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 |
| EMERGENCY PREPAREDNESS | ||
| EP-08-001 | Code Yellow - Mass Casualty Disaster Procedure | 8/9/24 |
| EP-08-002 | Code Gray - Severe Weather/Tornado Response Procedure | 5/6/24 |
| EP-08-002 Appendix A | Code Gray - Severe Weather/Tornado Safe Waiting Locations | 9/26/24 |
| EP-08-003 | Code Orange -Emergency Management of Hazardous Chemical and Radioactive Contamination Cases Within the Emergency Department | 6/18/24 |
| EP-08-003F1-5 | Code Orange Figures 1-5 | 6/18/24 |
| EP-08-004 | Code Black - Bomb Threats | 12/6/24 |
| EP-08-004Addendum | Bomb Threat Checklist | 12/6/24 |
| EP-08-005 | Code Green - Internal Evacuation Procedure | 12/05/24 |
| EP-08-006 | Emergency Preparedness Drills | 1/4/24 |
| EP-08-007 | Emergency Procedures for Off-Campus Locations | 5/3/24 |
| EP-08-008 | Code White -Emergency Staffing Due to Severe Weather/ Snow Storm | 2/1/24 |
| EP-08-009 | UTMC Emergency Operations Plan | 1/11/24 |
| EP-08-010 | Infectious Disease Agent Plan for Campus Operations | 9/7/22 |
| EP-08-011 | Emergency Communication System Plan | 4/26/24 |
| EP-08-012 | Mass Fatality Plan | 2/9/24 |
| EP-08-014 | Code Copper - Communication Involving Utility Failure | 8/23/24 |
| EP-08-014 Appendix A | Code Copper - If Loss of Water, Steam, Electrical | 8/23/24 |
| EP-08-014 Appendix B | Code Copper - System Failure, Basic Staff Response | 8/23/24 |
| EP-08-015 | Code Violet - Violent Situation | 8/5/24 |
| EP-08-016 | Continuity of Operations Plan | 5/10/24 |
| EP-08-017 | Infectious Disease Agent and Max Surge Plan | 4/12/23 |
| EP-08-018 | Disaster Volunteer Deployment Managment Plan | 7/2024 |
| EP-08-019 | Institutional Emergency Operations Plan | 1/2024 |
| EP-08-020 | Flood Emergency Response Plan | 12/10/24 |
| SAFETY | ||
| S-08-000 | Safety Management Plan |
1/2024 |
| S-08-001 | Institutional Safety and Health Programs | 06/2/24 |
| S-08-002 | Institutional Safety and Health Committees | 9/13/22 |
| S-08-003 | Safety & Health Training | 9/21/22 |
| S-08-004 | Aerial Work Platforms/Scissors Lift | 12/20/23 |
| S-08-005 | Injury and Illness Investigations | 11/7/22 |
| S-08-006 | Passengers Inside Malfunctioning Elevators | 9/21/22 |
| S-08-007 | Environmental Safety Rounds | 5/14/24 |
| S-08-008 | Fleet Safety Program | 4/24/23 |
| S-08-008 Appendix A | Fleet Safety Program Forms | 4/20/22 |
| S-08-009 | Portable Space Heaters | 5/6/22 |
| S-08-010 | Fall Protection Program | 8/22/23 |
| S-08-011 | Specimen Transport in Computerized Tube System | 12/16/22 |
| S-08-012 | Super Conducting Magnets (MRI/NMR) | 03/08/23 |
| S-08-013 | Tent Safety Procedure | 4/24/24 |
| S-08-014 | Control of Hazardous Energy Sources (Lockout/Tagout) and Electrical Safe Work Practices | 9/30/22 |
| S-08-015 | Proper Storage Procedures and Maintenance of Storage Areas | 5/6/22 |
| S-08-016 | Emergency Eye Washes and Safety Showers | 1/26/23 |
| S-08-017 | Summoning Emergency Medical Assistance for Injured Persons on Campus | 9/21/22 |
| S-08-018 | Reporting Work Related Injury/Illness for Employees, Student Employees and Students | 10/21/22 |
| S-08-019 | Confined Space Entry Permit Program | 12/09/22 |
| S-08-019 Appendix A | Confined Space Classification Form | 12/09/22 |
| S-08-020 | Electrically Powered Devices | 5/12/23 |
| S-08-021 | Foot Protection/Eye Protection (Safety Shoes/Prescription Safety Glasses) | 1/20/23 |
| S-08-022 | PERRP 300 Illness & Injury Log Recordkeeping | 10/28/22 |
| S-08-023 | Report of Animal Bites | 1/7/22 |
