Environmental Health and Radiation Safety

UT Procedures and Plans

1. Emergency Preparedness
2. Safety
3. Life Safety
4. Security Management
5. Hazardous Materials
6. Medical Equipment
7. Utility System

Procedure No. Subject Review/Revision Date
EP-08-001 Code Yellow - Mass Casualty Disaster Procedure 7/20/15
EP-08-002 Code Gray - Severe Weather/Tornado Response Procedure 9/24/14
EP-08-002 Appendix A Code Gray - Severe Weather/Tornado Safe Waiting Locations 8/28/15
EP-08-003 Code Orange -Emergency Management of Hazardous Chemical and Radioactive Contamination Cases Within the Emergency Department 9/18/14
EP-08-003F1-5 Code Orange Figures 1-5 9/18/14
EP-08-004 Code Black - Bomb Threats 1/10/14
EP-08-004Addendum Bomb Threat Checklist 1/10/14
EP-08-005 Code Green - Internal Evacuation Procedure 9/18/14
EP-08-006 Emergency Preparedness Drills 1/10/14
EP-08-007 Emergency Procedures for Off-Campus Locations 1/10/14
EP-08-008 Code White -Emergency Staffing Due to Severe Weather/ Snow Storm 10/3/13
EP-08-009 UTMC Emergency Operations Plan 1/11/16
EP-08-010 Emergency Management for Toxic Gas Release (contact EHRS to view this plan) 4/2/13
EP-08-011 Emergency Communication System Plan 3/31/14
EP-08-012 Mass Fatality Plan 2/26/16
EP-08-013 Emergency Management for Toxic Gas Release (contact EHRS to view this plan) 7/12/13
EP-08-014 Code Copper - Communication Involving Utility Failure 12/30/15
EP-08-014 Appendix A Code Copper - If Loss of Water, Steam, Electrical 12/30/15
EP-08-014 Appendix B Code Copper - System Failure, Basic Staff Response 12/30/15
EP-08-015 Code Violet - Violent Situation 10/27/15
EP-08-016  Continuity of Operations Plan 2/1/15
EP-08-017 Infectious Disease Agent and Max Surge Plan 2/29/16
EP-08-018 Disaster Volunteer Deployment Managment Plan 8/08/14
EP-08-019 Institutional Emergency Operations Plan 1/16

S-08-000 Safety Management Plan


S-08-001 Institutional Safety and Health Programs 12/26/13
S-08-002 Institutional Safety and Health Committees 12/3/13
S-08-003 Safety & Health Training 12/26/13
S-08-005 Injury and Illness Investigations 12/9/13
S-08-006 Passengers Inside Malfunctioning Elevators 12/26/13
S-08-007 Environmental Safety Rounds 1/16/14
S-08-008 Fleet Safety Program  3/11/16
S-08-009 Portable Space Heaters 5/21/13
S-08-010 Fall Protection Program 6/27/13
S-08-011 Specimen Transport in Computerized Tube System 12/27/13
S-08-012 Super Conducting Magnets (MRI/NMR) 02/18/14
S-08-013 Tent Safety Procedure 6/12/14
S-08-013 Appendix A Tent Safety Procedure Form 6/12/14
S-08-013 Appendix B State of Ohio Tent Permit 6/12/14
S-08-014 Control of Hazardous Energy Sources (Lockout/Tagout) and Electrical Safe Work Practices 12/29/14
S-08-015 Proper Storage Procedures and Maintenance of Storage Areas 6/07/13
S-08-016 Emergency Eye Washes and Safety Showers 1/14/14
S-08-017 Summoning Emergency Medical Assistance for Injured Persons on Campus 1/03/14
S-08-018 Reporting Work Related Injury/Illness for Employees, Student Employees and Students 12/09/13
S-08-019 Confined Space Entry Permit Program 12/11/13
S-08-020 Electrically Powered Devices 7/10/13
S-08-021 Foot Protection/Eye Protection (Safety Shoes/Prescription Safety Glasses) 3/4/15
S-08-022 PERRP 300 Illness & Injury Log Recordkeeping 12/9/13
S-08-023 Report of Animal Bites 4/25/16
S-08-024 Crane and Hoist Safety Program 6/19/14
S-08-025 Ergonomics 7/02/13
S-08-027 Appointment of Building Coordinators for Emergency Planning 11/9/15
S-08-028 Environmental Focus 1/09/14
S-08-029 Hearing Conservation Program 5/1/13
S-08-030 Reporting Safety and Health Concerns 12/11/13
S-08-031 Laboratory Fume Hoods 4/25/16
S-08-032 Personal Protective Equipment 3/03/14
S-08-032 Appendix A Hazard Assessment and Selection of Personal Protective Equipment 3/03/14
S-08-033 Right of Refusal to Work 12/4/13
S-08-034 Respiratory Protection Program 3/22/16
S-08-037 Extension Cords 10/30/15
S-08-039 Tagging of Defective Equipment 12/05/13
S-08-040 Inspection of Non-Patient Care Electrical Equipment 11/01/13
S-08-043 Campus Hallways 10/28/15
S-08-045 Inspection Procedures (Regulatory Agencies) 12/26/13
S-08-046 Powered Industrial Trucks 1/28/16
S-08-047 Biological Safety Cabinets 2/01/14
S-08-048 Automated External Defibrillator 08/3/15
S-08-049 Performing Hot Work, Hot Work Permit 11/15/13

