JCAHO EC 1.10.2

Guide to JCAHO Environment of Care Standard 1.10.2

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Introduction Table of Contents Checklist for 1.10.2

Environment of Care Standard 1.10: The hospital manages safety risks.

Element of Performance 2: Safety Coordinator

The hospital identifies a person/s as designated by leadership to coordinate the development, implementation and monitoring of safety management activities.

© 2005 Joint Commission on Accreditation of Healthcare Organizations. Any use of any or all of the Joint Commission standards and elements of performance beyond this particular tool is strictly forbidden without the written permission of the Joint Commission. Citations from JCAHO standards are Â© 2005 Joint Commission on Accreditation of Healthcare Organizations. Any use of any or all of the Joint Commission standards and elements of performance beyond this particular tool is strictly forbidden without the written permission of the Joint Commission. These pages do not reflect any changes in the standards made after 2005.

This page provides a set of criteria for evaluating the designated safety coordinator's qualifications.

	= Compliance
	= Environmental Improvement
	*= Tools and Resources*

The facility has designated a Safety Coordinator and a Safety Committee with representation from most departments.

The Safety Coordinator reports directly to Leadership level, as reflected by the facility's organization chart.

The Safety Coordinator has training in relevant issues, such as compliance with the regulations of:

OSHA

Haz. waste operations (HAZWOPER) training: 29 CFR 1910.120 (e)

Plan: EC3.10.1

Implementation: EC3.10.3

Emergency: EC3.10.6

Emergency coordinator responsibilities: 40 CFR 262.34 (d)(5)(C)(iv)

Contingency plan (emergency coordinator): 40 CFR 265.55

HazMat training (DOT): 49 CFR 172.704

The Safety Coordinator has certification in one or more of:

hazardous materials management (Certified Hazardous Materials Manager)
industrial hygiene (CIH)
healthcare environmental manager (HEM)

The Safety Coordinator has resources and authority to implement safety plans and activities.

Safety plan: EC1.10.1

Plan: EC3.10.1

Implementation: EC3.10.3

Emergency: EC3.10.6

The Safety Coordinator has experience in waste minimization and pollution prevention as means to improve facility safety.

The Safety Coordinator can discuss initiatives implemented to minimize hazardous materials and waste and to prevent pollution.