The University of Toledo

UT Procedures and Plans

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	9/12
EP-08-001	Code Yellow - Mass Casualty Disaster Procedure	1/17/11
EP-08-002	Code Gray - Severe Weather/Tornado Response Procedure	4/04/11
EP-08-003	Code Orange -Emergency Management of Hazardous Chemical and Radioactive Contamination Cases Within the Emergency Department	3/21/11
EP-08-003F1-5	Code Orange Figures 1-5	3/21/11
EP-08-004	Code Black - Bomb Threats	2/1/11
EP-08-004Addendum	Bomb Threat Checklist	2/1/11
EP-08-005	Code Green - Internal Evacuation Procedure	9/16/11
EP-08-006	Emergency Preparedness Drills	1/28/11
EP-08-007	Emergency Procedures for Off-Campus Locations	2/04/11
EP-08-008	Code White -Emergency Staffing Due to Severe Weather/ Snow Storm	11/01/10
EP-08-009	UTMC Emergency Operations Plan	11/30/12
EP-08-010	Emergency Management for Toxic Gas Release (contact Safety & Health to view this plan)	12/13/10
EP-08-011	Emergency Communication System Plan	9/8/11
EP-08-012	Mass Fatality Plan	7/15/11
EP-08-013	Emergency Management for Toxic Gas Release (contact Safety & Health to view this plan)	9/15/10
EP-08-014	Code Copper - Communication Involving Utility Failure	5/04/11
EP-08-014 Appendix A	Code Copper - If Loss of Water, Steam, Electrical	5/04/11
EP-08-014 Appendix B	Code Copper - System Failure, Basic Staff Response	5/04/11
EP-08-015	Code Violet - Violent Situation	6/01/11
EP-08-016	Disaster Pet Management Plan	8/24/11
EP-08-017	Infectious Disease Agent and Max Surge Plan	2/1/13
EP-08-018	Disaster Volunteer Deployment Managment Plan	8/25/11

	SAFETY
S-08-000	Safety Management Plan	5/12
S-08-001	Institutional Safety and Health Programs	3/27/11
S-08-002	Institutional Safety and Health Committees	3/27/11
S-08-003	Safety & Health Training	1/25/11
S-08-004
S-08-005	Injury and Illness Investigations	1/04/11
S-08-006	Passengers Inside Malfunctioning Elevators	2/03/11
S-08-007	Environmental Safety Rounds	11/30/12
S-08-008	Fleet Safety Program	3/14/13
S-08-009	Portable Space Heaters	5/22/10
S-08-010	Fall Protection Program	6/28/10
S-08-011	Specimen Transport in Computerized Tube System	1/12/11
S-08-012	Super Conducting Magnets (MRI/NMR)	3/24/11
S-08-013	Work Interruption Contingency Plan	2/01/11
S-08-014	Control of Hazardous Energy Sources (Lockout/Tagout) and Electrical Safe Work Practices	12/29/11
S-08-015	Proper Storage Procedures and Maintenance of Storage Areas	6/28/10
S-08-016	Emergency Eye Washes and Safety Showers	10/31/11
S-08-017	Summoning Emergency Medical Assistance for Injured Persons on Campus	1/06/11
S-08-018	Reporting Work Related Injury/Illness for Employees, Student Employees and Students	12/31/10
S-08-019	Confined Space Entry Permit Program	12/15/10
S-08-020	Electrically Powered Devices	8/27/10
S-08-021	Foot Protection/Eye Protection (Safety Shoes/Prescription Safety Glasses)	1/21/11
S-08-022	OSHA 300 Illness & Injury Log Recordkeeping	1/28/13
S-08-023	Report of Animal Bites	5/22/10
S-08-024
S-08-025	Ergonomics	7/03/10
S-08-026
S-08-027	Appointment of Building Coordinators for Emergency Planning	5/03/11
S-08-028	Environmental Focus	1/10/11
S-08-029	Hearing Conservation Program	1/13/11
S-08-030	Reporting Safety and Health Concerns	1/10/11
S-08-031	Laboratory Fume Hoods	5/22/10
S-08-032	Personal Protective Equipment	3/04/11
S-08-032 Appendix A	Hazard Assessment and Selection of Personal Protective Equipment
S-08-033	Right of Refusal to Work	12/30/10
S-08-034	Respiratory Protection Program	3/11/13
S-08-035
S-08-036
S-08-037	Extension Cords	11/04/10
S-08-038
S-08-039	Tagging of Defective Equipment	11/04/10
S-08-040	Inspection of Non-Patient Care Electrical Equipment	11/04/10
S-08-041	Workplace Violence	2/11/11
S-08-042
S-08-043	Campus Hallways	12/10/10
S-08-044
S-08-045	Inspection Procedures (Regulatory Agencies)	9/01/10
S-08-046	Powered Industrial Trucks	1/28/13
S-08-047	Biological Safety Cabinets	2/02/11
S-08-048	Automated External Defibrillator	12/3/12
S-08-049	Performing Hot Work, Hot Work Permit	4/26/11

