
- -- - - --
2 AL
--- -
2 A
2 7AL
2 -AL
3
S
A
A
'I
A
�A
A
A
�
A
A
3 S ' A A
A A -
A
-
A -
--
3 S A A
3 S A A
� A I A
3 S A
-- _..
2 -AL 2 A A
2 -AL 2 _ A - A
2-AL 2 A A
A -
A
A
A A -
A A
A A
A
- -
A
A
A
--
A
A
_ -_
- - --
REQ
NS
IREQ
INS
- -
;REQ
NS INS
NS
REQ
- --
INS
_
REQ
_
See Note 1
See Note 2
See Note 3
_
!See Note 4
__IREQ
;See Note 2
See Note 5
ISee Note 4 -i
- -- -
i
See Note 4
See Note 6
See Note 7
Training Training = general - overview
UL - User Level -professional level -a- tone- r - l- e-v- el tr- ain- in - - - h- i - e - r - leve l el - of d- e- ta-il - - -- - - -- - -I_ - - -- - -
- -- -
I I
A - Inrtial Upo Assi nment and Annual (User Level) S = -Initial Upon Assignment and Semi-annual User Level) - - - __- - __ - - _ -_ -_, - }_ - --
2 -AL - Initial U pon Assi gnment and Every Years Awaeness Level only) 2- Initial Upon Assignment and Eve ry 2 Years Level , 3 - Initial U p on Assi g nment and Eve Three Years User Level)
REQ Frequency specified s i i is i i _i _ _ m- g i qw y_ u y i specified must determine necessary frequency.l
Notes:
1. General IIPP training satisfies all supplemental program Awareness Level (AL) training requirements.
9 Y 4 P program pertaining 1 9 City personnel required.
2. Training is only required for those who will be specified m the written ro ram ertainin to this subject. Training of all Ci is not
-�- - - - - - - -- ..i...-- - - ---- --- -. ..._...._.
3. Except for firefighters and police officers, first aid /CPR training is only required in the absence of an infirmary, clinic, or hospital in near proximity to the workplace and only need to train enough employees to cover the situation. -_.......
- -- I - - -
-- 4. Trainin is onl Y re q uired for those who perform orm these P rocedures and their
5. Training if only for those who wear respirators and their supervisors. rssu.
� --
6. This refers to general building evacuation and emergency P rocedures (fr_e-, ? a_rt _ hq uare, etc. ) and usually involved periodic drills.
- - -- - -
7. The noise training program must be repeated annually for each employee included in the hearing conservation program (those exposed to levels in excess of of 85 dBA on an eight hour time - weighted average basis.
67
IIPP DEPARTMENTAL TRAINING MATRIX
PUBLIC SAFETY
General IIPP PPE &
(including all sub - First Aid/ 1 Confined ! Bloodborne Respiratory Hot Works Procedures Hazard Energy Use of Fire
programs) Ergonomics CPR Space Pathogens Protection & Permitting Communications Control ( Extinguisher
Director of Public Safety - 2 2 3 2 -AL A A 2 -AL 3 2 -AL A
Public Safety Lieutenant 2 2 _ 3 2 -AL A A 2 -AL A 2 -AL A
Public Safe Sergeant 2 2 -- -- 3 2 -AL A - -- A - 2 -AL - -- A - 2 -AL A
Public
Safet Officer - Police 2 2 !_ 3 2 -AL A- - A 2 -AL - A 2 -AL A
I
Public Safety Officer - Fire 2 2 3 A A A 2 -AL - A 2 -ALA_ 2 -AL
Fire Marshall -- 2 - -- - 2 - 3 - A - A- - - -- A -- 2 -AL - A -- 2 -AL 2 -AL
Community Services Officer _ _2 2 3 A A A 2 -AL 3 2 -AL �' A
Technical Services Division Manager 2 2 2 -AL 2 -AL 2 -AL 2 -AL 2 -AL 3
Records Supervisor 2 2 2 -AL 2 -AL 2 A 2 -AL: — 2 -AL - 3 2 -AL A
