Monash University Occupational Health & Safety Committee (MUOHSC) Meeting: Date: Venue: 2/2014 Thursday, 19th June at 10.00am Room 407/408, 4th Floor, New Horizons Bldg. 82, Clayton Campus. Meetings of the Monash University Occupational Health and Safety Committee are attended by Management Representatives, Employee Representatives and Observers. Members are asked to note that apologies should be emailed to Lynne.Peterson@monash.edu Lynne Peterson Minute Secretary June 2014 AGENDA 1. PROCEDURAL MATTERS 1.1 APOLOGIES 1.2 ATTENDANCE 1.3 MINUTES OF PREVIOUS MEETING The Committee is asked to confirm the minutes of meeting 1/2014 held on th Wednesday, 12 February 2014. For Confirmation – The Chairperson 1.4 MEMBERSHIP 1.4.1 Resignation & Appointment of New Member The Chair to inform members of the resignation of Janet Kemp, Management Representative for the Faculty of Medicine, Nursing & Health Sciences and welcome Doug McGregor as her replacement. For Discussion – The Chairperson 1.5 2. URGENT BUSINESS AND STARRING OF ITEMS MATTERS ARISING FROM PREVIOUS MINUTES 2.1 Agenda 2-2014 AUDITS (MINUTES - ITEM 3.4) 2.1.1 It was noted at the last meeting that the date on the Audit Schedule for areas to be inducted should read “2014”, not “2013”. This has been amended accordingly. 2.1.2 At the last meeting the Committee was advised that an OHS Consultant was looking into creating a strategy to encourage staff to volunteer as an University Building or Floor Warden. The Executive Secretary to update members. For Discussion – The Executive Secretary AUTHOR: MANAGER, OH&S PAGE 1 OF 4 17/6/14 2.2 MONASH UNIVERSITY OCCUPATIONAL HEALTH & SAFETY PLAN 2013 (MINUTES - ITEM 3.5) The Executive Secretary to comment on the feasibility of creating a database of key personnel responsible for co-ordinating the abovementioned Plan and the obligation for completion under the OHS Act. For Discussion – The Executive Secretary 2.3 SMOKE-FREE UNIVERSITY (MINUTES - ITEM 3.6) At the last meeting concern was raised as to whether the University would be able adopt a ban on eCigarettes. OHS to seek advice from Dr. Vicki Ashton, the OHS Physician and report back to this committee. For Discussion – The Executive Secretary 3. REGULAR BUSINESS 3.1 REPORTS FROM SUB-COMMITTEES Reports will not be presented to this meeting. 3.2 MONASH UNIVERSITY OHS PROGRESS REPORT The Monash University OHS Progress Report is attached: 7/2014 3.2.1 Incidents & Hazards 3.2.2 Workers’ Compensation 3.2.3 Unacceptable Behaviour 3.2.4 WorkSafe Reports Summary 3.2.5 Building Evacuations 3.2.6 Audits 3.2.7 Induction 3.2.8 OHS Training For Noting 3.3 OHS DOCUMENTATION FOR ENDORSEMENT AND INFORMATION The following documents will be presented to the committee for its approval and subsequent endorsement by the Vice-Chancellor: 3.3.1 Bacterial Testing of Cooling Towers Procedure 3.3.2 Cooling Tower Management Procedure 3.3.3 First Aid Procedure 3.3.4 OHS Communication Procedure 3.3.5 OHS Consultation Procedure For Noting 3.4 AUDITS 3.4.1 Internal procedural audits were conducted for the following areas: • • • For Noting Agenda 2-2014 8/2014 9/2014 10/2014 11/2014 12/2014 Monash HR – OHS Roles and Responsibilities Department of Social Work – Off-Campus Activities Safer Community Unit – OHS Risk Management AUTHOR: MANAGER, OH&S PAGE 2 OF 4 17/6/14 3.5 MONASH UNIVERSITY OCCUPATIONAL HEALTH & SAFETY PLAN 2014 The Executive Secretary to give an update on quarterly progress reports received from faculties, divisions and areas. For Discussion – The Executive Secretary 3.6 SMOKE-FREE UNIVERSITY Paul Barton to speak to this item. For Discussion – Paul Barton 3.7 WELLBEING A University Wellbeing report is attached. For Noting 4. 13/2014 NEW BUSINESS 4.1 S.A.R.A.H. (SAFETY AND RISK ANALYSIS HUB) The Executive Secretary to give an update. For Discussion – The Executive Secretary 4.2 FIRE RISK COMMITTEE REPORT Stephen Davey will speak to the attached. For Discussion – Stephen Davey 4.3 14/2014 INCIDENTS The Executive Secretary will speak to this item. For Discussion – The Executive Secretary 5. NEXT MEETING Date: Time: Venue: Agenda 2-2014 th Thursday, 18 September 2014 10.00am Health & Wellbeing Seminar Room, Rm 1171, Western Extension, Level 1, Building 10 Clayton Campus AUTHOR: MANAGER, OH&S PAGE 3 OF 4 17/6/14 COMMITTEE MEMBERS: Management Representatives: Name Area to be represented Professor John Loughran Chairperson - Nominee of the Vice-Chancellor Stephen Davey Senior Representative from an Administrative Division (Facilities & Services Division) Andrew Picouleau Senior Representative from an Administrative Division (Human Resources) Martin Taylor Management Representative (Faculty of Art & Design) Margaret Murphy Management Representative (Faculty of Business & Economics) Jill Crisfield Management Representative (Faculty of Engineering) Doug McGregor Management Representative (Faculty of Medicine, Nursing & Health Sciences) Moh-Lee Ng Management Representative from an Administrative Division (Risk and Compliance) Employee Representatives: Name Area to be represented by staff employee Vacant Biomedical Cluster (Medicine, Nursing & Health Sciences; Pharmacy & Pharmaceutical Sciences) Stuart Lees Humanities and Creative Arts Cluster (Arts; Arts and Design; Education) Nino Benci Physical Sciences Cluster (Engineering; Science; Information Technology) Diane O’Neill Social Science Cluster (Business and Economics; Law) Tim Wong Berwick Campus Dan Wollmering Caulfield Campus Vacant Gippsland Campus Lisa Kaminskas Parkville Campus Michael Barry Peninsula Campus In Attendance: Name Trent O’Hara Monash Postgraduate Association (MPA) Vacant Monash Student Association (MSA) Stan Rosenthal NTEU Representative Paul Barton Facilities & Services Norman Kuttner Executive Secretary John Tsiros Occupational Health & Safety Lynne Peterson Minute Secretary Agenda 2-2014 AUTHOR: MANAGER, OH&S PAGE 4 OF 4 17/6/14 MONASH UNIVERSITY OCCUPATIONAL HEALTH AND SAFETY COMMITTEE (MUOHSC) MINUTES OF MEETING Meeting 4/2013 of the Monash University Occupational Health and Safety Committee was held on Thursday, 7th November 2013 in the Health & Wellbeing Seminar Room, 1171, Western Extension, Level 1, Building 10, Clayton Campus at 10am. MINUTES 1. PROCEDURAL MATTERS 1.1 ACTION APOLOGIES: Apologies were received from John Loughran, Margaret Murphy, Nino Benci, Dan Wollmering and John Tsiros Members not present: Martin Taylor Lisa Kaminskas Michael Barry Trent O’Hara 1.2 ATTENDANCE: Members present: Mr Stephen Davey (Acting Chair) Mr Andrew Picouleau Ms Brenda Fortington Ms Janet Kemp Ms Moh-Lee Ng Mr Stuart Lees Ms Diane O’Neill Mr Tim Wong Those in attendance: Ms Louise Francis (proxy for Margaret Murphy) Mr Norman Kuttner (Executive Secretary) Mr Stan Rosenthal (NTEU) Mr Paul Barton Ms Lynne Peterson (Minute Secretary) 1.3 MINUTES OF PREVIOUS MEETING The minutes of meeting 3/2013 held on Tuesday, 20th August 2013 were confirmed as a true and accurate record. 1.4 MEMBERSHIP 1.4.1 Attendance at MUOHSC meetings The Executive Secretary confirmed that a list will be provided to members at the first meeting in 2014 of attendance at 2013 meetings of this Committee. He reiterated that insufficient member representation at meetings were a huge concern and needed to be improved in 2014. Minutes2-2013 Author: L Peterson Executive Secretary Page 1 of 6 28/5/13 A reminder to all members to nominate and send a proxy if they are to be an apology at meetings. 1.5 URGENT BUSINESS AND STARRING OF APPENDICES The following items were starred for discussion. All other items were taken as read and noted. 2. 2.1 3.5 3.6 4.1 4.2 4.3 5.1 5.2 Terms of Reference of the MUOHSC Monash University Occupational Health & Safety Plan 2013 Smoke-Free Campus Health & Safety Representative Forum Monash University Occupational Health & Safety Plan 2014 2014 MUOHSC Meeting Dates Hazard & Incident Reporting (Other Business) Wellbeing (Other Business) MATTERS ARISING FROM PREVIOUS MINUTES 2.1 TERMS OF REFERENCE OF THE MUOHSC The Executive Secretary thanked Moh-Lee Ng for the work she put into revising the Terms of Reference (TOR) of this committee. It was confirmed that comments were received and incorporated into the document presented at the meeting. A summary of changes were: Include a term of office for all members Identify clearly who the memberships and attendees are Identify and confirm the sub-committees that report to this committee Clarify the role of this committee As there seemed to be confusion over the term “affiliated organisation” and who exactly fell under this category, it was decided to exclude this from the TOR A new term has been added “collaboration to shared sites” which includes sites where Monash University staff are located Importance of having student representation on this committee It was also confirmed that Monash has a legal liability to its occupants, visitors or contractors in regard to occupational health and safety when on Monash University owned premises. Similarly, Monash University has a responsibility for staff and students who are sent on placements on behalf of the University. All members were in favour of incorporating changes discussed and endorsed the new TOR. 3. REGULAR BUSINESS 3.1 REPORTS FROM SUB-COMMITTEES A report from the Monash University Radiation Advisory Committee (RAC) was presented without comment. 3.2 MONASH UNIVERSITY OHS Performance Indicators) PROGRESS REPORT (formerly OHS The Monash University OHS Progress Report, including detail below, was noted without discussion or comment: 3.2.1 Minutes2-2013 Incidents & Hazards Author: L Peterson Page 2 of 6 28/5/13 3.2.2 3.2.3 3.2.4 3.2.5 3.2.6 3.2.7 3.2.8 3.3 Workers’ Compensation Unacceptable Behaviour WorkSafe Reports Summary Building Evacuations Audits Induction OHS Training OHS DOCUMENTATION FOR ENDORSEMENT AND/OR INFORMATION The Committee endorsed the following documents for final approval by the ViceChancellor:3.3.1 3.3.2 3.3.3 3.3.4 3.3.5 3.3.6 3.3.7 3.4 Chairperson & Executive Secretary Disposal of Radioactive Waste Procedure First Aid Procedure Health Surveillance Procedure Management of Scientific Diving Procedure Off-Campus Activities Procedure OHS Corrective Action Procedure OHS Monitoring, Measurement & Registration Procedure AUDITS Audit reports were not presented at the meeting. 3.5 MONASH UNIVERSITY OCCUPATIONAL HEALTH & SAFETY PLAN 2013 The Executive Secretary again, explained that very few progress reports had been submitted and was uncertain how to overcome this obstacle. He reiterated that faculties and divisions need to ensure that the person responsible in their areas forward updated progress reports as is the requirement. Stephen Davey suggested that this problem be discussed with the Chairperson of this committee to work out a way for the improvement in reporting. 3.6 Chairperson & Executive Secretary SMOKE-FREE CAMPUS 3.6.1 Stephen Davey explained that Wayne Brundell attended the last University Collaboration meeting and stated that they have agreed that a common announcement be making from all participating universities. It is envisaged that this will take place in March/April 2014. Stephen also made note that participating universities will reach an audience of 500,000 people in Victoria. It was noted that Freya Logan, the Monash University Student Representative stated that students are in support of a smoke free campus. Stephen Davey confirmed that a union representative, as well as a student representative is included in the Monash University Smoke Free Broader Consultation Group meetings. Stephen Davey to report back to this committee following a meeting in December of this year of the Smoke Free Universities Working Party. 3.6.2 Paul Barton, as Chairperson of the Monash University ‘Broader Consultation Group’ advised: Minutes2-2013 Stephen Davey Members have agreed on a one year transition period, prior to enforcing a total ban on smoking on campus. Author: L Peterson Page 3 of 6 28/5/13 3.7 Designated smoking points will be introduced on campuses to assist with the transition and a gradual removal of existing cigarette butt-out stations. HR is developing a no-smoking policy and Marketing has developed a draft communication plan for implementation. Wayne Brundell is working with vendors in regard to the removal tobacco sales on campus. Members to find a solution to discourage students from smoking. Paul Barton confirmed that, prior to formalisation, approval will be sought from this committee and John Loughran will be requested to seek approval from the Senior Management Team WELLBEING Members noted the Wellbeing report without comment. 4. NEW BUSINESS 4.1 HEALTH & SAFETY REPRESENTATIVE FORUM The Executive Secretary reported that a Health and Safety Representative (HSR) forum has been organised for the 27th November to thank, encourage and assist current health and safety representatives in their role. A speaker from WorkSafe will be present to address the group in regard to legislative topics. A survey will be sent out to all HSRs prior to the forum to assist in topics for discussion. The forum will also be used to raise the profile of HSRs and encourage staff with OHS knowledge to fill current HSR vacancies, of which there are approximately 60. It was agreed by members that the role of a health and safety representative is a very important one and there seems to be confusion as to the duties of a HSR and a Safety Officer. More emphasis needs to be created to encourage participation in this area. Paul Barton suggested that perhaps more postgraduate involvement could be looked at in future. The Executive Secretary to report back to the next meeting on feedback received following the forum. 4.2 Executive Secretary MONASH UNIVERSITY OCCUPATIONAL HEALTH & SAFETY PLAN 2014 The Executive Secretary spoke to the tabled document (73/2013). He explained that the 2013 plan had been slightly modified, but in essence tasks remain unchanged. He asked that members involve their local OHS consultant/Advisor, HSRs and Safety Officers and encourage them to modify the Plan to suit individual areas. Dates for reporting have been omitted, but reports are encouraged to be submitted as close as possible to the end of each quarter. The Executive Secretary stated that the Chair of the local OHS committee should be the person encouraging change for OHS issues across faculties and divisions. He encouraged members to communicate this to Chairpersons in their areas. Janet Kemp mentioned that in the Faculty of Medicine, the OHS Consultant and OHS Advisor works effectively in driving areas to complete the Plan. A soft copy of the Plan will be emailed to all members. Minutes2-2013 Author: L Peterson Minute Page 4 of 6 28/5/13 Secretary 4.3 2014 MUOHSC MEETING DATES It was agreed by members to change the first meeting to 13th February 2014. All other dates were noted without comment and will be entered into member’s calendars. 5. Minute Secretary OTHER BUSINESS 5.1 HAZARD & INCIDENT REPORTING The Executive Secretary explained the progress of the new Hazard & Incident Reporting System. He confirmed that the program named Safety and Risk Analysis Hub (SARAH) encompasses all OHS reporting, including audits. The system will be implemented over a period of time, commencing in February and rolled out initially to “Facilities & Services Division”, “Faculty of Medicine, Nursing and Health Sciences” and “Faculty of Pharmacy and Pharmaceutical Sciences”. It is envisaged that implementation across the whole of Monash University will be mid-2014. Training will be conducted for Managers and online help tools will be available and the program will be widely marketed across the University. The Executive Secretary thanked Stephen Davey for his support in driving this program. 5.2 WELLBEING Louise Francis, representative for the Faculty of Business & Economics, enquired as to where she can obtain more information for staff with complex medical and physical limitations and who are not adequately supported under the current wellbeing program in relation to bringing pets on campus. Paul Barton agreed to contact the Equity & Diversity area for more information and will communicate this to Louise. 6. Paul Barton NEXT MEETING - Please note change of date The next meeting of the MUOHSC will be held on Thursday, 13th February 2014 in the Health & Wellbeing Seminar Room, Rm 1171, Western Extension, Level 1, Building 10 Clayton Campus commencing at 10.00am. Minutes2-2013 Author: L Peterson Page 5 of 6 28/5/13 COMMITTEE MEMBERS: Management Representatives: Name Area to be represented Professor John Loughran Chairperson - Nominee of the Vice-Chancellor Stephen Davey Senior Representative from an Administrative Division (Facilities & Services Division) Andrew Picouleau Senior Representative from an Administrative Division (Human Resources) Martin Taylor Management Representative (Faculty of Art & Design) Margaret Murphy Management Representative (Faculty of Business & Economics) Brenda Fortington Management Representative (Faculty of Engineering) Janet Kemp Management Representative (Faculty of Medicine, Nursing & Health Sciences) Moh-Lee Ng Management Representative from an Administrative Division (Risk and Compliance) Employee Representatives: Name Area to be represented by staff employee Vacant Biomedical Cluster (Medicine, Nursing & Health Sciences; Pharmacy & Pharmaceutical Sciences) Stuart Lees Humanities and Creative Arts Cluster (Arts; Arts and Design; Education) Nino Benci Physical Sciences Cluster (Engineering; Science; Information Technology) Diane O’Neill Social Science Cluster (Business and Economics; Law) Tim Wong Berwick Campus Dan Wollmering Caulfield Campus Vacant Gippsland Campus Lisa Kaminskas Parkville Campus Michael Barry Peninsula Campus In Attendance: Name Trent O’Hara Monash Postgraduate Association (MPA) Vacant Monash Student Association (MSA) Stan Rosenthal NTEU Representative Paul Barton The Office of Environmental Sustainability Norman Kuttner Executive Secretary John Tsiros Occupational Health & Safety Lynne Peterson Minute Secretary Minutes2-2013 Author: L Peterson Page 6 of 6 28/5/13 MUOHSC 7/2014 Monash University OHS Progress Report to Audit & Risk Committee of Council Quarter 1, 2014 Table of Contents Incidents and Hazards ......................................................................................................... 