1220.002.1 Page 1 of 27 Job Safety Analysis Task Summary Form

Registered Nurse Acute Care November 16, 2015 Job Classification Department/Facility Assessment Date Lisa Alspach, Marion Matechuk, Daniela Fiske, Brenda Maclean, Carmelle Donna Walker, Brenda Brooks December 3, 2015 Paddock, Lenore Pinder, Jennifer Richardson Assessment Team Reviewed By Date Reviewed

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Admissions Eye strain, awkward posture, repetition, allergies, and paper cuts. (Ergonomic, IV B 14 X Physical, Chemical) Calls to Family Verbal abuse, stress, awkward posture. (Psychosocial, Ergonomic) IV B 14 X

Charge Nurse Responsibilities Stress, potential for violence, fatigue, eye strain, awkward posture, repetition, II A 3 allergies, paper cuts, noise. (Psychosocial, X Ergonomic, Physical, Chemical) Charting/chart check Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV B 14 X Chemical) Chart thinning or straightening out Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical) Check Bowel list Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, IV C 17 X Physical, Chemical) Check Day Planner Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical)

February 1, 2014 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 2 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Collaboration with other multi- Stress, awkward posture. (Psychosocial, disciplinary professions Ergonomic) IV A 13 X

Check, process and reconcile Drs. Eye strain, posture, repetition, allergies, Orders paper cuts. (Ergonomic, Chemical) IV C 17 X

Checklist. Follow-up on blood work, Stress, eye strain, awkward posture, medications, etc. repetition, allergies, paper cuts. IV C 17 (Psychosocial, Physical, Ergonomic, X Chemical) Completing paperwork Stress, workload, eye strain, awkward posture, repetition, allergies, paper cuts. IV A 13 X (Ergonomic, Chemical) Completing reports Stress, workload, eye strain, awkward posture, repetition, allergies, paper cuts. IV A 13 (Psychosocial, Ergonomic, Physical, X Chemical) Daily quality control on unit Stress, eye strain, awkward posture, equipment (eg., Glucometer, pumps, repetition. (Psychosocial, Ergonomic) III A 8 X crash carts) Filing Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical) Incident Reports Stress, eye strain, awkward posture, repetition, allergies, paper cuts. IV C 17 (Psychosocial, Ergonomic, Physical, X Chemical) Operation of computer workstations Eye strain, awkward posture, repetition, stress. (Ergonomic, Psychosocial) IV A 13 X X

Stress, awkward posture, paper cuts, Operation of photocopier, chemicals, allergies. (Psychosocial, IV B 14 X troubleshooting Ergonomics, Physical, Chemical)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 3 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Operation of sharp manual equipment (scissors, letter opener, Cuts, punctures, scrapes, repetition. III B 9 X stapler etc.) (Physical, Ergonomic) Order ward supplies/medications Stress, eye strain, awkward posture, repetition, allergies, paper cuts. IV C 17 (Psychosocial, Physical, Ergonomic, X Chemical) Participate in the development of Stress, eye strain, awkward posture, practice protocols fatigue. (Psychosocial, Physical, IV C 17 X Ergonomic) Participate in client care meetings Stress, potential for violence, harassment, and conferences sitting. (Psychosocial, Ergonomic) IV B 14 X