LS-08-000 Fire Safety Management Plan 1/16
LS-08-001 Code Red - Fire Response Procedure 9/8/15
LS-08-002 Code Red – (Fire) Drills 1/9/14
LS-08-004 Fire Response Team Training 1/10/14
LS-08-005 Fire Extinguisher Location/Placement, Testing and Maintenance 9/4/15
LS-08-006 Testing of Fire Alarm and Fire Suppression System in Patient Care Areas and Residence Halls 1/3/14
LS-08-007 Holiday Decorations and Signage 12/31/15
LS-08-008 Interim Life Safety Measures and Infection Control in Areas of Construction and Renovation 2/25/16
LS-08-008 Appendix A Impairment Procedures Flow Chart 2/25/16
LS-08-008 Appendix B University of Toledo Construction and Renovation Forms 2/25/16

SM-08-000 Security Management Plan 1/16
SM-08-001 Guidelines for Contacting the Campus Police Department 1/7/16
SM-08-002 Code Adam -Missing Child/Abducted Child 11/4/15
SM-08-003 Elevated Security/Lockdown 3/04/16
SM-08-004 Code Brown -Missing Adult Patient 11/2/15
SM-08-005 Universal Card Access System (Prowatch) 03/08/15

HM-08-000 Hazardous Materials and Waste Management Plan 1/16
HM-08-001 Collection, Storage, Transport and Disposal of Hazardous Waste 1/09/14
HM-08-002 Laser Systems 10/11/13
HM-08-002 Appendix A Laser Safety Manual 10/11/13
HM-08-003 Compressed Gas and Cryogenic Materials Transport, Use and Storage 5/6/15
HM-08-004 Aboveground and Underground Storage Tanks 1/9/14
HM-08-005 Handling of Hazardous Drugs (HD) i.e., Antineoplastic and Carcinogenic Agents 4/21/14
HM-08-006 Radioiodine Bioassay 12/5/13
HM-08-007 After Hours Receipt of Packages Containing Radioactive Material in Research 12/11/13
HM-08-008 Radiation Worker Pregnancies 12/10/13
HM-08-009 Biosafety and Biosecurity Manual  6/14/13 
HM-08-010 Radiation Safety 12/10/13
HM-08-011 EPA – Air Containment Compliance 8/20/14
HM-08-012 Decontamination of BSL3 Equipment 5/16/14
HM-08-013 Hazardous Material Spill Procedures 7/1/13
HM-08-014 Radiation Exposures from Non-University Facilities 12/10/13
HM-08-015 Minors in Research Laboratories 2/1/16
HM-08-016 Environmental/Occupational Monitoring and Medical Surveillance 1/27/14
HM-08-017 Sterilant/Disinfectant Safe Work Practices 11/12/13
HM-08-018 Hazard Communication 4/28/16
HM-08-019 Infectious Waste Disposal 11/17/14
HM-08-020 Disposal of Sharps 11/17/14
HM-08-021 Category One and Two Radioactive Security Plan (Contact EHRS to Review this Plan) 9/29/15
HM-08-022 Anesthesia Safety and Oxygen Enriched Atmosphere Safety 8/27/14
