1. Programmed Inspections John Furman Occupational Nurse Consultant Dept. Labor & Industries

2. Programmed Inspections   Inspections of worksites which have been scheduled based upon history or department emphasis targeted; or scheduled

3. High Hazard Industries  Maritime  Agriculture  Construction  High voltage  Logging  Health care

4. Emphasis Programs  Fuel refinery  Pesticide handling in agriculture  Diacytel  Combustible dust  Crane safety  Health care

5. Recent Healthcare Evaluations  Safer sharps devices  Formaldehyde exposure  Anesthetic gas exposure  Airborne isolation  Workplace violence prevention  Antineoplastic agent exposure

6. Exemption An employer who has received a comprehensive onsite consultation visit is exempt from programmed inspections within the same discipline as the comprehensive visit (safety, health or both) at that worksite for the next twelve months.

7. Program Related Inspections of employers at multi- employer worksites whose activities were not included in the programmed assignment are called “programmed related.”

8. Host Employer  Host employers may be held responsible for addressing hazards under their control PPE use PPE use Device use Device use Haz Com Haz Com Emergency response Emergency response Workplace violence Workplace violence

9. Comprehensive Inspections   A substantially complete inspection of the employer’s written programs and the potentially high hazard areas.   Inspections will be health (industrial hygiene) focused

10. Inspection Priorities   Priority Category Imminent Danger Fatality/Catastrophe Investigations Complaints/Referrals Follow-up or Monitoring Inspections Programmed Inspections

11. DOSH Consultation   An onsite DOSH Consultation in progress has priority over a programmed inspection.   A programmed inspection will normally only be deferred or canceled if a Consultation visit is actually in progress.

12. Multi-Employer Worksite   If an organization has invited a DOSH Consultant on site, the Consultant will be considered on site with respect to the entire worksite.   If a DOSH Consultant has been invited by one of the subcontractors the programmed inspection of the entire worksite will not be deferred.

13. Advanced Notice CSHOs must not normally make appointments to conduct programmed inspections.

14. Complaints   If a complaint is received about a worksite, and the employer is on a programmed inspection list, a comprehensive inspection should be performed whenever possible.   When the scope of a complaint inspection is converted to comprehensive, the CSHO should inform the employer that they are scheduled for an inspection, and that there is also a complaint.

15. Strike or Labor Dispute Programmed inspections may be deferred during a strike or labor dispute between a recognized union and the employer, or between two or more unions competing for bargaining rights in the establishment.

16. Hospital Inspections  State-wide  DOH licensed facilities  Unannounced  Industrial Hygiene focused

17. Main Players  Administration Representative  Labor representative  Safety Officer  Facilities Manager  Risk Manager  Infection Preventionist  Occupational Health Manager

18. Documents  OSHA 300 log  Accident Prevention Program  Chemical Hazard Communication Program  Emergency Action Plan  Lock-out/Tag-out Program

19. Documents  Bloodborne Pathogens Exposure Control Plan  Sharps Injury Log  Hepatitis B Vaccination Program  Tuberculosis Control Plan  TB Medical Surveillance Program

20. Documents  Infection Isolation Program (standard, contact, droplet, airborne isolation)  Respiratory Protection Program  Workplace Violence Prevention Program  Hearing Conservation Program  PPE Hazard Assessment and Certification

21. Documents  Confined Space Program  Laboratory Chemical Hygiene Plan  Laboratory Biosafety Plan  Biological Safety Cabinet Maintenance Records  Industrial Hygiene Exposure Monitoring (formaldehyde, anesthetic gases, noise)

22. Compliance  Program review  Documentation  Walk-around  Employer interview  Employee interview

23. Opportunity to Shine