2 Unacceptable Behaviour ..................................................................................................... 6 WorkSafe Reports Summary ............................................................................................... 7 Audits .................................................................................................................................. 8 Induction ............................................................................................................................ 10 OHS Training ..................................................................................................................... 11 Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 1 of 11 30/04/2014 Incidents and Hazards This section includes data about all hazard and incident reports (hazards, incidents and nearmisses) submitted to OH&S. Incident: Any occurrence that leads to, or might have led to, injury or illness to people, danger to health and/or damage to property or the environment. For the purpose of this report, the term 'incident' is used as an inclusive term for injuries/illnesses, accidents and near misses. Injury/Illness: Any physical or emotional wound, damage or impairment resulting from an event in the work environment. Near-Miss: Any occurrence that might have led to injury or illness to a person. Hazard: Any set of circumstances that have the potential to cause injury or illness to a person. Total Reports Received By Category Hazard Injury / Illness Near Miss Unacceptable Behaviour 180 160 Number of Incidents 140 120 100 80 60 40 20 2010 Progress Report Audit & Risk – Qtr 1/2014 2011 AUTHOR: MANAGER, OH&S 2012 2013 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 0 2014 Page 2 of 11 30/04/2014 Total Hazard, Near Miss & Injury/Illness reports per FTE - YTD 2014 Injury / Illness Near Miss Hazard Unacceptable Behaviour Faculty of Medicine Nursing & Health Sci Faculty of Pharmacy & Pharmaceutical Sci Vice-Chancellor & President Faculty of Education Faculty of Science Provost & Senior Vice-President Faculty of Information Technology Chief Financial Officer & Senior VP Faculty of Engineering Faculty of Arts Chief Operating Officer & Senior VP Faculty of Business & Economics 0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0% 3.5% 4.0% 4.5% A breakdown of the categories follows: Injury / Illness Reported Injury / Illness 180 140 120 100 80 60 40 20 2010 2011 2012 2013 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 0 Quarter 1 Number of Incidents 160 2014 Fluctuations normal for the quarter have been recorded. The overall trend continues to be down. Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 3 of 11 30/04/2014 Hazards & Near Misses Reported Hazard Near Miss 160 Number of Incidents 140 120 100 80 60 40 20 2010 2011 2012 2013 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 Quarter 4 Quarter 3 Quarter 2 Quarter 1 0 2014 As from Qtr. 2, 2013, Near Misses have been identified as a distinct category in hazard and incident reporting. Since then, there have been no significant fluctuations recorded. Hazard reporting has declined since quarter 3, 2013 and efforts to reverse this trend will be intensified moving forward. Encouraging an increase in reporting of hazards generally allows for appropriate controls to be implemented, leading to a potential related decrease in the number of reported incidents. Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 4 of 11 30/04/2014 Workers’ Compensation In the event that a staff member suffers an injury or illness, and it is established and accepted as a work-related injury, the University compensates the staff member for any time loss, and medical expenses (up to the current employer threshold amount) incurred as a result of the injury or illness. Workers' Compensation Claims 9 8 7 6 5 4 3 2 1 0 Qtr1 Qtr2 Qtr3 Qtr4 Qtr1 Qtr2 2012 Accepted Qtr3 Qtr4 2013 No of claims 2012 2013 26 24 Qtr1 2014 2014 5 Workers’ Compensation claims continue to generally remain steady. The chart below shows the types of injuries sustained by staff while conducting activities for Monash University. For more information please visit: http://www.adm.monash.edu.au/workplacepolicy/staff-wellbeing/employee-assistance/ Types of Injuries Compensated since 2012 Concussion, 1, 2% Stress, 3, 6% Laceration, 5, 9% Strain/Sprain, 32, 58% Fracture, 5, 9% Contusion, 9, 16% Types of injuries compensated since 2012 have generally remained consistent with national reports. Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 5 of 11 30/04/2014 Unacceptable Behaviour Unacceptable Behaviour is that behaviour that has created or has the potential to create a risk to the staff member’s health and safety. Examples of unacceptable behaviour include but are not limited to: bullying emotional, psychological or physical violence or abuse occupational violence coercion, harassment and/or discrimination aggressive/abusive behaviour unreasonable demands and undue persistence; and disruptive behaviour Definition of categories: Hazard Injury – a hazard is the reporting of an issue where injury has not occurred – an injury is where someone seeks medical treatment or takes time off work Unacceptable Behaviour Reports Received Hazard Injury 10 9 Number of reports received 8 7 6 5 4 3 2 1 0 Qtr1 Qtr2 Qtr3 Qtr4 Qtr1 Qtr2 2012 Qtr3 2013 Qtr4 Qtr1 2014 Significant changes to current trends in hazard and injury categories of unacceptable behaviour have not been recorded. Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 6 of 11 30/04/2014 WorkSafe Reports Summary WorkSafe will investigate situations where significant hazards have been identified or incidents have occurred at Monash University. All visits result in an Entry Report. All Notices must be rectified by the identified compliance date. Date Reference No. Area Issue Status/Action Required 7/01/2014 Type of report Entry Report V01013702397L Alexander Theatre Rectification of these issues by Fri. 10th Jan. SWMS to address fall prevention and emergency rescue procedures relating to falls. Work is to cease until all measures are in place and approval to continue is issued by WorkSafe. 10/01/2014 Entry Report V01013702402L Alexander Theatre Incomplete procedures in place for asbestos removal works. No notification of personnel in building, insufficient signage and barriers, insufficient set-up of enclosure and lack of a documented SWMS. As above. Assessment made on the adequacy of controls for the fall prevention issue. Further advice was provided on the removal of asbestos residue from the ceiling space by Mr Halil Ahmet, WorkSafe Hygiene Unit. All corrective actions were approved by WorkSafe and work was allowed to proceed. WorkSafe was concerned with the Contractor’s and Sub-contractor’s performance and attention was directed to them. However, there were also some basic failings by Monash personnel (failure to follow procedure) which have been brought to the attention of those responsible. Notices were not issued. New Incidents Two separate but very similar incidents occurred within three days in the same faculty in May. 1. On 5th May, a graduate student in the Engineering Metallurgy laboratory in the New Horizons building was conducting an experiment in a fume cabinet. He disposed excess reagent into a discard container which appears to have already contained an unknown chemical. He lightly sealed the container and placed it into a vented cabinet and left the laboratory. A short time later, pressure, created by the chemicals reacting, was suddenly a released, causing the polycarbonate sliding doors to be blown off their runners. No further damage resulted and injuries were not sustained. An internal investigation is underway and the dean of engineering, Frieder Seible has been involved. 2. On 8th May, a graduate student in the Chemical Engineering Laboratory in the Engineering Building was conducting an experiment in a fume cabinet. He disposed excess reagent into a discard container which appears to have already contained an unknown chemical. He tightly sealed the container and left the laboratory. Some unknown time later, pressure, created by the chemicals reacting, shattered the glass container hurling shards of glass in the cabinet sash. The sash shattered as designed and contained most of the energy released. Again, the laboratory was empty and injuries to personnel were not sustained. Because of the nature of the incidents, both incidents were notified to the Regulator, WorkSafe Victoria. An Inspector is due to visit the sites on Thursday 29 May. OHS has assisted both areas to prepare for the visit and to ensure that all necessary procedures and documentation are in order. The outcomes will be reported in the second quarter report. Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 7 of 11 30/04/2014 Audits The Monash University audit system is built around OHS AS18001, which requires review of the implementation of the OHS Management System. The audit program is delivered by OH&S and includes audits run by external agencies and OH&S. Audits are conducted at Monash University to ensure legislative compliance and provide independent feedback on the level of safety systems that are currently in place. Key Not Scheduled N/A Green Yellow Red Audits not conducted during this year Percentage of compliance not required within scope of audit >75% compliance 50% - 75% compliance <50% compliance Area DVC (Education) External Relations Development & Alumni Faculty of Art Design & Architecture Faculty of Arts Faculty of Business & Economics Faculty of Education Faculty of Engineering Faculty of Information Technology Faculty of Law Faculty of Medicine Nursing & Health Sciences Faculty of Pharmacy & Pharmaceutical Sciences Faculty of Science Monash Colleges Pty Ltd PVC & President (Gippsland) PVC (Research) Vice-Chancellor & President Vice-President (Marketing & Communications) Chief Operating Officer & Senior VP Total: 2013 Number of Audits Average of Percentage Compliance 3 79% 2 59% 2 73% 1 92% Not Scheduled 1 100% 2 N/A (Workspace inspection) 1 N/A (Workspace inspection) Not Scheduled 2 90% Not Scheduled 2 99% Not Scheduled Not Scheduled Not Scheduled Not Scheduled Not Scheduled 9 77% 25 84% Occupational Health & Safety provides constructive feedback and assistance to all areas where deficiencies have been recorded. Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 8 of 11 30/04/2014 Total Number of Audits completed by Type of Audit 2012, 2013 & 2014 Certification External Internal Surveillance 18 16 14 12 10 8 6 4 2 0 2012 2013 2014 Note: In Qtr. 1 of 2014, audits were not scheduled. Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Page 9 of 11 30/04/2014 Induction The online OHS induction is required to be completed within 4 weeks of starting at Monash University and are tracked via SAP. Induction of “New Starters” - year to date performance Adjunct, Honorary, Casual, Sessional Fixed Term & Tenured Inducted <= 4 Weeks, 415, 12% Not Inducted, 169, 26% Inducted > 4 Weeks, 232, 7% Inducted <= 4 Weeks, 368, 58% Inducted > 4 Weeks, 99, 16% Not Inducted, 2696, 81% Total inducted 74% Total inducted 19% New Starters (fixed term & tenured) Percentage of Induction 2013 - 2014 % Not Inducted % Inducted after 4 weeks % Inducted within 4 weeks 70.00% Percentage of total staff 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Quarter 1 Quarter 2 Quarter 3 Calendar 2013 Progress Report Audit & Risk – Qtr 1/2014 AUTHOR: MANAGER, OH&S Quarter 4 Quarter 1 Calendar 2014 Page 10 of 11 30/04/2014 OHS Training OHS training is critical to ensuring that staff and students have been provided with the most up to date safety information relevant to their activities. Training is provided both at the local level and across the university as facilitated by the Staff Development Unit. Monash University OHS training is tracked via SAP. NOTE Training attendance may fluctuate yearly due to the 3 year timeframe required for refresher training for staff OHS Training Performance Total Per Year for Monash University First Aid & Emergency Preparedness OHS Essentials Risk Management Topics Wellbeing 7000 6000 844 5000 4000 3000 2000 1000 1493 397 411 1106 1719 934 1379 505 472 638 785 968 720 1007 1037 2010 2011 2170 2103 1757 1450 205 433 378 2012 2013 2014 0 2009 The table below lists the courses relevant to the abovementioned categories: First Aid & Emergency Preparedness OHS Essentials Risk Management Wellbeing • • • • • • HSR training • Essential OHS • Hazard & Incident Investigation • Risk Management • Student Project Safety − Risk Management − Cryogenics • Workplace Safety Inspections • • • • • Assertiveness in the workplace • Communicating effectively at work • Managing conflict • Managing self through change • Managing your work, yourself and time • Mental health first aid • Mindfulness for wellbeing, resilience and performance staff & students • SafeTALK building a suicide alert community • Working parent resilient program – women & men • Family and sexual violence Asthma Management Breathing Apparatus CPR Refresher Emergency Warden First Aid Level 2 Progress Report Audit & Risk – Qtr 1/2014 • • • • • • Biosafety – Module 1 & 2 Chemwatch Cryogenics Ergonomics & Manual Handling Gas Cylinder Safety Hazardous Substances & Dangerous Goods Hydrofluoric Acid Safety Laser Safety Mental Health First Aid Radiation Safety AUTHOR: MANAGER, OH&S Page 11 of 11 30/04/2014 MUOHSC 8/2014 AS/NZS 4801 OHSAS 18001 OHS20309 SAI Global BACTERIAL TESTING OF COOLING TOWERS PROCEDURE June 2014 TABLE OF CONTENTS 1. PURPOSE ................................................................................................................................................ 2 2. SCOPE ..................................................................................................................................................... 2 3. ABBREVIATIONS .................................................................................................................................... 2 4. DEFINITIONS ........................................................................................................................................... 2 4.1 5. ................................................................................ 2 SPECIFIC RESPONSIBILITIES .............................................................................................................. 2 5.1 5.2 6. TOTAL BACTERIA COUNT/HETEROTROPHIC COLONY COUNT (TBC/HCC) MAINTENANCE AND MINOR WORKS (M&MW) ........................................................................................................................ 2 MONASH OCCUPATIONAL HEALTH & SAFETY (OH&S) ............................................................................................................. 3 NOTIFICATION PROCEDURES ............................................................................................................. 4 6.1 6.2 PRESCRIBED ACTION LEVELS FOR BACTERIAL/LEGIONELLA TESTING OF COOLING TOWER WATER .............................................. 4 CONFIRMED CASES(S) OF LEGIONNAIRES DISEASE ................................................................................................................ 5 7. RECORDS ................................................................................................................................................ 6 8. TOOLS ..................................................................................................................................................... 6 9. REFERENCES ......................................................................................................................................... 6 9.1 9.2 9.3 9.4 10. LEGISLATION ..................................................................................................................................................................... 6 AUSTRALIAN STANDARDS .................................................................................................................................................... 6 MONASH UNIVERSITY OHS DOCUMENTS ............................................................................................................................... 6 OTHER DOCUMENTS ........................................................................................................................................................... 7 DOCUMENT HISTORY ............................................................................................................................ 8 Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Responsible Officer: Manager, OHS Date of this review: June 2014 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 1 of 8 Date of next review: 2017 22/05/14 1. PURPOSE This procedure sets out the requirements for the treatment and notification of Legionella bacteria and elevated bacterial levels in cooling tower water and confirmed cases of Legionnaires disease at Monash University in accordance with the Health (Legionella) Regulations 2001. 2. SCOPE This procedure applies to the management of all information associated with the notification of Legionella bacteria and elevated bacterial levels in cooling tower water and to confirmed cases of Legionnaires disease at Monash University. 3. ABBREVIATIONS CFU/mL DoH FSD OHS OH&S M&MW TBC/HCC 4. Colony forming unit per millilitre of sample Department of Health Facilities & Services Division Occupational health and safety Monash Occupational Health & Safety Maintenance and Minor Works Total bacteria count/heterotrophic colony count DEFINITIONS A comprehensive list of definitions is provided in the Definitions tool. Definitions specific to this procedure are provided below. 