Life is hectic and uncertain in early 2020.  Covid 19, known as the corona virus in the media, is a version of the previously dangerous SARS illness that was present some years back.  SARS stands for Severe Acute Respiratory Syndrome, meaning that it primarily affects respiratory function by causing mucus buildup and trouble breathing.  Elderly and immune-compromised people are at higher risk of deadly infections, but it does not discriminate.  SARS-Covid 19 is running rampant across most countries and we are in the threshold of transmission in the U.S.  Today, Gov. Little of Idaho, declared a state wide Stay-At-Home order for non-essential personnel.  Be mindful of your actions both at work and at home.  Cleanliness is key to minimizing transfer.  Know the signs and symptoms and make wise choices to protect the health and safety of yourself and others.

Mayo Clinic Info:Signs and symptoms of COVID-19 may appear two to 14 days after exposure and can include:

• Fever
• Cough
• Shortness of breath or difficulty breathing

Other symptoms can include:

• Tiredness
• Aches
• Runny nose
• Sore throat

The severity of COVID-19 symptoms can range from very mild to severe. Some people have no symptoms. People who are older or have existing chronic medical conditions, such as heart or lung disease or diabetes, may be at higher risk of serious illness. This is similar to what is seen with other respiratory illnesses, such as influenza.

For more information 
​https://www.mayoclinic.org/diseases-conditions/coronavirus/symptoms-causes/syc-20479963

Person Protective Equipment & Requirements
By Christina Keyes, Keyes To Safety LLC

OSHA requires the use of personal protective equipment (PPE) to reduce employee exposure to hazards when engineering and administrative controls cannot provide protection by reducing exposure(s) to permissible limits.  Employers must determine if PPE should be used to protect their workers by completing a Job Hazard Analysis.  PPE programs must be implemented addressing standard PPE requirements along with special situation requirements.

PPE that may be required:
Head Protection

• Workers must wear hard hats when overhead, falling, or flying hazards exist or when danger of electrical shock is present.
• Inspect hard hats routinely for expiration date, dents, cracks, or deterioration.
• If a hard hat has taken a heavy blow or electrical shock, you must replace it even when you detect no visible damage.
• Maintain hard hats in good condition; do not drill; clean with strong detergents or solvents; paint; or store them in extreme temperatures. More than 3 stickers is an offensive to stability and is a violation by OSHA.
• Do not wear your hard hat backwards unless specifically approved by the hard hat manufacturer and your employer, must have ANSI stamp designating it to be reverse fitting (typically used by welders)

Eye and Face Protection

• Workers must wear only ANSI approved safety glasses, face shields or goggles for welding, cutting, nailing (including pneumatic), or when working with concrete and/or harmful chemicals and to protect against flying particles. Look for Z87 stamped on the frames.
• Eye and face protectors are designed for particular hazards. Be sure to select the proper type to match the hazard that is present.
• Always replace poorly fitting or damaged safety glasses as soon as possible.
• Workers needing corrective lenses must either wear ANSI approved safety glasses with prescription lenses and frames or wear ANSI approved goggles designed to be worn over their regular prescription glasses.

Foot Protection

• Employers may designate for workers to wear shoes or boots with slip-resistant and puncture-resistant soles to prevent slipping and puncture wounds.
• Safety-toed shoes are recommended to prevent crushed toes when working with heavy rolling equipment or falling objects.
• Chemical resistant shoes or NFPA rated boots may also be mandated.

 
Hand Protection

• High-quality gloves can prevent injury. Make sure that gloves should fit snugly.
• Always inspect gloves for cuts, tears and discoloration that might indicate excessive wear.
• Hands must be clean before putting gloves on and always thoroughly clean glove exteriors before removing them.
• Glove gauntlets should be taped for working with fiberglass materials.
• Workers should always wear the right gloves for the jobs (for example, heavy-duty rubber for concrete work, welding gloves for welding). Check the Safety Data Sheet (SDS, formerly called MSDS) for detailed information.
• Never use petroleum-based products (Vaseline) under gloves. They can trap chemicals against your skin if they get into your gloves

Fall Protection

• Use a safety harness system for fall protection.
• Where fall prevention cannot be installed, use a “personal fall arrest system” (PFAS). A PFAS includes an anchorage, full body harness, and connector such as a lanyard or lifeline.
• A PFAS must be rigged to limit falls to 6 feet or less without contacting any lower level and limit the arresting forces on the worker to 1,800 pounds or less.
• PFAS components, including safety harnesses, should be inspected before each use for wear, damage and other deterioration.
• PFAS should be designed, installed, and used, under the supervision of a qualified person.

