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EH&S Annual Report 2011 - UCLA - Environment, Health & Safety

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www.ehs.ucla.edu<br />

Summer 2012<br />

<strong>Annual</strong> <strong>Report</strong> Edition<br />

News & Notes<br />

Volume 4, No. 2 501 Westwood Blvd . Los Angeles, CA 90095-1605<br />

Since 1978<br />

We are pleased to present the second EH&S <strong>Annual</strong> Review. The <strong>Annual</strong> Review highlights the accomplishments of EH&S’<br />

core programs and provides a snap-shot of the safety resources available to the campus community. In <strong>2011</strong>, EH&S<br />

programs have proven to be successful by improving compliance, decreasing the number of repeat incidents, reducing<br />

regulatory fines, protecting employees and creating a culture of safety. These accomplishments reflect the strong commitment<br />

of EH&S’ employees and the entire campus community toward creating a safe and healthy environment.<br />

UC Center for Laboratory <strong>Safety</strong><br />

In <strong>2011</strong>, the UC Center for Laboratory <strong>Safety</strong> was created<br />

to improve the practice of laboratory safety through the<br />

performance of scientific research and implementation<br />

of best safety practices in the laboratory. The mission of<br />

the Center is to:<br />

Sponsor and support research in laboratory safety<br />

Develop and translate applied best practices research<br />

Facilitate implementation and optimization of<br />

laboratory safety practices<br />

Director’s Note<br />

As our <strong>2011</strong> <strong>Annual</strong> Review illustrates, EH&S continues to<br />

improve both productivity and the breadth and level of services<br />

provided to the campus community. Our Research <strong>Safety</strong><br />

Program continues to make remarkable progress and is<br />

approaching 100% compliance with our performance metrics.<br />

Fewer non-compliant findings during PPE inspections is good<br />

news and suggests greater awareness of the importance of<br />

PPE in laboratories and a positive shift in our safety culture. As<br />

part of our continued efforts, EH&S also increased exposure<br />

assessments in labs, shops and offices. Inspections for food<br />

facilities, pools and spas remain at record levels. All in all,<br />

EH&S continues to provide essential services to the campus<br />

and is looking for ways to improve even further. If you have<br />

any suggestions or concerns, please contact the EH&S<br />

Hotline, 310-825-9797. Thank you again for your continued<br />

commitment to protecting the health and safety of our campus<br />

community. - James Gibson, EH&S Director<br />

EH&S Program Reviews<br />

Research <strong>Safety</strong> P.2<br />

<strong>Environment</strong>al Programs P.3<br />

Injury Prevention P.4<br />

<strong>2011</strong> EH&S <strong>Annual</strong> Review<br />

Fire & Life <strong>Safety</strong> P.5<br />

Training & Outreach P.6<br />

<strong>2011</strong> EH&S Highlights<br />

Revised the <strong>UCLA</strong> Employee <strong>Safety</strong><br />

Handbook and distributed it to the<br />

University’s Administrative Division.<br />

93% of the 3,000 employees from<br />

the Division have completed review<br />

of the handbook.<br />

Launched a “got safety concerns?”<br />

campaign to promote a safe and<br />

healthy environment by<br />

encouraging the campus<br />

to contact EH&S if they<br />

have any questions or<br />

safety concerns.<br />

Distributed the new <strong>UCLA</strong> Chemical<br />

Hygiene Plan to every Principle<br />

Investigator (PI) on campus.<br />

Developed an on-line standard<br />

operating procedure (SOP) library<br />

to provide guidance on the safe use<br />

of chemicals and chemical groups. There are 121<br />

SOPs in our library, which have received more than<br />

3,000 views from across the globe.<br />

SOP Library Views


2<br />

Laboratory Compliance<br />

Laboratory compliance inspections continue to be a<br />

priority of our Research <strong>Safety</strong> Division. The <strong>2011</strong><br />

