1. Emergency Preparedness
2. Safety
3. Life Safety
4. Security Management
5. Hazardous Materials
6. Medical Equipment
7. Utility System
| Policy No. | Subject | Review/Revision Date |
| EMERGENCY PREPAREDNESS | ||
| EP-08-000 | Emergency Management Plan | 10/08 |
| EP-08-001 | Code Yellow - Mass Casualty Disaster Procedure | 2/26/08 |
| EP-08-002 | Code Gray - Severe Weather/Tornado Response Procedure | 6/01/09 |
| EP-08-003 | Code Orange -Emergency Management of Hazardous Chemical and Radioactive Contamination Cases Within the Emergency Department | 7/05/07 |
| EP-08-003f1 | EP-08-003 Figure 1 | 7/05/07 |
| EP-08-003f2 | EP-08-003 Figure 2 | 7/05/07 |
| EP-08-003f3 | EP-08-003 Figure 3 | 7/05/07 |
| EP-08-003f4 | EP-08-003 Figure 4 | 7/05/07 |
| EP-08-003f5 | EP-08-003 Figure 5 | 7/05/07 |
| EP-08-004 | Code Black - Bomb Threats | 2/13/08 |
| EP-08-004Addendum | Bomb Threat Checklist | 2/13/08 |
| EP-08-005 | Code Green - Internal Evacuation Procedure | 4/10/08 |
| EP-08-006 | Emergency Preparedness Drills | 10/26/07 |
| EP-08-007 | Emergency Procedures for Off-Campus Locations | 2/13/08 |
| EP-08-008 | Code White -Emergency Staffing Due to Severe Weather/ Snow Storm | 2/13/08 |
| EP-08-009 | UTMC Emergency Operations Plan | 6/11/08 |
| EP-08-010 | Emergency Management for Toxic Gas Release (contact Safety & Health to view this plan) | 2/25/08 |
| SAFETY | ||
| S-08-000 | Safety Management Plan |
12/07 |
| S-08-001 | Institutional Safety and Health Programs | 4/22/08 |
| S-08-002 | Institutional Safety and Health Committees | 4/22/08 |
| S-08-003 | Safety & Health Training | 4/22/08 |
| S-08-004 | ||
| S-08-005 | Accident (Occurrence) Investigations | 2/15/08 |
| S-08-006 | Passengers Inside Malfunctioning Elevators | 2/15/08 |
| S-08-007 | Environmental Safety Rounds | 2/13/07 |
| S-08-008 | Fleet Safety Program | 4/21/07 |
| S-08-009 | Portable Space Heaters | 11/20/07 |
| S-08-010 | Fall Protection Program | 1/01/08 |
| S-08-011 | Specimen Transport in Computerized Tube System | 1/24/08 |
| S-08-012 | Magnetic Resonance Imaging (MRI) Facility | 3/03/09 |
| S-08-013 | Work Interruption Contingency Plan | 2/07/08 |
| S-08-014 | Control of Hazardous Energy Sources (Lockout/Tagout) (Health Science Campus) | 2/07/08 |
| Lockout/Tagout (Main Campus) | ||
| S-08-015 | Proper Storage Procedures and Maintenance of Storage Areas | 12/18/07 |
| S-08-016 | Emergency Eye Washes and Safety Showers | 10/03/08 |
| S-08-017 | Summoning Emergency Medical Assistance for Injured Persons on Campus | 1/18/08 |
| S-08-018 | Reporting Work Related Injury/Illness for Employees, Student Employees and Students | 1/01/08 |
| S-08-019 | Confined Space Entry Permit Program (Health Science Campus) | 12/28/07 |
| Confined Space (Main Campus) | ||
| S-08-020 | Electrically Powered Devices | 12/18/07 |
| S-08-021 | Foot Protection/Eye Protection (Safety Shoes/Prescription Safety Glasses) | 1/28/08 |
| S-08-022 | OSHA 300 Illness & Injury Log Recordkeeping | 1/12/08 |
| S-08-023 | Report of Animal Bites | 7/16/07 |
| S-08-024 | ||
| S-08-025 | Ergonomics | 7/18/07 |
| S-08-026 | ||
| S-08-027 | Appointment of Building Coordinators for Emergency Planning | 12/18/07 |
| S-08-028 | Environmental Focus | 1/15/08 |
| S-08-029 | Hearing Conservation Program | 1/20/08 |
