COMPLIANCE INFO_1983-2005 - Laserfiche WebLink

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IV. OBJECTIVES 0 A. Use standardized criteria to identify and classify those types of hazardous materials in use and wastes generated at San Joaquin General Hospital. Maintain departmental inventories of chemicals, chemotherapeutic agents, radioactive materials, sharps, gases or vapors or biological materials that may pose a risk to staff, patients or visitors or the environment. C. Maintain current material safety data sheets or similar information for hazardous materials for staff and emergency medical care providers. D. Maintain areas where hazardous materials or wastes are used, stored or disposed. E. Provide training for staff who handle or use hazardous materials or waste. Provide appropriate collection containers and storage areas for hazardous wastes. G. Segregate hazardous wastes at the point of generation and during storage H. Maintain required records, manifests and other documentation pertaining to activities of the program. Monitor or measure staff exposure levels required by regulation. Prepare action plans for accidental exposures, spills, or releases of hazardous materials or wastes. K. Use performance information to identify key problems, failures and user errors that require attention and action. L. Measure performance using relevant standards and report findings to the Safety Committee. M. Identify opportunities to improve program performance, emergency response or staff training N. Conduct an annual evaluation of the objectives, scope, performance and effectiveness of the program and report the findings to the Safety Committee. V. ORGANIZATION AND RESPONSIBILITY A. The Hospital Director receives regular reports of the activities of the Hazardous Materials and Waste Management program from the Safety Committee. The Hospital Directors review reports and, as appropriate, communicates concerns about identified issues and regulatory compliance. The Hospital Director provides support to facilitate the ongoing activities of the Hazardous Materials and Waste Management program through Facilities Management. By attendance at Safety Committee meetings, the Safety Committee Chair receives regular reports on activities of the Hazardous Materials and Waste Management program. The Safety Committee reviews reports and, as appropriate, communicates concerns about key issues and regulatory compliance to the Safety Officer. The Safety Officer/ Facilities Manager develops the annual operating budget for the Hazardous Materials and Waste Management program. C. The Facilities Manager serves as hazardous materials manager and works under general direction of the Hospital Director. The Facilities Manager/Safety Officer and other department managers are responsible for managing all aspects of the Hazardous Materials and Waste Management program. The Safety Officer/ Facilities Manager advises the Safety Committee regarding issues that may necessitate changes to policies, orientation or education or purchase of equipment.