Hazard Elimination and Recognition Training (HEART) FMCSA Segues (Medical Safety)

2 Walking-Working Surfaces

2:1 Walking-working surface: any surface, horizontal or vertical, that you walk on, work on or use to get to a work area or location. 1910.21(b)

2:2 Housekeeping.

CORRECT

Keep all walking-working surfaces clean, orderly, and sanitary.

Ref. 2:3

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2:3 Keep all walking-working surfaces clean, orderly, and sanitary. 1910.21(a)(1)

2:4

Keep the floor of each workroom clean and dry. 1910.22(a)(2)

2:5 Your employer will manage the drainage of all wet processes. 1910.22(a)(2)

2:6 When the area involves a wet process, your employer will provide dry standing areas to avoid slipping and other hazards. 1910.22(a)(2)

2:7 Keep walking-working surfaces free of sharp or protruding objects, loose boards, corrosion, leaks, spills, snow, and ice. 1910.22(a)(3)

Medical Safety Segues

2:8 Your employer will make sure you have a safe way to get on and off all walking-working surfaces. 1910.22(c)

2:9 If a walking-working surface is unsafe, tell your supervisor. 1910.22(d)

2:10 Your supervisor will inspect walking-working surfaces regularly and as necessary to maintain safety.

1910.22(d)(1)

2:11 All hazardous conditions on walking-working surfaces will be repaired before you are allowed to use them.

1910.22(d)(3)

2:12 If a repair to a walking-working surface cannot happen immediately, it will be guarded to prevent employee use. 1910.22(d)(3)

2:13 Guardrails.

CORRECT

Keep the floor of each workroom clean and dry. Ref. 2:4

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2:14 All guardrails have a toprail and a midrail. 1910.28(b)

2:15 Report damaged guardrails to your supervisor. 1910.28(b)(6)

Walking-Working Surfaces

2:16 All removable portions of a guardrail will be in place unless that area is being used to transfer materials between floor levels, holes, and openings. 1910.28(b)(3)(iii)

2:17 Stairways.

CORRECT

All stairways that are 4 feet or more above a lower level and that have an unprotected side will be protected with a stair rail or guardrail. Ref. 2:19

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2:18 Your employer will ensure all stairways are safe for employee use. 1910.25(b)

2:19 All stairways that are 4 feet or more above a lower level and that have an unprotected side will be protected with a stair rail or guardrail. 1910.28(b)(11)(i)

2:20 All stairways with 3 treads and 4 risers will be protected with a stair rail. 1910.28(b)(11)(ii)

2:21 Doors or gates that open directly onto a stairway or platform should not reduce the platform's usable depth. 1910.25(b)(5)

2:22 Ladders.

2:23 All ladders will be inspected as often as necessary to identify any visible defects that may cause a hazard. 1910.23(b)(9)

Medical Safety Segues

2:24 Don't paint a wooden ladder. 1910.23(b)(5)

2:25 Paint on wooden ladders can hide structural defects. 1910.23(b)(5)

2:26 Only use ladders for their designed purpose. 1910.23(b)(8)

2:27 Never use a defective ladder. 1910.23(b)(10)

2:28 Follow your company's procedure for tagging defective ladders and removing them from service. 1910.23(b)(10)

2:29 Face the ladder when you are climbing up and down. 1910.23(b)(11)

2:30 Use at least one hand to grasp the ladder when climbing up and down. 1910.23(b)(12)

2:31 Don't carry a load or object that could cause you to lose your balance or fall. 1910.23(b)(13)

2:32 Don't load a ladder beyond its maximum intended load. 1910.23(c)(3)

2:33 Portable Ladders. 1910.23(c)

2:34 Ladder rungs will be treated to minimize the possibility of slipping. 1910.23(c)(1)

2:35 When using a stepladder, it must be locked in an open position while you're using it. 1910.23(c)(2)

2:36 The maximum intended load includes the load weight and force of the employee and all tools, equipment, and materials being carried. 1910.23(c)(3)

2:37 Use the ladder on a safe and level surface. 1910.23(c)(4)

4 Electrical Hazards

4:1 Follow the instructions for every piece of electrical equipment you use. 1910.303(b)(2)

4:2 Report the following to your supervisor:

4:3

4:4

4:5

4:6

4:7

4:8

• Defective or damaged electric equipment. 1910.303(b)(1)

• Electrical equipment that is not firmly secured to wherever it is mounted. 1910.303(b)(8)

• Electrical boxes that do not do the following: 1910.305(b)(3)

• Completely enclose the conductors or cables. 1910.305(b)(3)(i)

• Have a securely fastened cover. 1910.305(b)(3)(ii)

• Have a "High Voltage" marker. 1910.305(b)(3)(iii)

4:9 Any switch that does not de-energize when flipped and tested. 1910.305(c)(3)

4:10 Any openings in a panel, box, cabinet, or fitting. 1910.305(b)(1)(ii)

4:11 Flexible Cords (a.k.a extension cords).

