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3. Table of Content
• Intro • Emergency management
• Vehicle Safety • Workplace Violence
• Office safety • Bloodborne pathogen
• Fire Safety • Electric Safety
• Hazardous • Questionnaire /Exam
Communications

4. Introductions
Why do we have
Environmental Health &
Safety Training?
Employers and
Employees legal
responsibilities
Joint Commission
Accreditation
requirement
Provide and maintain
safety in the workplace –
contact an EOC member
with concerns or
questions

5. WHO IS RESPONSIBLE FOR
SAFETY?
ALL OF US!!
Employer Employee
Take safety seriously!
Furnish a work
environment that is free Use safety equipment
for recognized hazards and be aware of safety
that are likely to cause hazards
serious harm or death
Report all near misses,
Shall comply with OSHA accidents and safety
requirements concerns
Fix or report hazards
immediately!

6. MCMHA Environment of Care
Committee members
Jim Brown - Safety Officer/Human Resources/ Chair 384-0283
Tim A. - Co-Chair and Consumer Representative 243-6401
Renee Petkovich - Vice Chair/ Training and Contracts 384-8728
Ellen Graves - Nurse/Infection Control Contact 384-8558
Rich Allison - Facilities Tech 734-915-0435
Robyn Jondro - Administration 384-0150
Eliot Garcia - MI Adult 384-8866
Liz Wilkerson - Provider Representative 734-915-0871
Michelle Kinsey - Vivian Home Manager/ Group Home Rep. 734-777-0623
Marge Slick -Consumer Advocate 734-241-5881
Dr Hanke - Medical Director/ Emergency management 384-8854
Geralyn Harris - Chief Clinical Officer 384-8761

7. How We Improve the Safety Process
Environment of Care / Safety Committee Meetings
COMMITTEE CHARGE
Monroe CMHA is cognizant of its responsibilities to provide an environment
conducive to the health and safety of all employees, consumers, providers,
visitors, and neighbors. To accomplish this, the committee is responsible for
the following:
Assessment of the environment of care
•Assess post incident assessment/review on near miss or accidents.
•Assess environment for safety and control hazards
•Assess effectiveness of the safety program.
•Assess incidents of workplace accidents and injuries to create systemic
changes for prevention.

8. How We Improve the Safety Process
Environment of Care / Safety Committee Meetings
RESPONSIBILITIES CON’T
Policies and procedures to ensure risk free environment
•Safety Management
•Security Management
•Hazardous materials and waste management
•Emergency management
•Fire safety
•Utilities management
•Medical Equipment
Education
•Provides education to staff, consumers, and providers of service to instill a positive
and cooperative safety culture.
•Communication on EOC activities to consumers and staff on routine basis.
•Job specific training will be maintained and current.
•Educate staff on their role of inspecting the environment and engaging in appropriate
actions.

9. Did you know that…
Every year lives are lost because safety precautions weren’t
taken.
180
157
160
140
120 123
120
100 93
80 # of workers
60
40
20
0
2006 2007 2008 2009

10.  Driving is something we do daily.
 It’s the most dangerous thing we do!
40,000 people die each year
115 people who leave home today will never return

11. MOST frequent causes of accidents
Inattention to detail Driving too fast for
conditions
Speeding
Failed to yield
DWI/DUI
Other factors:
Physical Road conditions Tires tread wear/pressure
Weather conditions Brakes
Vehicle Maintenance:

12. Driving Dangers
safety equipment properly – seatbelts only work
when they are on and Airbags work best in conjunction
with seatbelt use!
Using Cell Phones and Texting while driving KILLS!
Foul Weather can be – rain, snow, fog, hail, ice, blowing and
flooding.
Be safe – make sure the car lights, wipers and tires are working and in
good condition.
Be Careful – don’t drive in or thru water, hail, smoke or thick fog . Pull
over , drive around or wait it out!
Slow down! Tap brakes to stop. Avoid passing!

13. Driving Safety Tips
Quick Check Process before Driving
Defensive Driving Techniques on the Road
Rules of the Road/General Safety Rules

14. Pre-Trip Inspection
Take a walk around Inside your vehicle
your vehicle.  Adjust your seat and
 Windows clean/no fasten seat belt
damage? Washer fluid?  Check and adjust all
 Lights/signals clean & Mirrors
working.  Adjust your Headrest
 Tires properly inflated /  Assure doors fully closed
tread wear. and secured
 Fluid leaks on the ground.  Scan the gauges
 Adjust the vents, windows,
heater & air conditioner
Make sure you’re emotionally ready to focus on
driving!