Reconcile MAR Sheets (Medical Eye strain, awkward posture, repetition, Administration Reconciliation) allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical) Referring to client notes Eye strain, posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical) Reorder any Client RX as required Stress, eye strain, awkward posture, repetition, allergies, paper cuts. IV C 17 (Psychosocial, Physical, Ergonomic, X Chemical) Replacing Staff Stress, eye strain, awkward posture, repetition, allergies, paper cuts. IV C 17 (Psychosocial, Physical, Ergonomic, X Chemical) Reviewing and updating care plans Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical) Reviewing policies Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 4 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Reviewing reports Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, Physical, IV C 17 X Chemical) Safety Checklist Stress, eye strain, awkward posture, repetition, allergies, paper cuts. IV C 17 (Psychosocial, Physical, Ergonomic, X Chemical) Send residents to hospital/ arranging Stress, eye strain, awkward posture, for Client Care (Transfers) repetition, allergies, paper cuts. IV C 17 (Psychosocial, Physical, Ergonomic, X Chemical) Reconciliation with Pharmacy Eye strain, awkward posture, repetition, Information Program (PIP) form on allergies, paper cuts. (Ergonomic, Physical, IV C 17 X admission Chemical) Completing TLR Assessment Sheets Eye strain, awkward posture, repetition, allergies, paper cuts. (Ergonomic, IV C 17 X Physical, Chemical ) Invasive monitoring (e.g., Gluco Awkward posture, pokes, splashes, Scans, hemodynamic monitoring, bending, twisting, potential for violence, etc.) resistance to care, blood and body fluids, II B 4 lighting, tripping, slipping, noise. X X (Ergonomic, Psychosocial, Biological, Physical) Non-invasive monitoring (e.g., Awkward posture, bending, twisting, Bladder Scan, Doppler, Vital signs, potential for violence, resistance to care, neuro checks, physical/ behavioral blood and body fluids, lighting, tripping, III B 9 X etc.) slipping. (Ergonomic, Psychosocial, Biological, Physical) Ambulation (Walking) Slipping, tripping, falling, obstacles, twisting, reaching, pushing/pulling, heavy weights, caught in moving parts, abrasion, bruising, puncture wounds, blood and body II A 3 X X fluids, potential for violence, resistance to care, pets. (Physical, Ergonomic, Biological, Psychosocial)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 5 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Answering Call Bell Slipping, tripping, falling, blood and body fluids, potential for violence, reaching, II A 3 stretching, noise, lighting. (Physical, X Ergonomic, Biological, Psychosocial) Assessing buttocks and peri area Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II A 3 lighting, small work areas, cleansing X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Bladder Irrigation Blood and body fluids, splashes, twisting, bending, potential for violence, hand II B 4 hygiene products. (Biological, Ergonomic, X X X Psychosocial, Chemical) Urinary Catheter Care Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II B 4 lighting, small work areas, cleansing X X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Dressing/undressing (dry clothes) Tripping, awkward posture, reaching, straining, exposure to blood or body fluids, hand hygiene products, resistance to care, potential for violence, small workspaces, II A 3 X X old equipment, pushing/pulling, lighting, temperature. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Undressing wet/damp clothing Tripping, awkward posture, reaching, II A 3 X X straining, exposure to blood or body fluids, hand hygiene products, resistance to care, potential for violence, small work spaces, old equipment, pushing/pulling, lighting, temperature. (Physical, Biological, September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 6 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Psychosocial, Ergonomic, Chemical)

Dressings (Rx cream/ointments) Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II B 4 lighting, small work areas, cleansing X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Monitoring electronic monitoring Caught in equipment, blood and body equipment fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, lighting, small work areas, noise, cleansing II B 4 X agents, hand hygiene products, potential for malfunction and electric shock. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Ostomy Care Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II C 7 lighting, small work areas, cleansing X X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Passive (range of motion) Exercise Lifting, awkward posture, pushing, pulling, heavy weights, blood and body fluids, II B 4 resistance to care, potential for violence, X (Ergonomic, Psychosocial, Biological) Performing Bowel Care (Peri-care) Caught in equipment, blood and body II A 3 X X fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, lighting, small work areas, cleansing September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 7 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Performing Nail Care Caught in equipment, blood and body fluids, fungal, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, lighting, small work areas, III C 12 X X cleansing agents, hand hygiene products, cuts, abrasions, punctures. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Performing Oral Care Blood and body fluids, spitting, biting, twisting, slipping, tripping, reaching, bending, repetition, potential for violence, lighting, small work areas, cleansing III C 12 X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Toileting Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II A 3 lighting, small work areas, cleansing X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Waking a Client Slipping, tripping, potential for violence, blood and body fluids, stretching, reaching. (Physical, Psychosocial, Biological, II C 7 X Ergonomic) Weighing Client Caught in equipment, potential for violence, blood and body fluids, pushing, II C 7 pulling, bending, stretching. (Physical, X Psychosocial, Biological, Ergonomic)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 8 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Wound Care - dressings/ Caught in equipment, blood and body irrigation/packing changes fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II B 4 lighting, small work areas, cleansing X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Staple, suture removal Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II B 4 lighting, small work areas, cleansing X X X agents, hand hygiene products, cuts and abrasions. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Changing Adult incontinent products Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II A 3 lighting, small work areas, cleansing X X agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) General Client mobility Assessment Visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for violence, II C 7 X resistance to care. (Physical, Ergonomic, Biological, Psychosocial) Assisting with minor surgery and/or Blood and body fluids, punctures, cuts, II B 4 X X invasive procedures pinching, standing, awkward posture, odors, bending, twisting, stretching, repetition, potential for violence, heavy objects/body parts for extended time frames, chemicals, heat, fatigue, stress, noise, hand hygiene products. (Biological, Ergonomic, Physical, Psychosocial, September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 9 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Chemical)