4:12 Do not use temporary wiring for more than 90 days. 1910.305(a)(2)(i)[B]

4:13 Remove temporary wiring as soon as the project is complete. 1910.305(b)(2)(ii)

4:14 Flexible cords and cables may be approved and suitable for the following conditions of use and location: 1910.305(g)(1)(ii)

4:15 • Fixture wiring. 1910.305(g)(1)(ii)[B]

4:16

4:17

4:18

4:19

Electrical Hazards

• Connections of portable lamps or appliances. 1910.305(g)(1)(ii)[C]

• Connection of stationary equipment to facilitate their frequent interchange. 1910.305(g)(1)(ii)[G]

• Appliances designed to permit their removal. 1910.305(g)(1)(ii)[I]

Flexible cords must be used only in continuous lengths without splice or tap. 1910.305(g)(2)(ii)

4:20 A flexible cord must be equipped with an attachment plug and energized from an approved receptacle outlet in these situations: 1910.305(g)(2)(ii)

4:21

4:22

4:23

4:24

• Portable lamps or appliances. 1910.305(g)(1)(ii)[C]

• Frequent interchange of stationary equipment. 1910.305(g)(1)(ii)[G]

• Appliances where fastening means and mechanical connections are designed to permit removal for maintenance and repair. 1910.305(g)(1)(ii)[I]

Flexible cords must be connected to devices and fittings so that strain relief is provided, which will prevent pull from being directly transmitted to joints or terminal screws. 1910.305(g)(2)(iii)

4:25 Flexible cords and cables may not be used in the following methods:

4:26

4:27

• As a substitute for the fixed wiring of a structure. 1910.305(g)(1)(iv)[A]

• Strung through holes in walls, ceilings, or floors. 1910.305(g)(1)(iv)[B]

4:28

4:29

4:30

Medical Safety Segues

• Placed through doorways, windows, etc.

1910.305(g)(1)(iv)[C]

• Attached to building surfaces. 1910.305(g)(1)(iv)[D]

• Concealed behind building walls, ceilings, or floors. 1910.305(g)(1)(iv)[E]

4:31 Flexible Cord Repair.

4:32 If repaired, flexible cords must be returned to their original mechanical integrity and insulating properties. 1910.305(g)(2)(ii)

4:33 A conductor of a flexible cord or cable used as a grounded conductor or an equipment grounding conductor must be distinguishable from other conductors. 1910.305(g)(2)(i)

VIOLATION

Report defective or damaged electric equipment to your supervisor.

Ref. 4:3

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4:34 Hard service flexible cords No 14 and larger may be repaired if spliced so the splice retains insulation, outer sheath properties, and usage characteristics of the cord being spliced. 1910.305(g)(2)(ii)

6:1 Your employer will inform you of any chemicals you could encounter during your work tasks, along with their associated risks. 1910.1200(b)(1)

6:2 This information comes to you through the HazCom plan. 1910.1200(b)(1)

6:3 Parts of the HazCom plan:

6:4 • Container Labels. 1910.1200(f)

6:5 • Safety Data Sheets. 1910.1200(g)

6:6

• List of Hazardous Chemicals. 1910.1200(e)(1)(i)

6:7 • Training. 1910.1200(h)

6:8 Container Labels:1910.1200(f)(1)

6:9 Product Identifier: It is the same on the Label and the Safety Data Sheet. 1910.1200 App. C.1

6:10 Signal words:1910.1200(f)(1)(ii)

6:11 • Danger. 1910.1200 App C.2

6:12 • Warning. 1910.1200 App C.2

6:13 Hazard statement: a plain language statement of the hazard after exposure. 1910.1200(f)(1)(iii)

Medical Safety Segues

6:14 Pictograms.1910.1200 App. C.2.3.2

Hazard Communication (HazCom)

6:15 Precautionary statement: tells you how to handle the containers. 1910.1200 App C.2

6:16 Contact information.1910.1200(f)(1)(vi)

6:17 Report damaged or missing labels to your supervisor. 1910.1200(b)(1)

6:18 Safety Data Sheets.

6:19 Each Safety Data Sheet ("SDS") contains the following information: 1910.1200(g)

6:20

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• Significant information about the hazards of a chemical. 1910.1200(g)(5)

• Ways to protect against the hazards. 1910.1200(g)(5)

• Any other important information about the chemicals and hazards. 1910.1200(g)(2)

You will be trained on where to find these sheets and how to read them. 1910.1200(g)(8)

Your employer has a list of all hazardous chemicals present on the jobsite. 1910.1200(a)(2)

6:25 Your supervisor/manager will tell you where to find the plan if you have any questions. 1910.1200(h)(2)(iii)

6:26 On-the-job Training will include:

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6:28

6:29

6:30

• How to detect the presence of hazardous chemicals on the job. 1910.1200(h)(2)(i)

• The hazards of each of these chemicals. 1910.1200(h)(2)(ii)

• How to protect yourself from these hazards. 1910.1200(h)(2)(iii)

• The details of the hazard communication plan. 1910.1200(h)(2)(iv)

Workplace Violence

9:1 Insight: violence is a more common source of injury in Healthcare than in other industries.

CORRECT

Your employer will have specific procedures for eliminating or controlling workplace violence.

Ref. 9:2

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9:2 To protect you from dangers associated with violence, your employer will have the following programs and measures in place: General Duty Clause 5(a)

9:3

9:4

9:5

9:6

• An open communication procedure for you to report any safety fears or concerns to your supervisor. General Duty Clause 5(a)

• Processes and procedures for both identifying risks and dangers and dealing with incidents after they happen. General Duty Clause 5(a)

• Specific procedures for eliminating or controlling workplace violence. General Duty Clause 5(a)

• Training on what to do when you are in a situation involving workplace violence. General Duty Clause 5(a)

Bloodborne and Airborne Pathogens

9:7 • Records of any incidents, injuries, and corrective actions. General Duty Clause 5(a)

9:8 • Regular evaluations of these procedures, looking for areas of improvement. General Duty Clause 5(a)

10 Bloodborne and Airborne Pathogens

10:1 Bloodborne pathogens.

10:2 Universal precaution: treat all human blood and human body fluids as if known to be infectious. 1910.1030(b)

10:3 Occupational exposure: reasonably anticipated contact with blood or other potentially infectious materials that may result from performing your duties. 1910.1030(b)

CORRECT

Universal precaution: treat all human blood and human body fluids as if known to be infectious.

Ref. 10:2

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10:4 Exposure incident: contact with blood or other potentially infectious materials as a result of the performance of your duties. 1910.1030(b)