4.1 TOTAL BACTERIA COUNT/HETEROTROPHIC COLONY COUNT (TBC/HCC) HCC is an estimate of the number of viable units of bacteria per millilitre of water made using the pour plate, spread plate or membrane filter test. It is used as an indicator of water quality in cooling water systems. HCC is also known as TBC, total plate count or viable bacteria count test. It is reported as the number of colony forming units per millilitre of sample (CFU/mL). For the remainder of this procedure, bacteria levels will be referred to as TBC/HCC. 5. SPECIFIC RESPONSIBILITIES A comprehensive list of OHS responsibilities is provided in the document OHS Roles, Committees and Responsibilities Procedure. A summary of the specific responsibilities relevant to this procedure is provided below: 5.1 MAINTENANCE AND MINOR WORKS (M&MW) Maintenance staff within M&MW must: • Manage the testing of TBC/HCC in the cooling tower water in order to detect the levels of Legionella species and TBC/HCC as outlined in section 6.1; • Notify Monash Occupational Health & Safety (OH&S) if: − 3 consecutive detections of Legionella species (≥10CFU/mL); or − 3 consecutive elevated TBC/HCC (≥200,000CFU/mL) are detected in cooling tower water (from the same tower); • Notify OH&S of the need to re-test cooling tower/s water following notification from the Department of Health (DoH) of confirmed case/s of Legionnaires disease. • Notify all staff and contractors who may have been exposed to the infected cooling tower of the potential health risk. Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Responsible Officer: Manager, OHS Date of this review: June 2014 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 2 of 8 Date of next review: 2017 22/05/14 5.2 MONASH OCCUPATIONAL HEALTH & SAFETY (OH&S) OH&S must: • When notified by M&MW staff of Legionella detection and/or elevated TBC/HCC in cooling tower water, communicate with all relevant parties within the university as detailed in section 6.2 of this procedure; • When notified by M&MW staff of three consecutive detections of Legionella species (≥10CFU/mL), communicate with DoH, as detailed in section 6.2 of this procedure; • Send notification reports of three consecutive detections of Legionella bacteria in cooling tower water to DoH; • When notified by DoH of confirmed case(s) of Legionnaires disease, communicate with the relevant department, and Dean of faculty, if multiple cases are reported; • Update this procedure, as required. Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Responsible Officer: Manager, OHS Date of this review: June 2014 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 3 of 8 Date of next review: 2017 22/05/14 6. NOTIFICATION PROCEDURES 6.1 PRESCRIBED ACTION LEVELS FOR BACTERIAL/LEGIONELLA TESTING OF COOLING TOWER WATER Routine Monthly Testing Retesting Routine Monthly Testing Cooling Tower Testing and Notification Procedure Yes Undertaken by approved contractors Managed by M&MW No Result within acceptable range No Treat & Retest Result High after 3 consecutive tests M&MW are to notify OH&S Yes Yes DHS 1800 248 898 Niotification OH&S UHS Chief Medical Officer Further Action Div Director Fac & Services Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Notify VicePresident (Administration) Responsible Officer: Manager, OHS Date of this review: June 2014 Page 4 of 8 Date of next review: 2017 22/05/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Notification by Global Email Shut Down & Isolate Tower 6.2 CONFIRMED CASES(S) OF LEGIONNAIRES DISEASE Testing Notification within Affected Area Internal Notifications Notification of Confirmed Case(s) Notification Procedure in Confirmed Case(s) of Legionnaires Disease Monash University Notified of Confirmed Case(s) Manager OH&S Faculty Dean(s) Campus Manager(s) Chief Medical Officer Chief Operating Officer Occupational Health Team Notification by Global Email OHS Consultants/Advisors Area Safety Officer Area HSR Divisional Director FSD M&MW Staff The testing and treatment of all suspected towers is at the direction of DoH Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Responsible Officer: Manager, OHS Date of this review: June 2014 Contractors Undertake Immediate Testing of all Suspected Towers. Report according to this procedure Page 5 of 8 Date of next review: 2017 22/05/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 7. RECORDS Record to be kept by Records OH&S • • • M&MW, Facilities & Services Division 8. • To be kept for: Notification reports to DoH regarding 7 years detection of Legionella bacteria (≥10CFU/mL) in cooling tower water 7 years Hardcopy TBC/HCC results from water testing contractor 7 years Hardcopy Legionella results from water testing contractor Cooling tower registration, test, inspection 7 years & maintenance records TOOLS The following tools are associated with this procedure: Legionella and cooling towers OHS information sheet Risk management of cooling towers OHS information sheet 9. REFERENCES 9.1 LEGISLATION Building (Legionella) Act 2000 Building (Cooling Tower Systems Register) Regulations 2001 Building (Legionella Risk Management) Regulations 2001 Health Act 1958 Health (Legionella) Regulations 2001 Occupational Health and Safety Act 2004 Occupational Health and Safety Regulations 2007 Plumbing (Cooling Towers) Regulations 2001 9.2 AUSTRALIAN STANDARDS AS/NZS 2243.1: 2005 Safety in Laboratories Part 1 - Planning and operational aspects 2243.2: 2006 Safety in Laboratories Part 2 - Chemical aspects AS/NZS 3666 Air-handling and water systems of buildings - Microbial Growth 3666.1: 2002 Design, installation and commissioning 3666.2: 2002 Operation and maintenance 3666.3: 2000 Performance-based maintenance of cooling water systems AS/NZS 4276.1: 2007 Water microbiology - General information and procedures AS/NZS 3896: 1998 Waters-Examination for legionellae including Legionella pneumophila AS/NZS 2031.2: 2001 Selection of containers and preservation of water samples for microbiological analysis AS/NZS 4360: 2004 Risk Management 9.3 MONASH UNIVERSITY OHS DOCUMENTS (http://www.adm.monash.edu.au/ohse/documents/index.html) Legionella and cooling towers OHS information sheet Risk management of cooling towers OHS information sheet Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Responsible Officer: Manager, OHS Date of this review: June 2014 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 6 of 8 Date of next review: 2017 22/05/14 9.4 OTHER DOCUMENTS Australian Institute of Refrigeration, Air-Conditioning and Heating (Inc.) DA 17 Cooling Towers and DA 18 Water treatment Guidelines for the Control of Legionnaire’s Disease 1989 (Vic. Government) Legionnaire’s Disease and Cooling Towers, Information for Owners and Managers 1996 (Vic. Government) Evaporative Coolers, An Operation and Maintenance Guide for Owners 1997 (Vic. Government) A Guide to Developing Risk Management Plans for Cooling Tower Systems Public Health Division, Department of Human Services, Victoria, 2001 Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Responsible Officer: Manager, OHS Date of this review: June 2014 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 7 of 8 Date of next review: 2017 22/05/14 10. DOCUMENT HISTORY Version number 3 4 Date of Issue Changes made to document April 2009 Notification procedures for prescribed action levels for bacterial/legionella testing of cooling tower water, and confirmed case/s of Legionnaires Disease, v3 1. Changed title to Bacterial Testing of Cooling Towers Procedure 2. Added link to definitions document 3. Updated responsibilities section to name Maintenance and Minor Works (M&MW) as the responsible section of FSD for testing. 4. Updated position titles in charts (6.1 & 6.2) 5. Added tools associated with this document. June 2014 Bacterial Testing of Cooling Towers Procedure, v4 Date of first issue: 2005 Responsible Officer: Manager, OHS Date of this review: June 2014 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 8 of 8 Date of next review: 2017 22/05/14 MUOHSC 9/2014 COOLING TOWER MANAGEMENT PROCEDURE AS/NZS 4801 OHSAS 18001 OHS20309 SAI Global June 2014 TABLE OF CONTENTS 1. PURPOSE ................................................................................................................................................ 2 2. SCOPE ..................................................................................................................................................... 2 3. ABBREVIATIONS .................................................................................................................................... 2 4. DEFINITIONS ........................................................................................................................................... 2 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5. ................................................................................................................................. 2 INDEPENDENT AUDITOR .................................................................................................................................... 2 MAINTENANCE PLANNER – MECHANICAL SERVICES ............................................................................................... 2 MONASH UNIVERSITY PROPERTY ........................................................................................................................ 2 NATA ACCREDITED ........................................................................................................................................... 2 PROPERTY AND VENUES SERVICES REPRESENTATIVE ........................................................................................... 2 MANAGER, MAINTENANCE OPERATIONS............................................................................................................... 2 RISK MANAGEMENT PLAN .................................................................................................................................. 2 TENANT .......................................................................................................................................................... 2 SPECIFIC RESPONSIBILITIES .............................................................................................................. 3 5.1 5.2 5.3 5.4 6. COOLING TOWER SYSTEM FACILITIES AND SERVICES DIVISION (FSD) ............................................................................................................ 3 MAINTENANCE PLANNER, MECHANICAL SERVICES ................................................................................................. 3 MANAGER, MAINTENANCE OPERATIONS............................................................................................................... 3 PROPERTY AND VENUES SERVICES ..................................................................................................................... 3 REGISTRATION OF COOLING TOWER SYSTEMS.............................................................................. 3 6.1 6.2 6.3 6.4 NEW COOLING TOWER SYSTEM REGISTRATION ..................................................................................................... 3 RENEWAL OF REGISTRATION FOR EXISTING COOLING TOWER SYSTEM .................................................................... 4 CHANGE TO COOLING TOWER SYSTEM REGISTRATION ........................................................................................... 4 DECOMMISSIONING OF A COOLING TOWER SYSTEM .............................................................................................. 4 7. COOLING TOWER SYSTEM RISK ASSESSMENT ............................................................................... 5 8. COOLING TOWER SYSTEM RISK MANAGEMENT PLAN................................................................... 5 8.1 8.2 8.3 9. DEVELOPING A RISK MANAGEMENT PLAN ............................................................................................................. 5 AVAILABILITY OF RISK MANAGEMENT PLAN ........................................................................................................... 6 AUDIT OF RISK MANAGEMENT PLAN ..................................................................................................................... 6 MAINTENANCE AND TESTING OF COOLING TOWER SYSTEMS..................................................... 6 9.1 9.2 9.3 RESPONSIBILITIES OF OWNERS OF COOLING TOWER SYSTEMS ............................................................................... 6 SERVICING OF COOLING TOWER SYSTEMS ........................................................................................................... 7 BACTERIAL ...................................................................................................................................................... 7 TESTING OF COOLING TOWER SYSTEMS .............................................................................................................. 7 10. RECORDS ................................................................................................................................................ 7 11. TOOLS ..................................................................................................................................................... 8 12. REFERENCES ......................................................................................................................................... 8 12.1 12.2 12.3 12.4 13. LEGISLATION ................................................................................................................................................... 8 AUSTRALIAN STANDARDS .................................................................................................................................. 8 MONASH UNIVERSITY OHS DOCUMENTS .............................................................................................................. 8 OTHER DOCUMENTS ......................................................................................................................................... 8 DOCUMENT HISTORY ............................................................................................................................ 9 Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 1 of 9 Date of next review: 2017 09/01/14 1. PURPOSE This procedure sets out the requirements for the management of cooling tower systems at Monash University in accordance with the Public Health and Wellbeing Act 2008 and Public Health & Wellbeing Regulations 2009. 2. SCOPE This document applies to all cooling tower systems located on all properties owned by Monash University. It applies to all systems regardless of whether the property is occupied by Monash University or by a tenant. 3. ABBREVIATIONS DoH FSD HCC OH&S OHS 4. Department of Health Facilities and Services Division Heterotrophic Colony Count Monash Occupational Health & Safety Occupational health and safety DEFINITIONS A comprehensive list of definitions is provided in the Definitions tool. Definitions specific to this procedure are provided below. 4.1 COOLING TOWER SYSTEM Feat removal device that recirculates water and includes a fan used to transfer process waste heat to the atmosphere. 4.2 INDEPENDENT AUDITOR An auditor certified by the Department of Health to undertake an annual cooling tower system audits. 4.3 MAINTENANCE PLANNER – MECHANICAL SERVICES A person appointed by the university to that role to facilitate cooling tower management. 4.4 MONASH UNIVERSITY PROPERTY Land owned or leased by Monash University at the university’s Australian campuses, residences and off-campus facilities. 4.5 NATA ACCREDITED National Association of Testing Authorities accreditation which provides independent assurance of technical competence through a proven network of best practice industry experts for customers who require confidence in the delivery of their products and services. 4.6 PROPERTY AND VENUES SERVICES REPRESENTATIVE A person appointed by the Manager Property and Venues Services. 4.7 MANAGER, MAINTENANCE OPERATIONS The person appointed by the university to the role of Manager Maintenance Operations at Clayton, Manager Maintenance Operations at Caulfield/ Parkville and Manager Maintenance Operations at Berwick/ Peninsula. 4.8 RISK MANAGEMENT PLAN Cooling tower system Risk Management Plan. 4.9 TENANT A person or entity leasing property owned wholly or partly by Monash University. Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 2 of 9 Date of next review: 2017 09/01/14 5. SPECIFIC RESPONSIBILITIES A comprehensive list of OHS responsibilities is provided in the document OHS Roles, Committees and Responsibilities Procedure. A summary of the specific responsibilities relevant to cooling tower management is provided below: 5.1 FACILITIES AND SERVICES DIVISION (FSD) The university’s FSD is responsible for: • The active management of all cooling tower systems; • Legal compliance with legislation relating to cooling tower systems. 5.2 MAINTENANCE PLANNER, MECHANICAL SERVICES The Maintenance Planner, Mechanical Services is responsible for: • Liaising with the relevant Manager, Maintenance Operations, Property and Venues representatives and Monash Occupational Health & Safety (OH&S) to ensure the registration, risk management, maintenance, testing and auditing of cooling tower systems is carried out in compliance with this procedure and with relevant government requirements. 5.3 MANAGER, MAINTENANCE OPERATIONS The Manager, Maintenance Operations is responsible for: • Overseeing registration renewals, changes and decommissioning; • Developing relevant risk assessments/risk management plans; • The maintenance and testing of systems; • Record keeping; and • Providing reports to the Maintenance Planner, Mechanical Services on these matters and on auditing of systems. 