Body Protection:

• Clothing to protect the body should consist at a minimum of long work pants and a sleeved shirt. When hazardous liquids, gases, vapors, fire/spark, or debris are present, the level of protection needed increases. This may include garments of Tyvek, Nomex, or PVC.
• For jobs that leave clothes very contaminated, bring a set of clean clothes to change into at the end of the day. Wash contaminated clothing separately.

Hearing Protection:

• Wherever it is not feasible to reduce the noise levels or duration of exposures, ear protective devices shall be provided and used. Ear protective devices inserted in the ear shall be fitted or determined individually by competent persons.

Respiratory Protection

• Select the correct respirator based on the hazard.
• Inspect the respirator for missing or worn respirator parts.
• Depending on the type of respirator, the employee must be medically cleared, trained and respirator fit tested prior to respirator use.
• Do not share respirators and only use the respirator that you have been fitted for.

 
To maintain quality of PPE:

• Maintain PPE in a clean sanitary, serviceable condition.
• All items have expiration periods, please check dates of expiration/manufacturing against the Manufacturer’s recommendations.
• Replace PPE if showing signs of wearing, cracking, chipping, fading, instability, or any form of misuse.
• Make sure to have PPE meet applicable recognized performance standards, such as ANSI, National Institute for Occupational Safety and Health, Mine Safety and Health Administration, etc.

 
Do Not:

• Do not use PPE in lieu of sound engineering and manufacturing practices.
• Do not use PPE without proper training in its use and limitations.
• Do not use damaged or inferior equipment.

.....Is the Control of Hazardous Energy, (29 CFR 1910.147) which is the practices and procedures necessary to disable machinery or equipment, thereby preventing the release of hazardous energy while employees perform servicing and maintenance activities.

Hazardous energies are: electrical, mechanical, hydraulic, pneumatic, chemical, thermal, and other energy sources.
29 CFR 1910.333 lists the specific requirements to protect employees working on electric circuits and equipment. This section requires workers to use safe work practices when employees are exposed to electrical hazards while working on, near, or with conductors or systems that use electric energy.

Why is controlling hazardous energy sources important?

• Employees servicing or maintaining machines or equipment may be exposed to serious physical harm or death if hazardous energy is not properly controlled.
• Craft workers, machine operators, and laborers are among the 3 million workers who service equipment and face the greatest risk.*
• Compliance with the lockout/ tagout standard prevents an estimated 120 fatalities and 50,000 injuries each year. Workers injured on the job from exposure to hazardous energy lose an average of 24 workdays for recuperation.*
• Control of hazardous energy (lockout/tagout), general industry #5 of top 10 OSHA Violations for 2015*
• OSHA Workplace Violation Fines*
  • Serious violations hold a minimum of a $7,000 dollar fine.
  • Minimum fine for a willful violation is $5,000 and can be as much as $70,000 if no deaths resulted from the violation. If an employee dies as a result of the violation, criminal charges as well as a fine of $250,000 – $500,000 can be issued
  • When a company produces a similar violation to one previously cited, they will be issued a “repeated violation” fine. A repeated violation fine can cost up to $70,000 but will depend on the severity of the initial violation.

How can you protect workers?
Each employer has the flexibility to develop an energy control program suited to the needs of the particular workplace and the types of machines and equipment being maintained or serviced.
■ Develop, implement, and enforce an energy control program.
■ Use lockout devices for equipment that can be locked out. Tagout devices may be used in lieu of lockout devices only if the tagout program provides employee protection equivalent to that provided through a lockout program.
■ Ensure that new or overhauled equipment is capable of being locked out.
■ Develop, implement, and enforce an effective tagout program if machines or equipment are not capable of being locked out.
■ Develop, document, implement, and enforce energy control procedures.
■ Use only lockout/tagout devices authorized for the particular equipment or machinery and ensure that they are durable, standardized, and substantial.
■ Ensure that lockout/tagout devices identify the individual users.
■ Establish a policy that permits only the employee who applied a lockout/tagout device to remove it.
■ Inspect energy control procedures at least annually.
■ Provide effective training as mandated for all employees covered by the standard.
■ Comply with the additional energy control provisions in OSHA standards when machines or equipment must be tested or repositioned, when outside contractors work at the site, in group lockout situations, and during shift or personnel changes.

