PEER REVIEW QUESTIONNAIRE/SURVEY
Descriptive Institutional Parameters
Number of full time employees
Number of faculty
Number of students
Total square footage
Number of labs
EH&S Program Descriptors
Mission statement
Number of employees
Technical
Administrative
Work contracted to outside firms
Assets: equipment, vehicles, computers, space
Total budget allocation
Organizational reporting lines
Contacts with upper management
EH&S staff qualifications
Professional development
Personal perceptions and morale
Existing documents, manuals, policies
Risks Present
Physical agents
Chemical agents
Biological agents
Radiological agents
Institutional Committees
Number of safety committees
Safety unit involvement
Representation
Top management
Faculty
Frequency of meetings
Attendance
Meeting minutes
Actions/interventions
Research protocol grant review process
Streamlined
Regulatory compliance
History/events
Citations/resolutions
Pending actions
Inspections
Internal audits
Other outside peer review findings
Program Outcomes – WCI
Program management
Current rates
Trends
Investigations
Case management
Employee Health Services
Service provider
Pre-placement reviews
Questionnaire
TB, MMR, PFT
Workplace Surveillance Programs
Program in place
Assessment tool
Schedule
Follow-up
Summaries of findings
Monitoring programs
Hazardous Waste
Identified streams
Mixed wastes
Generator status
Volumes/Annual Waste Summaries
Costs
Collection/minimization processes
Generator training
Storage locations
Facility-related wastes: PCB ballasts, asbestos, lights
Controlled substances
Environmental Issues
Air releases
Water releases
Solid waste programs/recycling
Bulk storage areas: diesel, chlorine, used oil, PCB’s
TIER II Reports
Underground storage tanks
Building Services/Facilities Interfaces
Plan reviews
EH&S sign off
Respiratory protection programs
Lockout/tag out program
Confined spaces
Elevated workplaces
Hot work permits
Emergency Preparedness
Emergency plan
Drills
Fire plans
Drills
UT PD involvement
Tests of alarms, evacuation plans
Tests of eyewashes, showers
Frequency, records
Fire extinguishers
Media contacts
Safety Training
Sources
Requirements
Modalities
Records
Imposed requirements
Connected to job title
Schedules
Evaluations
Safety Information
Postings
Notices
MSDS programs
Other materials
Common Institutional Issues
Asbestos
Lead paint
Lab close outs
MSDS tracking access
Fire Dept./Police relationships
Spill response
Materials tracking, procurement
Indoor air quality
Reproductive health programs
Hallway clearance
Surplus release
Driver safety
Organizational/boundary disputes
Other persistent problems
Worker perceptions
Interviews, focus groups, surveys
Planning
EH&S priorities
Immediate goals
Long term plans, projects