5.4 PROPERTY AND VENUES SERVICES Property and Venues Services are responsible for: • The day-to-day management of cooling tower systems on Monash University property (or part thereof) that is leased to a third party in accordance with this procedure; • Reporting to the Maintenance Planner, Mechanical Services on these matters and on auditing of systems; • Clearly stating in the lease agreement if these duties are delegated to the tenant and obtaining all paperwork relevant to the registration, risk assessment and plans, maintenance and testing reports and audit reports; • Ensuring that the tenant has provided the university with a statutory declaration, which states that all services have been completed and signed by the Company Director or a person in charge; and • Notifying the Maintenance Planner, Mechanical Services if and when any new lease is finalised, amended and/or terminated which includes cooling towers in the property. 6. REGISTRATION OF COOLING TOWER SYSTEMS 6.1 NEW COOLING TOWER SYSTEM REGISTRATION • All cooling tower systems must be registered with the Department of Health (DOH). An application to register any new cooling tower system must be lodged before the system is tested and commissioned. Application forms are available from: http://www.health.vic.gov.au/environment/legionella/registration.htm Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 3 of 9 Date of next review: 2017 09/01/14 • Forms should be lodged with (and information is available from): Registration & Licensing Team Victorian Department of Health PH: 1800 248 898, Fax: 1300 769 748 Email: legionella@health.vic.gov.au • • 6.2 RENEWAL OF REGISTRATION FOR EXISTING COOLING TOWER SYSTEM • • • 6.3 Cooling tower system registrations are for a period of 1, 2 or 3 years. Records must be kept of the expiry dates for each cooling tower system and applications for renewal lodged with the DOH (on the above contact details) before the expiry of the previous application. Renewal forms are available from and should be lodged with: http://www.health.vic.gov.au/environment/legionella/registration.htm A copy of the official renewal of registration granted for each cooling tower system must be filed in the university’s TRIM filing system and a copy forwarded to the Maintenance Planner, Mechanical Services. CHANGE TO COOLING TOWER SYSTEM REGISTRATION • • • 6.4 The relevant Project Manager/Officer, or Property and Venues Services in the case of newly purchased or leased properties, must formally advise the Maintenance Planner, Mechanical Services of any new cooling tower system installation. A copy of the official registration granted for each cooling tower system must be forwarded to the Maintenance Planner, Mechanical Services. The relevant Manager, Maintenance Operations or Property and Venues Services representative must notify the DOH within 30 days of: o A change in the ownership of the land on which a cooling tower system is located; o A change in mailing address or contact details for the official contact for a cooling tower system; o A change in the numbers of cooling towers in a cooling tower system; and o The relocation of the cooling tower system on land. Change to cooling tower system registration forms are available from and should be lodged with: http://www.health.vic.gov.au/environment/legionella/registration.htm A copy of any official change to cooling tower system registration granted for any cooling tower system must be filed in the university’s TRIM filing system and a copy forwarded to the Maintenance Planner, Mechanical Services. DECOMMISSIONING OF A COOLING TOWER SYSTEM • • • The DOH must be notified within 30 days of the decommissioning of any cooling tower system. Decommissioning of a cooling tower system registration forms are available from and should be lodged with: http://www.health.vic.gov.au/environment/legionella/registration.htm A copy of the official decommissioning of cooling tower system form must be filed in the university’s TRIM filing system and a copy forwarded to the Maintenance Planner, Mechanical Services. Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 4 of 9 Date of next review: 2017 09/01/14 7. COOLING TOWER SYSTEM RISK ASSESSMENT • Every cooling tower system must undergo a risk assessment and from this a grading from A to D is granted to each tower. This grading determines the frequency of the maintenance program applicable to that cooling tower system. A risk rating template to determine the risk assessment for a new cooling tower or to reassess the risk assessment for a current cooling tower is available at: http://www.health.vic.gov.au/environment/downloads/0501001part2.pdf on Page 30. • • 8. While this template will determine the minimum risk rating applicable to a cooling tower system, a higher risk rating can be allocated to any or all of its cooling tower systems where appropriate. A copy of the cooling tower risk assessment for each cooling tower system should be forwarded to the Maintenance Planner, Mechanical Services and another copy filed on the university’s TRIM filing system. COOLING TOWER SYSTEM RISK MANAGEMENT PLAN 8.1 DEVELOPING A RISK MANAGEMENT PLAN A risk management plan must be developed for every cooling tower system on Monash University property. The plan should be developed after completing the risk assessment and grading of the tower (refer to Section 7) and must be completed within 12 months of the first registration of the cooling tower system. A risk management plan must continue to exist at all times the cooling tower system is in operation. A risk management plan should contain a number of basic components, namely: • Site and contact details; • Assessment of each of the critical risks; • Summary of the overall risk classification; • Details of the system collected during the risk assessment process; and • Attachments or reference to other documents such as operational plans, shut-down procedures etc. Whilst there is no prescribed format for a risk management plan, the DOH template can be used, or modified to use, in the development of a risk management plan. A copy of this template, together with guidelines on how to complete a risk management plan for cooling tower systems, is available at: http://www.health.vic.gov.au/environment/legionella/risk-plans.htm The risk management plan must address five critical risks namely: • Stagnant water, including lack of water recirculation in a cooling tower system and the presence of dead-end pipework and other fittings in the cooling tower system; • Nutrient growth, including the presence of biofilm, algae and protozoa in a cooling tower system, water temperature within a range that will support rapid growth of microorganisms in a cooling tower system and the exposure of the water of a cooling tower system to direct sunlight; • Poor water quality, including the presence of solids; • Deficiencies in a cooling tower system, including deficiencies in the physical design, condition and maintenance of the system; • The location of, and access to, a cooling tower system or cooling tower system, including the potential for environmental contamination of the system and the potential for exposure of people to the aerosols of the system. Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 5 of 9 Date of next review: 2017 09/01/14 The plan must also address • any matters raised in a report from any person engaged by the owner of the land or the owner of the cooling tower system, which refers to control measures being inadequate or requiring improvement; • Set out the steps to be taken to ensure compliance with the maintenance, service and testing requirements described in the Public Health and Wellbeing Regulations 2009 of a cooling tower system. Risk management plans must be reviewed annually, and a copy of the latest plan forwarded to the Maintenance Planner, Mechanical Services. In addition, OH&S may undertake periodic audits of cooling tower system risk management plans. 8.2 AVAILABILITY OF RISK MANAGEMENT PLAN The risk management plan, once completed, must be made available to an authorised officer of the DOH upon request. The current plan should be kept in a readily accessible place on each campus, with a copy placed on the FSD intranet and in TRIM. 8.3 AUDIT OF RISK MANAGEMENT PLAN The risk management plan should be reviewed annually by an independent auditor as part of the annual independent audit of cooling tower system. 9. MAINTENANCE AND TESTING OF COOLING TOWER SYSTEMS 9.1 RESPONSIBILITIES OF OWNERS OF COOLING TOWER SYSTEMS The Public Health & Wellbeing Regulations 2009 require the person who owns, manages or controls a cooling tower system: 9.1.1 To ensure that the water in the system is continuously treated with: • One or more biocides to effectively control the growth of microorganisms including Legionella; • Chemical or other agents to minimise scale formation, corrosion and fouling; • A biodispersant. • A chlorine-compatible biodispersant is added to the recirculating water of the cooling tower system; • The system is then disinfected, cleaned and re-disinfected – • Immediately prior to initial startup following commissioning, or any shut down period of greater than one month; and • At regular intervals as specified in the maintenance regime developed as part of the risk assessment relevant to each specific cooling tower system 9.1.2 To ensure that the system is serviced at regular intervals (as specified in the maintenance regime developed as part of the risk assessment relevant to each specific cooling tower system); 9.1.3 To ensure that a water sample is taken from the cooling tower system at regular intervals (as specified in the maintenance regime developed as part of the risk assessment relevant to each specific cooling tower system) and sent to a laboratory for an Heterotrophic Colony count (HCC); 9.1.4 To ensure that a water sample is taken from the cooling tower system at regular intervals (as specified in the maintenance regime developed as part Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 6 of 9 Date of next review: 2017 09/01/14 of the risk assessment relevant to each specific cooling tower system) and sent to a laboratory for a Legionella test 9.2 SERVICING OF COOLING TOWER SYSTEMS Each cooling tower system must be serviced at regular intervals in accordance with the risk management plan associated with that cooling tower system. 9.3 BACTERIAL TESTING OF COOLING TOWER SYSTEMS The requirements for the bacterial testing of cooling tower systems are set out in the Bacterial Testing of Cooling Towers Procedure. 10. RECORDS Record New cooling tower system registration Location TRIM Time 7 years Renewal of cooling tower system registration TRIM 7 years Change to cooling tower system registration TRIM 7 years Decommissioning of cooling tower system TRIM 7 years Cooling tower system risk assessment TRIM 7 years Cooling tower system Risk Management Plan Readily accessible place on each campus 1 year Facilities and Services intranet TRIM TRIM 7 years Property and Venues Services representative (including paperwork provided by tenant) 7 years TRIM 7 years Relevant campus Manager, Maintenance Operations or nominee Property and Venues Services representative (including paperwork provided by tenant) Maintenance Planner – Mechanical Services Property and Venues Services representative (including paperwork provided by tenant) Cooling tower system testing results and certificates of analysis Annual independent audit of cooling tower systems Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsibility Monash representative responsible for the installation and commissioning of the cooling tower system concerned Property and Venues Services representative (including paperwork provided by tenant) Relevant campus Manager, Maintenance Operations Property and Venues Services representative (including paperwork provided by tenant) Relevant campus Manager, Maintenance Operations Property and Venues Services representative (including paperwork provided by tenant) Monash representative responsible for the decommissioning of the cooling tower system concerned Property and Venues Services representative (including paperwork provided by tenant) Relevant campus Manager, Maintenance Operations Property and Venues Services representative (including paperwork provided by tenant) Relevant campus Manager, Maintenance Operations Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 7 of 9 Date of next review: 2017 09/01/14 Condition audit of cooling tower systems Maintenance and Minor Works Planners’ database 7 years Maintenance Planner – Mechanical Services Property and Venues Services representative (including paperwork provided by tenant) 11. TOOLS The following tools are associated with this procedure: Legionella and cooling towers OHS information sheet Risk management of cooling towers OHS information sheet 12. REFERENCES 12.1 LEGISLATION Building (Legionella) Act 2000 Building (Cooling Tower Systems Register) Regulations 2001 Building (Legionella Risk Management) Regulations 2001 Health Act 1958 Health (Legionella) Regulations 2001 Occupational Health and Safety Act 2004 Occupational Health and Safety Regulations 2007 Plumbing (Cooling Towers) Regulations 2001 12.2 AUSTRALIAN STANDARDS AS/NZS 2243.1: 2005 Safety in Laboratories Part 1 - Planning and operational aspects 2243.2: 2006 Safety in Laboratories Part 2 - Chemical aspects AS/NZS 3666 Air-handling and water systems of buildings - Microbial Growth 3666.1: 2002 Design, installation and commissioning 3666.2: 2002 Operation and maintenance 3666.3: 2000 Performance-based maintenance of cooling water systems AS/NZS 4276.1: 2007 Water microbiology - General information and procedures AS/NZS 3896: 1998 Waters-Examination for legionellae including Legionella pneumophila AS/NZS 2031.2: 2001 Selection of containers and preservation of water samples for microbiological analysis AS/NZS 4360: 2004 Risk Management 12.3 MONASH UNIVERSITY OHS DOCUMENTS (http://www.adm.monash.edu.au/ohse/documents/index.html) Legionella and cooling towers OHS information sheet Risk management of cooling towers OHS information sheet 12.4 OTHER DOCUMENTS Australian Institute of Refrigeration, Air-Conditioning and Heating (Inc.) DA 17 Cooling Towers and DA 18 Water treatment Guidelines for the Control of Legionnaire’s Disease 1989 (Vic. Government) Legionnaire’s Disease and Cooling Towers, Information for Owners and Managers 1996 (Vic. Government) Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 8 of 9 Date of next review: 2017 09/01/14 Evaporative Coolers, An Operation and Maintenance Guide for Owners 1997 (Vic. Government) A Guide to Developing Risk Management Plans for Cooling Tower Systems Public Health Division, Department of Human Services, Victoria, 2001 13. DOCUMENT HISTORY Version number 1 Date of Issue June 2014 Cooling Tower Management Procedure, v1 Date of first issue: June 2014 Changes made to document 1. Cooling Tower Management Procedure, v.1 adapted from Internal FSD procedure - Re-formatted document to make it easier to read and less wordy - Deleted section 9.3 & 9.4 and refererred to Bacterial Testing of Cooling Towers Procedure Responsible Officer: Manager, OH&S Date of last review: N/A For the latest version of this document please go to: http://www.monash.edu.au/ohs/ Page 9 of 9 Date of next review: 2017 09/01/14 MUOHSC 10/2014 AS/NZS 4801 OHSAS 18001 OHS20309 SAI Global FIRST AID PROCEDURE June 2014 TABLE OF CONTENTS 1. PURPOSE ................................................................................................................................................ 3 2. SCOPE ..................................................................................................................................................... 3 3. ABBREVIATIONS .................................................................................................................................... 3 4. DEFINITIONS ........................................................................................................................................... 3 4.1. 4.2. 4.3. 5. SPECIFIC RESPONSIBILITIES .............................................................................................................. 3 5.1. 5.2. 5.3. 5.4. 6. HEPATITIS B IMMUNISATION ............................................................................................................................... 7 STANDARD PRECAUTIONS ................................................................................................................................. 8 DISPOSAL OF NEEDLES AND SYRINGES................................................................................................................ 8 INFECTION CONTROL AND EMERGENCY RESUSCITATION ........................................................................................ 8 FIRST AID INJURY REPORTS ............................................................................................................................... 8 REPORTING PROCEDURE................................................................................................................................... 8 FIRST AID KITS ....................................................................................................................................... 8 11.1. 11.2. 11.3. 11.4. 11.5. 11.6. 12. FIRST AID QUALIFICATIONS ................................................................................................................................ 7 FIRST AID TRAINING ......................................................................................................................................... 7 FIRST AID DOCUMENTATION AND REPORTING PROCEDURE ....................................................... 8 10.1. 10.2. 11. REQUIREMENTS FOR FIRST AIDERS ..................................................................................................................... 