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University Hospital Policies and Procedures

General Safety and Health
Emergencies
  • Hospital Fire Response Plan (refer to UH Admin EC0072, Fire Plan)
  • Ambulatory Surgery Center Fire Response Plan (refer to UH Admin EC0072, Fire Plan)
  • Ambulatory Care Pavilion Fire Response Plan (refer to UH Admin EC0072, Fire Plan)
  • Hospital Off-sites Fire Response Plan (refer to UH Admin EC0072, Fire Plan)
  • Flood Response (refer to UH Admin EC0032)
  • Hazardous Chemical Materials Spill Plan (refer to UH Admin EC0054)
  • Emergency Procedures for Ethylene Oxide Release (refer to CSS policy 8352)
Electrical Safety
Chemical Safety and Laboratory Safety
  • Chemical Hazard Communication/Right to Know (refer to UH Admin EC0053)
  • Laboratory Safety Manual [includes Chemical Hygiene Plan and Laboratory Safety Guide] (refer to UH Lab LASAF Laboratory Safety Manual)
  • Formaldehyde Safety (refer to UH Admin EC0071)
  • Chemical Fume Hoods and Biological Safety Cabinets (refer to UH EH&S EHCS0002)
  • Occupational Exposure Monitoring for Hazardous Air Contaminants (refer to UH EH&S EHCS0001)
  • Selecting, Using, Handling, Storing, Transporting and Disposing of Hazardous Materials (refer to UH Admin EC0074, Environmental Preferable Purchasing)
  • Nitric Acid Security Plan (University EH&S Policy)
  • Registration of Laboratories (University EH&S Policy)
  • Laboratory Close Out (University EH&S policy)
Fire Safety
  • Holiday Decorations (refer to UH Admin EC0027, Fire Prevention)
  • Furnishings, Bedding, and Decorations (refer to UH Admin EC0027, Fire Prevention)
  • Fire and Smoke Barrier Penetrations (refer to UH ECPP M303, M305)
  • Maintenance of Buildings to Life Safety Code Standards and Statement of Conditions (refer to  Admin EC0073, Life Safety Plan)
  • Fire Protection System Impairments (refer to UH EH&S EHFS0002)
  • Fire Warden Program (refer to UH Admin EC0027, Fire Prevention)
  • Fire Watch (refer to UH EH&S EHFS0003)
  • Fire Extinguishers (refer to UH Admin EC0027, Fire Prevention)
  • Interim Life Safety Measures, ILSM (refer to UH Admin EC0073, Life Safety Plan)
  • Fire Protection Systems (refer to UH EH&S EHFS0001)
  • Fire Drills (refer to UH Admin EC0027, Fire Prevention)
  • Code Red (refer to UH Admin EC0072, Fire Plan)
Radiation Safety
Personal Protective Equipment
  • Use of Personal Protective Equipment for Occupational Safety (refer to UH Admin EC0050)
  • Respiratory Protection Program (refer to UH Admin EC0038)
Environmental Protection
  • Hazardous Chemical Waste Management (refer to UH Admin EC0045)
  • Integrated Pest Management (refer to UH Admin EC0047)
  • Asbestos Management  (University EH&S Policy)
  • Regulated Medical Waste Disposal (refer to UH Admin EC0026)
  • Hazardous Drugs Management (refer to UH Admin MM0081)
  • Hazardous Waste Determination (refer to UH Admin EC0045, Hazardous Chemical Waste Management)
  • Shipping of Infectious Substances/Transportation of Hazardous Goods (University EH&S Policy)
  • Universal Waste Management (Refer to UH Admin EC0045, Hazardous Chemical Waste  Management)
  • Pharmaceutical Waste Management (refer to UH Admin MM0084)
  • Mercury Management (refer to UH Admin EC0045, Hazardous Chemical Waste Management and EC0069, Hospital Recycling and Sustainability)
  • Hazardous Waste Contingency Plan/Emergency Procedures (refer to UH EH&S EHEP0001)
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