2015 Annual Report Department of Environment, Health and Safety University of North Carolina at Chapel Hill

2 From the Director Welcome to the eighth annual report of the Department of provide the structure of how the people, the information, and Environment, Health, and Safety. This report is our mecha- the technology are integrated while providing a mechanism nism for communicating the safety culture of campus and the of accountability and a process of continuous improvement. activities of the EHS Department. As a service organization, Every program we implement has these components, as well the importance of communications, collaboration, and cus- as clear expectations of individual requirements and responsi- tomer service is an everyday value, which drives the safety bilities. culture and supports the mission of the University. Providing a safe work environment continues to be the main As a department, we are committed to continuous improve- driver of our department’s work and without the collabora- ment. This means we must go from a bureaucratic culture tion and communication with all of the members of our cam- (heavily rule-oriented) to a generative culture (performance- pus community it would not be possible. Throughout this oriented & information welcomed). Our University safety report you will see specific examples that demonstrate the committees are instrumental in this effort. Please see pages diversity of our operations. 56 through 63 for their activities. In 2015, the department unexpectedly lost a special team To ensure that we will fulfill all our regulatory requirements, member. On pages 34 and 35 you will see a tribute and cele- we utilize the Plan – Do - Check - Act (PDCA) management bration of his life. This experience emphasizes the importance system. Why do we use a management system? It is a of every day and the value each of us brings to that day. framework of policies, processes, and procedures. It helps

From the Director Each of us has an individual responsible to increasing the As a team, we take great pride in our accomplishments and safety culture of the campus. It can be through education, in contributing to the health and safety of one of the world’s hazard recognition or by just lending a hand to a co-worker. leading academic and research institutions. The employees of EHS are committed to helping every indi- We also recognize and commend our fellow Tar Heels. It is vidual on campus understand their role and responsibility their commitment to health and safety, their collaborative for safety. spirit, and their pride in being part of a great University I invite every individual to utilize the process of hazard that makes UNC-CH a safe and healthy place to teach, learn evaluation in all of their activities, whether personal or and serve. work related. Approaching every task with self-awareness, deliberateness and caution are elements of accident preven- tion that can provide all of us with safer and healthier lives. Mary Beth Koza, Director Environment, Health and Safety I hope you will take the time to review this report and learn something new about our department. This report would not be possible without our staffs dedication to excellence and collaboration.

4 Who We Are

Administration Biological Safety Chemical Safety Environmental Affairs

Mary Beth Koza Dan Eisenman Catherine Brennan Mal Donohue Director Biological Safety Officer & Manager Assistant Director, & Chemical Manager Amy Butler Erika England Safety and Emergency Response Ray Bond Dosimetry Technician Biological Safety Specialist Officer Senior Hazardous Materials Specialist John Covely Kara Milton Jim Potts Janet Clarke Public Communication Specialist Assistant Biological Safety Officer Chemical Safety Specialist Environmental Specialist Nelda Hamlett Terrence Rusch Roger Connor Administrative Assistant Export Control Specialist Radioactive Materials Specialist Larry Daw Environmental Compliance Officer Sharon Myers Environmental/Stormwater Compliance Officer Mike Novitzky Hazardous Materials Specialist Frank Stillo Environmental Specialist Steve Parker Hazardous Materials Manager

Who We Are Fire Safety & Occupational & Radiation Safety UEOHC Workplace Safety

Emergency Response Environmental Hygiene Roger Sit James Hill MD, MPH Mary Crabtree

David Guynn David Catalano Cyclotron Health Physicist Medical Director Manager Fire Marshal and Manager Field Hygienist Mark Brueckner Cynthia Gamble Debra Bergman Kitty Lynn Kim Haley Associate Radiation Safety Officer Occupational Health Nurse Workers' Compensation/ Fire Safety Professional Industrial Hygienist Montego Fearrington Suzanne Carr Clinical Hygienist Emily Powell Janet Phillips Health Physics Technician Nurse Practitioner Tommy Simmons Fire Safety Professional Industrial Hygienist, John Grachus Sherice Love Workplace Safety Field Specialist Adam Swift Health Physics Technologist Administrative Support Neah Tucker Fire Safety Inspector Aaron Gunsalus Associate Occupational Field Hygienist Lead Health Physics Technologist Pam Miner Jonathan Moore Occupational Health Nurse Associate Radiation Safety Officer Mike Soles Health Physics Technologist Bradford Taylor Associate Radiation Safety Officer

