FNA Health and Safety Program

FNA Health and Safety Program New Hire Orientation and Annual Training

Agenda • Health and Safety Committee • Safety Topics: • Introduction to OSHA standards • Introduction to FNA H&S Policy and Procedure Manual • Employee’s responsibilities under the H&S Program • Incident reporting procedures • SDS/ GHS • Medication Management • Ergonomics • Proper lifting techniques • Prevention of slips, trips, and falls • Electrical safety • Routes of egress from the work place • Locating fire extinguishers and first aid equipment • Personal protective equipment • Bloodborne pathogens • Workplace violence and prevention • Bomb Threats

Administration • In the event of an emergency… • Restrooms • Questions • Contact information Sarah Cokely FNA Safety Coordinator scokely@fairbanksnative.org 452-1648 ext. 6236

Health and Safety Committee Just because you always did it that way, doesn't make it right.

H&S Committee- Function • Established by FNA policy and CARF regulations • Scope of activities • Make recommendations • Promote safety topics and activities • Monitor safety program effectiveness • Accept and evaluate employee safety suggestions/complaints • Review accident reports to determine means of reducing frequency or eliminating problems • Assist in accident investigations to uncover trends

H&S Committee- Members Graf: ***/ Steven Powell CS: Karen Eddy/ Stephanie Stowman FASAP: Twyla Cruger/ Felisha Cooper JOM: Linda Woods/ Kathy Halverson THV: ***/ *** • Admin: Krista Wilkinson/ Sarah Cokely • HS: Colleen Hasbrouck/ Emily Main • RPC: Perry Ahsogeak/ Sharon Thronsen • Detox: Liza Malamute/Tamara Thompson • WCCIH: ***/ Louisa Hisamoto

Introduction to OSHA Prepare and prevent, don't repair and repent.

OSHA’s Mission and What it Means for You • Save lives • Prevent injuries • Protect the health of America’s workers How? • Developing job safety and health standards • Enforcing standards through worksite inspections • Maintain recordkeeping system to keep track of job-related injuries and illnesses • Provide training programs to increase knowledge about occupational safety and health • 2014: 4,679 fatal work injuries recorded in the United States • ~ 13 per day • Leading causes: Roadway incidents (23%), slips/trips/falls (17%), contact with equipment (15%), and violence/homicide (16%) • Nearly 3 million non-fatal workplace injuries and illnesses reported

Your Rights Under OSHA • A safe and healthful workplace • Know about hazardous chemicals • Information about injuries and illnesses in your workplace • Complain or request hazard correction from employer • Training • Hazard exposure and medical records • File a complaint with OSHA • Participate in an OSHA inspection • Be free from retaliation for exercising safety and health rights

Employer Responsibilities Under OSHA • Provide a workplace free from recognized hazards • Comply with OSHA standards • Provide training required by OSHA standards • Keep records of injuries and illnesses • Provide medical exams when required by OSHA standards and provide workers access to their exposure and medical records • Not discriminate against workers who exercise their rights under the Act (Section 11(c)) • Post OSHA citations and abatement verification notices • Provide and pay for PPE

OSHA Standards • OSHA issues standards for a wide variety of workplace hazards. • Where there are no specific OSHA standards, employers must comply with The General Duty Clause, Section 5(a)(1) • Each employer shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or likely to cause death or serious physical harm

OSHA Inspections • The OSH Act authorizes OSHA compliance safety and health officers (CSHOs) to conduct workplace inspections at reasonable times. • OSHA conducts inspections without advance notice, except in rare circumstances (e.g. Imminent Danger) • Priority of Inspection

Filing An OSHA Complaint • Workers can file a complaint or… • A worker representative can file a complaint • Telephone or visit local regional or area offices or… • 1-800-770-4940 or (907)269-4940 (8 am to 5 pm M-F; AK time) • 1-800-321-6742 (After 5 pm or on weekends and holidays) • Download the OSHA-7 form from OSHA’s website or… • File the complaint online • Complete the form • Be specific • Include appropriate details • OSHA determines if an inspection is necessary • You do not have to reveal your name!

