Other Duties and Responsibilities:

• Chair of Safety & Health Committee & participate in other sub committees of this committee

such as Emergency Management and Workplace Violence Prevention Committees

• Organize meeting agendas and ensure documentation of the meeting with discussions and actions

reported based on outcomes of event reports

• Recommends & assists with organizing with Materials Management trials of new products to enhance

the MO’s safety programs

• Disseminates information to Department Directors/Managers and others regarding safety risks

to include toxic and hazardous waste and materials, fire related issues, slip trip and falls, etc.

• Provides resources for clarification of safety issues
• Directs on going organization wide collection of information about deficiencies and

opportunities for improvement in the Environment of Care

• Develops & recommend new emergency preparedness and safety policies to meet new regulatory

requirements or changes in the environment

• Ensures timely review and appropriate revision of organization wide safety policies
• Develops & recommends new procedures and approaches to safety and loss prevention

based on reports of incidents, accidents and other relevant information

• Conducts building and grounds environmental tours on a periodic and regular basis to

detect code violations, hazards and incorrect work practices and procedures as it pertains to safety.

• Maintains written reports from committee , departmental representatives on actions

taken by departments and resolution of hazards as it pertains to safety.

• Review summaries of deficiencies, problems, failures and user error related to managing

Safety, Security, Hazardous Materials & Waste, Emergency Preparedness, Life Safety,

Medical Equipment, and Utility Systems

• Participates in the reporting and investigating of all incidents that involve personnel,

patients or visitor injury as well as occupational illness or property damages

• Ensures quarterly summaries of actions taken as the result of organization wide monitoring

activates including quality improvement & assessment and risk management

• Measures and evaluates effectiveness of all major components of the environment of care,

using established goals

• Insures the hospital is following state and federal regulations
• Meets with the appropriate managers of the Environment of Care functions for

review and evaluation of their programs

• Assists Director of Facilities Management with developing a budget for safety related programs
• Maintains ongoing Emergency Management & Safety education for self to comply

with updated standards and regulations

• Assists with review, development, and participation in safety training for hospital staff

(orientation, annual& skills fair.)

• Presents in-services to various departments on request
• Assists with the development and revisions of departmental response plans
• Oversees the process of the Hazard & Vulnerability Assessment
• Leads the hospital in the preparation and completion of the required disaster drills each year

meeting the CMS and Joint Commission requirements.

• Organize hospital disaster critiques for the identification of areas to improve
• Prepares an after-action reports for dissemination
• Participates in community , county & statewide disaster planning and drills.
• Attends county and state emergency preparedness meetings
• Maintains disaster equipment and supplies inventory as issued by FEMA and the MO’s