Assisting with major surgical Blood and body fluids, punctures, cuts, procedures pinching, standing, awkward posture, odors, bending, twisting, stretching, repetition, potential for violence, lifting heavy objects/body parts for extended time II A 3 X X frames, chemicals, heat, fatigue, stress, noise, hand hygiene products. (Biological, Ergonomic, Physical, Psychosocial, Chemical) Vaginal Deliveries Blood and body fluids, punctures, cuts, pinching, standing, awkward posture, odors, bending, twisting, stretching, repetition, potential for violence, lifting heavy objects/body parts for extended time II B 4 X frames, chemicals, heat, fatigue, stress, hand hygiene products. (Biological, Ergonomic, Physical, Psychosocial, Chemical) Set up and care of ventilators Blood and body fluid, potential for violence, resistance to care, twisting, bending, awkward posture, stress, noise, hand III B 9 X X X hygiene products. (Biological, Physical, Psychosocial, Ergonomic, Chemical) Accessing, setting up and Blood and body fluid, potential for violence, maintenance of ports, pumps, IV, pokes, twisting, bending, awkward posture, II B 4 tubes (multiple), dialysis machines stress, noise. (Biological, Psychosocial, X Physical, Ergonomic) Bathing in Bed Slipping, tripping, reaching, cuts, blood and body fluids, lighting, temperature extremes, electric shock, scents, pets, potential for II C 7 X violence. (Physical, Biological, Ergonomic, Psychosocial, Chemical)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 10 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Bathing in Shower Sipping, tripping, reaching, cuts, blood and body fluids, lighting, temperature extremes, electric shock, scents, pets, potential for II C 7 X violence. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Bathing in Tub Slipping, tripping, reaching, cuts, blood and body fluids, lighting, temperature extremes, electric shock, scents, pets, potential for II C 7 X violence. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Wash up (sponge bath) Slipping, tripping, reaching, cuts, blood and body fluids, lighting, temperature extremes, electric shock, scents, pets, potential for II C 7 X violence. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Wringing Out Face Cloths Repetition (Ergonomic) II C 7 X

Applying or Removing Sheep Skin Caught in equipment, blood and body fluid, Bootie potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching repetition, abrasion, hand hygiene II A 3 X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical)

Applying or Removing Sheep Skin Caught in equipment, blood and body fluid, Heel Protectors potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Ankle/Foot Caught in equipment, blood and body fluid, II A 3 X Orthotic (AFO) potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching repetition, abrasion, hand hygiene products. (Physical, Biological, Ergonomic,

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 11 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Psychosocial, Chemical)

Applying or Removing Anti-embolic Caught in equipment, blood and body fluid, Stocking (knee length, thigh length) potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Arm Slings Caught in equipment, blood and body fluid, potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Arm Caught in equipment, blood and body fluid, Splint/Brace potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Cervical Collar Caught in equipment, blood and body fluid, potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Diabetic socks Caught in equipment, blood and body fluid, potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Hand Caught in equipment, blood and body fluid, II A 3 X Splint/Brace potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching repetition, abrasion, hand hygiene September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 12 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C products. (Physical, Biological, Ergonomic, Psychosocial, Chemical)