Introduction to FNA H&S Policy and Procedure Manual Concern for man himself and his safety must always for the chief interest of all technical endeavors.

H&S Policy and Procedures Divided into (8) sections… • Health & Safety Committee • Health & Safety Program • Health & Safety Procedures • Disaster Plan • Hazard Communication • Workplace Violence • Bloodborne Pathogens • Appendix

H&S Policy and Procedures Chapter 2, section 2-4: Roles and responsibilities… • Program/ Project Directors: • Active participation is essential • Must display interest in health & safety matters • Ensure representation at Health & Safety Committee Meetings • Supervisors: • Ensuring the health & safety of the employees and consumers • Supervisor’s will: • Ensure health & safety rules are understood and observed • Require proper care and use of PPE • Receive and take initial action on employee suggestions, awards or disciplinary measures • Conduct periodic meetings to discuss health & safety matters • Train employees in safe and efficient work methods • Promote staff participation in the health and safety program • Participate in safety inspections • Assist in identifying and eliminating job hazards • Inform and train employees on hazards they may encounter • Assist in accident investigations • Follow the progress of injured staff members

H&S Policy and Procedures Chapter 2, section 2-4: Roles and responsibilities… • All staff members: • “Observe and comply with the items of responsibility established in this document’s policies & procedures.” Safety is Everyone’s Responsibility

Incident Reporting Injuries happen when workers get caught between the official way versus the real way.

Accident Investigation and Reporting • Report all work related accidents, injuries and illnesses as soon as possible!! • Reporting reveals trends • Accidents, injuries, fatalities, illnesses, and exposures shall be investigated • Corrective actions will be taken

FNA Incident Report: Instructions • Section 1: Description of the Incident • Reporter’s responsibility • Complete ALL areas!

FNA Incident Report: Instructions • Section 2: Department or Supervisor In Charge of Investigation • Was the accident preventable? • Did the employee take action after the incident? • What action was taken to prevent future similar incidents? • What follow up is needed? • Who is responsible for follow up? • Additional information • Name, date, signature • Date and time of Program Director review

FNA Incident Report: Instructions • Section 3: Program H&S Representative Review/ Follow-up • Immediate and basic causes assessed • Signatures • H&S Representative • Program Director • Submit completed form by interoffice mail to Health and Safety Coordinator for review and final signatures

Most Common Hazards • From the Incident Reports we know ~50% of injury to staff is from slips, trips, and falls • Consumer issues • Nearly half illustrate behavioral issues and medical facility transfers

Staff Injuries- Injury Hotline • Alaska National’s Workplace Injury Hotline (Medcor) • 1-800-553-8041 • 24 hours/ 7 Days A Week • A nurse will answer the call and help determine the seriousness and nature of a staff injury and the best way to address the situation • First Aid (self care) • Referral Recommendation • NOT A REPLACEMENT FOR 911! • Call 911 for any life-threatening situations

Staff Injuries- Worker’s Compensation • In the event of an injury- suspected or otherwise- contact your H&S Rep or Supervisor and complete an “Employee Report of Occupational Health or Injury to Employer” Form • You have 30 days to disclose a work-related injury to your employer; please report immediately! • Once you have notified FNA you sustained a work-related injury, you have 5 calendar days to complete and submit your report for further processing

Hazardous Materials Communication (HAZCOM) Safety never takes a holiday.

HAZCOM… • Mandated by OSHA • Requirements: • A written hazard communication program. • An inventory of all hazardous substances. • Employee training. • All containers must be properly labeled. • SDS library for all hazardous substances in the workplace. • Rule of Thumb: DO NOT MIX CHEMICALS

Training • Employee Training: • Illustrates health, safety, first aid and emergency procedures • Staff that require training include: • Those who might be exposed under normal conditions or in an emergency situation • Contractors and off-site employees • Transportation employees and emergency responders • Must receive specific training before working with chemicals • Initial assignment. • New chemicals