inspection results – and the consistently<br />

high results in the three previous years<br />

– demonstrates EH&S’ commitment to<br />

implementing safe laboratory practices.<br />

Since 2008, inspections have increased<br />

by 234% (Figure 1).<br />

Laboratory Performance Metrics<br />

Following inspections, Laboratory<br />

<strong>Safety</strong> Officers timeline is to issue<br />

lab inspection reports the next<br />

business day. In <strong>2011</strong>, 100% of<br />

all initial lab inspection reports<br />

were issued by the next business<br />

day (Figure 2). Since 2009, lab<br />

inspection reports continue to<br />

maintain a high turnaround rate.<br />

Figure 2: Laboratory Inspection Performance Metrics<br />

Initial Inspection<br />

<strong>Report</strong>s<br />

Critical 48-Hour<br />

Re-Inspections<br />

Unannounced PPE Compliance Inspections<br />

In 2010, EH&S launched unannounced PPE compliance<br />

inspections and since have reached 477 laboratory<br />

groups (approximately 1,455 lab rooms). The number of<br />

PPE related findings found in labs during PPE inspections<br />

has decreased by 58% since August 2010. Figure 3<br />

Lab Coats<br />

displays the <strong>2011</strong> inspection results.<br />

Protection<br />

Figure Compliant 3: <strong>2011</strong> Unannounced PPE Compliance Inspections<br />

