Worksite programs

Affect-Oriented Programs Alternative Behaviors and Resistance-Skills Training Worksite Programs Programs for College Students Closing Comments on Prevention Summary... 

The HASP, on the other hand, foeuses on the site-speeifie aetivities and outlines the appropriate elements of the site s existing health and safety program to the related task. The existing programs are reviewed to identify those elements meeting the needs of the planned site aetivity. Program elements and proeedures are supplemented with worksite-speeifie detail and tailored to meet speeial or unique aspeets of the hazardous waste aetivity on an as-needed basis [1]. 

Wlien a worksite includes both radiological and nonradiological hazards, the HASP should address both hazards. A site-specific HASP can supplement health and safety programs by providing site-specific and pertinent information, requirements, and strategies for each task. 

Not all existing procedures or program elements of the overall health and safety program need to be incorporated into the HASP. For example, if noise is a hazard, the plan does not have to cite the entire hearing conservation program. Procedures already established elsewhere may be referenced, as applicable. In another example, if a confined-space-entry procedure is required, the HASP could reference the particular procedure which is part of the overall program. The next step would be to identify confined spaces at the worksite where the procedure applies, and then provide appropriate implementation procedures (e.g., conditions to be monitored, evaluation of the space, issuance of an entry permit). If special operational procedures apply to the worksite, they can be attached to the HASP using an appendix. 

An outline of the medieal surveillanee program, as approved by the oeeupational health staff, should be ineorporated in, or appended to, the site-speeifie safety plan. Modifieations to the program should be based on the professional judgment of the oeeupational health physieian, in eonsultation with the health and safety professionals, and on the hazards of the speeifie worksite. 

Existing respiratory protection or hearing conservation programs can be referenced and integrated, as appropriate, into the site-specific medical surveillance program after worksite hazards have been considered. At some sites, workers are provided a fitness-for-duty card indicating their current medical status and the medical surveillance programs in which they participate [1]. 

Medieal surveillanee may need to address mueh more than the basie requirements in the HAZWOPER standard. Based on the presenee of hazards (sueh as lead, asbestos, and eareinogens), speeial types of medieal testing may be required. The oeeupational health physieian responsible for the medieal surveillanee program should work with the rest of the medieal surveillanee team to determine what forms of surveillanee are applieable for aetivities at eaeh worksite. 

Although inspeeting the worksite is important for enforeement of important requirements, it is also a useful tool to help determine if the site orientation, the safety plan, or the safety program is eflfeetive. If newly oriented workers are out of eomplianee in eertain areas, this may indi-eate that the orientation needs to be reviewed and improved. 

Compliance with the written program can be verified during the walkaround by personal observation and employee interviews. If respirators are required to be worn in the workplace or respirators other than dust masks are worn by voluntary users, a written program is required. An overexposure is not required to cite. Discrepancies between the written program and implemented work practices at the worksite should be cited. Use of a elastomeric or supplied-air respirator, even when voluntary on the part of the employee, will require the employer to include all elements in a written program that will make sure that there is proper use of these respirators so that they do not create a hazard. 

A written hazard-communication program must describe the employer s efforts to tell employees about the standard and how it is being implemented at the worksite. 

This analysis of the SHEP database confirms the findings of a systematic worksite hypertension program (358). In 7978 treated patients with mild to moderate hypertension, cardiovascular disease was significantly associated with serum uric acid (HR = 1.22 Cl = 1.11, 1.35), controlling for known cardiovascular risk factors. The cardioprotective effect of diuretics increased from 31% to 38% after adjustment for serum uric acid. 

This service involves social marketing and targeted media public communication the provision of accessible health information resources at the community level active collaboration with personal health care providers to reinforce health promotion messages and programs and joint health education programs with schools, churches, and worksites. 

Worksite prevention programs have several potential advantages. One is their service to adults who still arc ftmetioning relatively well. As Nathan (1984) notes, these... 

Prevention programs are sometimes located at worksites, where the goal is to identify drug abusers and to intervene when drug problems interfere with job performance. These programs, when established, generally concentrate more on secondary than on primary prevention. 

Munz, D. C. et al. (2001). Effectiveness of a comprehensive worksite management program Combining organizational and individual interventions. International Journal of Stress Management 8 49-62. 

Worksite occupational health and safety principles programs... 

Cases meeting the severe violator enforcement criteria are those in which the employer is found to be recalcitrant or indifferent to its obligations under the OSH Act, thereby endangering employees. The SVEP procedures in Section XV. (p. 10) are intended to increase attention on the correction of hazards found in these workplaces and, where appropriate, in other worksites of the same employer where similar hazards and deficiencies may be present. This program applies to all employers regardless of size. 

B. The Assistant Secretary by this Instruction determines that the specific inspections nnder the Nationwide Inspections of Related Workplaces/ Worksites process are critical inspections for the pnrpose of 29 CFR 1908.7(b)(2)(iv) and delegates to the Director of the Directorate of Enforcement Programs the authority to determine site selections of those related workplaces/worksites. See paragraph XV.B.7.b. (p. 16). 

At the request of the Director of the Directorate of Enforcement Programs, the Regional Administrator, or the Regional Coordinator, OSA will assist in identifying similar and other related worksites nationwide (including in State Plan States) of the same employer. 

An effective ergonomics program should include the following four components worksite analysis, hazard prevention and control, medical management, and training and education. 

A. Worksite Analysis. Worksite analysis provides for both the identification of problem jobs and risk factors associated with problem jobs. The first step is to determine what jobs and work stations are the source of the greatest problems. Thus, a systematic analysis program should be initiated by reviewing injuiy and illness reports. 

OSHA urges all employers to establish and to maintain programs which meet these guidelines in a manner which addresses the specific operations and conditions of their worksites. 

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