15. What is YOUR Mental Presence?
Stress / Emotions / Attitudes
Drowsiness / Fatigue
Vision / Hearing

17. Get the Big Picture when Driving
Scan the road ahead Keep your eyes moving.
City (Approx. 1 block) Check your mirrors every 5
seconds.
Rural (Approx. 1/4 mile)
Railroad crossings - use caution!
Look out for On/Off Ramps
The cross buck is found at
Obey speed limits posted. most public crossings.
Speed limits designed for These signs should be treated
autos; larger vehicles like in the same manner as a yield
SUVs and Trucks need to go sign.
slower.
Emergency Vehicles
Exits merging downhill are
particularly dangerous. Immediately move to the right
of your lane, to another lane,
Adjust speed and position or to the shoulder if possible.
Be familiar with If moving right is not possible,
surrounding stay where you are. Do not
move left.

18. Shaded Areas - Just after the rain begins.
The oil mixes the water
and makes the road very
slippery
Bridges -
Hydroplaning.
Melting Ice - Release the accelerator.
Do not brake.
Black Ice -
Occurs at speeds as low
as 30 mph.
Worn tread and low tire
Vehicle Ice - pressure.
(The road is icing
up!

19. Getting Unstuck
 Turn wheels side to side a few times to push
snow out of the way.
 Lightly touch gas; ease forward.
 Rock the vehicle if necessary
 Shift from forward to reverse and lightly touch gas.

20. Winter Driving -Take Along
Equipment & Supplies
Scraper with brush on one end
Snow shovel/Flashlight
Warm clothes/gloves , hat + boots
Abrasive materials (cat litter,
sand, salt)
Jumper cables
Warning devices (flares)
Sleeping bag or blankets
light/matches, candle & high
energy food

21. Accident Reporting
Report any accident immediately, no matter how minor.
Get a police report whenever possible

22. Vehicle Accident
If the vehicle is in an accident staff should follow these four steps in
order
• First – secure the scene provide first aid and safety to
all involved!
• Second – Call 911 or dispatch (if no apparent injuries).
• Third – Call for towing if vehicle is not safe to drive
back to CMH
• Fourth – Call CMH and speak to a supervisor – no
messages you need to tell a management staff directly.
If there is smoke , steam or a smell of something burning –
DO NOT KEEP DRIVING!
Pull over and get out! There could be a fire!

23. Vehicle Safety
Types of Loss
 Staff Loss
 Physical Damage Damage to Vehicle
Property Damage Destroyed Property -
Medical Costs - Yours & Passengers
Liability Costs Other Vehicle(s) physical damage
 Financial Loss

24. Office Safety
Watch your step
Prevent back injuries
What is ergonomics?
Does your desk fit you?
Stretch and feel better

25. Avoiding
Slips, Trips and Falls
Walk carefully – tile, wet floors and objects on floors
are safety hazards!
Don’t carry objects too tall to see over.
Use a ladder – not a chair, box or countertop.
Keep cords out of walkways
Keep your hands at your side not in your pockets!
Walk – do NOT run.
Use handrails and pay attention where your going.
Report burnt out lights or loose flooring immediately!

26. Save Your Back
Bend at knees and hips when lifting
Keep your body in a straight line – do not Twist!
Do not lift items over your shoulders.
Ask for assistance from Facilities!
Let your legs do the lifting not your back.

27. Ergonomics
The science of fitting your job to your body.
Desk set up is important to your body

28. Stretching – it does your body GOOD!
1. Just stand up – you should stretch at least once every half hour -
stand up without using your hands.
2. Reach over your head as far as your can
• While stretching bend to the left then the right to do side stretches
3. Shrug your shoulders to release the neck and shoulders
4. Make a fist with both hands then spread your fingers as far as you
can!
5. Move the air – by making circles with your hands then bigger ones by
rolling your shoulders.
6. Turn your head slowly from side to side
7. Pull your legs to your chest and hold for 5-10 secs
8. Stretch your fingers - interlace your fingers - palms facing your body
then slowly turn your palms outward away from your body.

29. Fire Safety
R.A.C.E. – what you do during a fire
P.A.S.S. – how to use the fire extinguisher
Where are the safety locations?
What kind of extinguishers do we have?
Preventing fires!

30. Fire Drills
Provide practice and critique of our Fire Training & Response
Occur on an unannounced basis
Are required by Joint Commission and require full participation
Performed Quarterly
Relocation Site
Raisinville building - Parking lot across the street.
Vivian House – fire Pole
Clubhouse –
New Directions -

31. Exit the Building Quickly
R – Rescue those in the immediate area of the fire
A – Activate the alarm system
(Call 911 if there is no alarm system)
C – Close all doors on the way out
E – Evacuate or Extinguish –
only extinguish very small fires!
A fire doubles in size every 60 seconds.
Fire extinguishers discharge in 10- 40 seconds.

