OSHA Training Institute Education Center Cal State University Dominguez Hills No

OSHA Training Institute Education Center Cal State University Dominguez Hills No www.phwiki.com

OSHA Training Institute Education Center Cal State University Dominguez Hills No

Stewart, Ryan, Contributing Editor has reference to this Academic Journal, PHwiki organized this Journal OSHA Training Institute Education Center Cal State University Dominguez Hills November 4, 2016 Workplace Violence in the Healthcare Industry PSM as long as Refineries Lead Regulation Fall Protection Trigger Heights Power Industrial Truck Operator Exception Rein as long as cing Steel in addition to Post-Tensioning in Concrete Construction Firefighter PPE Cal/OSHA Regulations in addition to Stakeholder Input On December 17, 2015, the Cal/OSHA St in addition to ards Board heard public comments regarding the Proposed Regulation-Section 3342. On October 20, 2016 the Cal/OSHA St in addition to ards Board approved Section 3342. The proposal now goes to the Office of Administrative Law in addition to it is expected that it will become effective on 1/1/2017.

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Home health care in addition to home-based hospice Emergency medical services in addition to medical transport, including when services provided by firefighters in addition to other emergency responders (Police) Drug treatment programs Outpatient medical services to the incarcerated in correctional in addition to detention settings Exceptions: Facilities operated by the Cali as long as nia Department of Developmental Services in addition to Department of Corrections in addition to Rehabilitation Written Workplace Violence Prevention Plan is required Name or job titles of persons responsible as long as the plan Effective procedures to obtain active involvement of employees Methods to implement the plan with other employers who work in the same facility Effective procedures as long as obtaining help from law en as long as cement Effective procedures to respond to reports of violence Procedures to ensure employee compliance with the plan Communication procedures Procedures to develop training Procedures to identify in addition to evaluate environmental risk factors Procedures to identify in addition to evaluate patient-specific risk factors Procedures to correct workplace violence in a timely manner. How to protect employees from imminent hazards Procedures as long as post-incident response in addition to investigation

Date, time, specific location in addition to department of the incident Detailed description of the incident Classification of who committed the violence (friend of patient, customer, co-workers, etc ) Classification of circumstances of the incident (normal job duties, working in poorly lit areas, isolated or alone) Classification of where the incident occurred (waiting room, personal residence, emergency room) Type of incident (physical attack-biting, choking, kicking, attack with a weapon, threat of physical as long as ce, sexual assault, animal attack, other) Consequences(medical treatment provided, security contacted Name in addition to job tile of person completing the report Staffing patterns that contribute to the risk of violence Sufficiency of security systems, alarms systems, security personnel availability Job design, equipment, in addition to facilities Security risks, uncontrolled access, in addition to in parking lots in addition to outdoor areas Plan shall be updated when new or modified task implemented, or newly recognized workplace violence hazards Review in addition to respond to in as long as mation indicating that the Plan is deficient in any area Initial training required as long as all employees covered by the plan Annual training required as long as employee per as long as ming patient contact activities, in addition to employees assigned to respond to alarms or other notifications of violent incidents. Training shall include: Explanation of the workplace violence prevention plan How to recognize the potential as long as violence Strategies to avoid physical harm How to recognize alerts, alarms, in addition to other warnings The role of private security personnel, if any How to report violent incidents to law en as long as cement Resources as long as coping with incidents of violence Opportunity as long as interactive questions

The Hospitals listed above will report to Cal/OSHA any incident involving the following: The use of physical as long as ce against any employee by a patient or a person accompanying a patient that results in, or has a high likelihood of resulting injury, psychological trauma, or stress, regardless of whether the employees sustains an injury An incident involving the use of a firearm or other dangerous weapon, regardless of whether the employee sustains an injury This report shall be made within 24 hours, after the employer knows of the incident. The incident must result in an injury, involve the use of a firearm or other dangerous weapon, or present an urgent or emergent threat to the welfare, health, or safety of hospital personnel. All other reports to Cal/OSHA (the Division) shall be made within 72 hours Reports shall included, at a minimum the following: Hospital name, address, hospital representative, phone, in addition to email address, in addition to name in addition to contact in as long as mation as long as any other employer of employees affected by the incident Date, time in addition to specific location of the incident A brief description of the incident Number of employees injured in addition to types of injuries Whether security or law en as long as cement was contacted Whether there is a continuing threat, in addition to if so what measures are being taken to protect employees A unique incident identifier Whether the incident was reported to Cal/OSHA as required by Section 342 The report shall not include any employee names Reports shall be reported to Cal/OSHA through an online mechanism. Training records shall be maintained as long as a minimum of one year Records of violent incidents, include violent incident logs in addition to workplace violence injury investigations shall be maintained as long as a minimum of five years All record shall be made available to the Chief (Cal/OSHA) on request All records shall be available to employees in addition to their representatives .

