Safety Manual:
Review and Revision Log
- Replaces: Supersedes all previous information on the same topic
- Reviewed: Annually
- Section Revised: Moved to Google Sites 1/1/2022
- Contact: Safety Staff
1/1/2012 Revisions
Worksite Emergency Plan (Evacuation)
Changed the title of the Director of CHP to Population Health (page 2).
Added “District Office” to “Medical Village Drive” and “Administrative Annex to Grandview Drive” (pages 4, 5, 9, 12, and 16).
Changed site coordinators (page 3).
Changed the location for evacuation of MVD and added a descriptor for the evacuation of CCHC (page 4).
Changed descriptors for emergency shut off valves (page 5) and designated severe weather shelter areas (page 9).
Added doors to seal off in case of shelter-in-place (page 12).
Added information about procedures for a suspected gas leak (page 13).
Changed information about panic buttons (page 17).
Updated TOC.
Incident Management
Added information about safety precautions observed including pre-hire for safety sensitive and post-incident for all positions drug screen (pages 5 and 6). Added Appendix B: information about St. Elizabeth Business Health (page 11).
Prevention of Tuberculosis (TB) Transmission Plan
Changed the assessment date from March 2010 to April 2011 (page 7).
Added staggered scheduling of TB testing based on birth month (page 9).
Updated TOC
Other Sections
Reviewed – no changes.
1/1/2013 Revisions
Worksite Emergency Plan (Evacuation)
Added Logo.
Modified the Severe Weather section (page 8).
Home and Field Visit Safety
Added Logo.
Revised last bullets under “Tips for general planning and preparations” (page 4).
Incident Management
Added Logo.
Revised business hours and added additional location to “Appendix B: Saint Elizabeth Business Health Details” (page 11).
Bloodborne Pathogens (BBP) – Exposure Control Plan
Added Logo.
Removed “Director of Community Health Promotions” from list of positions that usually do not have occupational exposure (page 6).
Modified source individual information (pages 18-19).
Modified Appendix D: Informed Consent to Blood Testing (page 30).
Modified Appendix E: Employee Consent to Blood Testing (page 31).
Added Appendix G: Saint Elizabeth Laboratory Requisition Form (#8042)
All Other Sections
Added Logo.
Reviewed Remainder – No Changes.
1/1/2014 Revisions
Worksite Emergency Plan (Evacuation)
Sprinkler Systems – changed “in an arcing pattern” to “to wet materials” (page 7).
Fire Guidelines – added “in most buildings” to description of pull stations (page 8).
Hazardous Material-Related Incidents – added more details pertaining to hazardous-material related incidents (page 12).
Localized Incidents or Threats – added specific language about gunfire/other disturbances and lockdowns (page 16).
Changed language about panic buttons (page 17).
Removed review dates from footer.
General Workplace Safety
Removed review dates from footer.
Home and Field Visit Safety
Removed review dates from footer.
Bloodborne Pathogens (BBP) – Exposure Control Plan
Employee Training and Responsibility – changed language to clarify who will coordinate annual updates and track training (page 3).
Determining Occupational Exposure – updated positions that usually do not have occupational exposure (page 5).
Engineering Work Practice Controls… - changed “needless” to “needle-less;” changed “safer devices” to “safety devices” in bulleted list (page 8).
Removed review dates from footer.
Prevention of Tuberculosis (TB) Transmission Plan
Updated Prevalence Table in Appendix 2 to include 2012 dates (page 13) and adjusted Table of Contents Accordingly.
Removed review dates from footer.
Hazard Assessment and Personal Protective Equipment
Moved contact information from Table of Contents Page to “Employee Training and Responsibility” section.
Added information about shoe covers (pages 9 and 10).
Removed review dates from footer.
Lockout - Tagout
Moved contact information from Table of Contents Page to “Employee Training and Responsibility” section.
Removed review dates from footer.
All Other Sections
Reviewed - no changes
1/1/2015 Revisions
Worksite Emergency Plan (Evacuation)
Added “In/Out Board or a clear photograph of In/Out Board” and “SDSs” to list of items to take in event of evacuation or shelter (page 3).
Changed “Administrative Office” to “Administrative Annex” (page 5).
Incident Management
Updated Supervisor’s procedures for handling employee incidents (pages 6 and 7).
Changed Worker’s Comp Contact Information (Appendix A).
Replaced old Worker’s Comp Form with new one (new contact information) (Appendix D).
Bloodborne Pathogens (BBP) – Exposure Control Plan
Updated lists of occupational exposures with new position classifications (pages 4 and 5).
Prevention of Tuberculosis (TB) Transmission Plan
Changed names of Appendices from numerals to letters (all).
Updated TB Cases and Rates with 2013 data (Appendix B, page 13).
General Workplace Safety
Reviewed – No Changes
Home and Field Visit Safety
Reviewed – No Changes
1/1/2016 Revisions
Worksite Emergency Plan (Evacuation)
Designated Assembly Areas section, Kenton County Health Center: Changed gray to green after building was painted; Campbell County Health Center: Removed details about the dumpster after the dumpster was removed (Page 4).