Public Safety Records Clerk 2 2 2 -AL 2 -AL 2 -AL 2-AL _ 2 -AL -! -- 3 2-AL A
Secretary 1 - - -- - 2 2 2 -AL 2 -AL 2 -AL _ _ 2-AL -- 2 ;Al- - -- - 3- _ 2 -AL j A
Office Assistant II 2 2 2 -AL 2 -AL 2 -AL 2 -AL 2 -AL 3 2 -AL A
Office Assistant II P/T 2 _ 2 2 -AL 2 -AL _ 2-AL_ ` 2 -AL 2 -AL ; 3 2 -AL A
Public Safety ommunications Supervisor
- -
- y C -- -- - -- 2 2 3 2 -AL A A > 2 -AL 3 -- -� 2 -AL A
Public Safety Dispatcher 2 2_ 3 2 -AL A T A 2 -AL' - 3 2 -AL A
Animal Shelter Supervisor 2 2 2 -AL 2 -AL 2 AL 2 -AL 2 -AL 3 2 -AL A
REQ NS REQ 1! NS JREQ REQ yNS - NS INS REQ
See Note 1 See Note 2 See Note 3 See Note 4 See Note 2 'See Note 5 See Note 4 See Note 4
AL - Awareness Level Training = general overview
UL - User Level Training - professional level or practioner level training (higher level of detail)
A = Initial Upon Assignment and Annual (User Level) S = Initial Upon Assignment and Semi - annual (User Level)
-
2 -AL = Initial Upon Assignment and Every 2 Years (Awareness Level Only) — 2 = Initial Upon Assignment and Every 2 Years (User Level) — 3 = Initial Upon Assignment and Every Three Years (User Level)
REQ Frequency specified is required re q uired b y re g ulation. N/S - Training n g i s _ required by frequency is not specified - employer must determine n ecessary frequency_
Notes• -, �
—
1. General IIPP training satisfies all supplemental program Awareness Level (AL) training requirements.
2. Training is only required for those who will be specified in the written program pertaining to this subject. Training of all City personnel is not required.
3. Except for firefighters and police officers, first aid %CPR training is.only required in the absence of an infirmary, clinic, or hospital in near proximity to the workplace and only need to train enough employees to cover the situation.
4. Training is only required for those who perform these procedures and their supervisors.
- g -y-
5. Trainin if onl re q uired for those who wear respirators and their supervisors.
-- *i -s-r ---s------------ -- --- - - - - --
6. This refers to general building evacuation and emergency procedures (fire, earthquare, etc.) and usually involved periodic drills.
7. The noise training program must be repeated annually for each employee included in the hearing conservation program (those exposed to levels in excess of of 85 dBA_on an eight hour time - weighted average basis. —
68
Emergency Hearing
Action Plan Conservation
Heat Illness
Prevention
Trench
Safety
Fall
Protection
A A
A !
2 -AL
2-AL
A _ A
A
2 -AL
A
A A
- A - - -- - A - -
A
A —'
2 -AL
2-AL
A
-A - --
A A
A A
A A
A —
A
A
2 -AL
2 -AL
2 -AL
-
- A
A
A
A 2 -AL
A
2 -AL -
2 -AL
A 2 -AL
_-A
2 -AL
2 -AL
A 2 -AL
A
2 -AL
2-AL
A 2 -AL
A 2 -AL
--
— - - -
A
A
2 -AL
2 -AL
2-AL
-- 2-AL -
A 2 -AL
A
2 -AL
2 -AL
-- - - --
A A
A
-A-
2 -AL
-- -- --
2-AL
A A
A
2 -AL
-- - --
2 -AL _ ..
_ A 2 -AL
i
INS _ REQ
A
2 -AL
2 -AL
- - --
See Note 6 See Note 7
I
E LT • • •
General
1. All persons shall follow these safe practices /rules, render every possible aid
to safe operations, and report all unsafe conditions or practices to the
supervisor.
