TRACE: A Health and Safety Evaluation Program
INTRODUCTION
TRACE is the acronym for the Health and Safety (HS) Evaluation Program focusing on three key elements; Training, Compliance and Emergency Management. The program provides a mechanism to verify whether safety strategies supported by the Health and Safety Programs Office (HSPO) are satisfactorily implemented by Departments or Entities in the School of Medicine.
T |
TRAINING – Verify that all SOM faculty, staff and students have completed required safety training modules based on rosters provided by key contacts for SOM entities and STARS data to determine whether required training modules have been completed. |
R |
RECORD KEEPING AND REPORTING – Verify mechanism for maintaining departmental records for key health and safety-related programs. |
A |
ADMINISTRATIVE INFORMATION for communication to departmental personnel is current |
C |
COMPLIANCE - (a) Verify return of completed Self-Inspection Summary forms by entities and completion of Self-Inspection Checklist by Chemical Owners for rooms storing or using chemicals. (b) Verify correction of items using previous inspection reports. |
E
|
EMERGENCY MANAGEMENT - Elements are emergency preparedness, response and recovery. Verify that departments have completed their annual departmental plan update and participated in a tabletop exercise by EOY2008. |
RESPONSIBILITIES AND EXPECTATIONS
TRACE verifications are conducted by members of the Health and Safety Professional staff (HSPO Evaluation Team). The verification program is based on information provided by SOM departments or entity, integrating University policy, programs and record keeping systems with observations. Department representatives are asked to:
- Provide department/entity information to initiate verification process
- For selected departments/entities:
- Meet with HSPO evaluator to review records and conduct a walk-through of labs and offices. Specific targets areas:
- Department Administrative Information
- Training
- Compliance
- Emergency Management
- Record Keeping and Reporting
- Review Summary of Observations and Recommendations; develop a Follow-Up Plan
- Participate in a follow-up session to review progress ~3 months following initial visit.
PROCEDURE
TRACE verifications are conducted by members of the Health and Safety Professional staff (HSPO Evaluation Team); the verification program is based on information provided by SOM departments or entity, integrating University policy, programs and record keeping systems with observations.
The Evaluation Team will work with Department Leadership on the process:
- Request basic department/entity information to initiate verification process
- For selected departments/entities:
- Review records maintained by department/entity
- Walk-through departmental laboratories and offices with a department representative
- Present a report including observations and recommendations to Department Leadership
- Develop a Follow-Up Plan and establish Departmental Health and Safety Goals (HS Goals) with a timetable to meet benchmark targets
- Share recommendations based on observations, HS Goals and Plan with SOM Leadership and Department staff members
- Conduct Follow-Up visit at a pre-determined time to evaluate status of achieving HS Goals
- Revise HS Goals and Follow-Up Plan as required.
Updated
05/05/09 10:39 |
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