Inventory • Hazardous Material Inventory… • Safety information about all hazardous substances in the workplace. • Information on chemical identification: • The chemical’s full name from container labels. • The chemical’s commonly used name. • The product identifier: A unique name or number which can be cross-referenced to the correct SDS so that anyone can easily obtain the chemical information they need. • Information about where each hazardous material is used. • Maintained in your SDS book(s)

SDS • Safety Data Sheets… • Lists the chemical characteristics • Understanding the hazards of the materials you are working with can help you protect yourself against them. • An SDS must • Be on file • Readily available • Each chemical in inventory • Example: Clorox Bleach

The New Standard: GHS- What and Why? • To align with the Globally Harmonized System of Classification and Labeling of Chemicals (GHS) adopted by 67 nations • To provide a common and coherent approach to classifying chemicals • Reduce confusion and increase understanding of the hazards • Facilitate training • Help address literacy problems

GHS- SDS contentNew 16-section standardized SDS format required (ANSI Z400.1) Section 1 – Identification Section 2 – Hazard(s) identification Section 3 – Composition / Information on Ingredients Section 4 – First-aid Measures Section 5 – Fire-fighting Measures Section 6 – Accidental Release Measures Section 7 – Handling and Storage Section 8 – Exposure Controls / Personal Protection Section 9 – Physical and Chemical Properties Section 10 – Stability and Reactivity Section 11 – Toxicological Information Section 12 – Ecological Information* Section 13 – Disposal Consideration* Section 14 – Transport Information* Section 15 – Regulatory Information* Section 16 – Other information including date of preparation of last revision *Sections outside of OSHA jurisdiction but inclusion of these sections is necessary for a GHS compliant SDS

GHS- Labeling • Effective June 1, 2015 • There are several new label elements: • Symbols called “Pictograms” • Signal Words • Hazard Statements • Precautionary Statements • Product Identification • Supplier/Manufacturer Identification

GHS- Labeling- Pictograms Acute toxicity (Severe) Acute = short-term effect Acute toxicity (Less Severe) 1. Corrosive- Skin Oxidizer 2. Corrosive- Metal Compressed Gases Carcinogen Explosives Flammables

GHS vs. “Old” Standard… Which is which?! GHS (scale of 1-4) The “old” (scale of 0-4)

Labeling • Primary Container labeling… • Labels must not be removed, defaced or altered • All labels must be legible, in English and prominently displayed • The information must be provided in a consistent manner • Secondary Container labeling… • Must be labeled with the contents and hazards • Example: Diluted bleach in a spray bottle • Bleach • 1:10 dilution w/ water • KEEP OUT OF REACH OF CHILDREN • EYE HAZARD - Do Not Spray in Eyes. • SKIN HAZARD - Avoid Prolonged Skin Contact. • DO NOT DRINK

NFPA Label National Fire Protection Association

HAZCOM and SDS: By Program • Health and Safety Representative will orient you to the SDSs • IF you encounter a substance you are not familiar with… • DO NOT use it prior to consulting the SDS • If there is not an SDS for that substance notify your supervisor and/or Health and Safety Representative immediately!

Spot the Hazard!

Medication Management “Safety First” is “Safety Always.”

Self Administration • Unless you are a licensed health care provider you may ONLY observe and assist! • Examples… • Open the consumer’s medication container; • Hand the consumer the medication container; • Place the medication in the consumer’s hand; • All new prescription medications or changes require consumer consent. • FNA staff members are not decision-makers for the purposes of consent • If a consumer’s legal representative is unwilling to provide consent for a medication notify your supervisor

Storage and Disposal of Medications • Safeguard medications: • Ensure they are not readily available to others • Consumer medications • Staff member/ personal medications • Store medications under proper conditions • Store medications in the original medication containers • Properly dispose of all medications! • Utilize TakeAway Medication envelopes • Keep a waste log with: • List of the name of the medication(s) • Amount disposed • Date of disposal. • Verify disposal with witness statement

Spot the Hazard!

Ergonomics Design is not just what it looks like, design is how it works.

Ergonomics? • Fitting jobs to people • Uses… • Knowledge of physical abilities and limitations • Human characteristics • “Anthropometrics” (study of human body measurement) • Workstations and tasks are appropriately designed

FNA Health and Safety Program