6 PROCEDURES FOR CONTACTING FIRST AIDERS .................................................................................................... 6 INFECTION CONTROL ........................................................................................................................... 7 9.1. 9.2. 9.3. 9.4. 10. NUMBER OF FIRST AIDERS REQUIRED.................................................................................................................. 6 FIRST AID TRAINING.............................................................................................................................. 7 8.1. 8.2. 9. GENERAL ........................................................................................................................................................ 4 FIRST AID ASSESSMENT FOR OFF-CAMPUS ACTIVITIES IN URBAN AREAS .................................................................. 5 FIRST AID ASSESSMENT FOR OFF-CAMPUS ACTIVITIES IN RURAL AREAS .................................................................. 5 FIRST AID ASSESSMENT FOR OFF-CAMPUS ACTIVITIES IN REMOTE AREAS ................................................................ 6 FIRST AIDERS......................................................................................................................................... 6 7.1. 7.2. 7.3. 8. HEADS OF ACADEMIC/ADMINISTRATIVE UNITS....................................................................................................... 3 LOCAL OHS COMMITTEES .................................................................................................................................. 4 FIRST AID CO-ORDINATORS ............................................................................................................................... 4 FIRST AIDERS .................................................................................................................................................. 4 FIRST AID ASSESSMENT ...................................................................................................................... 4 6.1. 6.2. 6.3. 6.4. 7. LEVEL 2 FIRST AID QUALIFICATION ...................................................................................................................... 3 LEVEL 3 FIRST AID QUALIFICATION ...................................................................................................................... 3 MONASH UNIVERSITY FIRST AIDER ...................................................................................................................... 3 NUMBER OF FIRST AID KITS ................................................................................................................................ 8 FIRST AID KITS MUST:........................................................................................................................................ 9 CONTENTS OF FIRST AID KITS............................................................................................................................. 9 FIRST AID KITS FOR VEHICLES ............................................................................................................................ 9 MAINTENANCE OF FIRST AID KITS ........................................................................................................................ 9 RECOMMENDED SUPPLIERS FOR FIRST AID KITS AND ............................................................................................ 9 FIRST AID FOR SPECIFIC HAZARDS AND HEALTH CONCERNS ...................................................10 12.1. 12.2. 12.3. 12.4. ADDITIONAL MODULES FOR FIRST AID KITS ......................................................................................................... 10 BURNS MODULE ............................................................................................................................................. 10 EYE MODULE ................................................................................................................................................. 10 EMERGENCY ASTHMA MANAGEMENT ................................................................................................................. 11 First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 1 of 17 Date of next review: 2016 21/05/2014 12.5. ANAPHYLAXIS MODULE .................................................................................................................................. 11 12.6. HAZARD SPECIFIC MODULES ............................................................................................................................ 11 13. OTHER FIRST AID EQUIPMENT .......................................................................................................... 12 13.1. 13.2. 13.3. EMERGENCY SHOWERS AND EYE WASH STATIONS .............................................................................................. 12 OXYGEN CYLINDERS ....................................................................................................................................... 12 DEFIBRILLATORS ............................................................................................................................................ 12 14. EMERGENCY PROCEDURES .............................................................................................................. 14 15. COUNSELLING ..................................................................................................................................... 14 16. LEGAL LIABILITY ................................................................................................................................. 14 17. RECORDS .............................................................................................................................................. 14 18. TOOLS ................................................................................................................................................... 15 19. REFERENCES ....................................................................................................................................... 15 19.1. 19.2. 19.3. 19.4. 19.5. 20. LEGISLATION ................................................................................................................................................. 15 MONASH UNIVERSITY OHS DOCUMENTS ............................................................................................................ 15 AUSTRALIAN AND INTERNATIONAL STANDARDS .................................................................................................. 15 WORKSAFE DOCUMENTS ................................................................................................................................. 16 ACKNOWLEDGEMENTS .................................................................................................................................... 16 DOCUMENT HISTORY .......................................................................................................................... 17 First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 2 of 17 Date of next review: 2016 21/05/2014 1. PURPOSE This procedure specifies the minimum requirements and responsibilities for the provision of First Aid in accordance with the Occupational Health and Safety Act (2004) and the Compliance Code First Aid in the Workplace (Edition No 1 September 2008). This procedure also aims to ensure that all injuries are reported to the appropriate local OHS committee for preventive action and that an appropriate response is delivered to all medical emergencies. 2. SCOPE This procedure applies to the provision of First Aid at Monash University. 3. ABBREVIATIONS CPR ESS OH&S SDU 4. Cardiopulmonary resuscitation Employee Self Service Occupational Health & Safety Staff Development Unit DEFINITIONS A comprehensive list of definitions is provided in the Definitions Tool. Definitions specific to this procedure are as follows: 4.1. LEVEL 2 FIRST AID QUALIFICATION HLTFA311A Apply First Aid is the national competency based equivalent of a level 2 First Aid qualification. 4.2. LEVEL 3 FIRST AID QUALIFICATION HLTFA412A Apply Advanced First Aid is the national competency based equivalent of a level 3 First Aid qualification. 4.3. FIRST AIDER A staff member who has: • a current First Aid certificate; • undertaken annual CPR updates; • completed or who is completing the Hepatitis B immunisation process; and • been approved by their supervisor to act in an official capacity, administering First Aid to staff, students, visitors and contractors as required. 5. SPECIFIC RESPONSIBILITIES A comprehensive list of OHS responsibilities is provided in the OHS Roles, Committees and Responsibilities procedure. The specific responsibilities with respect to First Aid are summarised below. 5.1. HEADS OF ACADEMIC/ADMINISTRATIVE UNITS It is the responsibility of the head of academic/administrative unit to ensure that: • the First Aid Procedure is implemented; • a First Aid assessment is undertaken in the areas under their control to determine First Aid requirements, as outlined in Section 6 First Aid Assessment. First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 3 of 17 Date of next review: 2016 21/05/2014 5.2. LOCAL OHS COMMITTEES It is the responsibility of local OHS committees to: develop and monitor local First Aid implementation strategies; recommend actions needed to comply with the First Aid Procedure; consult with OH&S when specialist First Aid advice is required. • • • 5.3. FIRST AID CO-ORDINATORS The First Aid co-ordinator must hold a current Level 2 First Aid certificate in order to fulfil the duties of the role. They do not, however, necessarily need to act as a First Aider in their area. In areas with only one or two First Aiders, the role of the First Aid coordinator should be taken on by one of the existing First Aiders. It is the responsibility of the First Aid co-ordinator to: • act as focal point for communication between First Aiders in the work area and OH&S; • assist with the First Aid assessment for their area; • allocate a list of specific duties to First Aiders; • ensure that the First Aiders list and contact numbers are current so that they can be promptly contacted in an emergency; • ensure that First Aid kits, supplies and equipment are maintained; • monitor the record keeping associated with First Aid kits, supplies equipment; liaise with the local OHS committee and OH&S; • advise staff and students of the location of First Aid facilities, and how to conact First Aiders. 5.4. FIRST AIDERS It is the responsibility of the First Aiders to: • complete or have completed, a Hepatitis B immunisation course. Seroconversion to Hepatitis B needs to be obtained. This requirement applies to all new First Aiders and First Aiders renewing their First Aid training who act as First Aiders (see Section 8); • respond promptly to provide an emergency service for injury/illness as required, while always working within their level of competence; • arrange prompt and appropriate referral as required; • keep confidential all information received in the course of their duty (medical information must only be released to relevant medical staff); • record all treatment (however minor) on the First Aid Injury Report; • encourage staff who have had an occupational injury/illness to record this on a Hazard and Incident Report; • access information from an SOS bracelet or similar in order to attend to a casualty; • attend training as required. This includes an annual CPR update; • maintain First Aid facilities; including First Aid equipment, checking and restocking of First Aid kits, as delegated or if there is no First Aid coordinator for the area; • report any deficiencies in the First Aid service to their First Aid co-ordinator. 6. FIRST AID ASSESSMENT 6.1. GENERAL 6.1.1. Each academic/administrative unit must undertake a First Aid assessment to determine: • • First Aid Procedure, v5.1 Date of first issue: January 1998 The number of First Aiders required; The number and location of First Aid kits required. Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 4 of 17 Date of next review: 2016 21/05/2014 6.1.2. Guidelines for the completion of First Aid assessments are provided in the First Aid assessment tool. 6.1.3. First Aid assessment forms and examples of completed forms are provided in the Tools section of this document. 6.1.4. The First Aid assessment must be completed by the First Aid co-ordinator or nominated First Aider where there is no appointed First Aid coordinator, in consultation with the local Safety Officer and the Health & Safety representative. 6.1.5. Staff and students must be consulted during the completion of First Aid assessments. Consultation may include discussions: • • • 6.1.6. The OHS Consultant/Advisor for the area will assist with First Aid assessments, if required. 6.1.7. First Aid assessments must be completed for both on-campus and offcampusoff-campus activities undertaken by each academic/administrative unit. 6.1.8. A copy of completed First Aid assessments must be sent to the OHS Health team. 6.1.9. First Aid assessments must be reviewed every three years and in addition whenever: • • • • 6.2. 6.3. with the health and safety representative; at staff meetings; and at local OHS committee meetings. the size and/or layout of the area is changed; the number and distribution of staff and/or students (or others) changes significantly; there are changes in hours, overtime, shifts; the nature of the hazards and the severity of the risks change. FIRST AID ASSESSMENT FOR OFF-CAMPUS ACTIVITIES IN URBAN AREAS 6.2.1. Low risk activities • All low risk activities must include one Level 2 trained First Aider. • It may be necessary to increase the number of First Aiders dependent on the outcome of the First Aid assessment. • Guidelines for minimum numbers First Aiders are provided in the First Aid assessment tool. 6.2.2. High risk activities • Due to the increased level of risk, the number of First Aiders must conform to the guidelines provided for off-campus activities in rural areas in the First Aid assessment tool. 6.2.3. For additional information regarding off campus activities refer to the OffCampus Activities Procedure. FIRST AID ASSESSMENT FOR OFF-CAMPUS ACTIVITIES IN RURAL AREAS 6.3.1. Off campus activities in rural areas should include as many First Aiders as practicable and these must be trained to at least Level 2 with additional appropriate modules as determined by the First Aid assessment. 6.3.2. Guidelines for minimum numbers of First Aiders for off-campus activities in rural areas can be found in the First Aid assessment tool. First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 5 of 17 Date of next review: 2016 21/05/2014 6.4. 7. 6.3.3. It may be necessary to alter the number and level of qualification of the First Aiders required, dependent on the outcome of the First Aid assessment. 6.3.4. Whenever practical, First Aiders should not travel in the same vehicle. 6.3.5. For additional information regarding off campus activities refer to the OffCampus Activities Procedure. FIRST AID ASSESSMENT FOR OFF-CAMPUS ACTIVITIES IN REMOTE AREAS 6.4.1. Guidelines for minimum numbers of First Aiders for off-campus activities in remote areas are provided in the First Aid assessment tool. 6.4.2. It may be necessary to alter the number and level of qualification of the First Aiders required, dependent on the outcome of the First Aid assessment. 6.4.3. It is recommended that a least one person trained in Mental Health First Aid or an equivalent course attends rural/remote off-campus activities. Information about Mental Health First Aid courses is provided on the SDU web site. 6.4.4. Whenever practical, First Aiders should not travel in the same vehicle. 6.4.5. For additional information regarding off campus activities refer to the OffCampus Activites Procedure. FIRST AIDERS 7.1. 7.2. NUMBER OF FIRST AIDERS REQUIRED 7.1.1. The number of First Aiders is determined by undertaking an assessment as outlined in Section 6. 7.1.2. Guidelines for determining the number of First Aiders are provided in the First Aid assessment tool. REQUIREMENTS FOR FIRST AIDERS Staff who wish to act as Monash University First Aiders must: • have a keen interest in First Aid; • be prepared to participate in a hepatitis B immunisation program; • be appointed to the role of their own free will; • be able to be called away from their ordinary work at short notice; • feel free to relinquish the role of First Aider if they so wish; • be readily available when required; • be able to be released from their duties to undertake training in order to maintain skill levels; • be able to relate well to staff and students; • have the capacity to deal with injury and illness; and • be committed to undertake regular update training and information sessions. 7.3. PROCEDURES FOR CONTACTING FIRST AIDERS 7.3.1. Each academic/administrativeunit must have procedures in place to ensure that First Aiders can be promptly contacted in an emergency including after hours where applicable (i.e. Security staff who are all First Aid trained and have access to a portable defibrillator). 7.3.2. These procedures can include: Signs to First Aid stations where First Aiders: • are present; and/or • can be contacted or located. Lists of First Aiders and contact details clearly displayed: • by phones; • on emergency procedure notices; First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 6 of 17 Date of next review: 2016 21/05/2014 • • 8. 7.3.3. These procedures must be current, ie lists and signs must be kept up to date. 7.3.4. All staff must be made aware of procedures for contacting First Aiders and any changes to them. FIRST AID TRAINING 8.1. 8.2. 