6 What we do EHS Organization Biological Safety Chemical Safety Environmental Affairs Each service section within EHS has unique and Biological Safety provides The main function of the The Environmental Affairs specific management duties and responsibilities guidance, assistance, and Chemical Safety section is to section proactively manages that are determined by any number of compli- surveillance over research manage the process of im- the environmental permit- ance requirements, state and federal regulatory activities involving bio- proving safety through edu- ting of the campus and en- agencies, university policies, industry standards, hazardous agents, recom- cation, compliance, and the sures compliance with the and a commitment to going beyond compliance, binant DNA, bloodborne constant task of identifying increasing number of per- when possible, to ensure a safe and healthy cam- pathogens, and biohazard- and evaluating potential mits required by state and pus, community and state. ous waste management. safety hazards in order to federal agencies. The section Biological Safety monitors reach the destination of a has responsibility for over- and reviews the perfor- safe research laboratory sight of underground/above mance and maintenance of environment. Because the ground storage tank man- laboratory containment breadth and depth of UNC agement, air quality permits systems and provides research is always expand- (Title V), water quality technical support to EHS ing, the process of safety (NPDES) permits, surface incident responders. improvement is ongoing and water quality, storm water ever-changing, providing management, wetland is- daily challenges to support sues, environmental assess- the research process. ments at inactive waste sites, collection of radioac- tive and hazardous materi- als/wastes from campus, and operation of the Hazard- ous Materials Facility (a fully permitted Treatment- Storage-Disposal facility), and the storage-for-decay program for short-lived radioactive wastes.

What we do Fire Safety & Occupational & Radiation Safety UEOHC Workplace Safety Emergency Response Environmental Hygiene Radiation Safety integrates The University Employee Workplace Safety provides Fire safety management in- OEH ensures that indoor education, oversight, compli- Occupational Health Clinic services in the areas of ergo- cludes six functions: inspec- campus environments are ance, service and consultation provides occupational health nomics, respiratory protection, tions, enforcement, education, conducive to good health and to protect students, staff, the care services to all part-time, safety training, industrial engineering, fire investiga- wellbeing by recognizing general public and the envi- full-time, and temporary em- maintenance and construction tion, and response. With 438 evaluating and controlling ronment, from the effects of ployees of the University of safety, clinical safety, medical buildings on campus and a health and safety hazards, both ionizing and non - North Carolina at Chapel Hill. surveillance, Workers' Com- wide range of potential fire using knowledge and experi- ionizing radiation. Implicit The UEOHC directs medical pensation, and the Safety safety risks, EHS personnel ence in industrial hygiene, in all aspects of radiation care for all workplace inju- Management Information are constantly checking fire asbestos management, air safety is security. Safety and ries/illnesses. The Clinic pro- System. The diversity of related equipment, running and water quality and safety security are accomplished vides pre-employment screen- services provided by the test alarms, and assessing engineering. OEH assesses through training, inspection, ing, annual immunization Workplace Safety section egress risks. The section potential safety hazards, pos- licensing, registration and reviews, and medical surveil- supports the University’s provides student and employ- sible instances of exposure controlled access to certain lance for healthcare and non- overall mission of teaching ee fire education, so that safe- and suitability of protective materials. healthcare workers. and research for both academ- ty becomes a collaborative equipment. Working with ic and non-academic divisions. effort and a fire safety culture facilities engineering and becomes the norm. facilities services personnel to keep historical buildings functional, while protecting employee health, and work- ing with planning, construc- tion and startup of new and renovated buildings to antici- pate building health issues.

8 How we do it With the breadth and depth of UNC research always expanding, the process of EHS compliance management is ongoing and ever changing, requiring a robust and adaptive management system. In 2015, the department continued to utilize an integrated man- agement system for the University’s environment, health, and safety compliance programs. This effort was designed to ensure continuous improvements by incorporating a process of ongoing monitoring, reviews, and revisions of procedures and policies through the use of the Plan - Do - Check - Act (PDCA) model. Just as a circle has no end, the Plan - Do - Check - Act cycle is a four-step process model for carrying out change, cycling through each step for continuous improvement.