	LIFE SAFETY
LS-08-000	Fire Safety Management Plan	5/12
LS-08-001	Code Red - Fire Response Procedure	6/28/11
LS-08-002	Code Red – (Fire) Drills	1/12/11
LS-08-003
LS-08-004	Fire Response Team Training	2/01/11
LS-08-005	Fire Extinguisher Location/Placement, Testing and Maintenance	10/14/12
LS-08-006	Testing of Fire Alarm and Fire Suppression System in Patient Care Areas and Residence Halls	1/04/11
LS-08-007	Holiday Decorations and Signage	3/27/11
LS-08-008	Interim Life Safety Measures and Infection Control in Areas of Construction and Renovation	11/1/11
LS-08-008 Appendix A	Impairment Procedures Flow Chart	8/3/11
LS-08-008 Appendix B	University of Toledo Construction and Renovation Forms	8/3/11
LS-08-008 Appendix C1	Interim Life Safety/Fire Watch Daily Implementation of Activities	8/3/11
LS-08-008 Appendix C2	Interim Life Safety Measures Fire Watch Checklist	8/3/11

	SECURITY MANAGEMENT
SM-08-000	Security Management Plan	8/20/12
SM-08-001	Guidelines for Contacting the Campus Police Department	2/01/11
SM-08-002	Code Adam -Missing Child/Abducted Child	6/01/11
SM-08-003	Elevated Security/Lockdown	3/07/13
SM-08-004	Code Brown -Missing Adult Patient	6/23/11
SM-08-005	Universal Card Access System (Prowatch)	7/6/11

	HAZARDOUS MATERIAL
HM-08-000	Hazardous Materials and Waste Management Plan	5/01/12
HM-08-001	Collection, Storage, Transport and Disposal of Hazardous Waste	1/10/11
HM-08-002	Laser Systems	3/11/11
HM-08-002 Appendix A	Laser Safety Manual	3/11/11
HM-08-003	Compressed Gas and Cryogenic Materials Transport, Use and Storage	1/14/11
HM-08-004	Aboveground and Underground Storage Tanks	1/14/11
HM-08-005	Handling of Hazardous Drugs (HD) i.e., Antineoplastic and Carcinogenic Agents	1/23/11
HM-08-006	Radioiodine Bioassay	2/03/11
HM-08-007	After Hours Receipt of Packages Containing Radioactive Material	2/03/11
HM-08-008	Radiation Worker Pregnancies	2/03/11
HM-08-009
HM-08-010	Radiation Safety	2/02/11
HM-08-011	EPA – Air Containment Compliance	8/22/11
HM-08-012
HM-08-013	Hazardous Material Spill Procedures	2/03/11
HM-08-014	Radiation Exposures from Non-University Facilities	2/03/11
HM-08-015
HM-08-016	Environmental/Occupational Monitoring and Medical Surveillance	2/19/11
HM-08-017	Sterilant/Disinfectant Safe Work Practices	1/14/11
HM-08-018	Hazard Communication	7/01/10
HM-08-019	Infectious Waste Disposal	8/22/11
HM-08-020	Disposal of Sharps	6/30/11
HM-08-021
HM-08-022	Anesthesia Safety and Oxygen Enriched Atmosphere Safety	8/31/11
HM-08-023
HM-08-024
HM-08-025	Asbestos Management Plan	6/30/11
HM-08-026	Laboratory Chemical Hygiene Plan	2/01/13
HM-08-026 Appendix A	Laboratory Specific Chemical Hygiene Plan	2/01/13
HM-08-026 Appendix B	Laboratory Safety and Health Manual and Institutional Chemical Hygiene Plan	2/01/13
HM-08-026 Appendix C	Toxic Chemical Use Approval Form	2/01/13
HM-08-027	Hazardous Material Fire Safety	1/11/11
HM-08-028	Teratogens Safe Work Practices	5/17/10
HM-08-029	Overexposure to Radiation	2/03/11
HM-08-030	Select Agent and Toxins - Handling, Storage & Access	1/25/11
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	4/17/11
HM-08-032	Management of Suspicious Packages	9/05/10
HM-08-033	Universal Wastes, Waste Minimization and Pollution Prevention	6/14/11
HM-08-034	Indoor Air Quality (IAQ) Investigations	2/10/11
HM-08-035	Mold Prevention and Remediation	2/10/11
HM-08-036
HM-08-037	Equipment Inspection Procedure	3/10/11
HM-08-038	Nanotechnology Safe Work Practices	1/14/10
HM-08-039	Department of Homeland Security Chemical Terrorism Vulnerability Information	3/23/11

	MEDICAL EQUIPMENT
ME-08-000	Medical Equipment Management Plan	4/12
ME-08-001	Wireless Communication Device Restrictions	4/13/12
ME-08-002	Medical Device Occurrences	4/13/12
ME-08-003	Product Alert/Recall/Hazard	6/28/10
ME-08-004	Patient and Staff Personal Electrical Equipment	6/24/11
ME-08-005	Defibrillator Testing	6/28/10
ME-08-005 Addendum	Defibrillator/Pacer Checklist
ME-08-006	Medical Device Tracking	6/28/10
ME-08-006 Addendum	Medical Device Tracking Report
ME-08-007	Testing of Patient Care Electrical Equipment	4/13/12
ME-08-008	Medical Equipment Management	4/13/12
ME-08-009	Equipment Inspection Documentation	4/13/12
ME-08-009 Addendum	Emergency Response Action for Patient-Care Equipment Failure	4/13/12
ME-08-010	Non-Repairable Equipment	4/13/12
ME-08-011	Borrowed Medical Equipment	4/13/12
ME-08-012	Clinical Alarm Systems	4/13/12
ME-08-020	Rental/Loaner/Trial/Short Term Lease Equipment	4/13/12

	UTILITY SYSTEMS
US-08-000	Utility Management Plan	09/21/12
US-08-001
US-08-002	Airborne Pathogens Control	3/15/11
US-08-003	Waterborne Pathogens Control	3/15/11