| S-08-024 | Crane and Hoist Safety Program | 9/11/24 |
| S-08-025 | Ergonomics | 11/3/22 |
| S-08-028 | Environmental Focus | 12/16/22 |
| S-08-029 | Hearing Conservation Program | 4/29/22 |
| S-08-030 | Reporting Safety and Health Concerns | 9/21/22 |
| S-08-031 | Laboratory Fume Hoods | 3/21/22 |
| S-08-032 | Personal Protective Equipment | 3/08/23 |
| S-08-032 Appendix B | Hazard Assessment and Selection of Personal Protective Equipment | 3/08/23 |
| S-08-033 | Right of Refusal to Work | 9/21/22 |
| S-08-034 | Respiratory Protection Program | 12/14/22 |
| S-08-037 | Extension Cords | 9/19/24 |
| S-08-039 | Tagging of Defective Equipment | 8/21/22 |
| S-08-040 | Inspection of Non-Patient Care Electrical Equipment | 8/23/22 |
| S-08-043 | Campus Hallways | 5/11/23 |
| S-08-045 | Inspection Procedures (Regulatory Agencies) | 9/21/22 |
| S-08-046 | Powered Industrial Trucks | 1/21/22 |
| S-08-047 | Biological Safety Cabinets | 10/31/22 |
| S-08-048 | Automated External Defibrillator | 10/03/24 |
| S-08-049 | Performing Hot Work, Hot Work Permit | 11/10/22 |
| S-08-050 | Cannon Safety Procedure (UT Home Football Games) | 9/5/22 |
| LIFE SAFETY | ||
| LS-08-000 | Fire Safety Management Plan | 1/2024 |
| LS-08-001 | Code Red - Fire Response Procedure | 1/22/24 |
| LS-08-002 | Code Red – (Fire) Drills | 12/6/24 |
| LS-08-004 | Fire Response Team Training | 1/10/24 |
| LS-08-005 | Fire Extinguisher Location/Placement, Testing and Maintenance | 8/11/22 |
| LS-08-006 | Testing of Fire Alarm and Fire Suppression System in Patient Care Areas and Residence Halls | 1/2/23 |
| LS-08-007 | Holiday Decorations and Signage | 5/5/22 |
| LS-08-008 | Interim Life Safety Measures and Infection Control in Areas of Construction and Renovation | 6/15/23 |
| LS-08-008 Appendix A | Impairment Procedures Flow Chart | 6/15/23 |
| LS-08-008 Appendix B | University of Toledo Construction and Renovation Forms | 6/15/23 |
| SECURITY MANAGEMENT | ||
| SM-08-000 | Security Management Plan | 1/2024 |
| SM-08-001 | Guidelines for Contacting the Campus Police Department | 1/4/22 |
| SM-08-002 | Code Adam -Missing Child/Abducted Child | 2/15/24 |
| SM-08-003 | Elevated Security/Lockdown | 9/4/24 |
| SM-08-004 | Code Brown -Missing Adult Patient | 2/7/24 |
| SM-08-005 | Universal Card Access System (Prowatch) | 4/20/23 |
| HAZARDOUS MATERIAL | ||
| HM-08-000 | Hazardous Materials and Waste Management Plan | 1/2024 |
| HM-08-001 | Collection, Storage, Transport and Disposal of Hazardous Waste | 3/15/22 |
| HM-08-002 | Laser Systems | 10/7/22 |
| HM-08-002 Appendix A | Laser Safety Manual | 10/7/22 |
| HM-08-003 | Compressed Gas and Cryogenic Materials Transport, Use and Storage | 2/12/24 |
| HM-08-004 | Aboveground and Underground Storage Tanks | 2/23/24 |
| HM-08-005 | Handling of Hazardous Drugs (HD) i.e., Antineoplastic and Carcinogenic Agents | 12/10/21 |
| HM-08-006 | Radioiodine Bioassay | 9/27/22 |
| HM-08-007 | After Hours Receipt of Packages Containing Radioactive Material in Research | 9/27/22 |
| HM-08-008 | Radiation Worker Pregnancies | 9/27/22 |
| HM-08-009 | Biosafety and Biosecurity Manual | 11/29/22 |
| HM-08-010 | Radiation Safety | 9/27/22 |
| HM-08-011 | EPA – Air Containment Compliance | 3/13/24 |
| HM-08-013 | Hazardous Material Spill Procedures | 12/10/21 |
| HM-08-014 | Radiation Exposures from Non-University Facilities | 9/27/22 |
| HM-08-015 | Minors in Research Laboratories | 5/26/22 |
| HM-08-016 | Environmental/Occupational Monitoring and Medical Surveillance | 1/4/23 |
| HM-08-017 | Sterilant/Disinfectant Safe Work Practices | 10/7/22 |