Research <strong>Safety</strong><br />

Non-Critical 30-Day<br />

Re-Inspections<br />

100% 99% 97%<br />

76%<br />

(169)<br />

Compliant<br />

76%<br />

(169)<br />

Compliant<br />

Compliant<br />

76%<br />

76%<br />

(169)<br />

(169)<br />

Non-Compliant<br />

24%<br />

(52)<br />

Non-Compliant<br />

24%<br />

(52)<br />

Non-Compliant<br />

Non-Compliant<br />

24%<br />

24%<br />

(52)<br />

(52)<br />

46%<br />

46%<br />

46%<br />

46%<br />

40%<br />

Eye<br />

Non-PPE<br />

PPE Findings<br />

2% Food/Drink<br />

Lab Coats<br />

40%<br />

2%<br />

4%<br />

6%<br />

Open-Toe<br />

Eye Shoes<br />

Protection<br />

Shorts/Skirts<br />

Non-PPE<br />

2%<br />

Lab<br />

Lab<br />

Coats<br />

Coats<br />

Food/Drink<br />

40%<br />

40%<br />

4%<br />

6%<br />

2%<br />

2%<br />

2%<br />

Eye<br />

Eye<br />

Open-Toe Protection<br />

Protection<br />

Shoes<br />

Non-PPE<br />

Non-PPE<br />

Shorts/Skirts<br />

Food/Drink<br />

Food/Drink<br />

4%<br />

4%<br />

Open-Toe<br />

Open-Toe<br />

Shoes<br />

6% Shoes<br />

6%<br />

Shorts/Skirts<br />

4,500<br />

3,000<br />

1,500<br />

0<br />

www.ehs.ucla.edu<br />

News and Notes<br />

Figure 1: Laboratory Compliance Inspections<br />

102<br />

165<br />

555 545<br />

365 451<br />

418<br />

627<br />

954<br />

255<br />

320<br />

784<br />

2123<br />

220<br />

493<br />

695<br />

2424<br />

2007 2008 2009 2010 <strong>2011</strong><br />

Laboratory Radiation Bio<strong>Safety</strong> PPE<br />

Laboratory <strong>Safety</strong> Training for PI’s<br />

In 2010, EH&S implemented a lab safety training<br />

program for Principal Investigators/Laboratory<br />

Supervisors to ensure those individuals most directly<br />

responsible for the health and safety of laboratory<br />

researchers have knowledge of the fundamentals<br />

of laboratory safety, and fully understand their roles<br />

and responsibilities. Figure 4 represents the <strong>2011</strong><br />

completion rates.<br />

Figure 4: Laboratory <strong>Safety</strong> Training for PIs<br />

Chemistry & Biochemistry<br />

Campus<br />

Completion Rate<br />

Completion Rate<br />

100%<br />

27%<br />

(221)<br />

73%<br />

(610)<br />

Research <strong>Safety</strong> Highlights<br />

Established a campus wide radioactive package<br />

opening procedure for the receipt of radioactive<br />

materials<br />

Reviewed over 870 protocols for Institutional<br />

Biosafety Committee and Animal Research<br />

Committee applications<br />

Developed and implemented a nuclear medicine<br />

patient tracking procedure to ensure hospital staff<br />

safety when working with patients that have been<br />

given radiopharmaceuticals<br />

Administered Radiation <strong>Safety</strong> courses to over<br />

400 workers


News and Notes 3<br />

Pool and Spa Inspections<br />

During pool/spa inspections for regulatory compliance,<br />

data is collected pertaining to the following:<br />

• Pool water chemistry<br />

• Filtration and recirculation systems<br />

• Management and operations<br />

The number of pools/spas inspected have increased by<br />

219% since 2008 (Figure 5).<br />

Food and Temporary Event Inspections<br />

In <strong>2011</strong>, there were over 130 food<br />

facility and temporary event inspections<br />

conducted for the 49 campus food<br />

facilities, as well as the various temporary<br />

food events, yielding a 57% increase over<br />

2007 (Figure 6).<br />

Industrial Hygiene Assessments<br />

Taking a pro-active approach to exposure assessments<br />

and mold prevention, EH&S has dramatically increased<br />

the number of IH assessments, including 63 exposure<br />

assessments for laboratories. The following assessment<br />

increases are over 2009 (Figures 7 and 8).<br />

422% exposure assessments<br />

291% mold assessments<br />

Hazardous Materials Minimization<br />

Minimizing hazardous materials on campus has been<br />

achieved by a continued effort to develop programs that<br />

focus on reducing waste and reusing our resources.<br />

• 149 lbs. of chemicals redistributed<br />

• 261 mercury thermometers exchanged<br />

• 176 tons of lab waste safely processed and shipped<br />

• 54% increase in special pick-up requests of lab waste<br />

during laboratory clean-outs (Figure 9)<br />

200<br />

100<br />

0<br />

Figure 9: Hazardous Waste Special Pick-ups<br />

96<br />

105<br />

<strong>Environment</strong>al Programs<br />

148<br />

2009 2010 <strong>2011</strong><br />

300<br />

200<br />

100<br />

0<br />

150<br />

100<br />

50<br />

120<br />

80<br />

40<br />

www.ehs.ucla.edu<br />

0<br />

0<br />

120<br />

80<br />

40<br />

0<br />

7<br />

74<br />

229 221<br />

236<br />

2007 2008 2009 2010 <strong>2011</strong><br />

