…bringing nature cure medicine to the world
SAFETY AND HEALTH
MANUAL
First Drafted June 2013
Updated 10/31/2013
Dianna Hales, CEO
Dr. Brandie Gowey, NMD, Founder
2532 N 4th Street, #537
Flagstaff, AZ 86004
928-214-8793
www.naturopathsinternational.org
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TABLE OF CONTENTS
Commitment………………………………………………………………………………………………....3
Responsibilities………………………………………………………………………………………………3
Emergency Action Plan (EAP)………………………………………………………………….3 & 4
Emergency Response Coordinator…………………………………………………………………4
Emergency Response Backup Coordinator…………………………………………………….4
Emergency Response Team…………………………………………………………………………..4
Training on EAP……………………………………………………………………………………………..5
A Medical Emergency or Injury……………………………………………………………………..5
Fire Emergencies…………………………………………………………………………………………..5
Bomb Threat…………………………………………………………………………………………………6
Weather Emergencies…………………………………………………………………………………..6
Physicians Health & Safety Procedures for Shelters……………………………………..7
Occupational Health & Safety Administration (OSHA)………………………………….7
Accident and Incident Report………………………………………………………………..8 & 9
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COMMITMENT
An effective safety and health program depends on everyone’s commitment at NI.
By taking a positive approach, NI’s goal is to promote a proactive attitude towards
safety and health. All are empowered to express their ideas in the pursuit of
safety and health excellence. An important component of each person’s job at NI
is awareness of safety and health issues and knowledge and skill to perform
assigned tasks in the safest and most efficient way possible to achieve a safe
workplace.
RESPONSIBILITIES
A safe and healthy workplace cannot be achieved without attention to safety and
health issues by all.
 Always avoid unnecessary risks
 Report all injuries and illnesses immediately to your immediate supervisor
or CEO
 Report any safety or health hazards to your immediate supervisor or CEO
 Report the use of any medication, including medical marijuana, that may
affect your job performance to your immediate supervisor or CEO
 Support and promote safety on and off the job
 Report any employee that may be impaired or otherwise incapable of
performing their job safely to immediate supervisor or CEO
EMERGENCY ACTION PLAN (EAP)
Emergency action plans are designed to protect all employees, volunteers,
patients, visitors and staff. Emergency situations might include; fires, health
issues, natural disasters and bomb threats.
Emergency contact names, numbers and emergency evacuation routes will be
posted throughout all NI buildings, as well as fire extinguishers and first aid kits.
NI will review EAP with all new hires and volunteers, plus yearly, or as needed,
mandatory health and safety training will be scheduled for all NI employees,
volunteers, staff and board members when new amendments are adopted or an
employee’s responsibilities change.
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NI will designate an Emergency Response Coordinator and a Backup Coordinator.
Having two designated coordinators will ensure that a trained person is always
available. All NI employees, volunteers, staff and board members will know who
these persons are and what their duties are.
Duties of the coordinators will include but not be limited to the following:
 Determining what emergencies may occur and seeing that emergency
procedures are developed to address each situation
 Directing all emergency activities including evacuation of personnel and the
accounting of all personnel once evacuated and in the designated safe area
 Ensuring that outside emergency services are notified if necessary
 Directing notification of emergency to personnel
 Seeing to any necessary shut down of operations
Currently the Coordinators are:
Emergency Response Coordinator: Dianna Hales, CEO 910-922-1115
Emergency Response Backup Coordinator: Dr. Brandie Gowey, NMD, CMO
928-221-6113
EMERGENCY RESPONSE TEAM (Currently we have no need for the ERT)
Emergency response team members will be thoroughly trained for potential crises
and physically capable of carrying out their duties.
Teams will be responsible for, trained in and have certification for the following:
 The use of various types of fire extinguishers
 First aid, including cardiopulmonary resuscitation (CPR) and self-contained
breathing apparatus (SCBA)
 The requirements of the OSHA Bloodborne pathogens standard
 All shutdown procedures
 Chemical spill control procedures
 Search and emergency rescue procedures
 Hazardous materials emergency response
NI will keep an updated list of the key personnel and their phone numbers and an
updated list of all personnel, these lists will be kept next to all emergency route
sheets. The accounting of personnel after a crisis is critical.
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TRAINING ON (EAP)
All personnel at NI will need to know details of the emergency action plan (EAP)
and will be trained as a new hire. This training will be as follows, however, may
not be limited to:
 Evacuation routes and procedures
 Any reporting procedures
 Will be alerted to any special hazards, such as flammable materials, toxic
chemicals, radioactive sources or water-reactive substances
 Knowledge of persons in charge and what their duties are
 Training drills will be conducted at random intervals
 Annual training will be conducted. As well as any special training as
needed, such as if job descriptions change, facility layout or design
changes, procedures get updated or revised or if the CEO feels like
employee performance is inadequate.