PDCA Integrated Management System UNC EHS Management System

Goals Objectives Objectives Plan Targets Work plans Program development

Training Communications

Consultation Implementation and Operations Do Outreach

Lab Safety and Hazard Management Plans Emergency response

CLIP inspections HMP inspections Check Checking Monthly reports Annual reports Performance reviews

Policy & procedure adoption Corrective and Preventive Actions Act Strategic planning process

PLAN EHS Goals How we do it Hazard Review Design Review Lab Worker Registration Lab Safety Plan New Regulations Training Design

DO

ACT Lab Surveys UNC – CH Risk Assessments Safety Committees Hazmat Responses EHS Data Analysis EHS Lab Waste Disposal Incident Investigation Medical Surveillance Regulatory Impact Analysis Management Environmental Permits Responses to Regulatory Fact Sheets/Newsletters Agencies System Service Reimbursement & Payment

CHECK Supervisor EHS - CLIP Self-Inspection Grant Compliance Regulatory Inspections Lab Safety Plan Review Chemical Inventory Reports EHS Hazard Management Plan The EHS organization continues to develop and implement tools and processes to proac- tively the campus in the areas of regulatory compliance for biological safety, chemical safety, radiation safety, controlled substances, export shipping controls, occupational safety, environmental permitting, fire/life safety, and emer- gency response. Monthly reporting metrics as well as the University’s safety committee structure support this process. A critical compo- nent of the management system is having the staff perform compliance verification and utilize this data for planning. Understanding and expertise in the science is essential to the development of a management compliance system.

10 Why we do it Mission Statement The University of North Carolina at Chapel Hill Department of Environment, Health & Safety supports the University's core mission of teaching, research, and service by providing comprehensive environmental, health, and safety services to the University community. This includes education through training and consultation, maintaining a safe environment through recognizing and controlling health and safety hazards, ensuring a process of regulatory compliance, and minimizing future potential liabilities.

Mission of the Organization  Provide a safe work place.  Ensure a process of compliance.  Minimize future potential liabilities.

Values of the EHS Organization The organization will:  Use time efficiently.  Be a resource for new ideas.  Connect to us relationally.  Stay with us on the journey through all twists and turns.  Establish state of the art safety and environmental protocols and procedures.  Enable us to be all we can be.

EHS Mottos  Be All You Can Be.  Strive Towards Excellence.

Why we do it The University of North The University will achieve and Carolina at Chapel Hill, as an maintain diversity on the educational institution, is campus through the admission committed to the following core of students and employment of values with respect to diversity: faculty and staff who broadly reflect the ways in which we The University supports differ. intellectual freedom, promotes personal integrity and justice, The University promotes and pursues values that foster intellectual growth and derives enlightened leadership devoted the educational benefits of to improving the conditions of diversity by creating human life in the state, the opportunities for intense nation, and the world. dialogue and rigorous analysis

The University believes that it and by fostering mutually can achieve its educational, beneficial interactions among research, and service mission members of the community. only by creating and sustaining an environment in which The University provides an students, faculty, and staff environment that values and represent diversity, for example, respects civility and cordiality of social backgrounds, economic of discourse in order that all circumstances, personal members of a diverse characteristics, philosophical community feel welcomed and outlooks, life experiences, feel free to express their ideas perspectives, beliefs, without fear of reprisal. expectations, and aspirations, to mention some salient factors. Core Diversity Values of the University

12 What They Say Biological Safety Chemical Safety Environmental Affairs Fire Safety &

Emergency Response “The policies for safe conduct of dual “In preparing for the upcoming “We in UNC Building Services have use research at UNC have been multimillion dollar renovation of the been thrilled with EHS’s leadership “The EHS Fire Safety group works implemented. All BSL-3 labs have Mary Ellen Jones building, we were in identifying where the various with Housing and Residential received in person training during tasked with clearing out labs and mechanical room drains go. This Education on a regular basis to ensure the safety of students living on their annual BSL-3 training to cleaning up the spaces to establish a will prevent water pollution by campus. EHS conducts fire drills in comply with the new federal policy. safe construction site for the keeping chemicals out of our creeks student housing four times per year, Online training is available for all contractor. The EHS Chemical and lakes, and positively impacts and train all Resident Assistants researchers. The department of Safety team put in the extra effort UNC’s reputation as an yearly on emergency procedures. Homeland Security has vetted (and even a bit of their own elbow environmentally responsible They also train students and DHRE UNC’s program. Thus, we have grease) to make sure that the labs member of the community.” employees on fire extinguisher usage, done a thorough job of preparing for were decontaminated in time for while maintaining over 2000 fire dual use types of research and are construction to start. We really extinguishers located in our buildings. fully compliant with the spirit and appreciate all their hard work and Most recently, Fire Safety has begun the law of the national policies that that help was just a phone call conducting regular inspections of our housing units and mechanical spaces, govern this work.” away.” helping our department correct potential safety hazards before they Mark Obenshain become an issue to students or staff.”