32. How to use the extinguisher
P – Pull the pin
A – Aim the nozzle at the base of the fire
(Aim a foot above the base of a grease fire as grease will
spread if you aim directly at the base)
S – Stand about 6 to 8 feet away
S – Squeeze the trigger and Sweep back and forth
Make sure your first shot counts!
Extinguishers only last a few seconds

33. Where do we meet?
When evacuating the building always use the closest exit.
The closest exit may be behind you or not a commonly used exit.
MCMHA staff and visitors will meet at across the drive at the
Extension office parking lot – please do not block the
traffic’s ability to enter or exit.
Do not leave the scene as your supervisor is responsible to do
a head count of all employees.
MCMHA has FOUR fire drills annually but you should evacuate
ANY TIME you heard the alarm as you never know if there
is an actual fire or needed evacuation

34. Check the Label!
Fire Extinguishers are labeled for the type of Fire they are
designed to fight.
A – for combustibles like paper, cardboard, cloth or wood.
B- for grease, gases, or flammable liquids like oil, paint and gas
C – for electrical wiring and equipment
ABC – for all of the above types of fire
D for combustible metals such as sodium of magnesium
MCMHA has 13 ABC extinguishers and 2 C only extinguishers
(for the server rooms)

35. Fire Prevention
Obey “No Smoking” signs. Look for MSDS on products
Do not plug in anything no Do not store flammable
pre -approved by the IT products in the office
department building
Report any frayed or cracked Know where the closest fire
electrical cords. extinguisher is.
Be careful around the stove – Keep work areas clean and
it is still hot after you neat.
turn it off.
If you smell the faint scent of
Do not put any metal in the smoke – report it
microwaves
If you smell a strong scent of
smoke pull the fire alarm

36. Hazardous Communications
Information
You have the Right to know what industrial chemicals are
used at the worksite!
What is an MSDS?
Hazard alert symbols
NFPA Diamond

37. HazCom is about Material Safety
Hazard Communication is about
the fact that employees have both a
need and a “right to know” the hazards
and identities of the chemicals they are
exposed to when working. They also
need to know what protective
measures are available to prevent
adverse effects from occurring.
MCMHA has a HazCom program that
each affected employee should be
familiarized with.
It is your responsibility to know how
to handle chemicals safely,
understand chemical labels, and
understand the MSDS.

38. Labels
The label on a bleach container tells
you the contents, the hazard associated
with the chemical, and what part of your
body it affects.
An unlabeled container could be water
or it could be a strong acid. You do not
know what it is so you do not know what
precautions to take. Remember, you
should never remove a label from a
container!
If you have any doubt about a
label, contact your supervisor or the
facility manager.

39. Labels Provide Basic Information
The label must have the following
information:
– The chemicals name
– Hazards of the chemicals
– The manufacture’s name and address
If a label gets removed, destroyed or covered, you must put a
new label with the above information on it
H2O2 Hazards:
Siigma Manf.

40. Material Safety Data Sheets:
MSDS is a tool to give you details on the chemical and physical dangers, safety
procedures, and emergency response procedures. It includes:
1. Identity of the Chemical
2. Hazardous Ingredients
3. Physical and chemical characteristics
4. Physical Hazards such as fire or explosive nature
5. Reactivity or stability of the chemical
6. Health hazards
7. Necessary precautions to use with the chemical
8. Control measures to reduce exposure to the chemical

41. MSDSs are Always Available
A Material Safety Data Sheet
comes with every bulk
chemical purchased. Each
site has a designated area
where the MSDSs are to be
located.
If you cannot locate the
MSDS, contact your
supervisor. Your supervisor
will call to locate one to make
it readily available and
accessible to all employees.

42. Hazard Signs
Poison
Biohazard
Explosive
Radioactive
Flammable
Corrosive
High Voltage
Warning

43. National Fire Protection
Association
The higher the number the more dangerous the chemical

44. Emergency
Management
Natural disasters:
Tornados, Thunderstorms, Floods
Wild Fires, Earthquakes, Hurricanes
Evacuation plan
Emergency call sheet

45. Probable Dangers
Tornadoes – stay indoors or find shelter
Severe winter weather – stay indoors , do not travel , dress in layers
Severe Thunder storms – stay indoors, pull over if driving
Flood – Evacuate when instructed to, do not drive or walk through water
Wild Fire – Do not drive through – hot air and smoke can kill !