9. on First Aid kits; on safety noticeboards. FIRST AID QUALIFICATIONS 8.1.1. First Aiders will be considered appropriately qualified provided that they: • Complete a First Aid certificate, minimum Level 2 First Aid; • Renew their First Aid certificate every three years; • Attend a cardiopulmonary resuscitation (CPR) training session at least once per year. (If desired, First Aiders are welcome to attend two CPR sessions per year.) 8.1.2. The cost of attendance at academic/administrative unit. 8.1.3. Staff or students with first aid qualifications obtained outside the university can be accepted as First Aiders on verification of their certificate by the OHS Health team. training courses will be met by the FIRST AID TRAINING 8.2.1. The Staff Development Unit (SDU) organises First Aid training courses specifically tailored for Monash University on all campuses. 8.2.2. Information regarding the content and scheduling of OHS courses offered at Monash University is provided on the SDU web site First Aid courses offered on campus include: • Level 2 • CPR training 8.2.3. First Aid courses offered off campus upon request include: • Level 3 • Remote area First Aid • Emergency asthma management • Oxygen therapy 8.2.4. Additional specific training modules can be requested to customise courses for specific needs of academic/administrative units. 8.2.5. SDU issues reminder notices for First Aiders due for CPR refreshers and renewal of Level 2 certificates. 8.2.6. SDU maintains a database of First Aiders who have undergone training. This information can be obtained by contacting SDU. 8.2.7. In some instances qualified medical professionals (eg medical practitioners, registered nurses) may be exempt from First Aid training. It will be necessary to liaise with the OHS Health team to discuss possible exemption. INFECTION CONTROL 9.1. HEPATITIS B IMMUNISATION 9.1.1. First Aid Procedure, v5.1 Date of first issue: January 1998 All new First Aiders and First Aiders undertaking renewal training who act as Monash University First Aiders must complete, or have completed, a Hepatitis B Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 7 of 17 Date of next review: 2016 21/05/2014 immunisation course as they may be inadvertently exposed to risk while assisting a patient. Further information is available in Procedures for immunisation and the OHS Information Sheet: Hepatitis B immunisation for First Aiders. 9.1.2. 9.2. 9.3. STANDARD PRECAUTIONS 9.2.1. First Aiders must use good hygiene and standard precautions, as taught during First Aid training, to minimise their exposure to human blood and body fluids. 9.2.2. It must be assumed that all human blood or body fluids are potentially infectious. 9.2.3. Small spots of blood/body fluid spills must be cleaned up as instructed in the First Aid course. For larger spills contact the Manager, Cleaning Services at your campus or local Biosafety Officer so that appropriate cleaning can be organised. 9.2.4. Used dressings must be placed in a biohazard bag and the area’s OHS Consultant/Advisor or Biosafety Officer contacted regarding appropriate disposal. DISPOSAL OF NEEDLES AND SYRINGES 9.3.1. 9.4. 10. It is not the First Aiders duty to dispose of needles and/or syringes. If these are found, the area must be secured and Security contacted so that appropriate disposal can be organised. INFECTION CONTROL AND EMERGENCY RESUSCITATION 9.4.1. There is no reason to deny anyone resuscitation. The decision whether to use direct mouth-to-mouth resuscitation is up to each First Aider. 9.4.2. Where possible, First Aiders must use either the individual resuscitation masks issued to them during their training or the mask kept in each First Aid kit. FIRST AID DOCUMENTATION AND REPORTING PROCEDURE 10.1. FIRST AID INJURY REPORTS 10.1.1. First aiders must record all treatment (however minor) on the First Aid Injury Report. 10.1.2. First Aid Injury Report forms are stored in a pad in the First Aid kit. 10.1.3. Further supplies of the report forms can be obtained from OH&S. 10.2. REPORTING PROCEDURE • • • 11. Casualty is treated by First Aider for injury/illness; First aid injury report is completed by First Aider; First Aid injury reports must be sent to the Occupational Health Nurse Consultant, OH&S at the Clayton campus. When injury/illness is related to work, the casualty should be encouraged to complete a Hazard & Incident Report Form as soon as they are well enough. FIRST AID KITS 11.1. NUMBER OF FIRST AID KITS 11.1.1. The number of First Aid kits is determined during the First Aid assessment (see section 6). 11.1.2. Guidelines for determining the number of First Aid kits are provided in the First Aid kit guide. First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 8 of 17 Date of next review: 2016 21/05/2014 11.2. FIRST AID KITS MUST: • • • • • • 11.3. be accessible at all times (e.g. not located behind a locked door or in a locked cupboard); In general, must not be locked. When First Aid kits are located in areas accessible to the public and are subject to pilfering, they may be locked, with key access provided by an adjacent break glass system so that the kit is immediately accessible; have a white cross on a green background prominently displayed on the outside; be sturdy, dust and moisture proof, coated inside and out with an impervious finish; be located at a known First Aid station. Each First Aid station will be clearly signposted with the kit positioned in the immediate area; and be large enough to accommodate additional modules where they are needed, preferably in separate compartments. CONTENTS OF FIRST AID KITS 11.3.1. The contents of First Aid kits will need to vary depending on the nature of the hazards in the area as indicated by the First Aid assessment. In some circumstances i.e. for off-campus trips, small portable First Aid kits may be more appropriate. 11.3.2. First aid kits must not contain antiseptics or medications unless a First Aider has been specifically trained in their use e.g. ventolin, adrenaline. 11.3.3. In general, First Aid kits for office areas and public buildings must comply with the contents requirement listed inthe First Aid kit contents list. 11.3.4. For high hazard areas, e.g. laboratories, workshops, plant rooms, catering areas etc, the kit contents mustcomply with the requirements listed inthe First Aid kit contents list. 11.3.5. For off-campus trips, the kit contents must comply with the requirements listed in the First Aid kit contents list. 11.4. FIRST AID KITS FOR VEHICLES 11.4.1. All vehicles and caravans used on off-campus trips (excluding those to other workplaces, e.g. factories) must travel with a First Aid kit. 11.4.2. For vehicles, the First Aid kit contents must comply with the requirements listed in the First Aid kit contents list. 11.5. MAINTENANCE OF FIRST AID KITS 11.5.1. The First Aid co-ordinator must ensure that the stocks of all First Aid kits (including vehicle First Aid kits) are maintained and that out of date stock is replaced as necessary. 11.5.2. This duty may be delegated to another First Aider, if more practical in a given area. 11.5.3. Records of checking of the contents of First Aid kits must be maintained by the academic/administrative unit. The date and the signature of the person checking the kit must also be recorded on a sticker affixed to the kit. 11.6. RECOMMENDED SUPPLIERS FOR FIRST AID KITS Medical Solution P.O. Box 60 The Mall Heidelberg West Vic 3081 Phone: 1300 136 158 First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 9 of 17 Date of next review: 2016 21/05/2014 R.J. Hee Pty. Ltd. Factory 9 25-35 Narre Warren - Cranbourne Rd Narre Warren Vic 3805 Phone: 9704 7635 Parasol EMT (Melbourne) Unit 8/200 Turner Street Port Melbourne 3207 Phone: 1300 366 818 Livingstone First Aid & Safety 106 – 116 Epsom RdRoseberry NSW 2018 Phone: 1300 727 203 12. FIRST AID FOR SPECIFIC HAZARDS AND HEALTH CONCERNS 12.1. ADDITIONAL MODULES FOR FIRST AID KITS 12.1.1. For certain specific hazards and health concerns, eg asthma, anaphylaxis, hydrofluoric acid, phenol, cyanide, burns, eye injuries and incidents involving macaque monkeys, additional kit modules will be required. These modules must be marked as appropriate and stored (preferably in a separate compartment) within the First Aid kit. 12.1.2. A First Aid assessment must be completed to determine: • the requirements for each specific module; and • the number of First Aiders to complete module-specific training. 12.1.3. The OHS Health team must be consulted during the First Aid assessment. 12.1.4. Additional and refresher training for the use of specific equipment and procedures is organised through SDU. 12.1.5. Each academic/administrative unit is responsible for ensuring that modules are well supplied and that out of date stock is replaced as necessary. 12.1.6. Records of checking of the contents of First Aid modules must be maintained by the academic/administrative unit. 12.1.7. The academic/administrative unit is responsible for all costs involved in purchasing the modules, module supplies and training staff in using the modules. 12.1.8. The recommended contents of the additional modules for First Aid kits are listed in the First Aid kit contents list. 12.2. BURNS MODULE This module must be included in First Aid kits in the workplace where there is the possibility of a person sustaining a serious burn. Such places may include those where: • heat is used in a process; • flammable liquids are used; • chemical acids or alkalines are used; and/or • other corrosive chemicals are used. 12.3. EYE MODULE This module must be in a separate container within the First Aid kits in workplaces, where the wearing of eye protection is recommended e.g. • spraying, hosing, compressed air or abrasive blasting; • welding, cutting or machining operations; • chemical /biological liquids or powders are handled in open containers; First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 10 of 17 Date of next review: 2016 21/05/2014 • • 12.4. there is the possibility of flying particles; off-campus activities where there is dust or the possibility of flying particles. EMERGENCY ASTHMA MANAGEMENT 12.4.1. Asthma management module for First Aid kits • The asthma module must be in a separate container within the First Aid kit in the most appropriate location(s). • A record of each time that the inhaler (Ventolin/Salbutamol) is used must be made on the First Aid injury report. The spacer (which must be disposable) must be given to the casualty to take away and not be reused for another casualty. • The inhaler (Ventolin/Salbutamol) is for emergency use only and must not be given to any person to keep. 12.5. ANAPHYLAXIS MODULE • As a general rule, the provision of an adrenaline auto injector (EpiPen/Anapen) in a First Aid kit will apply only to off-campus trips. Provision of an adrenaline auto injector in a First Aid kit must only be considered where the First Aid Assessment indicates a risk of anaphylaxis. In all cases the OHS Health Team should be consulted. • • 12.5.1. Where it is indicated that a person has already been diagnosed to be at risk of anaphylaxis, it is essential that they bring their own adrenaline auto injector and their Anaphylaxis Plan on the trip. Failure of the at risk person to provide an Anaphylaxis Plan and in date adrenaline auto injector may result in exclusion from the trip. 12.5.2. The nominated First Aider (who must be trained in anaphylaxis management) must be made aware of the possibility of anaphylaxis and must review the anaphylaxis plan and check that the prescribed adrenaline auto injector is in date, prior to the trip. 12.5.3. The nominated First Aider must keep a record of the administration of the Adrenaline auto injector on the First Aid Injury Report. The following must also be recorded: • Brand name of drug used • Dose administered. • Time of administration • Name of person who assisted with the administration 12.5.4. For further information on the management of anaphylaxis refer to the Australian Society of Clinical Immunology and Allergy at http://www.allergy.org.au/ 12.6. HAZARD SPECIFIC MODULES The following modules must be clearly marked in a separate container with in the First Aid kit and be readily accessible to the area where the specific hazard is used. Further information on First Aid for these specific hazards can be accessed in the following documents: • • • • First Aid Procedure, v5.1 Date of first issue: January 1998 Cyanide - Information Sheet: First Aid for Cyanide Poisoning. Hydrofluoric Acid (HF) - Information Sheet: Hydrofluoric Acid. Phenol - Information Sheet: Phenol Macaques - Procedures for the management of suspected exposure to Cercopithecine herpesvirus 1(B virus). Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 11 of 17 Date of next review: 2016 21/05/2014 13. OTHER FIRST AID EQUIPMENT 13.1. EMERGENCY SHOWERS AND EYE WASH STATIONS 13.1.1. The requirements for laboratories when working with biologicals and chemicals are defined in Australian standards for laboratory design and construction (AS/NZS 2982) and Safety in the laboratory series (AS/NZS 2243). 13.1.2. Emergency drench showers and eyewash stations shall be available at a distance of no more than 15 metres or 10 seconds travel from any position in the laboratory. 13.1.3. Where these facilities are not available alternate arrangements must be made in consultation with the OHS Consultant/Advisor of the area. 13.1.4. Emergency showers • Emergency showers are tested and flushed annually by Facilities & Services staff. • Procedures must be established to ensure that emergency showers are flushed and tested on a regular basis by staff in the area 13.1.5. Eyewash stations • Eyewash stations are tested annually by Facilities & Services staff. • Procedures must be established to ensure that eyewash stations are flushed and tested on a regular basis by staff in the area 13.1.6. The responsibily for testing and flushing emergency showers and eyewash stations must be determined in consultation with the First Aid co-ordinator, the Safety Officer and local OHS committee. 13.1.7. Records of the flushing and testing of emergency drench showers and eyewash stations must be maintained by the academic/administrative unit. 13.2. OXYGEN CYLINDERS 13.2.1. General In certain circumstances medical oxygen may need to be available for administration in an emergency. A First Aid assessment must be completed to determine: • the requirements for the medical oxygen; and • the number of First Aiders required to complete specific training to administer medical oxygen. 13.2.2. Maintenance of oxygen cylinders Procedures must be established to ensure that: • the oxygen level in the cylinders is checked at least monthly; • the equipment is stored and handled in correct manner; • the equipment is serviced on an annual basis by an authorised service agency. 13.2.3. The responsibility for the testing and servicing of the oxygen cylinders must be determined in consultation with the First Aid co-ordinator, the Safety Officer and local OHS committee to ensure this is performed by a person trained in the use of this equipment. 13.2.4. Records of maintenance, testing and service of the oxygen cylinders must be maintained by the academic/administrative unit. 13.3. DEFIBRILLATORS 13.3.1. General • In certain circumstances a defibrillator may be required. First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 12 of 17 Date of next review: 2016 21/05/2014 • • • • • A First Aid assessment must be completed to determine whether a defibrillator is required. The OHS Health team must be consulted during the First Aid assessment. Training in the use of defibrillators is now included in the Level 2 First Aid course and the CPR updates organised through SDU. Trained first aiders should preferably use the defibrillator. However, if trained staff are not available immediately, an untrained person may use the defibrillator by switching it on and following the voice prompts. The academic/administrative unit, where the defibrillator is located, is responsible for all costs involved in the purchase of the defibrillator and associated supplies, i.e. pads/batteries etc for the defibrillator. 13.3.2. Purchase, storage and maintenance of the defibrillator • The defibrillator must be purchased from an approved supplier. For a list of approved suppliers, contact the OHS Health team. • The defibrillator must be stored in an immediately accessible (during normal office hours) signposted area. In order to minimise the risk of tampering or theft, it is recommended that the defibrillator be stored in a specific box, which activates an alarm when opened. • Maintenance of defibrillators • Procedures must be established to ensure that the defibrillator(s) are inspected and maintained in accordance with the manufacturer's guidelines. • Daily and (monthly documented checks) are also required. A copy of the monthly checks must be sent to the OHS Nurse Consultant at Clayton. • First aider(s) must be nominated to carry out these checks. • OH&S must be contacted regarding the appropriate checking procedure required. • The responsibility for the testing and inspection of the defibrillator(s) must be determined in consultation with the First Aid co-ordinator, the Safety Officer, local OHS committee and the OHS Health team. • Records of maintenance, testing and inspection of the defibrillator(s) must be maintained by the academic/administrative unit. • The OHS Health team must be notified regarding the location of and the person(s) in charge of the defibrillator. • Any changes to the location of the defibrillator or the person(s) in charge must also be notified to the OHS Health team. 13.3.3. Requirements for defibrillator training • Defibrillator training is included in the Level 2 First Aid course organised through SDU. Annual defibrillator refresher training is required, and is incorporated in the annual CPR refresher training. • A record of each time the defibrillator is used is to be made on the First Aid report and sent immediately to the Occupational Nurse Consultant, OH&S, Clayton. First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 13 of 17 Date of next review: 2016 21/05/2014 14. 