Sequence of Lockout
(1) Notify all affected employees that servicing or maintenance is required on a machine or equipment and that the machine or equipment must be shut down and locked out to perform the servicing or maintenance.
(2) The authorized employee shall refer to the company procedure to identify the type and magnitude of the energy that the machine or equipment utilizes, shall understand the hazards of the energy, and shall know the methods to control the energy.
(3) If the machine or equipment is operating, shut it down by the normal stopping procedure (depress the stop button, open switch, close valve, etc.).
(4) De-activate the energy isolating device(s) so that the machine or equipment is isolated from the energy source(s).
(5) Lock out the energy isolating device(s) with assigned individual lock(s).
(6) Stored or residual energy (such as that in capacitors, springs, elevated machine members, rotating flywheels, hydraulic systems, and air, gas, steam, or water pressure, etc.) must be dissipated or restrained by methods such as grounding, repositioning, blocking, bleeding down, etc.
 (7) Ensure that the equipment is disconnected from the energy source(s) by first checking that no personnel are exposed, then verify the isolation of the equipment by operating the push button or other normal operating control(s) or by testing to make certain the equipment will not operate.
 (8) The machine or equipment is now locked 
​
Restoring Equipment to Service
When the servicing or maintenance is completed and the machine or equipment is ready to return to normal operating condition, the following steps shall be taken.
(1) Check the machine or equipment and the immediate area around the machine to ensure that nonessential items have been removed and that the machine or equipment components are operationally intact.
(2) Check the work area to ensure that all employees have been safely positioned or removed from the area.
(3) Verify that the controls are in neutral.
(4) Remove the lockout devices and reenergize the machine or equipment.
Note: The removal of some forms of blocking may require re-energization of the machine before safe removal.
(5) Notify affected employees that the servicing or maintenance is completed and the machine or equipment is ready for use.
*For more information and statistics refer to website www.osha.gov

By Christina Keyes

                Risk Management is the process of identifying, assessing, responding to, monitoring and controlling, and reporting risks. Creating a Risk Management Plan is necessary for maintaining a safe working environment for your employees and it also helps ensure success long-term.  Identifying risks applies to all areas, not just safety.  The Risk Management plan outlines activities and how they will be performed, recorded, and monitored. 

Procedures for creating a Project Risk Management Plan:

ROLES AND RESPONSIBILITIES
The Risk Management Team typically consists of:  Facility Representative, Risk Manager or Project Manager, an Integrated Project Team, Risk Owner(s), and Other Key Stakeholders.  Each position is equally important with key roles in the development and completion of the project.

RISK IDENTIFICATION
Risk identification will involve the project team and stakeholders; and will include an evaluation of environmental factors, organizational culture and the project management plan.  Key elements reviewed are project deliverables, assumptions, constraints, cost/effort estimates, resource plan, and other key project documents.  Methods used to assist in the identification of risks are brainstorming, interviewing, SWOT (strengths, weaknesses, opportunities, and threats, diagramming, etc  A Risk Management Log will be generated and updated as needed. 

RISK ANALYSIS
All risks identified will be assessed to identify the range of possible project outcomes.  Risks will be prioritized by their level of importance.  Qualitative Risk Analysis shows the probability and impact of occurrence for each identified risk.  Risks that fall within the RED and YELLOW zones, Quantitative Risks, will have risk response plan which may include both a risk response strategy and a risk contingency plan.

