Portland Community College | Portland, Oregon

Health & Safety Manual

Updated August 2023

Chapter 1 – General Safety Program & Responsibilities

• Appendix A – PCC Board Policy B507
• Appendix B – Hazard Assessment Instructions
• Appendix C – Academic Training Chart
• Appendix D – Operational Training Chart
• Form 1: Supervisor – Manager New Employee Department Safety Training Checklist
• Form 2: Hazard Assessment
• Form 3: Job Safety Analysis
• Form 4: Hazardous Condition Report
• Form 5: Hazardous Condition Report Investigation

Reference Documents

• National Safety Council – Example JSA and Instructions
• National Safety Council Practical Tips

Chapter 2 – Accident/Incident Investigation

• Appendix A – Definitions
• Appendix B – How to Conduct an Accident Investigation
• Form 1: Supervisor’s Accident/Incident Investigation Report
• Form 2: Blood Borne Pathogen (BBP) Post-Exposure Incident Form

Chapter 3 – Safety Committees Charter

• Appendix A – Definitions
• Appendix B – Meeting Format
• Form 1: Safety Committee Agenda
• Form 2: Safety Committee Minutes
• Form 3: Inspection Audit Worksheet
• Form 4: Safety Inspection Correction Recommendation Sheet
• Form 5: New Member Checklist

Chapter 4 – Bloodborne Pathogen (BBP) Exposure Control Plan

• Appendix A – Definitions
• Appendix B – Sharps Containers Use & Disposal
• Appendix C- Student (Non-Employee) BBP Exposure Control Plan
• Appendix D – Occupational Health Providers
• Form 1: Hepatitis B Immunization Acceptance/Declination
• Form 2: Sharps Injury Log
• Form 3: Training Checklist

Reference Documents

• Injury or Property Incident Report
• BBP Incident Report
• Employee 801 Report & Pain Diagram – Available from Risk Services
• Center for Disease Control (CDC) Hepatitis B Vaccine Information Sheet
• Kaiser Permanente Urgent Care Location Sheet
• Kaiser Permanente Hepatitis B Full Series Immunization Program Instruction Sheet

Chapter 5 – Confined Space Entry

• Appendix A – Definitions
• Appendix B – Confined Space Summary
• Appendix C – Cascade
• Appendix C – Climb
• Appendix C – Downtown Center
• Appendix C – Metro
• Appendix C – Newberg
• Appendix C – Rock Creek
• Appendix C – Swan Island
• Appendix C – Sylvania
• Appendix C – Willow Creek
• Appendix D – Multi-Gas Detector Usage and Calibration
• Appendix E – Tripod Inspection
• Appendix F – Utility Tunnel Safety
• Form 1: Confined Space Assessment
• Form 2: Confined Space Entry Permit
• Form 3: Utility Tunnel Safety Work Plan

Chapter 6 – Electrical Safety

(under reconstruction)

Chapter 7 – Hazardous Material Emergency Response Plan

(Included as Annex P of PCC’s Emergency Operations Plan)

• Appendix A – Definitions
• Appendix B – Emergency Spill Kit Contents
• Appendix C – Personal Protective Equipment (PPE)
• Form 1: Hazardous Release Assessment
• Form 2: Site Work Plan

Chapter 8 – Hazard Communication

• Appendix A – Definitions
• Appendix B – Global Harmonize System (GHS) Pictograms
• Appendix C – MSDSonline Overview and Instructions Guide
• Form 1: Chemical Prior Approval Form
• Form 2: New Chemical or Non-Routine Exposure Training Document

Chapter 9 – Chemical Hygiene Plan – Laboratories

• Appendix A – Definitions
• Appendix B – Laboratories & Storeroom Locations
• Appendix C – GHS Reference Materials
• Appendix D – Inventory of Carcinogens and Other Specific Hazards
• Form 1:  Laboratory & Storeroom Inspection Checklist

Chapter 10 – Control of Hazardous Energy – Lockout/Tagout

• Appendix A – Definitions
• Appendix B – Lockout/Tagout Devices
• Form 1: Lockout/Tagout Equipment Evaluation & Energy Control Procedure
• Form 2: Lockout/Tagout Periodic Inspection

Chapter 11 – Noise & Hearing Conservation

• Appendix A – Definitions
• Appendix B – Evaluating Noise Reduction Ratings (NRR) of Hearing Protectors
• Appendix C – Occupational Health Providers

Reference Documents

• Online Injury or Property Incident Report
• Sample Standard Threshold Shift (STS) Letter

Chapter 12 – Personal Protective Equipment (PPE)

• Appendix A – Definitions
• Appendix B – PPE Use by Department (as of May 2020)
• Appendix C – Infectious Disease Hazard ID and Protection (including COVID-19)
• Form 1: Hazard Assessment & Training

Chapter 13 – Hazardous Building Materials

• Appendix A – Definitions
• Appendix B – PCC Building Inventory
• Appendix C – Asbestos Containing Material (ACM) Examples