86<br />

18<br />

Number of Pools/Spas on Campus<br />

84<br />

94<br />

2009 2010 <strong>2011</strong><br />

59<br />

Figure 5: Pool/Spa Inspections<br />

Figure 6: Food Facility and Temporary<br />

Event Inspections<br />

127<br />

22<br />

140<br />

48<br />

142<br />

86<br />

2008 2009 2010 <strong>2011</strong><br />

135<br />

2007 2008 2009 2010 <strong>2011</strong><br />

Number of Food Facilities<br />

Figure 7: Exposure Assessments<br />

Figure 8: Mold Prevention and Assessments


4<br />

Accident Investigations<br />

The Injury Prevention Division has significantly<br />

increased investigations of preventable accidents<br />

since 2009 (Figure 10).<br />

• In 2009, 78 accident investigations out of 737<br />

medical and indemnity injuries (11%)<br />

• In 2010, 261 accident investigations out of<br />

814 (32%)<br />

• In <strong>2011</strong>, 363 investigations were completed<br />

out of 787 (46%)<br />

• 365% increase of investigations between<br />

2009 and <strong>2011</strong><br />

Shop <strong>Safety</strong> Inspections<br />

There are 73 general use machine shops on<br />

campus, with 1,000 shop employees. The<br />

Shop <strong>Safety</strong> Coordinator inspects all shops<br />

and provides follow-up inspections (Figure<br />

11). Additionally, the Shop <strong>Safety</strong> Program has<br />

developed tools to provide consistent methods to<br />

evaluate shop hazards, select appropriate PPE<br />

and train employees in the selection, application<br />

and use of PPE for<br />

hazardous tasks. The<br />

Hazard Assessment<br />

Tool for Shops (HATS)<br />

assesses hazards and<br />

creates a written hazard<br />

assessment report.<br />

Since the introduction<br />

of HATS in <strong>2011</strong>, the<br />

benefits have included:<br />

Shop personnel identified<br />

the PPE required for<br />

job task performed and<br />

purchased the most<br />

effective PPE<br />

Employees actively<br />

participated in the PPE<br />

selections program and<br />

received specific training<br />

on their responsibilities<br />

Regulatory compliance<br />

has been 100% maintained<br />

Injury Prevention<br />

450<br />

300<br />

150<br />

0<br />

225<br />

150<br />

75<br />

0<br />

www.ehs.ucla.edu<br />

News and Notes<br />

Figure 10: Accident Investigations<br />

26 59<br />

Figure 11: Shop <strong>Safety</strong> Inspections<br />

53<br />

94<br />

78<br />

153<br />

2007 2008 2009 2010 <strong>2011</strong><br />

Number of Shops on Campus<br />

261<br />

159<br />

363<br />

2007 2008 2009 2010 <strong>2011</strong><br />

Ergonomic Evaluations<br />

146<br />

The <strong>UCLA</strong> Ergonomics program is responsible for<br />

preventing and reducing workplace musculoskeletal<br />

disorders (MSD). EH&S ergonomists have maintained<br />

a high number of ergo evaluations over the last 4 years,<br />

which has resulted in recommendations that help<br />

reduce these injuries (Figure 12).<br />

900<br />

600<br />

300<br />

0<br />

Figure 12: On-Site Ergonomic Evaluations<br />

527<br />

746 763 743 758<br />

2007 2008 2009 2010 <strong>2011</strong>


News and Notes 5<br />

Fire and Life <strong>Safety</strong> Inspections<br />

Fire and life safety inspections are a major and vital<br />

component of the Fire and Life <strong>Safety</strong> Division.<br />

As the University expands and new buildings<br />

are constructed and old<br />

buildings renovated, the<br />

number of required Title<br />

19 and Title 24 safety<br />

inspections increase. The<br />

Fire Division has maintained<br />

project schedules and inspections for over $2 billion<br />

dollars in new construction and remodel plans. The<br />

following reviews and inspections have dramatically<br />

increased over 2009:<br />

142% Plan Reviews (Figure 14)<br />

373% Title 19 inspections (Figure 15)<br />

329% Title 24 inspections (Figure 16)<br />

Evacuation Drills<br />

<strong>Annual</strong>, quarterly, and monthly evacuation drills are<br />

conducted for all the following buildings:<br />

Dormitory facilities<br />

Krieger Day Care<br />

Lab School (UES)<br />

Complex<br />

High-rise buildings<br />

An additional 41 drills were performed for various<br />

buildings. These drills ensure the proper evacuation<br />

of the campus community during an emergency.<br />

Fire <strong>Safety</strong> Training<br />

In <strong>2011</strong>, over 2,600<br />

individuals completed<br />

on-line fire safety training.<br />

The Fire and Life <strong>Safety</strong><br />

Division conducted<br />

hands-on fire extinguisher<br />

training for 551 students<br />

and staff (Figure 17).<br />

Fire and Life <strong>Safety</strong><br />

450<br />

300<br />

150<br />

0<br />