Deleted “kitchen” from eyewash station location of CCHC to correct error (Page 17).
Incident Management
Updated OSHA’s new reporting requirements effective 1/1/2015 (Pages 6, 7, and 9)
Bloodborne Pathogens (BBP) - Exposure Control Plan
Updated occupational exposure lists (Pages 4 and 5)
Changed “Universal Precautions” to “Standard Precautions” as per OSHA’s update in the 1990s (Page 7)
Changed “body fluids” to “bodily fluids,” “puncture-resistant container” to “sharps container” and made other minor clarifications (throughout).
Hazardous Assessment and PPE
Added “clothing appropriate for task” to assessment of protection for hand and skin
Added two criteria to footwear requirements to match dress code guidelines (Page 8)
Changed “body fluids” to “bodily fluids” and made other minor clarifications (throughout)
Updated to address Viral Hemorraghic Fever threats after Ebola scare (throughout)
1/1/2017 Revisions
Worksite Emergency Plan (Evacuation)
Rewrote plan as per instructions received during safety walkthrough with consultants.
Incident Management
Changed Step 3 of supervisor’s procedure for handling employee incidents to match revision in Personnel Policies (Page 6).
Bloodborne Pathogens (BBP) - Exposure Control Plan
Corrected clerical errors (Page 3). Moved Environmental Health Worker from List B to List C exposures (Pages 4 and 5). Deleted Health Education Manger (Page 5).
Prevention of Tuberculosis (TB) Transmission Plan
Added MTB abbreviation (twice on Page 2)
Added PAPR abbreviation (Page 5); Changed date on risk factor assessment to 2015 (Page 7)
Updated TB data in Appendix B (Page 13) with most current data
1/1/2018 Revisions
All
Changed logo on manual and sample forms in appendices.
Worksite Emergency Plan (Evacuation)
Deleted references to Maintenance Supervisor (Page 2).
Incident Management
Revised Appendix C (Page 12); and Appendix J (Page 27) to include forms with new logo and instruction in Appendices C, J, and D (Page 13).
Bloodborne Pahtogens (BBP) Exposure Control Plan
Updated job titles under Occupational Exposures (Pages 4-5).
Prevention of TB Transmission Plan
Changed title of keeper of form from “Human Resources Administrator” to “Employee Health Nurse” on (Page 2)
Updated KY TB Cases and Rates (Appendix B on Page 13); Changed responsibility from “Epidemiology Services” to “Clinical Services (all pages)
Lockout/Tagout
Deleted references to Maintenance Supervisor (Page 2).
1/1/2019 Revisions
All
Changed references to “NKIDHD” to “NKY Health”; updated addresses of NKY Health due to move.
Worksite Emergency Plan
Replaced information for “Medical Village Drive,” “Grandview Drive,” and “Administrative Annex with information for new District Office (Pages 2, 5, 6, 7, 9, 13, 14, 18 and 20)
Added clarification to sign-in sheets (Pages 3 and 8)
Updated severe weather guidelines (Page 8); updated hazardous material incident guidelines (Page 12)
Updated suspicious or dangerous object (Page 16)
Updated localized incidents or threats (Page 17
Clarified medical emergencies procedures (Page 19)
Incident Management
Removed faxing as an option for routine forms to HR (Page 7)
Changed routing for forms form EPI to EE Health Nurse (Page 8)
Removed address of third St. Elizabeth Business Health walk-in location (Page 11)
Clarified instruction Appendix E (Pages 16, 18, and 20).
Bloodborne Pathogens (BBP) Exposure Control Plan
Moved the following positions from category C to category B exposure: Director of Environmental Health and Safety, Disaster Preparedness Coordinator, Environmental Health Manager, Environmental Health Supervisor, Health Environmentalist, RS (Pages 4 and 5)
Added sentence about responsibility for purchasing Hep C vaccine (Page 17)
Deleted details about testing (Page 18)
Added instruction for form in Appendix C (Page 27)
Updated address on form in Appendix F (Page 30).
Prevention of Tuberculosis (TB) Transmission Plan
Added Quantiferon Gold to testing (Pages 2, 4, and 9)
Updated site specific protocols to reflect new District Office (Page 7)
Updated Appendix B with 2017 KY Tuberculosis case and case rates (Page 13)
Replaced form in Appendix E (Page 16)
Hazard Assessment and Personal Protective Equipment (PPE)
Changed contact information (Page 3); Added to health hazards list (Page 4)
1/1/2020 Revisions
Worksite Emergency Plan
Updated TOC
Removed language about designating two assistants for buildings with two or more floors (Page 3)
Removed reference to “Grandview Drive,” and “Administrative Annex inadvertently left in after 2018 move to new District Office (Page 6)
Clarified location of shut off valves (Page 6), severe weather guidelines (Pages 9-10) and hazardous material guidelines (Page 12)
Added location of panic button (Page 17) and eyewash station (Page 19) for District Office)
Added Appendix A for offsite emergency plans (Page 20)
General Workplace Safety
Updated TOC
Changed “First Aid” section to “Injuries” and changed language to address all injuries (Page 4)
Clarified language in remainder of document
Home and Field Visit Safety
Changed guidelines for information to leave when making a field visit (Page 4.) Removed reference to land line (Page 6.) Clarified language in remainder of document.
