Good Risk Checklist

8/3/2019 Good Risk Checklist

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service near

sources of water

is properlygrounded.

y Tag out and

remove fromservice all

damagedreceptacles and

portable

electricalequipment.

y Repair all

damagedreceptacles and

portableelectrical

equipment before placingthem back into

service.y Ensure that

employees aretrained not to

plug or unplug

energizedequipment whentheir hands are

wet.y Use safeguards

for personnel protection and

electrical



protective

equipment.

y Select and useappropriatework practices

y Followrequirements for

HazardousClassified

Locations.y Employers

should use RCD

3 Ergonomics y Minimizingmanual lifting

of patients in allcases and

eliminatinglifting when

possible.y Areas that

should beaddressed a

facility's safety

and health programinclude:

Management

Leadership/EmployeeParticipation



Workplace Analysis

Accident and RecordAnalysis

Hazard Prevention and

Control

Training

4 Fire Hazards y Fire Safetyrequirements

include:y A safe means of

egress from fireand like

emergencies.y A minimum of

2 exits or meansof egress are

requiredy Exits must be

clearly marked.y Access to exits

must remainclear of

obstructions atall time.

y Construction or Maintenance

OperationAreas:



y Any area under

construction or

under maintenancemust:

y Continuouslymaintain

existing exitsand any existing

fire protection,

or other measures which provide.

y Not be occupiedin whole or in

part until allexits required

for that part arecompleted andready for use.

y Have travelfrom exits to

outsidecontinuously

free and clear of obstruction

y Wiringmethods,

components,and equipment

for general useshould be of

approved



standard.

y The employer shall controlaccumulations

of flammableand combustible

waste materialsand residues so

that they do not

contribute to afire emergency.

y If employees are

to fight fires, theemployer must

decide if all

employees or just designated

employees willfight fires, or if

a Fire Wardenswill be trained

and equipped.

5. HazardousChemicals

Employeeexposure to

hazardouschemicals,

such as

y Provide for worker training,

warning labels,and access to

Material SafetyData Sheets

(MSDSs).



pesticides,

disinfectants,

and hazardousdrugs in theworkplace.

y Provide

appropriate

PPE: (e.g.,gloves, goggles,splash aprons).

6. Inappropriate

PPE

Employeeexposure to

hazardous processes or

infectiousmaterials or

chemicals dueto

inappropriateor lack of PPE

General PPE

y for eyes,y face,

y head, any extremities,

y protectiveclothing,

y respiratorydevices, and

y protectiveshields and

barriersy Throat

protectiony Ear protection

7. Slips/Trips/Fa

lls

Employeeexposure to

wet floors or spills and

litter that canlead to

slips/trips/fall

y K eep floors

clean and dry.y

Provide warningsigns for wetfloor area.

y Where wet processes are

used, maintaindrainage and

provide false



s and other

possible

injuries.

floors,

platforms, mats,

or other drystanding placeswhere

practicable, or provide

appropriatewaterproof

footgear.

y K eep aisles and passageways

clear and ingood repair

y K eep exits free

from

obstruction.Access to exits

must remainclear of

obstructions atall time

8. WorkplaceViolence

Workplaceviolence such

as physicalassaults, or

threatening or

y establish andmaintain a

violence prevention

program as:y Creates and



violent

behavior, are

a growing problem in theworkplace.

disseminates a

clear policy that

violence, verbaland nonverbalthreats, and

related actions,will not be

tolerated.

y Ensures that no

reprisals aretaken againstemployees who

report or experience

workplaceviolence.

y Encourages

promptreporting of all

violent incidentsand

recordkeepingof incidents to

assess risk andto measure

progress.y Establishes a

plan for maintaining

security in the



workplace

which includes

lawenforcementofficials and

other specialists.

9. Lack

of UniversalPrecautions

Blood borne pathogens are

pathogenicmicroorganis

ms that are present in

human bloodand can cause

disease inhumans.

Someinfections that

can betransmitted

throughcontact with

blood and body fluids

include:

HIV,

Hepatitis A,

B, C, Staph

y Standard precautions include

the use of: handwashing,

appropriate personal protective

equipment such asgloves, gowns,

masks, whenever touching or

exposure to patients' body fluids

is anticipated.

y Airborne

Precautionsused for

infectionsspread in small

particles in theair such as

chicken pox.y Droplet

Precautionsused for

infectionsspread in large



and Strep

infections,

Gastroenteritis-salmonella,and shigella,

Pneumonia,Syphilis, TB,

Malaria,Measles,

Chicken Pox,

Herpes,Urinary tractinfections,

and Bloodinfections.

The greatestrisks are from

HIV and

Hepatitis Band C

droplets by

coughing,

talking, or sneezing such asinfluenza.

y ContactPrecautions

used for infections

spread by skinto skin contact

or contact withother surfaces

such as herpessimplex virus.