2. Supervisors shall insist on employees observing and obeying every rule,
regulation, and order as is necessary to the safe conduct of the workplace and
shall take such actions necessary to obtain observance.
3. All employees shall be given accident prevention instructions whenever a
new task is introduced or a task is changed which could cause an accident or
injury.
4. Anyone known to be under the influence of drugs or intoxicating substances
shall not be allowed on the job while in that condition and is subject to
appropriate action.
5. Horseplay, scuffing and other acts which tend to have an adverse influence
on the safety or well being of the employees are prohibited.
6. Work tasks shall be well planned and supervised to prevent injuries when
handling all materials and in working with equipment.
7. No employee shall knowingly be permitted or required to work while his /her
ability or alertness is so impaired by fatigue, illness, or other causes that
might unnecessarily expose him/her or others to injury.
8. All injuries shall be reported promptly to the supervisor so appropriate
arrangements can be made for medical or fast aid treatment.
9. When lifting heavy objects, proper lifting techniques will be used.
10. All employees shall be provided with hazard communication and accident
prevention information.
General Office
1. Report all unsafe conditions and equipment to your supervisor or the Health
and Safety Officer or H and S staff.
2. Report all injuries and illnesses to your supervisor. The supervisor or
manager shall report the event to the Health and Safety Officer or H and S
staff immediately.
69 Rev: September 2010
3. Means of egress shall be kept unblocked, well lighted and unlocked during
working hours.
4. In the event of fire, sound alarm and evacuate.
5. Upon hearing fire alarm, stop work and proceed to the nearest clear exit.
Gather at the designated location.
6. Only those designated Emergency Plan Coordinators shall respond to a fire
or other emergency.
7. Exit doors must comply with fire safety regulations.
8. Stairways should be kept clear of items that can be tripped over and all areas
under stairways that are egress routes should not be used to store
combustibles.
9. Materials and equipment will not be stored against doors or exits, fire ladders
or fire extinguisher stations.
10. Aisles must be kept clear at all time.
11. Work areas should be maintained in a neat, orderly manner. Trash and refuse
are to be disposed of in proper waste containers.
12. All spills shall be cleaned up promptly.
13. Files and supplies should be stored in such a manner to prevent damage to
the supplies or injury to personnel when they are moved. Heaviest items
should be stored closest to the floor and lightweight items stored above.
14. All cords located in areas where they can be a tripping hazard must be taped
down or inserted through rubber protectors.
15. Never stack materials precariously on top of lockers, file cabinets, bookcases,
or other high places.
16. Never leave lower desk or cabinet drawers open that present a tripping
hazard. Use care when opening and closing drawers to avoid pinching
fingers. _
17. Do not open more than one upper drawer at a time; particularly the top two
drawers on tall file cabinets.
18. Always use the proper lifting technique. Never attempt to lift or push an
object which is too heavy. Contact your supervisor when help is needed to
move a heavy object.
19. Individual heaters and fans are not allowed in the work areas.
70 Rev: September 2010
20. All electrical equipment should be plugged into appropriate wall receptacles
or into an extension of only one cord of similar size and capacity. Three -
pronged plugs shall be used to ensure continuity of ground.
21. When carrying material, caution should be exercised in watching for and
avoiding obstructions, loose material, etc..
22. Appliances such as coffee pots and microwaves should be kept in working
order and inspected for signs of wear, heat or fraying of cords.
23. Equipment such as scissors, staplers, etc., should be used for their intended
purposes only and should not be misused as hammers, pry bars,
screwdrivers, etc.. Misuse can cause damage to the equipment and possible
injuryto the user.
24. Cleaning supplies should be stored away from edible items.
25. Cleaning solvents and flammable liquids should be stored in appropriate
containers.
26. Solutions that may be hazardous shall be kept in well labeled containers.
27. No obstacles are to be left where a person could trip over them.
28. Use step ladders or step stools for high reaching. Never use a swivel chair or
piled -up- boxes.
