Department: Document: The University of Maine System Department Annual Safety Training Checklist Page 1 of 3 09/21/15 Department Annual Safety Training Checklist Sample General Office Space The area supervisor or their designee must conduct the required training on the following items on an annual basis. This form will be maintained by the supervisor as documentation of training. Employee Name (print): Employee (signature) Supervisor (or Designee) Name (print) Supervisor or Designee (signature) Department Date Employee Training Items 1. Discuss the Hazards of the Job. Review all potential hazards including, but are not limited to: Physical (noise, moving machinery, hot surfaces, electrical, working from heights, ladders, slipping, falling, moving vehicles/equipment, sharp objects); Chemical (gases, liquids, flammables, toxics, corrosives, poisons); Ergonomics (repetitive motion, extreme heat/cold, lifting, vibrations, awkward positions); Biological (blood, bacteria, viruses); Hidden hazards: (i.e. asbestos, lead, underground utilities) Does the employee use any special equipment / tools / vehicles? If so, discuss any hazards and required additional training. 2. If employee uses Personal Protective Equipment (PPE) Discuss the job tasks that require the use of PPE Location and availability of PPE and PPE assessment forms Is the PPE adequate and serviceable? Supervisor’s Notes You should discuss: Lifting hazards and proper lifting techniques Ladders – use of portable step ladders, inspection, training. Walking surfaces (winter) Slips, trips, and falls General office equipment Physical - Occasionally our office space contains boxes, extra chairs and other materials in common spaces, please take note, removed them and place them in the proper storage spaces. Bring the hazards to my attention. Remember not to leave file cabinet drawers open. Chemical – Administrative/Office workers are usually not exposed to chemicals that we might use in our office space. Ergonomics – Employees that use a computer more than four hours a day must take on-line workstation training. Go to the UMaine SEM web site. Biological – We should not have any biological hazards in our workplace. If someone gets sick, do not attempt to clean it up. Call for a custodian who has been properly training to perform this work. Hidden Hazards – The most common is indoor air quality. If you have concerns or see areas where there might be moisture present please contact Facilities Management Employees are not routinely exposed to any hazards that require the use of PPE. However, PPE may be required while visiting other campus work areas. Before entering, ensure that you request PPE from the supervisor of that work area. However you should be prepared for winter. During winter months, wear the appropriate footwear for the conditions, wear a hat and gloves when it gets colder Department: Document: 3. The University of Maine System Department Annual Safety Training Checklist Emergency Action Plans Location of the Emergency Action Plan Evacuation procedures, fire alarms, and rally point information Indicate who is designated and trained to use a fire extinguisher Indicate who is designated and trained to be the emergency evacuation coordinator Page 2 of 3 09/21/15 This office has smoke alarms, it does not have sprinklers (Verify), if you hear the alarm, calmly evacuate the building, and do not take time to turn off your computer or other devices. Our emergency action plan is simple, you hear an alarm you leave the building. Stop at you designated mustering area to be accounted for. If you require assistance leaving the building contact your supervisor to develop an action plan. Our designated emergency evacuation coordinators are _____________________________ 4. If employee uses Chemicals 5. Location and availability of Material Safety Data Sheets (MSDS) within the work area Discuss any changes in the chemicals used or precautions required since previous training Ensure that hazardous chemical training has been completed for all hazardous chemicals unless covered by a current Chemical Hygiene Plan (CHP) Discuss any changes to the Chemical Hygiene Plan, for chemicals covered by a CHP Indicate who is designated and trained to clean up hazardous chemical spills Discuss Satellite Accumulation Area (SAA) and Universal Hazardous Waste storage and training requirements. Administrative office workers are not occupationally exposed to hazardous chemicals, but HAZCOM program and SDS’s must be explained. Please take this training on-line by visiting the SEM website. Review any additional safety training requirements they may require (review next page with the employee) A complete listing is located on SEM web page at: http://www2.umaine.edu/SEM/training.htm Usually, administrative office workers are not occupationally exposed to hazardous chemicals, but HAZCOM program and SDS’s must be explained. Employees that are occupationally exposed to hazardous chemicals must take the HAZCOM training found on the SEM Training webpage at: http://sem.umaine.edu/safety-training/ There may be some unique things that you are involved with as employees or volunteers. It is critical that you received specialized training before performing the job tasks. Discuss required additional specialized safety training (e.g., computer workstations, or fire extinguisher training). Department: Document: The University of Maine System Department Annual Safety Training Checklist Page 3 of 3 09/21/15 The following common tasks require additional specialized safety training. Information regarding the frequency of the required training and how to obtain the training is available on the SEM web site at http://www2.umaine.edu/SEM/training.htm Operating a computer terminal for more than four (4) consecutive hours on a daily basis Remaining behind and assisting persons in orderly evacuation in an emergency Using a fire extinguisher in an emergency Working in areas with exposure to elevated surfaces and fall hazards Using ladders Working on scaffolds Using vehicle mounted elevating work surfaces (telescoping and/or articulating) Operating a forklift, walker-stacker, or other industrial truck (other than Registered Motor Vehicles) Using a crane or hoist Performing service or maintenance on machines or equipment with stored/potential energy (lockout / tagout) Working with or around electricity Welding / soldering / brazing Entering (or overseeing entry into) a confined space Working in or around trenches/excavations Using farming/agricultural machines or equipment Applying pesticides or working in an area that uses pesticides (i.e. farms, greenhouses, nurseries, or forests) Working in remote areas where there is an absence of prompt medical care (clinic, hospital, etc.) Operating a watercraft or vessel (either motorized or man-powered) Conducting tree work (trimming trees) or logging operation Wearing Personal Protective Equipment (PPE) Wearing a full body harness Working around excessive noise levels Using class 3b or 4 lasers Handling or using radioactive materials or radiation producing equipment Performing tasks with exposure to human blood or other regulated bodily fluids (clean up, handle, perform first aid, etc.) Performing tasks with exposure to respiratory/inhalation hazards such as chemicals, nuisance dusts, asbestos, silica, etc Using hazardous chemical or cleaning up chemical spills Working with or around hazardous waste Handle / store / inspect / ship Universal Waste (such as fluorescent and HID lamps, batteries, mercury containing devices, cathode ray tube televisions and monitors, etc.) Work with or around Satellite Accumulation Areas (hazardous wastes that are initially generated and tend to accumulate at or near the point of waste generation). Transporting, packaging, shipping or receiving hazardous materials It is that simple - review all of the special comments and answer questions, then meet privately with each of your employees and ask who wants to be more involved and more responsibility? For a more information about Specialized Training Requirements visit the University of Maine Safety and Environmental Management (SEM) web page at: http://www2.umaine.edu/SEM/training.htm or contact SEM at 581-4055.