RISK RESPONSE PLANNING
Each major risk (those falling in the Red & Yellow zones) will be assigned to a risk owner for monitoring and controlling purposes to ensure that the risk will not “fall through the cracks”. 
For each major risk, one of the following approaches will be selected to remediate the risk:
•             Avoid – Eliminate the threat or condition
•             Mitigate –reduce the probability or the impact
•             Accept – Nothing will be done
•             Contingency –Define actions to be taken in response
•             Transfer – Shift the consequence of a risk to a third party (buy insurance, outsourcing, etc.)
For each risk that will be mitigated, the project team will identify ways to prevent the risk from occurring or reduce its impact.  This may include prototyping, adding tasks to the project schedule, adding resources, etc.  Any secondary risks that result from mitigation will be documented.

RISK MONITORING, CONTROLLING, AND REPORTING
The level of risk on a project will be tracked, monitored and controlled and reported
RISK CONTINGENCY BUDGETING
A risk contingency budget can be established to prepare in advance for the possibility that some risks will not be managed, this allows for funding availability to keep your project from going over budget.

​CLOSING A RISK
A risk will be considered closed when it meets the criteria identified in the Risk Management Plan.  All avenues have been accounted, risks that have been accepted have been mitigated and planned for accordingly.  Authority to close the risk must be decided at the time of creating the Risk Management Plan.

Bloodborne Pathogens, Rights & Responsibilities
OSHA's Bloodborne Pathogens standard (29 CFR 1910.1030) as amended pursuant to the Needlestick Safety and Prevention Act of 2000, prescribes safeguards to protect workers against the health hazards caused by bloodborne pathogens. Its requirements address items such as exposure control plans, universal precautions, engineering and work practice controls, personal protective equipment, housekeeping, laboratories, hepatitis B vaccination, post-exposure follow-up, hazard communication and training, and recordkeeping. The standard places requirements on employers whose workers can be reasonably anticipated to contact blood or other potentially infectious materials (OPIM), such as unfixed human tissues and certain body fluids.

Bloodborne Pathogen: germs in the blood that can make people sick
Bloodborne Pathogen
Additional Symptoms & Long-Term Effects

Hepatitis B Virus/Hepatitis C Virus

• Yellowing of the skin or whites of eyes
• Feeling tired
• Pain in abdomen
• Nausea, vomiting, diarrhea
• Loss of appetite
• Damage to the liver
• Can lead to death

HIV

• Extreme unexplained tiredness
• Poor appetite w/rapid weight loss
• Unexplained fever
• Swollen glands
• Increased chance of other illnesses
• Can cause Acquired Immune Deficiency Syndrome (AIDS)
• Can lead to death

www.cdc.gov/niosh/topics.bbp

Bloodborne Pathogens can enter the body and make a person sick by

• A needle stick or other sharp object that has infected blood on it
• Infected blood or blood-containing material enters into your eye, nose, mouth, or any opening in the skin

*Exposure does not always indicate infection will spread.  Risk is based on the amount of pathogen that enters the body vs. the body’s ability to fight the pathogen, treatments are available to decrease your risk of sickness after an exposure.

American Heart Association recommendation for exposure, Make a P.A.C.T.

P
Protect yourself from blood or blood-containing materials

A
Act quickly and safely

C
Clean the area that has blood or blood-containing materials

T
Tell your supervisor about the incident

 *Always remember Scene Safety, do not put yourself in harm’s way.
            Equipment in operation, electrical exposure, chemical exposure, slick surfaces, etc.
 
Universal Precautions = PPE
A person cannot look at blood and determine that there is a bloodborne pathogen, the use of Universal Precautions can minimize exposure.

For Exposure:

• Remove Gloves if worn, immediately wash hands for at least 20 seconds with warm water and antibacterial liquid soap.
• If blood or blood containing materials comes in contact with eyes, nose, mouth, or open wounds flush for 5 minutes at least and seek medical care

 Spill Containment and Reporting:

• Put on PPE

• Clean surface with approved surface cleaner
• The use of a Spill Kit may be necessary for larger incidents
• Remove all PPE and any other items that may have been contaminated
• Dispose of contaminated items properly
• Wash hands/clean yourself; seek healthcare professional if concerned with BBP Exposure
• Fill-out appropriate report and follow-up with necessary meetings

• *Follow all workplace procedures as written in the H & S Bloodborne Pathogen Program as mandated by OSHA/NIOSH

 
Disposal of Contaminants:

• Any blood or blood containing materials
• Needles
• Miscellaneous materials contaminated with blood or blood containing materials