Applying or Removing Knee/Leg Caught in equipment, blood and body fluid, Brace potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Prevalon Caught in equipment, blood and body fluid, Pressure Device potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Spenko Boots Caught in equipment, blood and body fluid, potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Applying or Removing Thrombi Caught in equipment, blood and body fluid, Embolic Deterrent stocking (knee potential for violence, resistance to care, length, thigh length) fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Apply or remove adaptive devices on Caught in equipment, blood and body fluid, wheelchair potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Warming device Caught in equipment, blood and body fluid, II A 3 X potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching repetition, abrasion, hand hygiene September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 13 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C products. (Physical, Biological, Ergonomic, Psychosocial, Chemical)

Prosthetics Caught in equipment, blood and body fluid, potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Calf Compression Devices Caught in equipment, blood and body fluid, potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Wound VAC Caught in equipment, blood and body fluid, potential for violence, resistance to care, fatigue, pushing/pulling, bending/stretching II A 3 repetition, abrasion, hand hygiene X X products. (Physical, Biological, Ergonomic, Psychosocial, Chemical) Client Repositioning in Bed/stretcher Lifting, awkward posture, pushing/ pulling, heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and II A 3 body fluid, noise, temperature, potential for X X violence, resistance to care. (Physical, Biological, Psychosocial, Ergonomic) Client Repositioning in Broda Lifting, awkward posture, pushing/ pulling, heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and II A 3 body fluid, noise, temperature, potential for X X violence, resistance to care. (Physical, Biological, Psychosocial, Ergonoic) Client Repositioning in wheelchair Lifting, awkward posture, pushing/ pulling, II A 3 X X heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 14 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C violence, resistance to care. (Physical, Biological, Psychosocial, Ergonomic)

Repositioning using sit stand Lifting, awkward posture, pushing/ pulling, equipment heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and II A 3 body fluid, noise, temperature, potential for X X violence, resistance to care. (Physical, Biological, Psychosocial, Ergonomic) Repositioning using Ceiling Track Lifting, awkward posture, pushing/ pulling, heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and II A 3 body fluid, noise, temperature, potential for X X violence, resistance to care. (Physical, Biological, Psychosocial, Ergonomic) Repositioning using Total Lift Lifting, awkward posture, pushing/ pulling, heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and II A 3 body fluid, noise, temperature, potential for X X violence, resistance to care. (Physical, Biological, Psychosocial, Ergonomic) Client Care (Transfer) stretcher to Lifting, awkward posture, pushing/ pulling, bed heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Physical, Biological, Psychosocial, Ergonomic) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Broda heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Physical, Biological, Psychosocial, Ergonomic)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 15 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Commode heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Physical, Biological, Psychosocial, Ergonomic) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, recliner to bed heavy weights, visual, lighting, cluttered workspace, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Ergonomic, Biological, Physical, Psychosocial) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Recliner to Broda heavy weights, Visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching . (Physical, Biological, Psychosocial, Ergonomic) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Recliner to Wheelchair heavy weights, visual, lighting, cluttered workspace, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Ergonomic, Biological, Physical, Psychosocial) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, tub/shower chair heavy weights, visual, lighting, cluttered workspace, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Ergonomic, Biological, Physical, Psychosocial)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 16 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Century Tub Chair heavy weights, visual, lighting, cluttered workspace, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Ergonomic, Biological, Physical, Psychosocial) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Walker (2 wheel, 4 wheel) heavy weights, Visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching . (Physical, Biological, Psychosocial, Ergonomic) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Walker (no wheels) heavy weights, visual, lighting, cluttered workspace, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Ergonomic, Biological, Physical, Psychosocial) Client Care (Transfer) to and from Lifting, awkward posture, pushing/ pulling, Wheelchair heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching . (Physical, Biological, Psychosocial, Ergonomic) Client Care (Transfer) Wheelchair to Lifting, awkward posture, pushing/ pulling, Bed heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching . (Physical, Biological, Psychosocial, Ergonomic)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 17 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Client Care (Transfer) Wheelchair to Lifting, awkward posture, pushing/ pulling, Toilet heavy weights, visual, lighting, cluttered environment, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Physical, Biological, Psychosocial, Ergonomic) Client Care (Transfer) using monkey Lifting, awkward posture, pushing/ pulling, bars heavy weights, visual, lighting, cluttered workspace, slipping, tripping, blood and body fluid, noise, temperature, potential for II A 3 X X violence, resistance to care, hunching. (Ergonomic, Biological, Physical, Psychosocial) Completing Client Rounds Slipping, tripping, lighting, potential for violence. (Physical, Psychosocial) II C 7 X

