ACCIDENT AND ILLNESS PREVENTION PROGRAM (AIPP)

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1 ACCIDENT AND ILLNESS PREVENTION PROGRAM (AIPP) Effective October 3, 2016

2 TABLE OF CONTENTS Section Page Introduction.. 3 I. Accident and Illness Prevention Policy... 4 II. Accident and Illness Prevention Coordinator.. 6 III. Responsibilities... 6 IV. Goals and Objectives... 9 V. Hazard Recognition, Evaluation, and Control. 10 VI. Industrial Hygiene Surveys. 13 VII. Industrial Health Services 14 VIII. Safety Orientation and Training.. 16 IX. Emergency Action Plans. 16 X. Employee Suggestion and Communication. 17 XI. Employee Involvement 18 XII. Safety Rules and Enforcement 18 XIII. Incident Investigation, Reporting, and Recordkeeping XIV. First Aid, CPR, and Emergency Medical Treatment XV. Program Evaluation. 22 XVI. Safety Programs and Procedures. 22 Accident and Illness Prevention Program Page 2

3 INTRODUCTION This Accident and Illness Prevention Program (AIPP) Manual has been created to meet the requirements of the Health and Safety Regulations of the Workers Compensation law, PA Act 44 of To meet the regulations for workers compensation self-insurance status, the Pennsylvania State System of Higher Education (PASSHE) and Edinboro University must satisfy these requirements. The requirements of the Workers Compensation law do not pertain to students and visitors at Edinboro University. However, the University recognizes its responsibility to reduce hazardous conditions that may be encountered by visitors and students and that their health and safety is protected by this program. This manual establishes the foundation for a safe and healthy work environment. It creates methods for identifying and correcting workplace hazards, providing safety training, communication of safety information, ensuring compliance with safety programs and reducing institutional liability; all of which are aimed at reducing the incidence of work-related disease, pain and injury and, in turn, lower insurance premiums. Accident and Illness Prevention Program Page 3

4 I. POLICY Accident and Illness Prevention Program Page 4

5 Accident and Illness Prevention Program Page 5

6 II. ACCIDENT AND ILLNESS PREVENTION COORDINATOR The Director of Environmental Health and Safety is designated as the Accident and Illness Prevention Coordinator. The Director of Environmental Health and Safety is empowered to develop, implement, and maintain the Accident and Illness Prevention Program (AIPP). III. RESPONSIBILITIES A. Director of Environmental Health and Safety B. Human Resources C. University Safety Committee Accident and Illness Prevention Program Page 6

7 D. University Police Department Ensure that any incident that resulted in injury or property damage to which they responded to is reported to the Office of Environmental Health and Safety (See Incident Reporting, Investigation and Recordkeeping.) E. Student Health Services F. Deans/Directors/Department Chairs G. Managers and Supervisors Accident and Illness Prevention Program Page 7

8 H. Employees Accident and Illness Prevention Program Page 8

9 IV. GOALS AND OBJECTIVES A. Overall Goals The overall goal of the University s Accident and Illness Prevention Program (AIPP) is to minimize the risk of injury to employees, students and visitors and to minimize the risk of damage to University/Commonwealth owned property. The ultimate goal is zero injuries. This can be accomplished by: B. Sub-Goals and Objectives The Office of Environmental Health and Safety will develop sub-goals and objectives, in conjunction with the established safety committee(s), annually on a fiscal year basis to meet the overall goals. These sub-goals objectives will be designed to: These sub-goals can either be results oriented, activity oriented or a combination of both. The sub-goals should be attainable, measurable and managed effectively. Sub-goals need to be effectively communicated to those who will have input into attaining them. Results also need to be shared with all appropriate parties so that any deficiencies can be identified and corrected. Accident and Illness Prevention Program Page 9

10 When possible, sub-goals and objectives will be developed and defined in a format that meets the following criteria: Specific, Measurable, Achievable, Relevant and Time Based. The following is a description of the individual criteria or format components: Specific: Must address a precise or particular circumstance. Avoid broad base topics. Measurable: The goals can be expressed in quantitative or qualitative terms. Quantitative measures are expressed through the use of data and percentages. Qualitative measures are expressed through relationship and/or comparison to norms. Achievable: The capability to reach a desired outcome. Remember to strive for excellence, but be careful to avoid setting unachievable or unrealistic goals. Relevant: The goal should be directly related to needs of the organization. Time-Based: The goal should be assigned a benchmark to provide direction and motivation for achievement. V. HAZARD RECOGNITION, EVALUATION, AND CONTROL Workplace hazards exist in all occupations. The ability to adequately recognize, evaluate and control these hazards strengthens the financial possibilities of workplaces by preventing or reducing illness, injury and property damage and lowering their associated costs. A. Hazard Recognition Accident and Illness Prevention Program Page 10