Procedures to follow in case of:
A MEDICAL EMERGENCY OR INJURY
Immediately assess the situation:
 IMMEDIATELY ALERT your supervisor or emergency response coordinator
 Is an ambulance necessary? If so, call 911
 DO NOT MOVE AN INJURED PERSON WHO REQUIRES MEDICAL
ATTENTION (OTHER THAN FIRST AID, UNLESS IT IS ABSOLUTELY
NECESSARY FOR THEIR SAFETY.
FIRE EMERGENCIES
Immediately assess the situation:
 When a fire is at the “incipient stage” (just starting to ignite) and if you are
trained, use a fire extinguisher to try and extinguish the fire and have
someone else call 911.
 For a fire beyond the “incipient stage,” IMMEDIATELY alert the emergency
response coordinator or emergency response backup coordinator
 Evacuate the building following the emergency evacuation route
 Meet at the designated safe area outlined on evacuation route posters
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BOMB THREAT
If you receive a bomb threat over the telephone, remain as calm as possible and
act courteous. Take notes on the caller’s threat, tone, voice characteristics and
background noise. Discreetly notify another person near you to call 911 to
report the threat and to contact your supervisor or Human Resources.
If the caller seems willing to talk, try to find out as much as possible about the
caller and the threat. Ask question, such as:
 When will the bomb so off?
 How much time remains?
 Where is the bomb located?
 What kind of bomb is it?
 How do you know about this bomb?
 What is your name?
 Do you know that there are people in the building who could be hurt or
killed?
Provide 911 with as much information as possible when reporting the threat, such
as:
 Your name;
 The location and telephone number from which you are calling;
 A description of the bomb threat;
 The exact time you received the call;
 The location of the device, if known;
 The time the device is set to detonate, if known.
WEATHER EMERGENCIES
During severe weather warnings:
 You will be instructed by the Emergency Response Coordinator what action
to take.
 Keep away from windows and doors.
 DO NOT GO OUTSIDE, unless instructed to do so by the Emergency
Response Coordinator.
 You will be advised by the Emergency Response Coordinator of weather
conditions and whether or not to leave for the remainder of the day.
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PHYSICIANS HEALTH AND SAFETY PROCEDURES FOR SHELTERS
 Physicians are required to have CPR certification. A copy of this
certification must be kept on file at NI Headquarters Office. Physicians
are responsible for keeping the certification up to date and having the
current certification copy on file with NI.
 Provide medical care only in a room secured by NI for this purpose
 Do not provide medical care if shelter manager is not present
 If threatened physically by a shelter patient, immediately call for shelter
manager to restrain patient, leave premises, submit incident report to
NI
 If assaulted by a shelter patient, do not to retaliate, speak calmly to
shelter patient, call for shelter manager to restrain patient. Alert police,
write report for police and submit incident report to NI and get incident
report from shelter manager as well.
OCCUPATIONAL HEALTH AND SAFETY ADMINISTRATION (OSHA)
All personnel of NI will be trained in the OSHA standards that pertain to NI.
OSHA Standards for Health Care Facilities include the following:
 1910.132 General Requirements
 1910.133 Eye and Face Protection
 1910.134 Respiratory Protection
 1910.1030 Bloodborne Pathogens
 1910.1047 Ethylene Oxide
 1910.1048 Formaldehyde
 1910.1096 Ionizing Radiation
 1910.1200 Hazard Communication
 1910.1450 Occupational exposure to hazardous chemicals in
laboratories
For complete OSHA Standards, please go to the OSHA website:
https://www.osha.gov/SLTC/healthcarefacilities/standards.html
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ACCIDENT / INCIDENT REPORT
Name of Injured _______________________________________ Title __________________________
Male ____ Female ____ Date of Birth ______________________ Date of Hire ________________
Today’s Date _________________ Time accident/incident occurred ____________________________
Time person began work _____________________ Persons Supervisor _________________________
Incident (relate what happened, be specific)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Injury/Illness (be specific)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What action was taken at the workplace
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Treatment given
_____________________________________________________________________________________
_____________________________________________________________________________________
Was injured person transported to hospital? ________ How? ________________________________
What time? __________________________
Hospital diagnosis
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Instructions
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When to return to work _________________________________________________________________
Were actions needed in the workplace to correct a problem?
If so, what was done
Report completed by:
Name ________________________________________
Title _________________________________
Date Completed ________________________________
Signed _______________________________
Any additional comments
Date
Signed
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