Completing Security Checks (Facility) Slipping, tripping, lighting, potential for violence. (Physical, Psychosocial) II C 7 X

Environmental Safety Scans Slipping, tripping, lighting, potential for (community) violence. (Physical, Psychosocial) II B 4 X

Bed Pans Blood and body fluids, cleaners, solvents, caught in equipment/machinery, awkward IV C 17 posture, odors. (Biological, Chemical, X X Physical, Ergonomic) Carbolizing Beds Blood and body fluids, cleaners, solvents, caught in equipment/machinery, awkward IV C 17 posture, odors. (Biological, Chemical, X X X Physical, Ergonomic) Cleaning of Equipment/ Blood and body fluids, cleaners, solvents, Instruments/Devices caught in equipment/machinery, awkward IV C 17 posture, odors. (Biological, Chemical, X X Physical, Ergonomic)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 18 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Cleaning Spills and/or splashes (e.g., Bending, twisting, blood and body fluids, floors, walls) cleaners, solvents, caught in equipment/ machinery, awkward posture, odors. IV C 17 X (Biological, Chemical, Physical, Ergonomic) Cleaning Furniture Blood and body fluids, cleaners, solvents, caught in equipment/machinery, awkward IV C 17 posture. (Biological, Chemical, Physical, X Ergonomic) Cleaning Mobility Devices (e.g., Blood and body fluids, cleaners, solvents, mechanical lifts) caught in equipment/machinery, awkward IV C 17 posture. (Biological, Chemical, Physical, X X Ergonomic) Cleaning Shower Chair Blood and body fluids, cleaners, solvents, caught in equipment/machinery, awkward IV C 17 posture. (Biological, Chemical, Physical, X X Ergonomic) Cleaning Sinks Blood and body fluids, cleaners, solvents, caught in equipment/ machinery. IV C 17 X X X (Biological, Chemical, Physical) Cleaning Toilets Blood and body fluids, cleaners, solvents, caught in equipment/ machinery, awkward IV C 17 posture, odors. (Biological, Chemical, X X X Physical, Ergonomic) Cleaning Tub Room Blood and body fluids, cleaners, solvents, caught in equipment/ machinery, awkward IV C 17 posture. (Biological, Chemical, Physical, X X X Ergonomic) Cleaning Wheelchairs Blood and body fluids, cleaners, solvents, caught in equipment/ machinery, awkward IV C 17 posture. (Biological, Chemical, Physical, X X Ergonomic) Cleaning Commodes Blood and body fluids, cleaners, solvents, caught in equipment/ machinery, awkward IV C 17 posture, odors (Biological, Chemical, X X X Physical, Ergonomic)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 19 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Emptying Garbage Can/Cart and/or Punctures, cuts, blood and body fluids, soiled linen hampers abrasions, lifting, carrying, pushing/ pulling, heavy weights, slipping, tripping, extreme II B 4 X X X temperatures. (Biological, Ergonomic, Environmental, Physical) Blood collection Blood and body fluids, puncture, abrasions, caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II B 4 X X X lighting, small work areas, cleansing agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Swab Blood and body fluids, puncture, abrasions, caught in equipment, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for II C 7 violence, lighting, small work areas, X X X cleansing agents, hand hygiene products. (Physical, Biological, Psychosocial, Ergonomic, Chemical) Specimen collection Caught in equipment, blood and body fluids, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, lighting, small work areas, cleansing II B 4 X X X agents, hand hygiene products, preservative chemicals (e.g., formaldehyde). (Physical, Biological, Psychosocial, Ergonomic, Chemical) Refueling CVA/Personal Vehicle at Slipping, tripping, working alone, exposure service stations to chemicals. (Physical, Chemical) II D 11 X