| S-08-030 | Reporting Safety and Health Concerns | 1/18/08 |
| S-08-031 | Laboratory Fume Hoods and Cabinets | 10/26/07 |
| S-08-032 | Personal Protective Equipment | 3/09/09 |
| S-08-032 Appendix A | Hazard Assessment and Selection of Personal Protective Equipment | |
| S-08-033 | Right of Refusal to Work | 1/18/08 |
| S-08-034 | Respiratory Protection Program | 12/19/07 |
| S-08-035 | ||
| S-08-036 | ||
| S-08-037 | Extension Cords | 10/25/07 |
| S-08-038 | Back-up Emergency Communication System Plan | 6/23/08 |
| S-08-039 | Tagging of Defective Equipment | 12/18/07 |
| S-08-040 | Inspection of Non-Patient Care Electrical Equipment | 12/07/07 |
| S-08-041 | Workplace Violence | 2/18/08 |
| S-08-042 | ||
| S-08-043 | Campus Hallways | 12/18/07 |
| S-08-044 | Safety Education for Non-Traditional Staff | 1/18/08 |
| S-08-045 | Inspection Procedures (Regulatory Agencies) | 9/17/07 |
| S-08-046 | Powered Industrial Trucks | 9/28/07 |
| S-08-047 | Biological Safety Cabinets | 2/06/08 |
| S-08-048 | Automated External Defibrillator | 3/06/09 |
| S-08-049 | Performing Hot Work, Hot Work Permit | 7/1/08 |
| LIFE SAFETY | ||
| LS-08-000 | Fire Safety Management Plan | 2/08 |
| LS-08-001 | Code Red - Fire Response Procedure | 8/2/08 |
| LS-08-002 | Code Red – (Fire) Drills | 1/18/08 |
| LS-08-003 | ||
| LS-08-004 | Fire Response Team Training | 2/10/08 |
| LS-08-005 | Fire Extinguisher Location/Placement, Testing and Maintenance | 12/18/07 |
| LS-08-006 | Testing of Fire Alarm and Fire Suppression System in Patient Care Areas and Residence Halls | 1/16/08 |
| LS-08-007 | Holiday Decorations and Signage | 4/29/08 |
| LS-08-008 | Safety in Areas of Construction and Renovation/Interim Life Safety Measures (Health Science Campus) | 1/20/08 |
| LS-08-008Addendum | Safety in Areas of Construction and Renovation/Interim Life Safety Measures (Addendum) | 1/20/08 |
| Impairment Procedure (Main Campus) |
| SECURITY MANAGEMENT | ||
| SM-08-000 | Security Management Plan | 9/07 |
| SM-08-001 | Guidelines for Contacting the Campus Police Department | 2/07/08 |
| SM-08-002 | Code Adam -Missing Child/Abducted Child | 10/03/08 |
| SM-08-003 | Campus Security Threat Levels/Lockdown | 4/07/08 |
| SM-08-004 | Code Brown -Missing Adult Patient | 10/03/08 |
| HAZARDOUS MATERIAL | ||
| HM-08-000 | Hazardous Materials and Waste Management Plan | 10/3/07 |
| HM-08-001 | Collection, Storage, Transport and Disposal of Hazardous Waste | 1/15/08 |
| HM-08-002 | Laser Systems | 4/04/08 |
| Laser Safety Manual | ||
| HM-08-003 | Compressed Gas and Cryogenic Materials Transport, Use and Storage | 2/13/08 |
| HM-08-004 | Aboveground and Underground Storage Tanks | 2/05/08 |
| HM-08-005 | Handling of Hazardous Drugs (HD) i.e., Antineoplastic and Carcinogenic Agents | 1/25/08 |
| HM-08-006 | Radioiodine Bioassay | 2/18/08 |
| HM-08-007 | After Hours Receipt of Packages Containing Radioactive Material | 2/18/08 |
| HM-08-008 | Radiation Worker Pregnancies | 2/18/08 |
| HM-08-009 | ||
| HM-08-010 | Radiation Safety | 2/07/08 |
| HM-08-011 | EPA – Air Containment Compliance | 1/23/08 |
| HM-08-012 | ||
| HM-08-013 | Hazardous Material Spill Procedures | 9/22/08 |
| HM-08-014 | Radiation Exposures from Non-University Facilities | 2/07/08 |
| HM-08-015 | ||