46. Raisinville Building

47. Be Prepared to Evacuate!
Know when and where to go if told to evacuate.
Know what to take and what you cannot take.
Have a family plan that includes pet care.
Do not risk your life – get out - Your safety comes FIRST!
Keep Calm and Do Not Panic!!
Reasons to evacuate = alarm , medical emergency, building
safety, hazardous spill, natural disaster, violent person, nuclear
accident.
Help Every CONSUMER have a planned response before it is
needed!

48. Emergency Information Sheet
My name and address is:_____________________________________
The cross streets are:_________________________________________
Call 911 for fire or medical emergency
Poison Control: 800-222-1222
My phone number is:_________________________________________
My advocate is :____________________ phone #:___________________

49. Workplace Violence
What is it?
Potential Warning Signs
Employee danger and duty to report
Master Stress – prevent violence
Building security

50. WORKPLACE VIOLENCE
 Definition : Workplace violence is any physical assault, threatening
behavior, or verbal abuse occurring in the work setting
A workplace my be any location either permanent or temporary where
an employee performs any work-related duty
 Did you Know???
 Is the second leading cause of death in the workplace overall
 Is the leading cause of death in the workplace for females
 1 out of 20 women will be the victim of a stalker

51. Is Workplace Violence an Acts of Workplace
Epidemic? Violence
CDC SAYS….. Aggravated assault
Violence has Sexual assault
reached “epidemic
Product tampering
proportions”
Sabotage
111,000 violent
incidents per year Homicide
750 - 1,000 Includes acts
workplace committed during
homicides per year robberies

52. WHAT CAUSES VIOLENT ACTS?
Disgruntled Employees, Domestic Disturbance and
Delusional Persons.
WHO COMMITS
WORKPLACE VIOLENCE?
•Employee •Vendor
•Former Employee •Family Members of
•Contractor employee or customer
•Customer

53. “PROFILE” OF A PERPETRATOR
THERE IS NO EXACT PROFILE!
But there are common precipitating factors
Disgruntled employee: Delusional Person:
•Long Tenure • Acts against
• Stressor causes Domestic violence perceived to be
violence is when external wrong
•End of the line violence spills over • No connection to
into the workplace organization
Look for patterns rather than individual warning signs
Profiles can help identify potential problems
However, they are not all inclusive or exclusive

54. WHY DO SOME PEOPLE ACT OUT?
THEY HAVE NO
SUPPORT SYSTEM
 More aggressive  Taught not to seek  “Be Tough”
help

55.  White male
 Obsessed with guns, gun
 30 - 50 years old magazines
 Problem Employee  Interested in past acts of
violence in the workplace
 History of Violent
Behavior  Makes open or veiled
threats
 Intimidates Others
 Obsessed with job
 Paranoid
 Loner
 Can’t take criticism
 Possible Substance
 Holds a grudge Abuse

56. WHAT DO I NEED TO DO?
All staff are responsible for notifying their supervisor of any threats, which they have witnessed or
received. Threats against supervisors and co-workers can foreshadow violence. Even without any
actual threat, employees should report any behavior they have witnessed which they regard as
threatening or violent, when the behavior is related or might be carried out at work or is connected to
Agency employment.
Staff are responsible for making this report, regardless of the relationship between the individual who
initiated the threat or threatening behavior. Any potentially dangerous situations must be reported
immediately to a supervisor or the Human Resource department.
The supervisor is responsible for reporting the situation to his/her Department Head. The
Department Head is responsible for ensuring that the Human Resource Director and the Executive
Director have been notified of the incident.
Reports can be made anonymously and all reported incidents will be investigated if there is sufficient
information in order to initiate an investigation. Reports or incidents warranting confidentiality will be
handled appropriately and information will be disclosed to others only on a need-to-know basis.
Acts of aggression and violent behavior should also automatically require action. When they occur,
management should tell aggressive employees to leave the workplace or have them removed. A
decision should be made regarding disciplinary action. If the employee(s) remains employed, they
should be assisted in obtaining counseling. The employee(s) that was the target of the aggression
should have their needs and concerns addressed. The Authority will actively intervene at any
indication of a possibly hostile or violent situation.