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 20 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Responding to medical emergencies Slips, trips, falls, blood and body fluids, (e.g., code blue) stress, potential for violence, chemicals, twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, heavy weights, potential for violence, II B 4 X lighting, small work areas, noise. (Ergonomic, Physical, Biological, Psychosocial)

Anesthetic gases Gas (Chemical) IV A 13 X

Lead aprons Radiation, heavy weight, heat, strains, standing, fatigue. (Physical, Ergonomic) II C 7 X

Use of monkey bars on bed Lifting, pulling, pinching, potential for violence, awkward posture, bending. III C 12 X (Ergonomic, Physical, Psychosocial) Applying T Belt to tub chair Lifting, pulling, pinching, potential for violence, awkward posture, bending. III C 12 X (Ergonomic, Physical, Psychosocial) Applying T Belt to Wheelchair Lifting, pulling, pinching, potential for violence, awkward posture, bending. III C 12 X (Ergonomic, Physical, Psychosocial) Applying Table Tray to Broda Lifting, pulling, pinching, potential for violence, awkward posture, bending. III C 12 X (Ergonomic, Physical, Psychosocial) Use of Client Ceiling Track Struck by object, falling, slipping, tripping, caught in equipment, blood and body fluids, resistance to care, potential for violence, II C 7 pulling/pushing, awkward posture. X X (Physical, Ergonomic, Biological, Psychosocial)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 21 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Use of Client Sask-A-Pole (with or Blood and body fluids, potential for without T Bar violence, lifting, pushing/pulling. III D 16 (Biological, Psychosocial, Ergonomic, X Physical) Use of Client Sit to Stand Slipping, tripping, caught in equipment, lifting, awkward posture, blood and body fluids, potential for violence, resistance to II A 3 X X care, pushing/pulling. (Physical, Ergonomic, Biological, Psychosocial) Use of Client Total Lift (Hoyer) Slipping, tripping, caught in equipment, lifting, awkward postures, blood and body fluids, potential for violence, resistance to II A 3 X X care, pushing/pulling. (Physical, Ergonomic, Biological, Psychosocial) Use of Client Tub Chair Slipping, tripping, caught in equipment, lifting, awkward postures, blood and body fluids, potential for violence, resistance to II A 3 X X care, pushing/pulling. (Physical, Ergonomic, Biological, Psychosocial) Setting up, priming and cleaning Blood and body fluids, caught in dialysis machines equipment/machinery, chemicals, awkward posture, stretching, reaching, twisting, II C 7 X X bending, small work areas. (Biological, Physical, Ergonomic) Handling, use and dismantling soiled Blood and body fluids, chemicals, equipment prior to moving (catheters, punctures, sharps, twisting, turning, drainage tubing and reservoirs, bending, squatting, odors. (Biological, II C 7 X X suction canisters, soiled trays, Chemical, Ergonomic) scopes, hemodialysis ) Making Beds (occupied) Stretching, awkward posture, blood and body fluids, pushing/pulling, potential for II B 4 violence. (Ergonomic, Physical, Biological, X X Psychosocial) Making Beds (Unoccupied) Stretching, awkward posture, blood and body fluids. (Ergonomic, Physical, II C 7 X X Biological)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 22 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Stretching, awkward posture, pushing/ Opening and Closing window pulling. (Ergonomic, Physical) IV C 17 X coverings and privacy curtains Donning and doffing PPE Exposure to virus, bacteria, fungus, blood and body fluids, chemicals, twisting, II B 4 turning, stress, heat, fatigue. (Biological, X X X Chemical, Ergonomic, Psychosocial) Hand Hygiene Repetition, abrasion, cleansing agents, hand hygiene products, blood and body III C 12 fluids, allergies, sensitivities, slipping, X tripping. (Ergonomic, Biological, Chemical) Providing care within an isolation Repetition, abrasion, slipping, tripping, room blood and body fluids, cleansing agents, hand hygiene products, stress, physical and II B 4 X X mental exhaustion. (Ergonomic, Biological, Psychosocial, Chemical) Changing Lift Batteries Reaching, pulling/pushing, awkward posture. (Ergonomic, Physical) III C 12 X