| HM-08-016 | Environmental/Occupational Monitoring and Medical Surveillance | 2/21/08 |
| HM-08-017 | Sterilant/Disinfectant Safe Work Practices | 2/20/08 |
| HM-08-018 | Hazard Communication | 7/9/07 |
| HM-08-019 | Infectious Waste Disposal | 2/7/08 |
| HM-08-020 | Disposal of Sharps | 2/7/08 |
| HM-08-021 | ||
| HM-08-022 | Anesthesia Safety and Oxygen Enriched Atmosphere Safety | 2/07/08 |
| HM-08-023 | ||
| HM-08-024 | ||
| HM-08-025 | Asbestos Management Plan | 2/15/08 |
| HM-08-026 | Laboratory Chemical Hygiene Plan | 2/23/09 |
| HM-08-026 Appendix A | Laboratory Specific Chemical Hygiene Plan | 2/23/09 |
| HM-08-026 Appendix B | Laboratory Safety and Health Manual and Institutional Chemical Hygiene Plan | 2/23/09 |
| HM-08-026 Appendix C | Toxic Chemical Use Approval Form | 2/23/09 |
| HM-08-027 | Hazardous Material Fire Safety | 2/13/08 |
| HM-08-028 | Teratogens Safe Work Practices | 5/18/07 |
| HM-08-029 | Overexposure to Radiation | 2/18/08 |
| HM-08-030 | Select Agent and Toxins - Handling, Storage & Access | 2/23/09 |
| HM-08-030 Appendix A | Notification of the Proposed Destruction of Select Agents and Toxins Form | |
| HM-08-030 Appendix B | Biosafety Level Three Select Agent Research Training Confirmation | |
| HM-08-030 Appendix C | Select Agent Registration Form (SARF) | |
| HM-08-031 | Shipping, Packaging and Receipt of Hazardous Materials | 6/08/08 |
| HM-08-032 | Management of Suspicious Packages | 9/17/07 |
| HM-08-033 | Universal Wastes and Pollution Prevention | 9/18/07 |
| HM-08-034 | Indoor Air Quality (IAQ) Investigations | 2/12/08 |
| HM-08-035 | Mold Prevention and Remediation | 2/18/08 |
| HM-08-036 | Pollution Prevention, Waste Minimization, and Orphan Chemical Program | 3/03/09 |
| HM-08-037 | Equipment Inspection Procedure | 3/18/08 |
| HM-08-038 | Nanotechnology Safe Work Practices | 10/20/08 |
| HM-08-039 | Department of Homeland Security Chemical Terrorism Vulnerability Information | 3/06/09 |
| MEDICAL EQUIPMENT | ||
| ME-08-000 | Medical Equipment Management Plan | 9/07 |
| ME-08-001 | Wireless Communication Device Restrictions | 10-09-07 |
| ME-08-002 | Medical Device Occurrences | 10-09-07 |
| ME-08-003 | Product Alert/Recall/Hazard | 10-09-07 |
| ME-08-004 | Patient and Staff Personal Electrical Equipment | 10-09-07 |
| ME-08-005 | Defibrillator Testing | 10-09-07 |
| ME-08-005 Addendum | Defibrillator/Pacer Checklist | |
| ME-08-006 | Medical Device Tracking | 10-09-07 |
| ME-08-006 Addendum | Medical Device Tracking Report | |
| ME-08-007 | Testing of Patient Care Electrical Equipment | 10-09-07 |
| ME-08-008 | Medical Equipment Management | 10-09-07 |
| ME-08-009 | Equipment Inspection Documentation | 10-09-07 |
| ME-08-009 Addendum | Emergency Response Action for Patient-Care Equipment Failure | |
| ME-08-010 | Non-Repairable Equipment | 10-09-07 |
| ME-08-011 | Borrowed Medical Equipment | 10-09-07 |
| ME-08-012 | Clinical Alarm Systems | 10-09-07 |
| UTILITY SYSTEMS | ||
| US-08-000 | Utility System Management Plan | 12/07 |
| US-08-001 | Communication Involving Utility Failure | 5/01/05 |
| US-08-001 Addendum 1 | Communication Involving Utility Failure Flow Chart | |
| US-08-001 Addendum 2 | System Failure Basic Staff Response | |
| US-08-002 | Airborne Pathogens Control | 3/21/08 |
| US-08-003 | Waterborne Pathogens Control | 3/21/08 |