29. Avoid leaning back on chaos.
30. Know the locations of exits, fire extinguishers, and first aid equipment.
31. Smoking is permitted in designated areas outside of the building.
32. Be sure that your workstation has been ergonomically adjusted.
Field Activities
1. All persons shall follow all requirements as outlined in the Field Health and
Safety Plan.
2. Supervisor shall insist on employees observing and obeying every rule,
regulation, and order as is necessary to the safe conduct of the work, and
shall take such actions as are necessary to obtain observance.
3. All employees shall be provided with hazard communication and accident
prevention information associated with field activities.
4. Field personnel will participate in the required health and safety training and
medical surveillance programs.
71 Rev: September 2010
5. All employees shall immediately report accidents, injury, illness and toxic
exposures immediately to their supervisor.
6. To properly use and care for all personal protective equipment and field
instrumentation used while conducting field duties.
7. Properly plan and safely execute fieldwork
8. Practice good personal hygiene while performing field duties. Always wash
hand and face thoroughly before leaving the site or as soon as possible
thereafter.
9. Avoid contaminating the interior of vehicles by practicing good hygiene.
Remove boots and any contaminated articles by placing them in a plastic bag
before entering the vehicle.
10. If heavy equipment or other vehicles are present, stay out of traffic routes.
11. Do not touch any materials without appropriate gloves or other personal
protective equipment.
12. Decontaminate all personal protective equipment onsite whenever possible.
13. Stay upwind and a safe distance away from high hazard areas to prevent
exposure whenever possible.
14. Never enter a confined space area.
15. Store field equipment at the field shop to prevent contamination of the office
or your home.
72 Rev: September 2010
• • � 1 ,• �. — • 1 1 1 1 C►% , •" I 1 . 0 l=477,17771
Public Safety — Fire Services Division
73 Rev: September 2010
ROHNERT PARK DEPARTMENT OF PUBLIC SAFETY
FIRE SERVICES DIVISION
INJURY AND ILLNESS PREVENTION PROGRAM
(TEMPORARY DRAFT- OCTOBER 2009)
1.0 GENERAL
1.1 Purpose
The Injury and Illness Prevention Program (IIPP) establishes the Rohnert Park Department
of Public Safety- Fire Services Division, as required by Title 8, California Code of
Regulations, Section 3203, as the administrator of the Health and Safety Program for Fire
Services Division (FD) . The Injury and Illness Prevention Program includes information on
FD implementation of the safety program's critical elements:
• Program responsibilities
• Compliance methods to ensure safe work practices
-• Communication system on health and safety issues
• Hazard assessment and periodic inspections of work areas
• Health and safety training
• Accident investigation
• Record keeping
• Program evaluation
1.2 Scope
The Fire Services Division Injury and Illness Prevention Program applies to all operations
performed for Department fire operations and may also develop health and safety policies,
guidelines, rules and/or Standard Operating Procedures (SOPs). The Health and Safety
SOPS of the Injury and Illness Prevention Program are the minimum standard.
2.0 PROGRAM RESPONSIBILITIES
2.1 Department IIPP Administrator /Safety Coordinator
The Injury and Illness Prevention Program (IIPP) Administrator is Fire Commander Jack
Rosevear. Fire Commander has the overall authority and responsibility for the Division
program implementation. The Fire Division Supervisors, PSO Captains and Division Training
Officer, assist in coordinating program implementation and ensuring compliance in the
Division.
2.2 Fire Supervisors & PSO Captains
74 Rev: September 2010
All Fire Division supervisory personnel and PSO Captains are responsible for program
implementation on their teams and facilities. Division supervisors are required to be
knowledgeable of the IIPP and to provide the necessary leadership and resources to assure
program effectiveness.
2.3 Fire Division Staff and Volunteers
All FD employees and volunteers are responsible for support of the IIPP. Responsibilities
include participation in general and job- specific health and safety training, adherence to safe
work practices, and reporting hazards. In addition, FD supervisors and PSO Captains are
responsible for providing the necessary leadership and resources to assure program
effectiveness when acting as scene supervisors or crew leaders during an emergency
incident, training or other activities.