Boiler Checks Visual strain, lighting, slipping, tripping, awkward posture. (Ergonomic, Physical) IV C 17 X

Dispensing (Whole) Pushing, pulling, walking, slipping, tripping, fatigue, lighting, resistance to care, IV B 14 potential for violence. (Ergonomic, X X Physical, Psychosocial) Dispensing (Crushed) Pushing, pulling, walking, slipping, tripping, fatigue, lighting, resistance to care, potential for violence, repetition, dust, III B 9 chemicals, allergies, sensitivities. X X (Ergonomic, Physical, Psychosocial, Chemical) Dispensing (Injections) Pushing, pulling, walking, slipping, tripping, III B 9 X fatigue, lighting, resistance to care, potential for violence, sharps, blood and body fluids, chemicals, allergies, September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 23 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C sensitivities. (Ergonomic, Physical, Biological, Psychosocial, Chemical)

Dispensing (Nebulizers) Pushing, pulling, walking, slipping, tripping, fatigue, lighting, resistance to care, potential for violence, sharps, blood and body fluids, chemicals (mists and vapors), III B 9 X allergies, sensitivities. (Ergonomic, Physical, Biological, Psychosocial, Chemical) Dispensing (Intravenous Pump) Pushing/pulling, walking, slipping, tripping, fatigue, lighting, resistance to care, potential for violence, sharps, blood and III B 9 body fluids, chemicals, allergies, X sensitivities. (Ergonomic, Physical, Biological, Psychosocial, Chemical) Dispensing (IV Port/Shunt) Pushing/pulling, walking, slipping, tripping, fatigue, lighting, resistance to care, potential for violence, sharps, blood and III B 9 body fluids, chemicals, allergies, X X sensitivities. (Ergonomic, Physical, Biological, Psychosocial, Chemical) Dispensing (Tube Feed) Pushing/pulling, walking, slipping, tripping, fatigue, lighting, resistance to care, IV B 14 potential for violence. (Ergonomics, X X Physical, Psychosocial) Administering/handling Chemicals, stress, stretching, pulling, chemotherapy drugs hazardous waste disposal, blood and body fluids, sharps, resistance to care, potential II B 4 for violence, allergies and sensitivities. X X X (Chemical, Ergonomics, Physical, Biological, Psychosocial) Administering topical patches, Awkward posture, rolling, lifting, resistance creams, eye drops to care, potential for violence, chemicals, III B 9 allergies and sensitivities. (Ergonomics, X X Psychosocial, Chemical)

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 24 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Suppository/Fleet Enema Awkward posture, rolling, lifting, resistance to care, potential for violence, blood and body fluids, allergies and sensitivities. III B 9 X X (Ergonomic, Psychosocial, Biological, Chemical) Feeding (Resident’s Room) Back/neck strain, lifting arms, bending, sitting, awkward posture, potential for III C 12 violence. (Ergonomic, Physical, X Psychosocial) Preparation of Client Snacks Back/neck strain, lifting arms, bending, (Hot/Cold) standing, awkward posture, possibility for III D 16 burns, cuts, scrapes, trips, falls. X (Ergonomic, Physical) Snack Round Twisting, slipping, tripping, reaching, bending, lifting, falling, pushing/pulling, moving heavy objects (snack cart), potential III C 12 X for violence. (Physical, Environmental, Ergonomic, Psychosocial) Moving Carts with supplies and Pushing/pulling, stretching awkward equipment posture, bending, visual obstruction. II C 7 X (Ergonomic, Physical) Moving Tables (without wheels), Lifting, bending, reaching, twisting, pinching chairs and equipment awkward posture, heavy weight, tripping II C 7 X slipping. (Ergonomic, Physical) Pushing/pulling, twisting, pinching, awkward Moving tables (with wheels) posture, heavy weight, tripping, slipping, II C 7 equipment (OR tables, crash carts, chemicals, blood and body fluids. X anesthetic machines) (Ergonomic, Physical, Chemical, Biological) Monitors, Supplies, (transporting Carrying, lifting, turning, bending, reaching, emergency packs, trays of blood and body fluids, pinching, squatting, II C 7 instruments, public health supplies heavy and/or unevenly distributed weight. . X and equipment) (Ergonomic, Physical, Biological) Transporting soiled instruments Tripping, slipping, falls, awkward posture, II C 7 X X and/or equipment potential for violence, getting caught in equipment, exposure to blood and body fluids. (Physical, Ergonomic, Psychosocial, September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 25 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Biological)

