SAFETY TRAINING POLICY

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SECTION I. General

Chapter 5. Training

Revision Date 06/30/09

Review Date 03/2013

SAFETY TRAINING POLICY

INTRODUCTION

PURPOSE

The purpose of the Duke Safety Training Program is to provide employees with the

knowledge and tools necessary to reduce the risks associated with their work

responsibilities to the lowest possible level. Safety training programs are developed in

response to federal, state, and local regulations, accreditation agency requirements and

institutional needs.

RESPONSIBILITIES

The Occupational and Environmental Safety Office (OESO) is responsible for:

• Identifying institutional safety training needs.

• Ensuring that these requirements are communicated to departments, supervisors and

managers.

• Monitoring institutional compliance with safety training requirements.

• Providing information on institutional and departmental compliance to the safety

committees, administration and departments.

• Providing training materials, assistance and programs to address institutional

requirements.

• Assisting supervisors on how to identify and provide training for specific workplace

hazards.

Departments are responsible for:

• Working with representatives of OESO and departmental supervisors to identify

training needs of their departments.

• Ensuring that all departmental employees receive the appropriate safety training

within established time frames.

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• Ensuring that all departmental training records are transmitted to OESO as

appropriate.

Supervisors are responsible for:

• Being trained and knowledgeable in the safety and health hazards to which

employees, students and visiting faculty under their direction may be exposed.

• Establishing, implementing and maintaining a system for communicating with

employees, students and visiting faculty about health and safety matters.

• Providing site-specific training for employees, students and visiting faculty to

include the specific hazards present in their workplace.

• Requesting assistance with specialized training where needed.

• Ensuring that all employees, students and visiting faculty under their supervision have

completed all safety training requirements.

Employees, students and visiting faculty are responsible for participating in the required

training programs provided by the OESO and their supervisors.

PROCEDURES

The Safety Training Program is implemented through a two-tier plan involving both

general and site-specific training. General information regarding occupational hazards is

presented in Tier 1 training, which is provided by OESO. Tier 1 training focuses on

“generic” information about the epidemiology, regulatory requirements, institutional

policies and control measures for occupational hazards. This training is then enhanced by

site-specific information, Tier 2, which is provided by supervisors and managers and

expands on the foundation established in Tier 1. The details of the two-tier plan are as

follows:

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TIER ONE: TRAINING PROVIDED BY THE OCCUPATIONAL AND

ENVIRONMENTAL SAFETY OFFICE (OESO)

RAINING TYPES

Duke Medicine and Campus Orientation

Target Population All new employees.

Training Requirements Required within two weeks of employment for all employees or

at the time of transfer from the Campus to Duke Medicine.

Training Availability University employees will be provided safety orientation

training on-line at www.safety.duke.edu.

Duke Medicine employees will be provided training on-line.

Incoming housestaff will be provided training on-line.

Training Topics Information is provided at Orientation on Safety Culture at Duke

and how to access on-line training. On-line training provides

information on functions involved in the Environment of Care,

including bloodborne pathogens, TB, ergonomics, chemical

safety, hazardous materials, security, utilities, emergency

preparedness, medical equipment and fire and interim life safety.

These training modules satisfy both the JCAHO orientation

requirements for the Environment of Care and the OSHA

orientation requirements for Bloodborne Pathogens, TB

Exposure Prevention, Fire Safety, Fire Extinguisher, and Hazard

Communication Training.

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Safety Update Training

Target Population All Employees.

Training Requirements Training requirements are determined by the specific standard

under which the training is required. Most standards require

training annually.

Training Availability Employee update training is available on-line at

www.safety.duke.edu/OnlineTraining/.

Campus employee training is available on-line at

www.safety.duke.edu/OnlineTraining/.

Training Topics Training requirements are based on work location and exposure

determinations. A list of required courses for an individual may

be accessed by the employee on-line at

www.safety.duke.edu/OnlineTraining/. Questions about training

requirements should be directed to the OESO Training

Coordinator at 684-2794.

DOCUMENTATION

Training will be documented at the time training is taken and documentation will be

maintained in the OESO Safety Management Database.

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TIER 2 - TRAINING PROVIDED BY DEPARTMENTS

TRAINING TYPES

Site-Specific Training

Target Population All employees, students and visiting faculty.

Training Requirements Training is required as follows:

• When an employee, student or visiting faculty member

begins work and before the individual may work

without direct supervision.

• When an employee or student is given a new assignment

for which training has not previously been received.

• Whenever new categories of hazards are introduced by

new substances, processes, or equipment.

• Whenever the supervisor is made aware of a new or

previously unrecognized hazard.

Safety policies and training requirements for each work unit will be based on job-

specific requirements. The supervisor must evaluate each position at the time the

position is established to determine the exposure potential by hazard-type for each

employee. The OESO is available to assist the supervisor in making the exposure

determinations. Additional safety training requirements may be identified by OESO.

Supervisors must provide workplace-specific training to employees to include the

specific hazards associated with each job. At a minimum, the following elements

should be included in the training sessions:

• A review of the workplace-specific written safety policies.

• Specific training on the hazards associated with the materials and equipment used

by the employee.

• Specific training on how employees are to protect themselves against the hazards

in the workplace.

• Recognition and assessment of health and safety risks.

• Regulations applicable to their work.

• Basic information on the location of manuals, safety devices and personal

protective equipment.

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• Basic procedures to follow in the event of emergencies, especially fires, chemical

spills and medical emergencies.

DOCUMENTATION

Supervisors should keep records of who was trained, the name of the trainer, when the

training occurred, and the topics covered by the training. Documentation should include

safety meeting or training session agendas, sign-up sheets with the Duke unique ID and

signature of the attendees, and copies of any written communications. These records

should be maintained by the department.

Allied Health Students Orientation

Target Population Allied Health students from institutions other than Duke.

Training Requirements Training is required prior to beginning a clinical rotation at

Duke.

Training Availability Duke-specific safety orientation is provided by OESO at live

sessions or by the student’s affiliated institution using a Student

Orientation video developed by OESO. This video is available

through the DUHS Clinical Education and Professional

Development Department.

Duke Temporary Services (DTS) Orientation

Target Population All DTS employees.

Training Requirements Training is required within two weeks of employment.

Training Availability Training will be provided by DTS using a video provided by

OESO.

Volunteer Orientation and Update Training

Target Population All Duke Hospital volunteers.

Training Requirements Training is required prior to being assigned to a work area.

Training Availability Training is provided by Volunteer Services using a video

developed by OESO.

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COURSE ENROLLMENT

ORIENTATION

Duke Medicine supervisors are required to register new hires or transfers to the Health

System or the Duke New Employee Central Orientation Program through Benefits

Administration at 684-6723.

For information on Campus New Employee Orientation, call Learning and Organization

Development at 613-7608.

To schedule a focused training session, call 684-2794.

UPDATE TRAINING

Update training is available on-line at www.safety.duke.edu or call the OESO training

Coordinator at 684-2794 to schedule training for a specific work group.

EXPOSURE DETERMINATION

Safety training requirements for a position are determined through a risk assessment

process referred to as exposure determination. This risk assessment may be performed by

OESO and/or the supervisor. These exposure determinations identify the employee’s

potential for exposure to hazardous materials or environments and determine the job-

specific safety training requirements.

DEFINITIONS

Annual – For the purpose of determining when retraining is required, annual means

within the past 365 days.

Duke Medicine – Refers to Duke Health System, Duke School of Medicine, PDC, and

Duke School of Nursing.