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SAN JOAQUIN GENERAL HOSPITAL Department Administration Page 2 of 17 Effective Date December 2008 Date Replaces July 2007 Title of Policy/Procedure Hazardous Materials and Waste • Reports of findings and follow-up action related to appropriate use of space as determined through the hazard surveillance program. • Quarterly analysis of incidents and recommendations. Investigates, documents, and reports hazardous material or waste incidents • Confidential Report of Occurrence. • Notification of governmental agencies. • Spill investigation report and recommendation. Department Managers Staff • Manage departmental inventory to minimize waste. • Develop and implement departmental procedures for the safe storage, handling, use and disposal of hazardous materials and waste. Develop and implement departmental training program. • Evaluate Material Safety Data Sheets of departmental supplies to identify hazards and appropriate disposal methods before purchase of departmental supplies. • Update departmental inventory at least annually. • Communicate findings of hazards to departmental staff and the Safety Officer. • Implement departmental performance improvement standards. • Become educated to the nature of hazards and appropriate use of safety equipment. • Learn and follow proper procedures for safe handling and use of hazardous materials and waste. • Participate in training related to the Hazardous Materials and Waste Management Program. Education Services Manager • Include in the general orientation information related to the Hazardous Materials and Waste Management Program. Human Resources Manager • Maintain documentation of participation and performance in the general orientation training related to the Hazardous Materials and Waste Management Program. Materials Manager Obtain and distribute an MSDS for new material purchased. Safety Committee Reviews and approves reports on the Hazardous Materials and Waste Management Program and communicates concerns about identified issues and regulatory compliance.