10 Stress

Hospital work

often requirescoping with

some of themost stressful

situationsfound in any

workplace.

y Educate

employees andmanagement

about job stress.

y Address work-related stressors,

such asinadequate work

space,unreasonable



work load, lack

of readily

availableresources,inadequate and

unsafeequipment.

y Establish

regular staff meetings anddiscussions to

communicatefeelings, gain

support, andshare innovative

ideas.

y Establish stress

management programs.

y Provide readilyavailable

counseling

y Provideadequate

staffing.



y Provide

reasonable shift

schedules for house staff toallow adequate

time for sleepeach day.

y Provide group

therapy for staff

with particularlydifficult professional

problems suchas dealing with

cancer patients,chronic illness,

and death.

y Provide anorganized and

efficient work environment.

y Recognize and

take action onlegitimate

complaintsregarding

overbearing physicians and

supervisors.



y The use of individualapproaches such

as relaxationexercises and

feedback torelieve

symptoms of

stress until thesources areidentified and

evaluated.

y Providefrequent in-

service

educationalsessions and

other opportunities to

improve skillsand confidence.

y Provide more

flexibility andworker

participation inscheduling

(possibly a 10hr, 4-day

workweek).



y Provide scheduledrotation of unit

assignments.

11 Mercury

Employee

exposure tomercury from

accidentalspills that can

occur duringrepair of

brokenthermometers,

sphygmomanometers, or

duringsterilizationand

centrifugationof

thermometersin

maintenanceareas.

y All mercurycontaining

equipmentshould be

replaced.

y Use mercuryspill kits to help

clean up smallspills of 25ml or

less. K its shouldcontain gloves,

protectiveglasses, Hg

absorb powder,mercury

sponges, and adisposal bag.

y Put in place procedures to

isolate thecontaminated

area.

y Medically



monitor the

respiratory

track, nervoussystem, kidneys,and skin of any

worker whomay be exposed

to mercury.

12 Cuts & Burns

Employeeexposure to

burns or cutsthat can occur

from handlingor sorting hot

sterilizeditems or sharp

instrumentswhen

removingthem from

autoclaves/sterilizers or

from steamlines that

service theautoclaves.

Establish work

practices to prevent

hazards such as:

y Do not removeitems from

sterilizers untilcooled.

y Avoid handling

sharp ends of instruments.

y Use forceps or

other devices toremove sharp

instrumentsfrom baskets

and autoclaves.

y Provide

appropriatePersonal

ProtectiveEquipment

(PPE).



13 Compressed

Gases

Potentialhazards

associatedwith

compressedgas will vary

based on the

chemicals;however, theymay include

fire,explosion, and

toxicity.

y All cylinders

whether empty

or full must bestored upright.

y Secure cylindersof compressed

gases. Cylindersshould never be

dropped or

allowed to strikeeach other withforce.

y Transportcompressed gas

cylinders with protective caps in

place and do notroll or drag the

cylinders

14 Laser Hazards

Severe eye

injuries fromdirect or

reflected laser beams.

Skin burnsfrom the

direct beam of surgical lasers

when

y Use laser protectiveeyewear that

provides adequate protection against

the specific laser wavelengths being

used.

y Display warningsigns conspicuously

on all doorsentering the Laser

Treatment



misdirected.

Respiratory

hazards when breathinglaser-

generatedairborne

contaminants(LGAC).

Controlled Area

(LTCA).

y Maintenance onlasers and laser

systems must be performed only by

facility-authorizedtechnicians trained

in laser service

y Provide local

exhaust ventilationwith a smokeevacuator or a

suction system withan in-line filter to

reduce laser-generated airborne

contaminants

(LGAC) levels inlaser applications.

15. RadiationExposure

Acute:

Erythema anddermatitis.

Large whole- body

exposurescause nausea,

vomiting,diarrhea,

Film badges or their equivalent should be

used for long-termmonitoring. Examples

include:

y Film Badge:Passive dosimeter for personal

exposuremonitoring should

be worn whenever



weakness, and

death.

Chronic: Skin

cancer and bone marrow

suppression.Genetic

effects maylead to

congenitaldefects in the

employee'soffspring.

working with x-ray

equipment,

radioactive patientsor radioactivematerials.

Depending on thework situation,

body badges may be worn at collar

level, chest level or

waist level.

y Double-Badging:Personnel who

work in high-dosefluoroscopy settings

may be asked towear two badges for

additionalmonitoring.

y Ring badges: (usedfor measuring beta

and gamma doses tothe hand) should be

worn on the handwhich is closest to

the radiation source.

y Lead plated glass is also

used as a barrier to protect against

radiation exposure



when procedures

must be done close

to the patient.y Lead

strips provide some protection from

radiation exposurefor employee

running fluoroscopy procedures.

y Leadaprons and leadgloves offer some

protection for employees and

patients and should be worn in the

direct x-ray field.

Opaque goggles areto be worn in thedirect x-ray field.

y Some procedures likethose that use

remote fluoroscopycan be run from

controls in anadjacent room, free

from radiationexposure.

y In addition staff should undergomedical



surveillance



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