Reference Documents

• DEQ Asbestos Survey Requirements Fact Sheet

Chapter 14 – Powered Industrial Trucks, Material Handling Vehicles, and Powered Mobile Equipment

• Appendix A – Definitions
• Form 1: Powered Industrial Truck Inspection Form
• Form 2: Aerial Device, Mobile & Work Platform Operator Inspection Checklist
• Form 3: Harness Inspection (Qualified Inspector)
• Form 4: Lanyard Inspection
• Form 5: Utility Vehicle Operator Inspection Checklist
• Form 6: Powered Industrial Truck Checklist Record
• Form 7: Powered Industrial Truck Training Certification
• Form 8: Utility vehicle Operator Department Training Log

Chapter 15 – Mechanical Hazards – Controls and Facility Safety

(under reconstruction)

Chapter 16 – Hot Work

• Appendix A – Definitions
• Form 1 – Hot Work Permit

Reference Documents

• Factory Mutual Global Hot Work Permit

Chapter 17 – Respiratory Protection Plan

• Appendix A – Definitions
• Appendix B – Respirator Selection Table
• Appendix C – Respirator Program Elements
• Appendix D – Occupational Health Providers
• Appendix E – Respirator Voluntary Use
• Form 1: Medical Clearance Request
• Form 2: OSHA Medical Evaluation Questionnaire
• Form 3: Respirator Assignment
• Form 4: Cleaning and Storage
• Form 5: Respirator Inspection Record
• Form 6: Plan Evaluation

Reference Documents

• Manager’s Guide to Respiratory Protection

Chapter 18 – Contractor Hazard Notification (Multi-employer sites)

• Appendix A – Definitions
• Form 1: Contractor Notification Project Hazard Assessment
• Form 2: COMPLETED SAMPLE Contractor Notification Project Hazard Assessment

Chapter 19 – Industrial Hygiene Program & Air Monitoring Results

(under reconstruction)

Chapter 20 – Fall Protection Program

• Appendix A – Definitions
• Appendix B – Summary of Controls
• Appendix C – Requirements for Guardrail Systems and Hole Covers
• Appendix D – Requirements for Designated Areas
• Appendix E – Requirements for Travel Restraint and Personal Fall Arrest Systems
• Form 1: Fall Protection Work Plan (FPWP)
• Form 2: Personal Fall Arrest System (PFAS)
• Form 3: Harness Inspection Form
• Form 4: Lanyard Inspection Form
• Form 5: Lifeline and Rope Inspection Form

Chapter 21 – Regulated Waste

• Appendix A – Definitions
• Appendix B – Lists of Hazardous Waste
• Appendix C – Satellite Accumulation Log
• Appendix D – Hazardous Waste Log
• Appendix E – Sewer Discharge Log
• Appendix F – Waste Labels Fact Sheet
• Appendix G – Bulk Used Oil Tanks
• Form 1: Satellite Accumulation Area Inspection

Chapter 22 – Environmental Protection & Stewardship

• Appendix A – Definitions
• Appendix B – Reference Links

Chapter 23 – Cranes, Hoists, and Slings

• Appendix A – Definitions
• Appendix B – Alloy Steel Chain Slings
• Appendix C – Wire Rope Slings
• Appendix D – Metal Mesh Slings
• Appendix E – Natural and Synthetic Fiber Slings
• Appendix F – Synthetic Web Slings
• Form 1 – Daily Inspection Checklist
• Form 2 – Quarterly Inspection Checklist

Chapter 24 – Heat Illness Prevention Plan

• Appendix A – Definitions
• Appendix B – PCC Locations
• Appendix C – Apparent Temperature Chart
• Appendix D – Preventing Heat-Related Illnesses
• Appendix E – Heat-Related Illnesses – Signs, Symptoms, and Responses
• Appendix F – Acclimatization Practices
• Appendix G – Work/Rest Schedule Options
• Form 1 – Department Work Plan

Chapter 25 – Wildfire Smoke Protection Plan

• Appendix A – Definitions
• Appendix B – PCC Locations
• Appendix C – Employee Communication Template
• Appendix D – Exposure Controls
• Appendix E – Filtering Facepiece User Seal Checks
• Appendix F – 5-3-1 Visibility Chart

Chapter 26 – Scaffold Safety Plan

• Appendix A – Definitions
• Form 1 – Scaffold Work Plan

Reference Documents

• Scaffold Code of Safe Practices
• Procedures for Visual Inspection of Welded Tubular Frame Scaffolding Accessories
• Rolling Towers/Mobile Scaffold: Inspection, Maintenance, and Use Tip Sheet

Chapter 27 – Compressed Gas Safety Plan

• Appendix A – Definitions
• Appendix B – Compatibility Chart
• Appendix C – Example Department Procedure
• Form 1 – Inspection Checklist