3.0 COMPLIANCE
Fire Division supervisory personnel ensure that all safety and health policies and procedures
are clearly communicated and enforced within the Division or areas of responsibility. Fire
Division supervisors, PSO Captains and Acting Captains also ensure that the safety and health
policies and procedures are complied with during incidents, emergency events, activations of
the Emergency Operations Center, training, or at other times when they are providing the
Supervision, Facilitation or Incident command. Compliance methods include:
3.1 IIPP Training
Injury and Illness Prevention Program (IIPP) Training is offered to all FD staff the month
immediately following the annual revision.
Training is provided to all assigned Department personnel, fire volunteers, on the IIPP
written program, program requirements and the importance of program compliance during
transferred employee safety orientation training and ongoing IIPP safety training. Training
will also be provided when a new or revised Standard Operating procedure is adopted and
whenever the IIPP is revised or updated.
The Firehouse software program and Department training program shall tracking attendance
and participation using training rosters for each training event within the FD. Training
attendance is entered by the Fire Captain or Training Officer upon completion of the training
and logged into the Firehouse database. Hard copies of any related training class will be
maintained in a file.
75 Rev: September 2010
3.2 Supervisor Evaluation of Safety Performance
Department supervisors, PSO Captains and Acting Captains evaluate employee /volunteer
safety performance by routine observation of work practices. Division Fire Captains
routinely participate in training and emergency response with the staff and volunteers as
members of shift team. Therefore, Fire Captains are available for on site evaluation and
direct supervision during all aspects of emergency response and management.
Administration staff and activities are also monitored for safe work practices and
ergonomic safety.
Employees and volunteers are counseled regarding safety practices during training,
emergency response, Emergency Operation Center activations and at other incidents,
events, or functions. Department supervisors and PSO Captains provide supplemental
training to correct unsafe work practices. When necessary the fire supervisor may also
initiate disciplinary action to correct unsafe work practices.
The Fire Captains observe and evaluate employee /volunteer safety performance during
emergency calls and training events where they are present.
A Safety Officer is assigned via the Incident Command System during every emergency
incident and every functional and full -scale training event. The only duty or function of the
Safety Officer is to monitor and evaluate operations, and make immediate corrections where
necessary to ensure safe operations. Any Department staff member may be assigned as the
Safety Officer but in every case, the individual assigned is required to be competent and
knowledgably in advanced emergency operations similar to the incident underway. A written
Safety Plan and Incident Action Plan is developed for all major hazardous materials incidents
and major fire incidents.
During very small operations and/or in the initial stages of an emergency response the fire
captain on scene fills the role of Incident Commander and Safety Officer until such time as
additional qualified responders arrive on scene.
During training events, the instructor may assign a Safety Officer or the instructor may act as
the safety officer. Instructor student ratios are increased when hazardous training evolutions
are conducted. Hazardous training evolutions may include Level A or B Hazmat operations,
rescue training, vehicle extrication training, saw training, driver /operator hands on training and
live fire training.
The number of accidents and/or injuries is very low and is closely monitored by the FD and
City Risk Management. Training is documented. In addition, at every hazardous materials.
incident (other than a simple fuel spill) a Sonoma County Department of Emergency Services
Hazmat Specialist is dispatched to respond to the event. The Hazmat Officer's primary job at
the scene is to ensure compliance with the Health and Safety Program by ensuring the
personal protective clothing is properly utilized, self - contained breathing apparatus are in use
if necessary, and the safe practices and procedures are implemented. In addition, each Fire
Supervisor, PSO Captain or Acting Captain is responsible for the safety of their crew and/or
76 Rev: September 2010
team and assuring compliance with the Health and Safety program (Personal protective
equipment, use of breathing apparatus, etc).
During every Emergency Operations Center (EOC) activation, FD staff is on site to monitor
set up, operations and safety in the EOC. FD staff and/or management maintain a consistent
presence inside the EOC during incident activation. The Safety Officer also periodically
inspects safety operations during EOC activation.