15. EMERGENCY PROCEDURES 14.1. The emergency procedures for each of the Australian campuses to be followed by a First Aider called to attend an emergency situation involving serious injury or ill health are provided in the campus-specific 333 Emergency Procedures books kept by each phone. Contact OH&S to obtain additional copies of these books. 14.2. Academic/administrative units which occupy non-university buildings, e.g. hospital-based must, of course, follow the emergency response procedures of the building management. 14.3. Each academic/administrative unit must ensure that off-campus activities are supplied with a reliable 24-hour means of communication. 14.4. Staff and students have a responsibility to be familiar with emergency and evacuation procedures and to comply with the instructions given by emergency response personnel such as emergency wardens and First Aiders. First aiders may occasionally encounter reluctance on the part of an injured person or a person exposed to a hazardous substance to follow the directions of the First Aider. This is more likely to occur if the person requiring First Aid is distressed or in pain. If such a situation arises then the attending First Aider will need to evaluate the risks to the injured/exposed person and the risks to others, and if appropriate First Aid treatment may not administered. It may be necessary to seek assistance from Security or Emergency Services personnel. COUNSELLING 15.1. Counselling is available to First Aiders at the university who are affected by their duties. 15.2. Counselling can be provided by: • • • 16. Campus Community Division on each campus. Employee Assistance Program OHS Health team LEGAL LIABILITY The support available to staff with an OHS function, including First Aiders, is set out in the Information Sheet: Support for Staff and Students with occupational health and safety functions. 17. RECORDS Record to be kept by Occupational Health (confidential files) Records Completed immunisation questionnaire and consent forms To be kept for: 50 years Completed authorisation for immunisation 50 years forms First aid injury reports 50 years OH&S Hazard & Incident Reports Indefinitely SDU First Aid Training Records 7 years Academic/administrative units/ Testing, checking and maintenance records for First Aid kits and safety equipment 5 years Copies of Hazard & Incident Reports 7 years First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 14 of 17 Date of next review: 2016 21/05/2014 18. TOOLS The following tools are associated with this procedure. • • • • • • 19. First Aid Assessment Tool On-campus First Aid Assessment Form Off-campus First Aid Assessment Form Examples of completed First Aid Assessments Guide to determine number of First Aid kits First Aid kit contents lists REFERENCES 19.1. LEGISLATION Health Act 1958 (Vic) Health (Infectious Diseases) Regulations 2001 Occupational Health and Safety Act 2004 (Vic) 19.2. MONASH UNIVERSITY OHS DOCUMENTS Off-campus activities procedure Information Sheet: Hepatitis B immunisation for First AidFirst Aiders Information Sheet: Support for Staff and Students with occupational health and safety functions Information Sheet: Hydrofluoric Acid Information Sheet: First Aid for Cyanide posioning Information Sheet: Phenol Immunisation Grid Guide to OHS Training OHS Induction and Training at Monash University OHS Roles, Committees and Responsibilities After-Hours Procedure Procedures for immunisation Training records 19.3. AUSTRALIAN AND INTERNATIONAL STANDARDS AS/NZS 2243.1: 2005 Safety in Laboratories - Planning and operational aspects 2243.2: 2006 Safety in Laboratories - Chemical aspects 2243.3: 2010 Safety in Laboratories - Microbiological aspects & containment facilities 2243.4: 1998 Safety in Laboratories - Ionizing radiations 2243.5: 2004 Safety in Laboratories - Non-ionizing radiations – Electromagnetic, sound and ultrasound 2243.6: 2010 Safety in Laboratories - Mechanical aspects 2243.7: 1991 Safety in Laboratories - Electrical aspects 2243.8: 2006 Safety in Laboratories - Fume cupboards 2243.9: 2009 Safety in Laboratories - Recirculating fume cabinets 2243.10: 2004 Safety in Laboratories - Storage of chemicals AS/NZS 2982: 2010 Laboratory Design and Construction - General Requirements AS 3745: 2010 Emergency control organization and procedures for buildings, structures and workplaces AS/NZS 4801:2001 Occupational Health & Safety Management Systems – specifications with guidance for use. OHSAS 18001: 2007 Occupational health and safety management systemsrequirements First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 15 of 17 Date of next review: 2016 21/05/2014 19.4. WORKSAFE DOCUMENTS Compliance Code First Aid in the Workplace (Edition No 1 September 2008) 19.5. ACKNOWLEDGEMENTS The following documents were used as references in the development of these procedures: Australian Resuscitation Council Policy StatementsAustralasian College of Surgeons Parasol Active First Aid 8th Edition, 2009 Rural and Remote Health-definitions, policy and priorities. John Wakerman and John Humphreys. Wilderness Medicine 5th edition 2007. Paul S Auerbach First Aid Procedure, v5.1 Date of first issue: January 1998 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 16 of 17 Date of next review: 2016 21/05/2014 20. DOCUMENT HISTORY Version number 4 5 Date of first Issue February 2012 November 2013 5.1 June 2014 First Aid Procedure, v5.1 Date of first issue: January 1998 Changes made to document Procedures for first aid, v4 1. Simplified title to “First aid procedure”. 2. Reference to “controlled entities” was removed from the Scope. 3. Updated Definitions and Specific Responsibilties sections to include only terms relevant to procedure. 4. Replaced ‘should’ with ‘must’ throughout procedure in accordance with “OHS document control & retention procedure” to reflect that procedures are mandatory. 5. Re-structured section on “Specific first aid modules” 6. Removed appendices and listed these documents as hyperlinks in “Tool section” to reduce length of document. 7. Added hyperlinks to “Tools” throughout document. 8. Updated contact details for recommended suppliers. 9. Updated contact details in Section 10: First aid reporting. 10. Updated information regarding maintenance in section 13.3: Defibrilltators 11. Updated “Records” section in accordance with “Records management procedure”. 1. Amended the wording under Scope to “at Monash University”. 2. In definitions changed “Monash University First Aider” to “First Aider”, so that any reference to first aider must fulfil the requirements listed under the definition, as it was intended to be. 3. Changed remaining references to “Monash University First Aider” to “First Aider”. Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 17 of 17 Date of next review: 2016 21/05/2014 MUOHSC 11/2014 OHS COMMUNICATION PROCEDURE AS/NZS 4801 OHSAS 18001 OHS20309 SAI Global June 2014 TABLE OF CONTENTS 1. PURPOSE ................................................................................................................................................2 2. SCOPE .....................................................................................................................................................2 3. ABBREVIATIONS ....................................................................................................................................2 4. DEFINITIONS ...........................................................................................................................................2 5. SPECIFIC RESPONSIBILITIES ..............................................................................................................2 5.1 5.2 5.3 6. HEADS OF ACADEMIC/ADMINISTRATIVE UNITS ....................................................................................................... 2 SUPERVISORS .................................................................................................................................................. 2 MONASH OCCUPATIONAL HEALTH & SAFETY (OH&S) ............................................................................................. 2 OHS COMMUNICATION PROCEDURE .................................................................................................2 6.1 6.2 6.3 6.4 6.5 6.6 6.7 6.8 6.9 OHS POLICY ..................................................................................................................................................... 2 MEETINGS ........................................................................................................................................................ 2 ELECTRONIC COMMUNICATION VIA EMAIL, WEBSITES ............................................................................................. 2 OHS NOTICE BOARDS ........................................................................................................................................ 3 OHS CONSULTANTS’ REPORT/NEWSLETTER.......................................................................................................... 3 OHS DOCUMENTS ............................................................................................................................................. 3 HAZARD AND INCIDENT REPORTS ........................................................................................................................ 3 OHS COMMITTEES ............................................................................................................................................. 3 FEEDBACK TO OH&S ......................................................................................................................................... 4 7. RECORDS ................................................................................................................................................4 8. COMPLIANCE .........................................................................................................................................4 9. REFERENCES .........................................................................................................................................4 9.1 10. MONASH UNIVERSITY OHS DOCUMENTS ............................................................................................................... 4 DOCUMENT HISTORY ............................................................................................................................5 OHS Communication Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A Page 1 of 5 Date of next review: 2017 21/05/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 1. PURPOSE The purpose of this procedure is to define the Monash University process for communicating relevant OHS information to staff, students, visitors and contractors. 2. SCOPE These procedures apply to staff and students of Monash University and visitors and contractors where appropriate. 3. ABBREVIATIONS OHS OH&S 4. Occupational health and safety Monash Occupational Health & Safety DEFINITIONS A comprehensive list of definitions is provided in the Definitions Tool. 5. SPECIFIC RESPONSIBILITIES A comprehensive list of OHS responsibilities is provided in the document OHS Roles, Committees and Responsibilities Procedure. A summary of responsibilities with respect to OHS communication is provided below. 5.1 HEADS OF ACADEMIC/ADMINISTRATIVE UNITS Heads of academic/administrative units must ensure that all relevant OHS information is communicated to staff in a timely manner by ensuring that: • staff are aware of the OHS Communication Procedure; • the OHS Communication Procedure is implemented in their academic/administrative unit; and • OHS is discussed regularly at meetings. 5.2 SUPERVISORS Supervisors are responsible for ensuring that they, and the staff and students that they supervise, follow the OHS Communication Procedure. 5.3 MONASH OCCUPATIONAL HEALTH & SAFETY (OH&S) OH&S are responsible for making all policies, procedures, guidelines and tools available. 6. OHS COMMUNICATION PROCEDURE 6.1 OHS POLICY Monash University’s OHS Policy and OHS Issue Resolution Procedure must be communicated to staff, students, visitors and contractors via: • • 6.2 OH&S website; and OHS notice boards. MEETINGS Health and safety should be included on the agenda of meetings at faculty/divisional, unit and work group level to allow discussion of these issues at a range of levels. 6.3 ELECTRONIC COMMUNICATION VIA EMAIL, WEBSITES 6.3.1 6.3.2 OHS Communication Procedure, v1 Date of first issue: June 2014 Information regarding health and safety issues should be circulated via email or posted on websites at: • university level; • faculty/divisional level; and/or • academic/administrative unit level. Emails and websites can be used to: Responsible Officer: Manager, OH&S Date of last review: N/A Page 2 of 5 Date of next review: 2017 21/05/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ • • • • 6.4 publicise new OHS policies and procedures and programs; consult the university community during the development of OHS policies and procedures; ask for feedback; and alert the university community or the members of a particular academic/administrative unit to OHS hazards. OHS NOTICE BOARDS The following information must be communicated via OHS noticeboards: • Names and contact details of Health & Safety representatives; • Names and contact details of First Aiders; • OHS Policy; • OHS Issue Resolution Procedures; and • “If you are injured at work” Poster. 6.5 OHS CONSULTANTS’ REPORT/NEWSLETTER OH&S must communicate relevant information to the Monash University community. The OHS Consultants’ report/newsletter must be updated/issued at least quarterly, but should be updated when information changes. Some examples of relevant information include: • • • 6.6 OHS DOCUMENTS 6.6.1 All new documents produced by OH&S must be communicated to all staff via: • an email to Safety Officers, Health & Safety representatives and OHS committee chairpersons; • local OHS committees via the Consultants’ report; • the OH&S web site. Major review to existing documents must be communicated to all staff via: • an email to Safety Officers, Health & Safety representatives and OHS committee chairpersons; and • the document history in the document appendix; and/or • local OHS committees; and/or • the OH&S web site. Minor reviews to existing documents do not need to be communicated to all staff. 6.6.2 6.6.3 6.7 changes to OHS legislation; changes to Monash University OHS Management System; highlight available services such as: Counselling services; Return to work; and OHS training. HAZARD AND INCIDENT REPORTS Hazard and Incident reports represent an official form of communication under the OHS Management System. Further details are covered in Hazard and Incident Reporting, Investigation and Recording Procedure. 6.8 OHS COMMITTEES 6.8.1 6.8.2 6.8.3 6.8.4 OHS Communication Procedure, v1 Date of first issue: June 2014 Before each OHS committee meeting, notice of the next meeting must be circulated to the staff and students in the area, requesting agenda items for discussion. Items submitted must be included on the agenda of the next meeting and the proposer invited to the meeting for discussion of the item. Minutes of meetings must be kept and made accessible to all staff and postgraduate students, either on notice boards or electronically. Minutes must be: Responsible Officer: Manager, OH&S Date of last review: N/A Page 3 of 5 Date of next review: 2017 21/05/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ • • 6.9 FEEDBACK TO OH&S 6.9.1 OH&S should record all feedback received from staff, students and external parties. This feedback should be assessed and should prompt initiatives to generate continual improvement of the OHS Management System. 6.9.2 7. 8. only accessible to Monash staff and students when posted on web sites; sent to the area’s OHS Consultant/Advisor as soon as possible after the meeting. RECORDS Record to be kept by Records To be kept for: Academic/administrative unit Minutes of meetings 10 years Occupational Health and Safety Minutes of meetings 10 years Correspondence containing recommendations 10 years Consultant’s Reports 10 years COMPLIANCE This procedure is written to meet the requirements of: AS/NZS 4801:2001 Occupational Health & Safety Management Systems – specifications with guidance for use OHSAS 18001:2007 Occupational Health & Safety Management Systems – requirements. 9. REFERENCES 9.1 MONASH UNIVERSITY OHS DOCUMENTS (http://www.monash.edu/ohs/topics/index.html) OHS Roles, Committees and Responsibilities Procedure Health and Safety Issue Resolution Procedure OHS Communication Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A Page 4 of 5 Date of next review: 2017 21/05/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 10. DOCUMENT HISTORY Version number 1 Date of Issue Changes made to document June 2014 OHS Communication Procedure, v1 OHS Communication Procedure, v1 Date of first issue: June 2014 Responsible Officer: Manager, OH&S Date of last review: N/A Page 5 of 5 Date of next review: 2017 21/05/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ MUOHSC 12/2014 OHS CONSULTATION PROCEDURE AS/NZS 4801 OHSAS 18001 OHS20309 SAI Global June 2014 TABLE OF CONTENTS 1. PURPOSE ................................................................................................................................................2 2. SCOPE .....................................................................................................................................................2 3. DEFINITIONS ...........................................................................................................................................2 3.1 3.2 4. OHS CONSULTATION AND COMMUNICATION ...................................................................................2 4.1 4.2 4.3 5. CONSULTATION ................................................................................................................................................ 