11 B. Hazard Evaluation The risk assessment is based on probability and severity. Probability is the likelihood that the hazard will result in an incident. Severity measures the seriousness of the hazard if it caused an incident. Risk = Probability x Severity. Probability Value Score Description Frequent 5 Likely to occur often in the life of an item. Probable 4 Will occur several times in the life of an item. Occasional 3 Likely to occur sometime in the life of an item. Remote 2 Unlikely but possible to occur in the life of an item. Improbable 1 So unlikely, it can be assumed occurrence may not be experienced. Severity Value Score Description Catastrophic 4 Operating conditions are such that human error, environment, design deficiencies, element, subsystem or component failure, or procedural deficiencies may commonly cause death or major system loss, thereby requiring immediate cessation of the unsafe activity or operation. Critical 3 Operating conditions are such that human error, environment, design deficiencies, element, subsystem or component failure or procedural deficiencies may commonly cause severe injury or illness or major system damage thereby requiring immediate corrective action. Marginal 2 Operating conditions may commonly cause minor injury or illness or minor system damage such that human error, environment, design deficiencies, subsystem or component failure or procedural deficiencies can be counteracted or controlled without severe injury, illness or major system damage. Negligible 1 Operating conditions are such that personnel error, environment, design deficiencies, subsystem or component failure or procedural deficiencies will result in no, or less than minor, illness, injury or system damage. Risk (Risk = Probability x Severity) 0-3 Low 4-6 Medium 7-10 Serious High Severity Probability Catastrophic - 4 Critical - 3 Marginal - 2 Negligible - 1 Accident and Illness Prevention Program Page 11

12 Frequent - 5 High 20 High 15 High 10 Medium 5 Probable - 4 High 16 High 12 Serious 8 Medium 4 Occasional - 3 High 12 Serious 9 Medium 6 Low 3 Remote - 2 Serious 8 Medium 6 Medium 4 Low 2 Improbable - 1 Medium 4 Low 3 Low 2 Low 1 C. Hazard Control Once the hazards have been recognized and evaluated to determine the amount of risk that is associated with them, it is then necessary to determine the best way to control the hazard. The goal is to determine the best means of protecting the occupant, and providing a healthy and safe environment. There are several ways to control hazards; however, the order for consideration is engineering controls, administrative controls, and then personal protective equipment (PPE). There may also be times when it is appropriate to select short and long term controls. Short term controls may be put into place while waiting for permanent solutions. The controls are described below. Accident and Illness Prevention Program Page 12

13 VI. INDUSTRIAL HYGIENE SURVEYS Industrial hygiene is both a science and an art that is devoted to the anticipation, recognition, evaluation, and control of environmental factors arising in or from the workplace that have the potential to cause sickness, impaired health and well-being, or significant discomfort among workers. Industrial hygiene includes the development of corrective measures in order to control health hazards by either reducing or eliminating the exposure (Fourth Edition of the National Safety Council Fundamentals of Industrial Hygiene ). The following industrial hygiene procedure recognizes conditions or situations requiring industrial hygiene services that may be provided by an internal source and those that may require assistance from a contractor. The Director of Environmental Health and Safety, or designee, is responsible for determining when industrial hygiene services are required when responding to industrial hygiene concerns or complaints. If a determination cannot be made by the Director of Environmental Health and Safety, or designee, a contractor is then requested to assist in the evaluation. When industrial hygiene issues occur (indoor air quality concerns, excessive noise levels, visible mold, etc.) the following procedure applies: A. Contact your immediate supervisor and report the issue or concern. B. Supervisor will contact the Office of Environmental Health and Safety. C. The Director of Environmental Health and Safety, or designee, will evaluate the industrial hygiene related issue as soon as possible. D. Issues that are easily identifiable and/or correctable by Facilities personnel without the assistance of an industrial hygienist are corrected rapidly. Examples include correcting inadequate housekeeping procedures, HVAC repairs/ maintenance, noise abatement, etc. E. Issues that are not readily identified may require the assistance of an industrial hygienist. When assistance is needed, provide a detailed description of the concerns and source (if known) of the issue. Accident and Illness Prevention Program Page 13

14 VII. INDUSTRIAL HEALTH SERVICES Industrial health services address the physical, mental and social well-being of employees in relation to the job and working environment. These services are provided before and after an incident or illness has occurred. The results of these services are intended to produce recommendations for the recognition, evaluation, and control or elimination of workplace health hazards. A. Methods of Recognition The following methods are utilized to aid in determining the need for industrial health services. B. Work Related Injuries or Illnesses C. Specific Vocational Exposures Accident and Illness Prevention Program Page 14

