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G. The Safety Officer: Safety Coordinator/Manager/Director is appointed by the CEO to oversee the program <br />through coordination of the Environment of Care/Safety Committee, oversight of the environment of care <br />and delegation of task to designated staff; also serves as a resource. <br />H. The Environment of Care/Safety Committee: Facilitates the exchange and documentation of appropriate <br />information, recommendations and follow-up required between Administration, departments, Quality <br />Management, and the Emergency Management subcommittee. <br />I. The affiliates Hazardous Waste Coordinator is responsible for: <br />1. Monitoring the functions of the Hazardous Materials and Waste Management Program by collecting <br />and evaluating information pertaining to the program. <br />2. Meeting on a regular basis and providing reports to the Environment of Care/Safety Committee <br />regarding issues, trends, needs, resolutions and opportunities for improvement. <br />3. Developing and implementing program guidelines with approval of the Environment of Care/Safety <br />Committee. <br />4. In conjunction with the product review process, all new chemicals with the requisitioner, <br />recommending and encouraging substitution of a less or non -hazardous chemical whenever <br />possible. <br />5. Conducting audits. <br />J. Depart <br />ment Directors and Managers are responsible for ensuring the health and safety of their staff, <br />patients, visitors and the community environment. As such they will: <br />1. In consultation with the Safety Coordinator, and review of the Safety Data Sheet (SDS), determine <br />which chemicals they use are hazardous and if less hazardous materials would be suitable; <br />2. Maintain department inventory <br />lists and SDS to the Hazardous Materials Coordinator; <br />3. Provide training to their staff to ensure that they are knowledgeable of their roles and responsibilities <br />regarding clean-up of incidental or minor spills, and handling and disposing of hazardous materials <br />and waste; <br />4. Provide and ensure training for the proper use of PPE. <br />5. Coordinate installation/maintenance of engineering controls as appropriate to control hazardous <br />exposures. <br />6. Ensure environmental and personnel monitoring is performed and documented as required by Cal/ <br />OSHA, see Environmental and Personal Monitoring Policy. <br />K. Staff: Personnel, physicians, volunteers contract workers and students must follow established guidelines <br />and procedures and: <br />1. <br />Have the right to chemical use information with <br />no resulting <br />discrimination; <br />2. <br />Will report all hazardous conditions and related <br />injuries and <br />illnesses to their Sutter Health contact. <br />PROCEDURE <br />A. The selection of all chemicals and chemical products is based on an evaluation prior to use by the <br />department director/manager. This evaluation is to identify potential hazards, ensure that all necessary <br />safety procedures are in place and comply with all applicable local, state and Federal laws and <br />regulations. Any new chemicals will be added to the department chemical inventory via the Verisk 3E <br />Website. It is strongly encouraged that, whenever possible, the substitution of non- or less hazardous <br />Hazardous Materials and Waste Management Plan, Retrieved 3/16/2022. Official copy at h[tp://sh-stch.policystatcom/policy/ page 3 Of 8 <br />10532958/. Copyright ®2022 Sutter Tracy Community <br />Hospital <br />