Porter clients to Assigned Area Tripping, slipping, falls, awkward posture, potential for violence, getting caught in II C 7 equipment. (Physical, Ergonomic, X Psychosocial) Transporting clients in and out of Tripping, slipping, falls, heavy lifting, ambulance (road and air) awkward posture, potential for violence, getting caught in equipment, small work II C 7 X space, lighting. (Physical, Ergonomic, Psychosocial) Stocking and/or restocking supplies Pushing, pulling, awkward posture, lifting, twisting, heavy weight. (Ergonomic, III C 12 X Physical) Applying oxygen to Resident from Lifting, awkward posture, exposure to blood Concentrator and body fluids. (Ergonomic, Physical, IV D 19 X Biological) Changing Exhausted pressurized Lifting, awkward posture, exposure to blood Cylinders to full Cylinder (e.g., and body fluids. (Ergonomic, Physical, II C 7 X Oxygen, Nitrous, air) Biological) Installing Concentrator in Resident’s Lifting, awkward posture, pulling. Room (Ergonomic, Physical) III C 12 X

Lifting, awkward posture, exposure to body Switching Concentrator to Portable fluids. (Ergonomic, Physical, Biological) III D 16 X Tank Provide formal and informal Stress, standing, carrying, repetition, education to other staff members bending, twisting, fatigue. (Psychosocial, IV C 17 X Ergonomic) Traveling on organizational business Eye strain, awkward posture, adverse weather conditions, potential for violence, I C 5 working alone. (Physical, Psychosocial, X Ergonomic) September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 26 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Starting an IV, catheters & NG’s Blood and body fluids, splashes, stress, poor body mechanics, possible violence, II A 3 X X X obstacles in room Providing airways Blood and body fluids, biting, splashes, stress, body mechanics, confined work II C 7 X X space Being alone with patient Verbal/physical abuse, pulling, pushing, hoisting alone II A 3 X

CPAP monitoring Body mechanics, pulling, pushing, awkward posture, small workspace IV C 17 X

Setting up equipment and Body mechanics, reaching, strain, procedures push/pull, poor lighting II B 4 X

Create specific procedure packs III C 12 X

Hanging IV bags II A 3 X

Assisting with intubation II A 3 X X

Assisting with artline CVC insertion II A 3 X X

Working in small area II A 3 X

September 26, 2012 Job Safety Analysis - Job Classification Summary 1220.004.1 Page 27 of 27

To be completed pre-analysis To be completed post-analysis Tasks Potential Health and Safety Hazards Hazard Rating Program Needs

r e h = t

) e + r y

# e O g t ( i y u y c n n l

List all tasks normally done or that Under each item consider the status of the t i i i i c E d t k o i r n i b l c e i P s t e

might be done by a person in this job client (non-aggressive, aggressive, i Comments a o c a a a P v r r b R o P c e

description contracture, partially impaired, bariatric) r i o P T f r i = S P t r P e C Changing biohazard and sharps containers II A 3 X X X

Electrocautery Body mechanics, potential for lacerations, MSI, small work area II B 4 X X

Defibrillating Potential electrical shock, body mechanics, reaching, pulling I B 2 X X

Bypap monitoring Body mechanics, pulling, pushing, awkward posture, small work space IV C 17 X

CPR II A 3 X

Handling chemicals (Percept, formalin, liquid nitrogen) III A 8 X X X

Cast cutting Body mechanics, potential lacerations, ergonomics, small work space II C 12 X

September 26, 2012