3.3 Assessment of Volunteers
FD staff shall assure that there is strict adherence by volunteer firefighters and support
personnel to safety rules and procedures regarding safe operations, use of appropriate personal
protective clothing and maintenance of safe workplaces will result in fewer accident reports,
hazard reports, and injuries.
The level of awareness and/or competency for volunteer fire fighters, is measured by job
performance in training and at emergency events. Strict adherence to safety procedures and
guidelines is required during all operations and activities may be immediately halted by the
Safety Officer, Chief, Captain and /or Incident Commander if an unsafe act or procedure is
identified.
Also, volunteers are closely supervised by Company Officers and FD staff are only given
assignments that they have been trained and approved for.
3.4 Recognition Program
The FD can recognize Employees /volunteers with good safety performance. The Safety
Committee will establish the Safety Award criteria and review submittals for the awards.
3.5 Disciplinary Procedures
Employees and volunteers failing to comply with health and safety requirements will be
disciplined in compliance with the City Personnel Rules and RPDPS Rules and Regulations.
Employees or volunteers failing to comply with the health and safety requirements during an
emergency response, training event or other activity will be asked to correct the deficiency or
behavior immediately or be released from the incident. Serious acts of misconduct and/or
noncompliance with the Rules and Regulations may result in disciplinary action.
4.0 COMMUNICATION
The FD and Department recognizes the importance of effective, two -way communication on
health and safety issues. Several communication methods will be used to ensure that every
employee and volunteer is aware of the IIPP requirements and the importance of their
participation in the program.
77 Rev: September 2010
Communication with each of the Volunteer Fire Companies is achieved in several ways:
• The written IIPP is available at each fire station.
• Written Standard Operating Procedures (SOPs) are available at each fire station.
• SOPs are developed and revised as necessary to provide safe guidelines to Department,
Fire Division assigned staff and volunteers.
• Captain and Division Staff Meetings will include a presentation by the Safety Officer
including a safety topic and open discussion about safety procedures.
• Group e-mail safety messages are periodically sent out to all staff via e-mail database.
• Regular engine crew meetings are held to discuss any current problems, procedures, news,
and/or training of Fire, Rescue and Hazmat related topics.
Whenever possible, face -to -face communication is preferred. This personal communication is
usually much more effective in achieving meaningful improvement is Safety Programs and in
fostering better or more cooperative working relationships.
4.1 Fire Division Safety Committee
The DES Safety Committee will hold Bi- annual meetings to review IIPP implementation on a
department -wide level and to review department health and safety policies and procedures. All
FD ranks and the POA will have members included in the Safety committee. The purpose of
- the Fire Division Safety Committee shall be to conduct research, develop recommendations,
and study and review matters pertaining to occupational safety and health within the FD. We
will review relevant SON and the IIPP to verify implementation on a department -wide level.
The Safety Committee Members for 2009 -2010 are as follows:
Aaron Johnson
Dan Adam
Joe Ferronato
Rob Luis
Ryan Foiles
Justin Thompson
Steve Boggeri
Duane Rosengren
Dale Utecht
Training Coordinator
Safety Officer
Fire Supervisor
PSO- Engineer (Medical)
PSO- Firefighter
PSO- Captain
PSO- Captain (USAR)
Volunteer Firefighter
POA
The FD Safety Committee will be responsible for the review of facility inspections; accident
investigations with recommendations to management concerning controls; review and
response to employee /volunteer Hazard Report forms or verbal hazard reports to FD staff or
supervisors; periodic review of safety equipment inspections for completion and correction of
deficiencies; Establish Safety Award criteria and review submittals for the awards; and other
duties as identified. Written minutes and program activities of each meeting shall be retained
and shall be made available to all members.
78 Rev: September 2010
4.2 Hazard Report System
Hazard Report Forms will be readily available to employees and volunteers in all facilities to
facilitate the anonymous reporting of safety hazards. Employee Hazard Report Forms will be
forwarded to the FD IIPP Administrator and the Safety Committee for review. Hazard reports
may be submitted anonymously by mail or in person to a supervisor or the Safety Officer.
