UTMB Management Responsibilities Handbook
Resource Departments
FOAM - Enviromental Health and Safety
The responsibility of Environmental Health and Safety is to provide
safe working conditions for faculty, staff, students, patients, and
visitors of UTMB in the areas of Biological and Chemical Safety, Radiation
Safety, Environmental Protection Management, and Occupational Safety
and Fire Prevention and to ensure compliance with UTMB policy, local,
state and federal regulations.
Services:
Biological and Chemical Safety Program
• Certification of chemical fume hoods, biological safety cabinets
and laminar flow cabinets
• Management of Asbestos Program
• Monitoring for exposure to hazardous materials
• Oversee packaging, labeling and documentation for shipment of
chemicals and biological agents off campus
• Management of Select Agent Program
• Management of the Environmental Containment Laboratory
• Technical consultation and problem solving regarding biological
and chemical safety
• Development of health and safety policies through the Biological
Safety Committee, Institutional BioSafety Committee,
Chemical Safety Committee, EOC, and/or General Safety Committee
• Laboratory safety consultations
• Hazardous Materials response
• Biological and chemical safety training
• Management of building environment issues such as indoor air
quality
• Facility design and construction support for biological and
chemical safety issues
Radiation Safety
• Develop policies and procedures for the use of radiation sources
through the Radiation Safety Committee and the Radioactive
Drug Research Committee
• Assist faculty in the application for a permit to use radioactive
materials and evaluate their lab design
• Ensure compliance with UTMB policy, local, state and federal
regulations
• Provide training on radiation safety
• Conduct safety audits and provide safety consultations.
• Provide radiation dosimetry
• Monitor exposures of personnel using volatile radioiodine and
tritium through bioassays
• Calibrate radiation survey instruments
• Approve purchase orders for radioactive materials and inspect
and monitor packages for contamination upon receipt
• Oversee packaging, labeling and documentation for shipment of
radioactive material off campus
• Leak test of sealed sources
• Conduct radiation surveys of microwave ovens and electron microscopes
Environmental Protection Management
• Manages Chemical and Radioactive hazardous waste generated
by UTMB
• Conducts laboratory audits for compliance with hazardous waste
regulations
• Conducts environmental compliance training specific to departments/areas
• Consulting and assisting in the cleanup of spills of hazardous
materials
• Pickup of radioactive and chemical waste, associated services
• Recycling, distillation and reuse program of hazardous solvents
and chemicals
• Assistance in chemical disposal for lab clean outs and de-inventorying
• Storm-water compliance assurance monitoring and reporting
• Air Permit and Monitoring Compliance (Title V, NOx, etc.)
• Regulatory compliance of the UTMB Medical Waste Incinerator
• Underground / Aboveground Storage Tank Compliance
•Oversight of UTMB Environmental Permits, compliance and regulatory
reporting
Occupational Safety & Fire Prevention
• Delivery & monitoring of the on-line Healthcare Fire &
Safety Compliance Training
• Presenting Hands On Fire Extinguisher & Fire Safety Training
• Testing and Inspection of Fire Detection and Suppression Systems
• Inspecting and servicing fire-fighting equipment and protection
systems
• Assisting in the development and evaluation of fire protection
methods
• Preparation of fire evacuation plans and conducting fire drills
• Plan review for new construction/renovation – adherence
to code.
• Life Safety Code Inspections of UTMB buildings and areas, consultation
• Provide Duty Fire Marshal and response to fire alarms and emergencies
• Accident Investigation program to correct recurring problems
and protect staff
•Deactivation and hot-work permit program to prevent false fire
alarms
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