15 D. State Employee Assistance Program (SEAP) Accident and Illness Prevention Program Page 15

16 F. Record Keeping VIII. SAFETY ORIENTATION AND TRAINING Edinboro University s safety training consists of initial safety orientation/training, initial job specific training, retraining, and refresher training. A. Initial Safety Orientation/Training B. Initial Job Specific Training C. Refresher Training All safety training must be documented and the training records shall be forwarded to the Office of Environmental Health and Safety. IX. EMERGENCY ACTION PLANS Emergency action plans are an important part of a comprehensive safety program. The goal of emergency action plans is to reduce potential for loss of life and property by providing building occupants information on key emergency actions that can be used in a variety of emergencies. Most emergencies can be handled using three lifesaving actions (evacuation, shelter-in-place, and lockdown). These lifesaving actions are the basis for the Building Emergency Action Plans (BEAPs). The University has posted Building Emergency Action Plans in each building at key locations so all occupants can be made aware of them. These emergency actions plans are also reviewed with new employees during their safety orientation. Accident and Illness Prevention Program Page 16

17 X. EMPLOYEE SUGGESTIONS AND COMMUNICATION Effective communication is an essential element of any program, especially a health and safety program. To be effective, the communication must flow in all directions. Safety information will be communicated through the following methods: A. Meetings B. Training Programs Information on safe working conditions, work practices, and hazard control will be included in training for new employees and all employees given new job assignments for which specific training has not previously been received. Whenever new substances, processes, procedures, or equipment that represent a new hazard are introduced to the workplace, training will also be offered by the employee s supervisor. The type of training provided to employees is based on the individual s job responsibilities. C. Written Communication Communications regarding health and safety topics may include, but is not limited to the following: written publications on the Environmental Health and Safety website, newsletters, s, signs, posters, chemical Safety Data Sheets (SDS), University policies and procedures, memorandums and other safety literature. These communications can be made University wide or to individual departments. Departments will present any new or changed safety programs or procedures to their supervisors. Supervisors will then present the information to their employees. D. Hazard Reporting by Employees Employees are to report any potential health and/or safety hazards that may exist in the workplace to their supervisor. Hazards that cannot be corrected immediately by their supervisor are to be reported to the Director of Environmental Health and Safety. The Director of Environmental Health and Safety will investigate and determine the necessary corrective action. Accident and Illness Prevention Program Page 17

18 XII. EMPLOYEE INVOLVEMENT The University has established a University Safety Committee that brings union personnel and management together in a non-adversarial, cooperative effort to promote safety and health at the University. The University Safety Committee is empowered to routinely identify and recommend solutions for health and safety related issues and to assist the Office of Environmental Health and Safety. Additionally, departments may establish their own safety committee to address concerns specific to their operation. Activities may include, but are not limited to, self-inspections, review of procedures and incidents, evaluation of present and potential safety hazards and any other safety issues determined relevant by the individual committees. Safety Committees are also encouraged to make recommendations for improvements. The department or group must maintain minutes of committee meetings and attendance rosters, with copies sent to the Office of Environmental Health and Safety. XIII. SAFETY RULES AND ENFORCEMENT All employees are charged with the responsibility for complying with safe and healthy work practices, including applicable laws and regulations; University policies, programs, and procedures; and departmental safety procedures. Non-compliance with any safe and healthy work practice is not acceptable and may lead to disciplinary action. Discipline of union represented employees shall be in accordance with their current collective labor agreements. Discipline of non-union represented employees shall be in accordance with the Board of Governors policy ( A Merit Principles). Students not employed by the University will be disciplined for unsafe practices in accordance with the Student Code of Conduct. The degree of disciplinary action shall depend upon the severity and nature of the safety violation and past history of safety violations. A. General Safety Rules Accident and Illness Prevention Program Page 18