57. Be Aware!
Potential Warning Signs:
A history of violence Vows to get even
Over reacting to uncertainty Believes others are out to get
them
Paranoid or Accusing
Carries or nurses a grudge
Excessively Angry
Seems overwhelmed by money
Blames others for their or personal problems
problems
Defensive toward others
Uses abusive language
Obsessive toward someone
Throws things
Acting out of the normal
Threatening or intimidating
Very stressed
Under the influence of drugs
Difficulty coping with the daily
Shows or claims to have a events of life
weapon

58. Violence from within is most often associated with a disaffected
worker or a former employee whose personal or professional
problems escalate to the point of uncontrollable rage, frustration
or despair. Signs can include:
Loss of job or threat of Relationship problems
job loss such as divorce, break up
or separation
Discipline especially if it
seems unfair to the Domestic abuse
employee)
Substance use
Failure to receive
expected raise or Financial difficulties
promotion
Emotional problems
Ongoing conflicts with a including low self esteem
supervisor or co-worker
Not everyone who suffers from stress becomes violent!
But it is your duty to report a worker who seems in serious
trouble to a supervisor or Human Resources!!!!!

59. Master Stress versus
Stress being your Master
DO : DON’T:
• Be a problem solver not a victim • React to everything as if it is a
“Crisis”
• Remember not everything is a
crisis • Take work issues personally
• Accept that no is perfect • Be a “control freak”
• Forgive! (yourself and others) • Assign blame, blow up or worry
about the unknown
• Exercise, get rest and eat
healthy • Use alcohol or drugs to reduce
stress
• Laugh!
• Withdraw or suffer in silence
• Be cooperative and self
confident!

60. Building Security – take it seriously!
Do not lend out your ID badge
Keep doors closed – do not prop them open
Escort visitors in and out of the building
Set up a “danger signal” with coworkers
Lock up purses and valuables
Report behaviors that concern you. You may be able
to head off violence and get troubled people the
help they need!

61. Blood borne Pathogens
HIV, HBV and Hep C
Standard Precautions
Good Hygiene Practices

62. Disease
BLOODBORNE PATHOGENS are microorganisms such as viruses or
bacteria that are carried in blood and can cause disease in people. There are
many different bloodborne pathogens including malaria, syphilis, and
brucellosis, but Hepatitis B (HBV) and the Human Immunodeficiency Virus
(HIV) are the two diseases specifically addressed by the OSHA Bloodborne
Pathogen Standard.
PATHOGENS TRANSMISSION

63. HIV, HBV and Hep C
HIV - Human Immunodeficiency Virus
Causes AIDS, attacks the immune system and reduces
a person’s ability to fight disease.
HBV – Hepatitis B Virus
Infects the liver, acute illness causes liver
inflammation, vomiting, jaundice and rarely, death.
Hep C – Hepatitis C
Chronic infection can progress to scarring of the liver
(fibrosis), and advanced scarring (cirrhosis) which is
generally apparent after many years. In some cases,
those with cirrhosis will go on to develop liver failure
or other complications of cirrhosis, including liver
cancer.

64. Standard Precautions:
are a set of infection control practices used to prevent transmission of
diseases that can be acquired by contact with blood, body fluids, non-
intact skin (including rashes), and mucous membranes. These measures
are to be used when providing care to all individuals.
Hand Hygiene – wash hands for 15-20 seconds with soap and warm water
regularly
Cough Etiquette – cover your mouth and nose when coughing using bend of
elbow or hands (wash hands after cough)
Personal Protective Equipment (PPE) – gloves, mask, goggles, gown, eye
protection should be warn as needed to reduce exposure to blood born
pathogens.
Cleaning and Disinfecting - Care areas, common waiting areas, and other
areas where people may have potentially contaminated surfaces or objects that
are frequently touched (doorknobs, sinks, toilets, other surfaces and items in
close proximity to clients) should be cleaned routinely with the proper
disinfectant.
Waste disposal - puncture proof, leak proof containers and bags for biohazard
waste

65. Good Hygiene Practices
prevent the spread of infection!
Stay at home if you’re sick, DO NOT spread germs!
Wash your hands under running water with soap for 15-20
seconds. Rinse thoroughly. Use paper towel to turn off water and
open door. Dispose of towel in trash can.
Use antiseptic hand cleaner when not near a water source. Wash
hands properly as soon as possible.
Cover your Cough.
Clean frequently used areas and equipment daily.

66. Electrical Safety
Check with IT first! Do not plug it in
without permission.
Do not use an extension cord unless IT
provides it to you for that specific
purpose.
Plugs, cords and appliances should be in
good condition – not frayed, taped or
cracked!

67. Questions?
For Infection Control questions contact
Ellen Graves at 384- 8713
For Health and Safety Contact Renee
Petkovich at 384-8728
For Facilities contact Jeff Koras at 384-
8397
For IT questions contact Kevin Pierce at
384-0428