Incident Management
Changed disclaimer on page 4 to comply with new Workers Comp carrier policies (Page 4)
Changed instructions to include Employee Incident Report required by NKY Health (Page 6)
Added contact information for medical case management as per new Workers Comp carrier policies (Page 7)
Changed instruction in Appendix B for finding locations of St. Elizabeth Business Health (Page 11)
Bloodborne Pathogens (BBP) Exposure Control Plan
Updated titles in occupational exposure list to reflect updates classifications and re-evaluation of assignment (Pages 4 and 5)
Updated Appendix B to match current sharp devices form (Pages 27-30)
Updated Appendix C to match revised MedWatch form (Page 28)
Updated Appendix G to match revised St. E Lab form (Page 34)
Prevention of Tuberculosis (TB) Transmission Plan
Updated Appendix B with 2018 KY Tuberculosis case and case rates (Page 13).
Lockout/Tagout
Revised entire section to be more applicable to office and clinical settings.
Incident Management
Changed language to be more general to accommodate changing information from Workers’ Comp carrier (Pages 7 and 10).
1/1/2021 Revisions
All Sections
Changed Header
Worksite Emergency Plan
Updated TOC. Changed contact from Human Resources Administrator to Environmental Health and Safety (Page 2)
Changed “bleach wipes” to “disinfectant wipes” (Page 15)
Added direction for staff to use principles of emergency response training (Page 16)
General Workplace Safety
Changed contact from Human Resources Administrator to Environmental Health and Safety (Page 1)
Added “avoid twisting your body” language to lifting and carrying (Page 5)
Changed “Refrain from” to “Do not” (Page 6). Changed “their” to “your” (Page 6)
Home and Field Visit Safety
Changed contact from Human Resources Administrator to Environmental Health and Safety (Page 1)
Changed “all staff members responsible for” to “anyone representing NKY Health on” (Page 2)
Updated tips for preparing to visit with a client (Page 3). Updates tips for vehicle safety (Page 4)
Incident Management
Review only. No changes needed.
Bloodborne Pathogens (BBP) Exposure Control Plan
Deleted “Health Environmentalist” from Occupational Exposure list (Page 5)
Corrected clerical errors (throughout)
Prevention of Tuberculosis (TB) Transmission Plan
Updated storage information for disposable respirators (Page 6)
Updated site-specific protocols for preventing MTB (Page 7)
Added PAPRs as an alternative to clinic sites and deleted cultures from home visit sites (Page 8)
Updated Appendix B with 2019 KY Tuberculosis case and case rates (Page 13)
Hazard Assessment and Personal Protective Equipment (PPE)
Added contact information (Page 2)
Changed “wash hands” to “perform hand hygiene” (Page 7). Corrected misspellings (throughout)
Lockout/Tagout
Changed contact from Human Resources Administrator to Environmental Health and Safety (Page 1)
Corrected grammatical errors (Page 3)
1/1/2022 Revisions
ALL
Moved from .PDF files to pages on Google Sites.
Sections split into subsections to fit format of sites.
"Employee" changed to "Staff" when volunteers and supplemental staff are included.
"Call 911" changed to "Call 9-1-1"
Clerical, grammatical, and style guide errors corrected.
Links added.
BLOODBORNE PATHOGENS (BBP) EXPOSURE CONTROL PLAN
Changed custodian of employee health records from "Epidemiology" to "Employee Health Nurse" where it was inconsistent.
Changed language to more clearly describe role of Employee Health Nurse, Supervisor, and Human Resources.
Forms updated with current versions and moved to central location.
PREVENTION OF TUBERCULOSIS (TB) TRANSMISSTION PLAN
Forms updated with current versions and moved to central location.
2/1/2022 Revisions
INCIDENT MANAGEMENT
Changed form names and instructions about submitting forms for the forms that moved from download-and-fill to Google forms that are completed, submitted and routed automatically.
1/1/2024 Revisions
Detailed review of all sections
Home and Field Visits: located info re: off site activities and driving here, re-aligned paragraphs in Home and Field Visits for better flow, tightened language
Lockout/Tagout: tightened language, allow tags for any powered device
General workplace safety: tightened language, re-arranged paragraphs, took "ill" and "illness" out of workplace injury paragraph
Changed "keeper of training records" from "Human Resources" to "learning management system and/or personnel files"
For Hazcomm training, changed initial training provided by "Human Resources" to "self-paced orientation site"