| HM-08-018 | Hazard Communication | 4/25/22 |
| HM-08-019 | Infectious Waste Disposal | 11/03/23 |
| HM-08-020 | Disposal and Transportation of Sharps | 6/29/23 |
| HM-08-022 | Anesthesia Safety and Oxygen Enriched Atmosphere Safety | 5/11/23 |
| HM-08-023 | Personnel Radiation Monitoring | 10/10/24 |
| HM-08-024 | Lead Garment Inspection, Identification, and Care | 3/12/23 |
| HM-08-025 | Asbestos Management Plan | 6/15/23 |
| HM-08-026 | Laboratory Chemical Hygiene Plan | 1/16/24 |
| HM-08-026 Appendix A | Laboratory Specific Chemical Hygiene Plan | 1/16/24 |
| HM-08-026 Appendix B | Laboratory Safety and Health Manual and Institutional Chemical Hygiene Plan | 1/16/24 |
| HM-08-026 Appendix C | Toxic Chemical Use Approval Form | 1/16/24 |
| HM-08-027 | Hazardous Material Fire Safety | 9/21/22 |
| HM-08-028 | Teratogens Safe Work Practices | 5/12/22 |
| HM-08-029 | Overexposure to Radiation | 9/27/22 |
| HM-08-030 | Select Agent and Toxins - Handling, Storage & Access | 10/10/22 |
| HM-08-031 | Shipping, Packaging and Receipt of Hazardous Materials | 9/12/22 |
| HM-08-032 | Management of Suspicious Packages | 6/21/22 |
| HM-08-033 | Universal Wastes, Waste Minimization and Pollution Prevention | 5/24/23 |
| HM-08-034 | Indoor Air Quality (IAQ) Investigations | 9/21/22 |
| HM-08-035 | Mold Prevention and Remediation | 3/13/24 |
| HM-08-036 | Spill Prevention Control and Countermeasures Plan | 3/31/20 |
| HM-08-037 | Equipment Inspection Procedure | 9/21/22 |
| HM-08-038 | Nanotechnology Safe Work Practices | 1/6/22 |
| HM-08-039 | Department of Homeland Security Chemical Terrorism Vulnerability Information | 3/19/24 |
| HM-08-040 | Radiation Safety Hybrid Flexmove FD20 | 8/3/22 |
| HM-08-041 | Stormwater Management Program | 8/23/23 |
| HM-08-042 | Emergency Contingency Plan for Hazardous Materials Incidents | 3/18/24 |
| HM-08-047 | Fluoroscopy Training Requirements | 8/20/24 |
| HM-08-048 | Medical Event Involving Radiation Generating Equipment | 1/2023 |
| HM-08-049 | Fluoroscopic System Interventional Users | 11/08/24 |
| HM-08-050 | Medical Event Involving Radioactive Material | 8/26/24 |
| HM-08-051 | Radiation Safety Committee | 12/1/22 |
| HM-08-052 | Non-Clinical Authorizers Users of Radioactive Materials | 1/19/22 |
| HM-08-053 | Communication of New and Revised Policies for Non-Medical Radiation Generating Equipment | 6/12/23 |
| MEDICAL EQUIPMENT | ||
| ME-08-000 | Medical Equipment Management Plan | 1/2024 |
| ME-08-001 | Wireless Communication Device Restrictions | 1/25/24 |
| ME-08-002 | Medical Device Occurrences | 1/25/24 |
| ME-08-003 | Product Alert/Recall/Hazard | 3/7/23 |
| ME-08-004 | Patient and Staff Personal Electrical Equipment | 12/29/22 |
| ME-08-005 | Defibrillator Testing | 1/7/22 |
| ME-08-005 Addendum | Defibrillator/Pacer Checklist | 1/7/22 |
| ME-08-007 | Testing of Patient Care Electrical Equipment | 1/25/24 |
| ME-08-008 | Medical Equipment Management | 12/29/22 |
| ME-08-009 | Equipment Inspection Documentation | 1/25/24 |
| ME-08-010 | Non-Repairable Equipment | 1/25/24 |
| ME-08-011 | Borrowed Medical Equipment | 3/15/24 |
| ME-08-011 Appendix A | Borrowed Medical Equipment Form | 3/15/24 |
| ME-08-012 | Clinical Alarm Systems | 5/4/23 |
| ME-08-020 | Rental/Loaner/Trial/Short Term Lease Equipment | 3/15/24 |
| ME-08-021 | Defective Equipment | 1/4/24 |
| ME-08-021 Appendix A | Emergency Response Action for Patient-Care Equipment Failure | 1/4/24 |
| UTILITY SYSTEMS | ||
| US-08-000 | Utility Management Plan | 1/2024 |
| US-08-002 | Airborne Pathogens Control | 2/02/23 |