Assistant Director HVAC Operations

Facilities Services

P. Frederick Sparling, MD Amy E. Dean, PE LEED™ AP PMP Chair Emeritus Facilities Planning Structural Department of Medicine Engineer/Project Manager UNC School of Medicine Facilities Services Doug Fleming Facilities Superintendent Building Services - Housing Support Facilities Services

What They Say Occupational & Radiation Safety UEOHC Workplace Safety

Environmental Hygiene “EHS Workplace Safety took the “During the design planning, “The UEOHC provides the “At the request of UNC Horizons, construction, and opening of the University with rapid medical initiative to participate and has been OEH inspected their apartments for new UNC Hospital’s Hillsborough assessment of our accidental an invaluable member of the State’s indoor quality concerns. OEH made Campus, Radiation Safety provided occupational exposures, which allows Workers’ Compensation Core Team. serval recommendations, which invaluable input and guidance in us to quickly assist the injured Working with OSHR and several allowed the UNC Property support of our radiation services. It employee, establish medical state agencies supporting the Management office to work with the is a comfort to know that I can rely surveillance and communicate Governor and General Assembly building management implement on the staff to provide the necessary promptly with our sponsoring direction in developing a standardize corrective actions. It was a great design guidelines, site testing, and organizations.” state-wide workers’ compensation value to the program and we enjoyed licenses to ensure the safe operations program that will ensure continuity working with them. “ of our facilities. The staff is always of services for injured employees readily available and responsive to while realizing cost savings for the

the needs of our patients and they state of North Carolina. OSHR and are a pleasure with which to work. I the Governor’s office recognizes and have managed UNC Hospitals’ Daniel Eisenman, PhD, CBSP appreciate the commitment and the Biological Safety Officer & Manager expertise that EHS has brought to contract with EHS for 20 years and UNC Environment, Health and Safety Crystal Royal have always found the staff to be the state-wide program.”

Director of Operations experienced and knowledgeable, a

UNC Horizons Program dedicated team of professionals.”

Obstetrics and Gyneocology School of Medicine

John Bogner,

Director Safety, Health & Workers’ Cindy Taylor Compensation Division Director Office of State Human Resources Environment, Health & Safety/ Workers’ Compensation UNC Health Care

14 2015 Performance Intrapreneurship* Develop and implement EHS cross functional team to analyze the reason(s) for generation of Continue to utilize customer-feedback mechanism of Collaborative Laboratory Inspection high hazard and unknown chemical waste from University laboratories. Develop action plan and hazardous waste programs to drive early identification of safety risks, hazards, commu- which drives education and ultimate reduction of high hazard and unknown laboratory nications, training need, and improve service and customer feedback. chemical waste generation. Train and implement 5S Management Process for Environmental Affairs waste handling Finalize chemical inventory tracking process for on-line HMP program. group pertaining to all vehicles, storage and office areas. Education Develop and implement new training delivery platform for EHS on-line self-study units, the Update biological use registration process and provide training across campus. first pilot to be Respiratory – N95. Develop/implement required training for Principal Investigators for dual use research of Implement State’s Hazard Hero program and actively use theme of “June is Safety Month” as concern. a communication vehicle to enhance campus safety culture. Compliance Develop clinical laboratory inspection program to identify and inspect campus clinical labs Develop mechanical room inspection process to identify and eliminate hazards to ensure safe and ensure safe work environment for employees working in clinical laboratory areas. work environment for Facilities Services and Energy Services employees. Work with NCDENR on development and implementation of remedial action plan for Renew University Resource Conservation and Recovery Act Part B Operating Permit for Town of Chapel Hill Old Sanitary Landfill at Carolina North. Hazardous Materials Facility. Renew radioactive materials licenses: UNCH Medical broad-scope and UNC academic Develop and implement system for dual use research of concern compliance for the research accelerator licenses. community. Growth Support Mary Ellen Jones renovation project including permitting, design review and demo- Continue to support move-in and commissioning of Marsico Hall. lition activities. Develop and implement on-line Permitting program for Hot Work, Confined Space, and Develop comprehensive chemical fume hood alarm manual that notes types used on campus, Energized Work. building locations, specifications and calibration information. Develop, identify and implement new clinical location classification mechanism in HASMIS Conduct risk assessment of vibration exposure for campus departments to determine at-risk for SOM personnel located off campus. work tasks and monitoring needs.