19 XIV. INCIDENT REPORTING, INVESTIGATION, AND RECORDKEEPING The purpose of incident reporting, investigation, and recordkeeping is to prevent future incidents. The reporting, investigation, and recordkeeping must all be based on factual information to lead to the proper corrective actions that will prevent or reduce future incidents. An incident is considered any unplanned event that results in injury, illness, or damage to property, or an event that has the potential to result in such consequences (near-miss). A near-miss is an unplanned event that did not result in injury, illness, or damage, but had the potential to do so. A. Incident Reporting Timely reporting of all incidents is essential. Employees are required to report all incidents to their supervisor immediately no matter how slight the occurrence. An incident report form must be completed by the employee and the supervisor, and submitted to the Office of Environmental Health within 24 hours following the incident. Employees may access the incident report online at under Incident Reporting. Incidents involving non-employees are also to be reported. These incidents can be reported by any employee. University Police Department and Student Health Services will also submit an incident report if they are involved. The incident reports are to be completed and submitted to the Office of Environmental Health and Safety within 24 hours following the incident. B. Incident Investigation The purpose of an incident investigation is to determine what factors, conditions, and/or work practices contributed to the event, so that appropriate action can be taken to prevent a recurrence. The incident investigation is to be fact finding, not fault finding. However, this does not excuse a person from being held accountable for their actions or exempt from facing disciplinary action. All incidents should be investigated, regardless of severity of injury or amount of property damage. Minor incidents or near-miss incidents will be investigated because they are a warning of a potential hazard. The extent of the investigation depends on the outcome or potential outcome of the incident. An incident involving only first aid or minor property damage is not investigated as thoroughly as one resulting in death or extensive property damage, unless the potential outcome could have been a disabling injury or death. The employee s supervisor is responsible for performing the initial incident investigation for all reported minor incidents, near-misses and/or property damage. This is accomplished by the supervisor completing the Supervisor s Incident Report, which is found online at under Incident Reporting. The Office of Environmental Health and Safety will conduct investigations in response to serious incidents involving injury, illness, or property damage. The incident location shall be left undisturbed until the a representative from EHS arrives to initiate an investigation, unless further immediate injury or illness and property damage may occur. The incident investigation process should include the following elements: Accident and Illness Prevention Program Page 19

20 C. Incident Recordkeeping Records of incidents are essential to maintain efficient and successful safety programs. Incident and investigation reports allow the University to identify trends, patterns, or training. Incident reports and investigation records shall be maintained by the Office of Environmental Health and Safety for five (5) years after the date of incident. Employee Exposure Records will be maintained for the duration of employment plus 30 years. These records include results from monitoring for exposure to chemical, physical, and biological agents. XV. FIRST AID, CPR AND EMERGENCY MEDICAL TREATMENT A. Designated Responders To ensure a quick response for medical emergencies, the University has designated University employees as the first responder for medical emergencies in select areas. These employees receive training in first aid, cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), and bloodborne pathogens. These groups are as follows: Accident and Illness Prevention Program Page 20

21 In the event of a medical emergency, call University Police at University Police will immediately respond to the emergency and notify Erie County 911 to dispatch emergency medical services (EMS). The procedure for obtaining emergency medical assistance is provided during new employee orientation and the emergency procedures are also posted in University buildings and online. Emergency medical services are provided to the University by the Edinboro Volunteer Fire Department. The fire department is located near campus and has trained emergency medical professionals who operate a quick response service and an ambulance. West County Paramedic Service provides Advanced Life Support (ALS) to the area. B. Training C. First Aid Kits First aid kits are installed and maintained by the Office of Environmental Health and Safety. These kits are installed in locations that are subject to employee or student injury (e.g. wood shop, metal shop). These kits are installed on an as needed basis after EHS has completed an assessment of the work area. The first aid kits are inspected and maintained by the Office of Environmental Health and Safety. First aid kits are only expected to be used for minor cuts and scrapes. These injuries may appear to be minor but are still required to be reported to the Office of Environmental Health and Safety (See Incident Reporting, Investigation and Recordkeeping). Any more significant injury should seek immediate medical attention by calling University Police. D. Automated External Defibrillators (AEDs) The Automated External Defibrillator (AED) is a device used to treat a person in cardiac arrest by giving their heart an electric shock. The AED is used in addition to CPR, if necessary. The AEDs should be used by trained personnel. However, in the event no trained personnel are present anyone is permitted to utilize the AED. The AEDs provided are designed for the bystander with no training. The AED will use voice prompts to instruct the user on how to use the machine. There are several AEDs located throughout campus. For a current list, see the Environmental Health and Safety website for specific locations. Accident and Illness Prevention Program Page 21

22 XVII. PROGRAM EVALUATION The effectiveness of this Accident and Illness Prevention Program is measured through the evaluation of proactive and reactive measurements. This program shall be reviewed annually by the Office of Environmental Health and Safety by comparing the proactive and reactive measurements to the previously established sub-goals and objectives. This evaluation will identify areas for improvement and will assist in establishing next year s sub-goals and objectives. A. Proactive Measurements Proactive measurements, also known as leading indicators, provide information about the quality, efficiency, or effectiveness of activities, actions, or processes that precede incidents and positively influence safety performance. Examples of proactive measurements include: B. Reactive Measurements Reactive measurements, also known as lagging indicators, are after-the-fact measurements that focus on past failures and past incidents. Examples of reactive measurements include: XVIII. SAFETY PROGRAMS AND PROCEDURES In support of the Accident and Illness Prevention Program, the Office of Environmental Health and Safety develops health and safety programs and procedures relevant to specific hazards. These programs are available online at Accident and Illness Prevention Program Page 22

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