225<br />

150<br />

75<br />

0<br />

120<br />

80<br />

40<br />

0<br />

4500<br />

3000<br />

1500<br />

0<br />

www.ehs.ucla.edu<br />

202<br />

288<br />

124<br />

104<br />

184<br />

151<br />

7<br />

87<br />

48 55<br />

364<br />

Plan Checks Over the Counter Backchecks New Submittals<br />

17<br />

34<br />

58<br />

Figure 14: Plan Reviews<br />

58<br />

2009 2010 <strong>2011</strong><br />

Figure 15: Title 19 Inspections<br />

Figure 16: Title 24 Inspections<br />

3<br />

164 161<br />

2009 2010 <strong>2011</strong><br />

13<br />

Fire Alarms Fire Sprinklers Construction<br />

665<br />

44<br />

2009 2010 <strong>2011</strong><br />

Figure 17: Fire <strong>Safety</strong> Training<br />

1865<br />

3001<br />

462<br />

3118<br />

680<br />

25<br />

79<br />

91<br />

2666<br />

551<br />

2007* 2008* 2009 2010 <strong>2011</strong><br />

Hands-on Online<br />

*Data not available for hands-on training


6<br />

<strong>Safety</strong> Training<br />

Participation in EH&S training programs have increased<br />

year-over-year (Figure 17).<br />

162% from 2007 to 2008<br />

86% from 2008 to 2009<br />

33% from 2009 to 2010<br />

612% overall increase from 2007 to <strong>2011</strong><br />

Outreach and Fact Sheets<br />

The EH&S website was revised to improve readability<br />

and accessibility. Revisions included the following:<br />

Expansion of Job <strong>Safety</strong> Analyses that can be used<br />

as templates for departments using hazardous<br />

equipment and procedures in their work<br />

Lab <strong>Safety</strong>/Chemical <strong>Safety</strong> section expanded,<br />

including the addition of resources to the Fact Sheet<br />

Library<br />

Developed an on-line Mandarin language version of<br />

the Lab <strong>Safety</strong> Fundamentals Course<br />

Additionally, EH&S developed lab specific orientation<br />

materials for laboratory staff that included:<br />

Expansion of a list of clearly defined Roles and<br />

Responsibilities for all Laboratory Personnel<br />

New PI Orientation Packet for new faculty<br />

researchers<br />

Developed the Laboratory <strong>Safety</strong> Orientation Fact<br />

Sheet<br />

The non-laboratory specific materials developed:<br />

A quick reference sheet of EH&S Guide to Services<br />

Fact Sheets for Animal Allergens, Earthquake<br />

Preparedness and Elevator <strong>Safety</strong> just to name a<br />

few<br />

Click on the images at right for links to EH&S Fact<br />

Sheets, Job <strong>Safety</strong> Analysis Forms and a variety of<br />

other web resources available in the Guide to Services.<br />

Training and Outreach<br />

www.ehs.ucla.edu<br />

45,000<br />

30,000<br />

15,000<br />

0<br />

2576<br />

2494<br />

Fact Sheet<br />

1. Know Your Responsibilities<br />

START:<br />

Conduct Laboratory Inspection<br />

Deficiencies Found?<br />

09/2010<br />

documentation<br />

to EH&S<br />

9121<br />

critical?<br />

Re-inspect after 30 days<br />

days. Note repeat<br />

violation on form<br />

Forward <strong>Report</strong> to<br />

Manager, RSD and<br />

EH&S Director<br />

Re-inspect critical<br />

deficiencies within<br />

48 hours<br />

corrected?<br />

<strong>Report</strong> to P.I., Manager,<br />

RSD, EH&S Director, Dept.<br />

Chair, Asst. Dean, Dean<br />

<strong>Report</strong> to P.I., Manager,<br />

RSD, EH&S Director,<br />

Dept. Chair, Asst. Dean,<br />

Dean, Vice Chancellor<br />

-<br />

tor for lab closure. Closure will depend<br />

on the severity of the violation. Notify<br />

P.I., Dept. Chair, Asst. Dean, Dean and<br />

Vice Chancellor of Research<br />

2. Review <strong>Safety</strong> Manuals & Resources<br />

Injury and Illness Prevention<br />

Plan (IIPP)<br />

Lab <strong>Safety</strong> Manual<br />

Chemical Hygiene Plan<br />

Biosafety Manual<br />

Radiation <strong>Safety</strong> Manual<br />

Laser <strong>Safety</strong> Manual<br />

14718<br />

News and Notes<br />

Figure 17: Total <strong>Safety</strong> Training<br />

4141<br />

9963<br />

EH&S Facts<br />

Laboratory <strong>Safety</strong> Orientation<br />

Shop <strong>Safety</strong> Manual<br />

Material <strong>Safety</strong> Data Sheets<br />

EH&S Fact Sheets<br />

Lab <strong>Safety</strong> Videos<br />

www.ehs.ucla.edu<br />

14523<br />

18202<br />

Laboratory Personnel<br />

16695<br />

19403<br />

2007 2008 2009 2010 <strong>2011</strong><br />

Online Classroom<br />

EH&S News and Notes Editorial Staff<br />

Editorial Staff: Karin Wasler, Estey Theriault, Anna Joyce, Michael Ozamoto Contributors: James Gibson<br />

Comments or suggestions? Please contact Anna Joyce at ext. 52646 or annajoyce@ehs.ucla.edu<br />

Summer 2009<br />

(Over)

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