*The word intrapreneurship, a relatively new word as cited in the American Heritage Dictionary, is used here instead of the word productivity because it suggests a broader and more positive concept of integrating innovative approaches into the measurable activities of change and improvement.

2015 Performance

Intrapreneurship* Continue to lead cross functional team to review issue of false fire alarms. Team will ana- Explore other complimentary clinical services/training to better manage workers compensa- lyze 2015 false fire alarm data, identify improvements to fire alarm process and minimize tion cases. Work with Campus Health to determine if there are cost saving opportunities of number of false alarms so Chapel Hill false alarm ordinance will not be a financial burden to moving lab and imaging services. the University. In collaboration with Chemical Safety and Environmental Affairs, update and integrate code Update new immunization requirements in Medical Staff Bylaws and make necessary chang- into University’s Lab Design Guidelines. es to HASMIS. Publish University’s experience with varicella titers in infection control. Education

Establish online training that instructs users of DEA controlled substances about comply- ing with government regulations for use of these substances. Support Division of Laborato- — ry Animal Medicine in creation of a pharmacy on campus that supplies DEA controlled substances to animal researchers.

Compliance Prepare and implement renewal process for possession, use, and transfer of biological Work with Facilities Services on development and implementation of campus wide oxygen agents listed in 7 C.F.R. Part 331, 9 C.F.R. Part 121, and 42 C.F.R. Part 73 (select agents monitor program for areas that have potential for oxygen deficiency (storage of cryogenics, and toxins). carbon monoxide manifold systems, etc.).

Monitor startup of the new cyclotron facility. Establish appropriate safety programs for all Review 10 CFR 37 requirements for security of radionuclides in quantities of concern, cross- imaging modalities in Marsico Hall. walk with present program, strategize filling of gaps, if necessary.

Growth Develop and lead cross functional team of EHS, Energy Services and Facilities Services to Continue to identify ways of using HASMIS to enhance compliance and support continuous determine applicability of ASHRAE Standard 188P-Prevention of Legionellosis Associated improvement. Examples include lab equipment and freezer inventories, flood incidents, mold with Building Water Systems. and indoor air quality concerns.

In collaboration with University Employee Occupational Health Clinic, develop and imple- Key Completed In Process Stopped ment personal heat stress monitoring for Grounds Department.

Environment, Health and Safety - Division of Finance and Administration - University of North Carolina at Chapel Hill - 1120 Estes Drive Extension, Chapel Hill, NC 27599 - 919-962-5507 - ehs.unc.edu

16 2016 Goals Intrapreneurship* Explore Radio Frequency Identification (RFID) tag use for Support the UNC’s Informal Contracting Process to ensure Finalize the chemical inventory tracking process for the on- chemical inventory management and compliance. that the best-qualified, responsible, responsive contractors line HMP program across campus. perform construction work on campus and build the base of contractors from which UNC selects. Review and make improvements to the biosafety cabinet Bring the Research Animal Handler Questionnaire form into Review and publish the University’s last four years’ experience certification program. Hasmis to take advantage of our existing data systems/lab of PEP for needlesticks in order to improve efficiency and exposure plans and improve accuracy of reporting. reduce costs. Education Develop a white paper on the applicability of the ASHRAE Review and update the Biological Safety online training pro- Continue the implementation of the State’s Hazard Hero pro- Standard 188P-Prevention of Legionellosis Associated with grams by adding modules for HIV/SIV, Non-human pri- gram across campus and actively use the theme of “June is Building Water Systems and the AIHA publication mates / herpes B and viral amplification. Safety Month” as a communication vehicle to enhance the “Recognition, Evaluation and Control of Legionella in Build- safety culture across campus. ing Water Systems” for education across campus. Compliance Continue to work with Facilities Services on development and Develop Asbestos Management Plan for buildings with asbes- Continue to work with NCDENR on development and imple- implementation of campus wide oxygen monitor program for tos-containing fireproofing and acoustical ceiling treatments mentation of remedial action plan (RAP) for the Town of areas that have potential for oxygen deficiency (storage of Chapel Hill Old Sanitary Landfill at Carolina North. cryogenics, carbon monoxide manifold systems, etc.). Apply for a Manufacturing and Distribution license for Update the University’s construction design guidelines for Implement the clinical laboratory inspection program to en- BRIC's cyclotron facility. hazardous materials, (lead and asbestos) to reflect new regula- sure a safe work environment for employees working in clini- tory drivers and best practices. cal laboratory areas. Update the University’s Title V permit to incorporate the proposed new on-campus emergency generators.

