UNIVERSITY OF MICHIGAN HOSPITALS & HEALTH CENTERS
WORKPLACE SAFETY SCAVENGER HUNT
NAME:
POSITION:
LOCATE OR IDENTIFY THE FOLLOWING ITEMS IN YOUR WORK AREA
EMPLOYEE ID:
DATE OF HIRE:
LOCATION (complete this section) List N/A if does not apply.
GENERAL SAFETY
1.
Where to report injuries and illnesses
2.
Safety Liaison Name:
1.
Site-specific disaster plan
2.
Emergency kit (flashlights, weather radio etc)
3.
Emergency back-up phone(s)
4.
Fire and safety tack board
5.
Fire extinguishers and type
6.
Pull alarm stations
7.
Medical gas shutoff valves
EMERGENCY/FIRE
8. Unit specific fire response plan/fire cards/evacuation routes/refuge sites
Horizontal
Vertical
Total Building
HAZARD COMMUNICATION/RESPIRATORY PROTECTION/PERSONAL PROTECTIVE EQUIPMENT
1.
Department chemical inventory
2.
Material Safety Data Sheets (MSDS)
3.
Personal protective equipment – gloves, face shields, lab coats, N-95 respirator
4.
Hand washing facilities, eye wash/safety shower stations, fume hoods, sharps containers
5.
Chemical storage
6.
Chemical spill clean-up kit and procedures
General Waste
Recycling
WASTE COLLECTION & DISPOSAL CONTAINERS
Regulated Medical Waste
Hazardous waste
I agree the above information has been discussed with me, and my questions have been answered. I understand this document will become a part of my unit personnel file.
EMPLOYEE’S SIGNATURE:
DATE:
SUPERVISOR’S SIGNATURE:
DATE:
PRECEPTOR AND/OR EDUCATIONAL NURSE COORDINATOR’S SIGNATURE:
DATE:
Contact Safety Management Services with questions at 734-764-4427 or www.med.umich.edu/i/sms 04/2011