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Downloaded from https://www.everyspec.com 23–5. Medical systems safety and health a. Significant safety and health exposures that are unique to MTFs can affect patients, visitors, and staff with potentially lethal consequences. The safety director will work with PVNTMED personnel, engineering, and mainte- nance personnel to coordinate the identification and elimination of hazards. b. Hazards must be identified and abated. (1) The MEDCOM facilities will use an automated program that keeps data for the hazard abatement program for MTFs. (2) All findings will be entered in the violation inventory log.

(3) Any hazard that cannot be abated within 30 days will automatically have a hazard abatement plan developed along with a plan for improvement. c. The Environment of Care Committee/Safety and Occupational Health Advisory Council will be briefed on all abatement activities. 23–6. Safety director functions The safety director will perform the following additional functions: a. Coordinate and manage all aspects of the JCAHO environment of care standards. b. Perform as the MTF fire marshal. c. Ensure that the MTF has a Safety and Occupational Advisory Council/Environment of Care Committee.

If the activity elects to have an Environment of Care Committee, the safety manger will be an active member of the host installation Safety and Occupational Health Advisory Council. The agenda will include the following elements; (1) Accidents or incidents for patients, visitors, and staff. (2) Hazard surveillance (environmental inspections). (3) Staff training. (4) Review of program content. d. Ensure that management plans are developed for all seven elements of the Environment of Care Standard. The plan and/or program will be evaluated annually and submitted to the leadership for review and/or action. e. Conduct fire drills for all personnel on all shifts at least quarterly.

(1) When deficiencies are found, training will be conducted on the spot to ensure safety of the patients, visitors, and staff. (2) Fire drill reports will be completed and submitted to the Safety and Occupational Health Advisory Council/ Environment of Care Committee. f. Conduct hazard surveillance for all areas annually and semiannually for patient care areas. Additionally, conduct quarterly high interest and monthly spot inspections. These inspections will be documented and briefed at the Safety and Occupational Health Advisory Council/Environment of Care Committee. g. Deficiencies from the inspection will be recorded on DA Form 4754 (Violation Inventory Log) and tracked until abated.

Hazards that cannot be abated within 30 days will have a hazard abatement plan completed and tracked/ followed up every 30 days until abated. h. Ensure all MTF personnel receive annual safety and fire training. i. Document training provided. Chapter 24 Facility Reuse and Closure 24–1. Introduction Due to changing unit missions and relocations, it is often necessary to close an installation or a portion of an installation, or reuse a portion of an installation to support new and different missions. a.

This chapter establishes requirements that are necessary to— ( 1 ) D o c u m e n t , i d e n t i f y , e v a l u a t e , a n d , w h e r e a p p r o p r i a t e , r e m e d i a t e c o n t a m i n a t i o n r e s u l t i n g f r o m p a s t A r m y activities. (2) Ensure immediate response to discoveries of biological warfare materiel, RCWM, and munitions and explosives of concern (MEC) from past DOD activities. b.

This chapter applies when responding to planned and unplanned discoveries of biological warfare materiel, RCWM, and MEC on active DOD installations, on installations awaiting realignment or closure under the Base Realignment and Closure (BRAC) Program, and at FUDS where the Army is the executive agent and prior Army installations. (1) Comply with statutes, regulations, executive orders, and other legal requirements governing personnel and public safety. 83 AR 385–10 • 23 August 2007