Health & Safety Manual
Updated October 2024
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
- Appendix E – Chapter Applicability Guide
- Form 1: New Employee Department Safety Checklist
- Form 2: Hazard Assessment
- Form 3: Job Safety Analysis
- Form 4: Hazardous Condition Report
- Form 5: Hazardous Condition Report Investigation
Reference Documents
Chapter 2 – Incident/Accident Investigation
- Appendix A – Definitions
- Appendix B – How to Conduct an Incident Investigation
- Form 1: Supervisor Investigation Report
- Form 2: Bloodborne Pathogens 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)
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
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
- Form 1: PPE Assessment & Training
Chapter 13 – Hazardous Building Materials
- Appendix A – Definitions
- Appendix B – PCC Building Inventory
- Appendix C – Asbestos Containing Material (ACM) Examples
Reference Documents
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
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: Plan Evaluation
Reference Documents
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 – Hierarchy of Fall Protection Controls
- Appendix C – Requirements for Guardrail Systems and Hole Covers
- Appendix D – Requirements for Designated Areas
- Appendix E – Requirements for Personal Fall Restraint and Personal Fall Arrest Systems
- Appendix F – Pre-Work Body Harness and Lanyard Inspection
- Form 1: Fall Protection Work Plan (FPWP)
- Form 2: Personal Fall Restraint System/ Personal Fall Arrest System Inspection
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
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
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