2 PROJECT MANAGER FOR CAPITAL/MINOR WORKS PROJECTS .................................................................................. 2 AWARENESS AND IMPLEMENTATION OF CONSULTATION ......................................................................................... 2 REQUIREMENT TO CONSULT ............................................................................................................................... 2 WHEN TO CONSULT ........................................................................................................................................... 2 SPECIFIC RESPONSIBILITIES ..............................................................................................................3 5.1 5.2 5.3 SUPERVISORS AND MANAGERS ........................................................................................................................... 3 PROJECT MANAGER .......................................................................................................................................... 4 HEALTH AND SAFETY REPRESENTATIVE ............................................................................................................... 4 6. RECORDS ................................................................................................................................................5 7. COMPLIANCE .........................................................................................................................................5 8. REFERENCES .........................................................................................................................................5 8.1 8.2 9. MONASH UNIVERSITY OHS DOCUMENTS ............................................................................................................... 5 WORKSAFE DOCUMENTS .................................................................................................................................... 5 DOCUMENT HISTORY ............................................................................................................................6 OHS Consultation Procedure, v4 Date of first issue: March 2006 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 1 of 6 Date of next review: 2017 29/04/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 1. PURPOSE The purpose of this procedure is to define the Monash University process for OHS consultation. Effective consultation will lead to: • decisions that take into account a wider range of ideas about OHS issues in the workplace and how to address these issues; • stronger commitment to decisions because everyone is involved in reaching them; and • more openness, respect and trust because there is a better understanding of the OHS issues and of each other’s points of view. 2. SCOPE This procedure applies to staff, students, visitors and contractors of Monash University. 3. DEFINITIONS A comprehensive list of definitions is provided in the Definitions Tool. Definitions specific to this procedure are as follows. 3.1 CONSULTATION Consultation involves providing information in a timely manner to the people affected, listening to their views and taking those views into account. 3.2 PROJECT MANAGER FOR CAPITAL/MINOR WORKS PROJECTS The project manager is the individual responsible for the day-to-day management of the project, either from the Facilities and Services Division or the contracted company. 4. OHS CONSULTATION AND COMMUNICATION This section defines the OHS consultation and communication requirements at Monash University. 4.1 AWARENESS AND IMPLEMENTATION OF CONSULTATION Heads of academic/administrative units must ensure that staff are aware of the OHS Consultation Procedure and that this is implemented in their area; 4.2 REQUIREMENT TO CONSULT All supervisors and managers are required to consult with their staff on matters that affect, or are likely to affect, their health and safety. 4.3 WHEN TO CONSULT Consultation is required: • when identifying and controlling OHS hazards; • during development of OHS documentation; • when changes are proposed to: • the workplace, for example: new buildings, alterations to existing buildings, renovations, maintenance, repairs and minor modifications; • work processes that may affect the health and safety of staff and students • machinery/equipment, substances, processes in the workplace; and They should consider the following: • disposal of the machinery/equipment or substance; • installation or implementation; • commissioning; and • normal use. The manager of an area must ensure that staff authorised to initiate a minor works order do so in consultation with: • the relevant occupants of the work area; • the Safety Officer; and • the Health & Safety representative. Advice can also be sought from the OHS Consultant/Advisor of the area. OHS Consultation Procedure, v4 Date of first issue: March 2006 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 2 of 6 Date of next review: 2017 29/04/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 5. SPECIFIC RESPONSIBILITIES A comprehensive list of OHS responsibilities is provided in the document OHS Roles, Committees and Responsibilities Procedure. The specific responsibilities with respect to OHS consultation and communication are provided below: 5.1 SUPERVISORS AND MANAGERS Consultation with Health & Safety Representatives 5.1.1 In designated workgroups with an elected Health & Safety Representative, they must be involved in consultation. 5.1.2 Supervisors and managers must invite the Health & Safety Representative or the deputy Health & Safety Representative to meetings where the issue is discussed; 5.1.3 If the Health & Safety representative cannot attend the meeting, the supervisor or manager must discuss the issue with the Health & Safety Representative at their earliest convenience. Absence of a Health & Safety Representative Where a Health & Safety Representative has not been elected it is recommended that staff be consulted directly. Consultation with staff 5.1.4 Supervisors and managers must consult with staff, who are likely to be affected by the OHS issue in a timely manner. 5.1.5 Relevant OHS issues should be discussed at all staff meetings. 5.1.6 Consultation with staff affected by the OHS issue must involve: • providing timely information in a form that can be understood by staff; • giving staff a reasonable opportunity to express views about the matter; and • taking those views into account. Consultation with contractors OHS related consultation must include contractors and any employees of the contractors who perform work over which the supervisor or manager has control. Communication with visitors Visitors who are likely to be affected by the OHS issue must be provided with timely information in a form that can be understood. Communication with students Students who are likely to be affected by the OHS issue must be provided with timely information in a form that can be understood. Consultation with project managers Supervisors and managers are responsible for ensuring that adequate and appropriate consultation occurs with the project managers of work conducted in their area. OHS Consultation Procedure, v4 Date of first issue: March 2006 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 3 of 6 Date of next review: 2017 29/04/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 5.2 PROJECT MANAGER When managing changes to the workplace a Project Manager must: • consult with the manager of the area on matters that affect health and safety; • provide information regarding the workplace changes to the: • Health & Safety Representative; • Manager of the area; and • OH&S; • organise and attend safety review and sign off meetings in conjunction with the academic/administrative unit and the local safety personnel; and • incorporate items into building plans as agreed at safety review meetings. 5.3 5.3.1 5.3.2 OHS Consultation Procedure, v4 Date of first issue: March 2006 HEALTH AND SAFETY REPRESENTATIVE Health & Safety representatives should consult with staff. Consultation with staff affected by the OHS issue must involve: • providing timely information in a form that can be understood by staff; • giving staff a reasonable opportunity to express views about the matter; and • taking those views into account. Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 4 of 6 Date of next review: 2017 29/04/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 6. RECORDS Records of consultation must be retained for the specified timeframe. Record to be kept by Records To be kept for: Academic/administrative unit Minutes of meetings Indefinitely Facilities and Services Minutes of meetings Indefinitely Copy of plans and correspondence containing recommendations Indefinitely Minutes of meetings Indefinitely Correspondence containing recommendations Indefinitely Occupational Health and Safety 7. COMPLIANCE This procedure is written to meet the requirements of: Occupational Health and Safety Act (2004) Occupational Health and Safety Regulations (2007) AS/NZS 4801:2001 Occupational Health & Safety Management Systems – specifications with guidance for use OHSAS 18001:2007 Occupational Health & Safety Management Systems – requirements. 8. REFERENCES 8.1 MONASH UNIVERSITY OHS DOCUMENTS (http://www.monash.edu/ohs/topics/index.html) OHS Roles, Committees and Responsibilities Procedure OHS Risk Management Procedure Health and Safety Issue Resolution Procedure 8.2 WORKSAFE DOCUMENTS Your health and safety guide to consultation Edition 2, June 2007 OHS Consultation Procedure, v4 Date of first issue: March 2006 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 5 of 6 Date of next review: 2017 29/04/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ 9. DOCUMENT HISTORY Version number 3 4 Date of Issue Changes made to document August 2010 June 2014 Procedure for OHS Consultation, v3.1 1. Removed compliance elements from purpose 2. Explained the purpose for consultation in the purpose 3. Broadened the scope to better capture all of Monash’s activities 4. Removed abbreviations section 5. Removed most definitions and directed to OHS Definitions document 6. Only included specific responsibilities relevant to this procedure 7. Removed a large section addressing project management as most of it was irrelevant to OHS consultation. 8. Removed large sections not relevant to OHS consultation and covered in other documents. 9. Combined the Overview section with the Procedure section. 10. Simplified the language used so that it is easier to read and less quoting the OHS Act verbatim. 11. Added Compliance section to list all of the requirements removed from the Purpose. OHS Consultation Procedure, v4 Date of first issue: March 2006 Responsible Officer: Manager, OH&S Date of last review: June 2014 Page 6 of 6 Date of next review: 2017 29/04/14 For the latest version of this document please go to: http://www.monash.edu.au/ohs/ MUOHSC 13/2014 Wellbeing @ Monash MUOHSC report Meeting 2, June 2014 University Wellbeing KPI achievements Wellbeing, as part of occupational health in OHS, focuses on 4 key areas to support and improve the health of Monash staff. These include providing a wide range of programs incorporating physical activity, mental health, nutrition and general health. A target of 30% partcipation in at least one wellbeing activity was set for 2013. Monash University achieved an average of 33%. The following tables show participation of staff who participated in at least one wellbeing activity throughout the year as a percentage of the total tenured/fixed term staff. For 2014 faculties and divisions should aim for a 30% target (i.e at least 7.5% per quarter). Contact: Anne Ohlmus, Wellbeing @ Monash Coordinator, OHS Contact: Anne Ohlmus, Wellbeing @ Monash Coordinator, OHS The chart below shows overall participation of all staff who have completed wellbeing activities for 2014. If a staff member has participated in 3 events for the year, their participation will be indicated three times in the chart below. Total Participation in Wellbeing Activities 2014 - YTD General Health Cluster Nutrition Cluster Mental Health Cluster Physical Health Cluster 500 450 400 350 300 250 200 150 100 50 0 General Mindfulness Managing Self Participation Mental Health Improvement General Health SWAP Program Mental Health Wellbeing newsletter readership - 2014 January: February: March: 785 2570 2900 Wellbeing website Website page Wellbeing homepage Employee Benefits Page Employee benefits brochure (download) Staff discounts SWAP SWAP brochure (download) Healthsmart brochure (download) Health revolution Q1 3138 2193 4004 2380 1518 6698 1238 1187 Contact: Anne Ohlmus, Wellbeing @ Monash Coordinator, OHS Sports Healthy Eating General Membership Participation Physical Health MUOHSC 14/2014 Facilities & Services Division - Fire Risk Management Committee The Fire Risk Management Committee of the Facilities & Services Division (FSD) utilises a strategic risk management approach in assessing the fire risk of buildings on each Australian Monash University campus. Each campus building is required to be maintained to the relevant standards and codes at the time they were built. The Division provides ongoing monitoring to ensure the fire protection systems of campus buildings are maintained to the applicable standards and codes relevant to the building whilst seeking to upgrade systems to reduce the overall fire risk of the university’s buildings. The priority of the committee is life safety. The Committee performs ongoing monitoring and review of potential fire risk issues. In addition, the Committee provides guidance, prioritisation and allocation of fire risk funding and spending through the application of a Fire Risk Management Tool. Fire Risk Management Tool The Fire Risk Matrix Tool has been developed for use within the Division and is designed to inform the fire risk categorisation of campus buildings. The listing is intended to guide the prioritisation of funding, planning and works as it incorporates a range of different rating factors to the specifics of each university building. The Fire Risk Matrix is designed to be a general guidance tool, and is not used as a substitute for detailed fire risk engineering assessment A number of categories are used to determine the fire risk rating of a building including: Number of levels Use of building (room type) Space quality of building Condition of building and fire protection systems Group of 8 benchmarking Details contained in the Fire Risk Matrix are obtained from the Campus Summary Report provided by the Space Management Unit, and annual TEFMA reporting. The matrix is updated every 3-4 months as building details are subject to ongoing review and change. Fire Risk Management Committee - Composition The Fire Risk Management Committee meets on a quarterly basis to review the monitoring and management of potential fire risks. The Committee membership is as follows: Stephen Davey Paul Barton Aldo Gangi Martin Vause Brendon Robinson Bradley Williamson John Tsiros David Williams Fire Risk Management Executive Director, Facilities & Services Division (Chairperson) Director, OHS & Environment Manager, Maintenance & Minor Works (MMW) Manager, Maintenance & Minor Works Planning Director, Capital Works Director, Strategic Planning & Development Principal Occupational Health & Safety (OHS) Consultant Risk & Compliance Officer (Secretary) June 2014 OHS Committee Update Agenda items for the Committee include, but are not limited to: Statistics on Fire Alarms The Maintenance & Minor Works area provides the Committee with details of fire alarms for all Monash University Australian campuses. Details provided include alarms triggered by actual fire, contractor fault, faulty detector, faulty equipment, food preparation, occupant fault, student fault and other / unknown faults. In addition, the statistics also highlights details of malicious / deliberate incidents. These statistics enable the Committee to monitor buildings with high frequencies of evacuations due to false alarms and prioritise mitigating works where applicable. Fire Start Incidents The OHS unit presents details of reported actual and potential fire start incidents to the Committee. The reporting includes hazard and report type classifications that indicate which incidents were actual fires or fire risk situations (e.g.: hazard, near miss) Building Evacuation Statistics The Committee is provided with details of statistics relating to building evacuations by the OHS unit. The OHS consultants and advisors actively stress the importance of compliance with the Monash building evacuation requirements and the need to conduct the required number of building evacuations. The OHS unit provides support to building wardens in undertaking trial evacuations in a timely manner. Essential Services Maintenance Details of Essential Services Maintenance are provided to the Committee through the Verified system, which manages and monitors essential services maintenance and provides a proactive view of the status of each building. Data obtained from Verified is presented to Maintenance & Minor Works meetings on a monthly basis for monitoring and action, where required. Sign-off of Essential Services Maintenance is completed for each campus in September on an annual basis. Emergency & Evacuation Diagrams The Strategic Planning area is responsible for the review, preparation, drawing and distribution of emergency and evacuation plans in each of the buildings on all campuses. The Committee is currently monitoring the progress of updating of emergency and evacuation diagrams, and providing guidance and decision-making when required. Fire Risk Management June 2014 OHS Committee Update