On September 15, 2016, the Cal/OSHA St in addition to ard Board received public comments on the new proposed PSM as long as Refineries st in addition to ard (Section 5189.1). Next Steps: Changes could be make to the proposal in addition to revised proposal would be release as long as a 15-day comment period, or their could be further changes in addition to a 45-day comment period provided. Application: Applies to processes within petroleum refineries. Process Safety In as long as mation: PSI required be as long as e conducting a PHA (Process Hazard Analysis), HCA (Hierarchy Control Analysis), SPA (Safeguard Protection Analysis), or a DMR (Damage Mechanism Review). Process Hazard Analysis: PHA required, in addition to all PHA’s no previously covered by Section 5189 shall be completed within 3 years of the effective date of this section. Safeguard Protection Analysis (SPA). All SPA’s shall be completed within 6 months of completion of the PHA. Updated PHA’s: At least every 5 years the written PHA shall be updated in addition to revalidated. Operating Procedures: Written Operating Procedures required in addition to must be certified annually. Training: Initial in addition to refresher training required every three years. Contractors: Refinery employers shall periodically evaluate the per as long as mance of contractors. Pre Start-Up Safety Review Mechanical Integrity Damage Mechanism Review: Employer shall complete no less than 50% of initial DMR’s within 3 years in addition to all remaining DMR’s within 5 years of the effective date of this section. A DMR shall be revalidated at least once every 5 years.

Hierarchy of Hazard Control Analysis (HCA): All HCA’s shall be updated in addition to at least every 5 years. The HCA team shall complete an HCA report within 90 calendar days of developing recommendations. Hot Work: Hot work permits shall be kept on file as long as 1 yr. Management of Change: Incident Investigation-Root Cause Analysis: The employer shall initiate an incident investigation not later than 48 hours following an incident. The incident investigation team shall prepare a written report within 90 calendar days of the incident. If additional time is needed due to the complexity of the incident, the team must prepare a status report every 30 calendar days thereafter. The team shall prepare the final report within 5 months of the incident. Emergency Planning in addition to Response Employee Participation: Effective participation required by employees in addition to employee representatives. Within 90 days of the effective date of this section, an effective stop work procedure shall be developed. Process Safety Culture Assessment (PSCA): Within 18 months of the effective date of this section a PSCA shall be completed in addition to every 5 years thereafter. The team shall develop a written report within 90 calendar days of the completion of the PSCA. The employer, in consultation with the team shall prioritize recommendations that will be implemented within 24 months. Human Factors: Employer shall develop in addition to implement an effective written Human Factor program within 18 months of the effective date of this section. 50% of assessments shall be completed within 3 years of the effective date of this section in addition to 100% within 5 years. Management of Organizational Change (MOOC): an MOOC assessment shall conducted prior to reducing staffing levels, reducing classification levels, or change shift duration or employee responsibilities. The MOOC is required as long as changes with a duration exceeding 90 calendar days. Affecting operations, engineering, maintenance, health in addition to safety, or emergency response.

Compliance Audits: Every 3 years the employer shall conduct a compliance audit. Process Safety Management Program (PSM): A PSM program shall be reviewed in addition to updated at least every 3 years. Cal/OSHA (Division) Access to Documents in addition to In as long as mation: Employer shall provide all documents in addition to in as long as mation developed pursuant to this section to Cal/OSHA upon request. Implementation: Employer shall develop in addition to maintain a written corrective action program. Each corrective action that does not require a process shutdown shall be completed within 30 months. Each corrective action shall be completed within 18 months after completion of the audit. Cal/OSHA has convened an advisory committee to update the Lead regulations. The current proposal involves lowering the action level as long as airborne lead from 30 ug/m³ to 2 ug/m³, in addition to the permissible exposure limit from 50 ug/m³ to 10 ug/m³. Blood lead level testing required as long as employees exposed above the action level as long as 10 or more days in addition to year in addition to as long as those who conduct a threshold amount of lead work. Frequency of testing is at least once every two months as long as BLL’s above 10, in addition to once every 6 months as long as BLL’s below 10. At least monthly when BLL is above 20. A threshold amount of lead work is altering or disturbing material that: A) Is known or reasonable anticipated to contain lead at a concentration to or greater than 0.5% by weight B) Torch cutting any scrap metal Exceptions: A hazard survey has been conducted which includes: a negative initial determination (airborne exposure monitoring), a determination that blood lead testing made available as appropriate to fully assess employee lead exposures, indicates a record of employee BLLs below 10 ug/dl, in addition to any recommended lead exposure control measures.

The St in addition to ard requires temporary medical removal protection benefits when an employee’s blood lead level is at or above 30 ug/dl, when the last two monthly blood lead levels are at or above 20 ug/dl, or when the average of the results of BLL tests conducted in the last 6 months is at or above 20 ug/dl. A) Is known or reasonable anticipated to contain lead at a concentration to or greater than 0.5% by weight

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Cal/OSHA has convened an advisory committee to consider updates to the Fall Protection trigger heights. The last meeting was held on April 11, 2016. The proposed changes would require fall protection at heights greater than 6 feet. The effective date would be July 1, 2018. 1716.2 (a)(2)-1716.2 (a)(2)-Prior to July 1, 2018, fall protection shall be used at heights greater than 15 feet above the surrounding grade or floor below where 6 feet is specified in this section. Fall protection requirements at heights greater than 6 feet above the surrounding grade or floor below as specified in this section shall become effective on July 1, 2018.

1731 (b) Residential-type Roofing Activities. Roof work consists of roofing in addition to re-roofing work including roof removal per as long as med on single-family homes, townhouses, duplexes in addition to other structures covered by Section 1716.2. Roof work also includes loading in addition to installation of roofing materials, including related insulation, sheet metal that is integral to the roofing system, in addition to vapor barrier work, but not including the construction of the roof deck.

If you have further questions on any proposed regulation/bill, or if you would like to submit written comments on any of these items please contact me. Bill Taylor, CSP PASMA-Legislative in addition to Regulatory Representative, Safety Manager City of Anaheim Phone (714) 765-4399 Fax (714) 765-5245 btaylor@anaheim.net

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