HM-08-025 Asbestos Management Plan 6/23/14
HM-08-026 Laboratory Chemical Hygiene Plan 1/29/16
HM-08-026 Appendix A Laboratory Specific Chemical Hygiene Plan 1/29/16
HM-08-026 Appendix B Laboratory Safety and Health Manual and Institutional Chemical Hygiene Plan 1/29/16
HM-08-026 Appendix C Toxic Chemical Use Approval Form 1/29/16
HM-08-027 Hazardous Material Fire Safety 1/08/14
HM-08-028 Teratogens Safe Work Practices 5/16/13
HM-08-029 Overexposure to Radiation 12/10/13
HM-08-030 Select Agent and Toxins - Handling, Storage & Access 12/26/13
HM-08-030 Appendix A Notification of the Proposed Destruction of Select Agents and Toxins Form 12/26/13
HM-08-030 Appendix B Biosafety Level Three Select Agent Research Training Confirmation 12/26/13 
HM-08-030 Appendix C Select Agent Registration Form (SARF) 12/26/13 
HM-08-031 Shipping, Packaging and Receipt of Hazardous Materials 12/26/13
HM-08-032 Management of Suspicious Packages 8/20/13
HM-08-033 Universal Wastes, Waste Minimization and Pollution Prevention 6/5/14
HM-08-034 Indoor Air Quality (IAQ) Investigations 1/27/14
HM-08-035 Mold Prevention and Remediation 2/06/14
HM-08-037 Equipment Inspection Procedure 2/27/14
HM-08-038 Nanotechnology Safe Work Practices 1/6/16
HM-08-039 Department of Homeland Security Chemical Terrorism Vulnerability Information 2/27/14
HM-08-040 Radiation Safety Hybrid Flexmove FD20 5/10/16

ME-08-000 Medical Equipment Management Plan 1/16
ME-08-001 Wireless Communication Device Restrictions  4/27/15
ME-08-002 Medical Device Occurrences 1/7/15
ME-08-003 Product Alert/Recall/Hazard 1/1/16
ME-08-004 Patient and Staff Personal Electrical Equipment 3/10/14
ME-08-005 Defibrillator Testing 3/8/16
ME-08-005 Addendum Defibrillator/Pacer Checklist 3/8/16
ME-08-006 Medical Device Tracking 7/13/15
ME-08-007 Testing of Patient Care Electrical Equipment 1/14/15
ME-08-008 Medical Equipment Management 1/5/15
ME-08-009 Equipment Inspection Documentation 4/27/15
ME-08-009 Addendum Emergency Response Action for Patient-Care Equipment Failure 4/27/15
ME-08-010 Non-Repairable Equipment 4/27/15
ME-08-011 Borrowed Medical Equipment 4/20/15
ME-08-012 Clinical Alarm Systems 4/02/15
ME-08-020 Rental/Loaner/Trial/Short Term Lease Equipment 4/20/15

US-08-000 Utility Management Plan 1/16
US-08-002 Airborne Pathogens Control 3/05/14
US-08-003 Waterborne Pathogens Control 3/05/14
Last Updated: 5/24/16