Growth Support the Mary Ellen Jones renovation project including Develop, identify, and implement new clinical location classifi- Implement and distribute the updated Emergency Action Plan permitting, design review, demolition and construction activi- cation mechanism in HASMIS for SOM personnel located off (EAP) form to Emergency Coordinators, track compliance and ties. campus. follow-up with departments on campus as needed.

2016 Goals

Intrapreneurship* Develop and implement a waste tracking report in HASMIS for Implement an EHS cross-functional team to analyze the reason In collaboration with Chemical Safety and Environmental Af- radioactive waste and mixed waste for decay in storage at the (s) for the generation of high hazard and unknown chemical fairs, continue the process of updating the construction design Radioactive Waste Storage Building, the Liquid Waste Pouring waste from University laboratories. Develop an action plan guidelines to reflect new regulatory drivers and best practices. Facility and Storage Area 7 at the TSDF Building 53. which drives education with the ultimate goal of the reduction of high hazard and unknown laboratory chemical waste generation.

Education Update the hazardous materials shipping training program in Recruit, train, equip, and implement a core group of Emergency Lead the University’s response to Zika Virus preparedness to support of the Export Control program. Response Team members with enhanced capabilities and compe- manage the risks and implement activities as needed. All actions tencies. will be coordinated under the University’s Emergency Opera- tions plan.

Compliance Renew the University’s Reclaimed Water Permit. Continue to monitor the design and start-up of the clean room in Implement the 10 CFR 37 requirements for the for the irradiator the cyclotron facility. Establish appropriate safety programs for security program. all imaging modalities in BRIC.

Review the University’s Lead Based Paint Policy and update as Review the University’s Biosafety program for BSL2+ lab work. Continue to improve the fire extinguisher program by collecting necessary to incorporate new legislation. Create tiers for research labs based on risk assessments. and analyzing the program data on campus fire extinguishers and encouraging high-risk departments to conduct monthly fire extinguisher inspections.

Growth Continue the development and implementation of an on-line Permitting program for Hot Work, Confined Space, and Ener- gized Work.

Highlights of 2015 18 Biological Safety Chemical Safety Environmental Affairs Fire Safety and Emergency Response

Biological Safety Chemical Safety

Department of Homeland Security Approves of UNC’s Compliance Comprehensive Chemical Fume Hood Alarm Manual with New Federal Policy With more than 1,200 chemical fume hoods across campus, it is A new federal policy regulates Dual Use Research of Concern important to have an in-depth guide for those performing chemical (DURC). A new UNC policy was written by the Biological Safety fume hood alarm maintenance and calibration. This new manual Officer and approved by the Institutional Biosafety Committee, the notes all internal EHS processes used to track, inspect, and run University Safety and Security Committee and the Chancellor. All reports and notes the types and brands of chemical fume hood alarms high containment researchers were trained regarding the in use at the University, including detailed instructions regarding requirements of the new policy. The Institutional Review Entity was use and calibration of these alarms. A comprehensive list of the created to review projects with DURC potential. The program was alarms used in specific labs is also being developed. reviewed by the Department of Homeland security and found to be fully compliant with the new federal policy. DEA Controlled Substances Training Program Due to the complex regulations in the use of DEA Controlled Supporting UNC Collaboration with GSK / Qura Therapeutics Substances a comprehensive training module was developed offering As part of the collaboration between UNC and GlaxoSmithKline, much needed guidance to users, including information about how to Qura Therapeutics was formed to perform HIV research at UNC. obtain a license from the state and federal DEA offices, how to safely Biological Safety served as liaisons between the GSK scientists and secure these substances, and how to properly dispose of any waste or EHS to streamline their transition to the UNC campus. The staff unused product. The goal is to give campus researchers the ability to participated in the planning committee to renovate various UNC labs perform their work without having to decipher recondite guidelines for use by Qura Therapeutics. Requirements for Biosafety Level 2+ but also to ensure that these workers understand how to safely and HIV labs at UNC were created in order to standardize and competently use DEA Controlled Substances. streamline the renovation of existing laboratories to meet the needs of the Qura researchers. Support for North Carolina School of Science and Mathematics EHS continues to be a resource for the science departments at the National Biosafety Stewardship Month North Carolina School of Science and Mathematics (NCSSM), In response to recent lapses in biosafety practices at federal answering questions and performing audits on the school’s chemical laboratories, the National Institutes of Health and other agencies inventory management, chemical hygiene plan compliance, lab within the Department of Health and Human Services declared ventilation requirements and general safety questions. A sister October 2015 as Nation Biosafety Stewardship Month. As part of school in the UNC system, NCSSM is a residential high school this awareness, UNC’s EHS Biosafety section published an Avert located in Durham serving juniors and seniors from across the state. newsletter to increase awareness of NIH requirements and highlight The school focuses on science, technology, engineering and math he new federal DURC policy. The Biological Safety employees (STEM) and the school’s facilities include many laboratory areas. staffed the EHS booth at the Graduate Student Fair and reviewed existing biosafety manuals and trainings during National Biosafety Stewardship Month.