Anonymity is respected and there will be no retaliation or retribution for reporting safety
concerns.
5.0 HAZARD ASSESSMENT
5.1 FD Hazard Assessment
The Fire Division identifies general safety hazards relevant to each area of operation (Fire,
Medical/Rescue response Hazardous Materials Response, Urban Search and Rescue). In
addition, specific hazards unique to special operations are identified. The hazard assessment is
revised on an annual basis by the FD management and Safety Committee.
5.2 Periodic Inspection Procedures and Documentation
Periodic facility inspections_ are conducted_ to identify_ work_ area hazards and evaluate the
effectiveness of controls. The FD Safety Officer coordinates the inspection schedule and is
responsible for ensuring that inspections are conducted. The Safety Officer verifies and
records the completion of the inspections. The appropriate Safety Committee reviews
inspection results. If corrective actions are required, the FD Safety Officer will work with the
Fire Supervisors and Commander to achieve the desired correction.
In addition to the inspection schedule, inspections are conducted as required in the following
situations:
• New substances, processes, procedures and equipment result in new hazards in FD
facilities or operations.
• New, previously unidentified hazards are identified.
• Occupational accidents or incidents occur.
• Department hires or reassigns employees /volunteers to operations or tasks where a hazard
evaluation has not been conducted.
• Workplace conditions are judged to warrant an inspection by an employee /volunteer
Report of Hazard or by one of the safety. committees.
Inspections include:
• Monthly SCBA inspections
• Monthly compressed gas cylinder inspections
• Hydrostatic testing of compressed gas cylinders as required by the DOT and manufacturer.
• Annual Flow test of SCBA
79 Rev: September 2010
• Annual testing of the breathing air compressor (Utility 3)
• Structural fire fighting personal protective equipment (PPE)
• Care and cleaning of PPE
• Advanced inspection of PPE
• Wild land fire fighting PPE
• Wild land tent shelters
• Oxygen (medical) bottle hydrostatic testing as required by DOT and the manufacturer
• Automatic External Defibulator testing and maintenance.
• Inventory of nitrile gloves, eye protection and respirator protective equipment for
communicable diseases and or aerosols
The tracking of safety equipment inventories as well as what has been issued in the field is
imperative to ensure continued safe operations. Personal Protective Equipment is tracked and
inventoried to ensure replacement equipment is available to responders should their PPE
become soiled with soot, smoke, blood, or other contaminants in the course of their duties
and/or training.
6.0 HAZARD CORRECTION
6.1 Hazard Correction Procedures
Unsafe or unhealthy work conditions; work practices and procedures are corrected in a timely
manner based on the severity of the hazards. Hazards are corrected according to the following
procedure:
• When observed or reported
• When an imminent hazard exists that cannot be immediately corrected the supervisor will
remove all employees from the immediate hazard, with the exception of those needed to
correct the condition.
• When an unsafe act or procedure is identified, the Fire Supervisor, PSO Captain, Acting
Captain or Fire Commander will immediately call a halt to activities and correct the
situation via instruction, demonstration, or other appropriate means. The Rules and
Regulations must be followed at all times.
The Safety Officer and Safety Committee promptly assess the hazard severity and the time
frame for hazard correction. Hazard correction requiring review on the Department level will
be referred to the IIPP Administrator (Fire Commander). FD Administration maintains a
Hazard Correction Log. This log tracks hazards associated with the following:
• Workplace inspections
• Accident/incident investigations
• Employee Hazard Reports and suggestions
• Verbal or E -mail hazard reports
• Hazards reported during staff meetings, training, etc.
• Corrective action documentation
80 Rev: September 2010
6.2 Hazard Correction Form
All corrective actions taken will be documented and dated on the Hazard Correction
Form. DES support staff will log and track these corrections.
7.0 ACCIDENT AND INCIDENT INVESTIGATIONS
7.1 Investigation Procedures
Injury or accident reports from the Fire Division operations must be submitted to an
immediate supervisor. The Fire Supervisor will conduct the immediate initial
investigation of all accidents and /or injuries. The purpose of the Supervisor's
Investigation is to determine the root cause of the accident/incident and prevent future
injuries. The employees /volunteers and any witnesses or members involved with the
incident are interviewed and their information included in the investigation. A written
report is forwarded to the IIPP Administrator and Department Safety Officer. The IIPP
Administrator or the Department Safety Officer initiates a follow -up or Supervisors
Investigation to determine the root cause of the injury or accident.
7.2 Safety Committee_ Review
FD Safety Committee reviews accident investigations to determine root causes and
appropriate corrective action. Evaluation of IIPP implementation and effectiveness will be
conducted during accident investigation reviews.
8.0 TRAINING
8.1 IIPP Training Requirements
All FD assigned employees /volunteers will participate in Division occupational health and
safety training on general and job- specific hazards and safe work practices. Division
supervisors are required to be trained on all health and safety hazards to which employees
under their immediate direction and control are exposed.
Training will be provided as follows:
• New employees and or volunteers are hired
• Employees are reassigned to a new area or task with no prior training
• New substances, operations or equipment are introduced
The Fire Division maintains an "In- house" training program utilizing certified instructors and
training curriculums for training including:
• Recruit Fire Academy
• Wild land Classes (5130, S131, S190, ICS 100 and 200)
• CPR and AED training
• Vehicle Extrication
81 Rev: September 2010
• Medical Aid -EMT skills
• Water Safety
• Traffic Safety
Training instructors utilize written training plans to tailor the instruction to meet the
individual needs of the Division operations. Trainees are required to sign a roster at each
training or exercise event. Fire Division support staff track the submittal of sign -in rosters.
Certified trainings will be acceptable in demonstrating the competency of volunteer fire
fighters employed with other agencies, including a certified fire academy (SRJC or equiv).
The Department maintains an agreement with the Sonoma County Department of Emergency
Services for hazmat response and basic hazmat/decon training. DES maintains an "In- house"
training program with California Specialized Training Institute certified trainers to conduct
FRA, FRO, IC and all refresher training to members of the Sonoma County Hazardous
Materials Response Team and to outside agencies. DES provides hazmat mitigation for
incidents within the City with their Hazardous Materials Response Team.
8.5 Training Documentation
Written Training plans are attached to this document.
Training is documented in the Firehouse database and Department Training database.
9.0 RECORD KEEPING
IIPP records will be maintained consistent with the City of Rohnert Park and
Department and Records Retention Schedule.
9.1 Hazard Assessment/Periodic Inspection Records"
Records of hazard assessment and periodic inspections, including the name of the individual
conducting the inspection, the unsafe conditions and work practices identified and corrective
actions taken will be retained for three years. Records of hazard assessment and periodic
inspections will be maintained at the affected facility with a copy forwarded to the IIPP
Coordinator.
Fire Division support staff maintains tracking folders and filing to ensure retention of the
following records:
• Hazard Reports
• Accident Reports
Injury Reports
• Exposure Reports for Communicable Diseases
• Supervisor Accident Report Investigations
82 Rev: September 2010
• Facility Inspection Reports
• Hazard Correction Reports
• Safety Equipment Inspection Reports
• Hard copy of training sign -in rosters
9.2 Training Records
Training records are maintained in the Firehouse Database and Department Training Database.
9.3 Safety Committee Records
Safety Committee minutes and relevant documentation of IIPP communications, compliance,
hazard corrections, and accident investigation results will be retained for a minimum of three
years.
9.5 Program Evaluations/Revisions
Annual program evaluations and revisions will be maintained with the Safety Committee
Records for a period of three years.
10.0 PROGRAM EVALUATION
The IIPP Administrator and the Safety Committee will evaluate the effectiveness of the Injury
and Illness Prevention Program on an annual basis. A report summarizing the IIPP
implementation and program status will be submitted to the Public Safety Director.
Corrective actions to improve program implementation and deficiencies will be
recommended by the Safety Committee and communicated to the IIPP Administrator and
Director.
83 Rev: September 2010