Biological Safety Chemical Safety Environmental Affairs Fire Safety and Emergency Response

Environmental Affairs Fire Safety and Emergency Response

New Title V Air Permits 870 new fire extinguishers Environmental Affairs obtained a revised Title V Air Permit from To ensure that our University community is always prepared for fire, the North Carolina Department of Environmental Quality - Air 870 new fire extinguishers were purchased to support the nearly Quality to support the replacement of existing emergency generators 8,500 fire extinguishers already on campus, and, every year, these at the Davie Hall and the New East Building and the extension of extinguishers are checked to ensure that that they are properly emergency backup power to the newly renovated Howell Hall. charged, in good working order and easily accessible.

RCRA TSD Facility Part B Permit Renewal Emergency Action Planning process Environmental Affairs prepared and submitted a RCRA TSD Although the University maintains a campus-wide Emergency Facility Part B Permit renewal to the North Carolina Department of Operations Plan that is applicable to all students, faculty and staff, Environmental Quality Division of Waste Management for the departments and work units are still required to provide employees operation and management of the University Hazardous Materials emergency procedures specific to their work area. To assist Facility, a ten year operating permit. departments and work units in this task, a new Emergency Action Planning process was developed. This process provides a worksheet Dye Trace Testing to departments and work units to collect emergency information In order to assist the HVAC shop with on-going maintenance specific to their department. The information is then reviewed and activities, Environmental Affairs developed and implemented a placed into a customized Emergency Action Plan for that program of dye trace testing for the University’s Mechanical Room department or work unit, so that it is ready for use in any floor drains in order to determine where the drains discharge to the emergency. storm drainage system or sanitary sewer system. UNC Football Fire Safety When 63,000 fans come to Kenan Stadium each fall, members of the UNC Fire Safety team are also there to ensure a safe event. The Fire Marshal and one member of the Fire Safety team attend every game to perform pre-game inspections and to respond to any emergencies during the game. Additionally, in collaboration with the Chapel Hill Fire Department, a procedure for joint responses to fire alarms and fire safety issues was created to ensure that Tar Heel fans need only be concerned about the game.

Highlights of 2015 20 Occupational & Environmental Hygiene Radiation Safety UEOHC Workplace Safety

Occupational and Environmental Hygiene Radiation Safety

Ultrafine Particle Monitoring of 3-D Printers Radiation Safety Program in Good Shape EHS conducted indoor environmental quality monitoring of ultrafine The Radiation Safety unit administers eight radioactive materials particle emissions from a newly installed desktop 3D printer at the licenses and about 20 x-ray registrations. These licenses and School of Library Science. 3D printers produce ultrafine particles registrations are audited by the NC Radiation Protection Section on which are small enough to penetrate deep into the lungs. EHS a regular basis on differing schedules. The unit hosted seven conducted short and long-term sampling on multiple days to different inspections which covered licenses, registrations, and evaluate the emissions of the printer. The results showed that local operations. The results of the inspections were that the radiation exhaust ventilation must be used with this printer. safety program was in good shape and there were few citations that were minor in nature. Carrington Hall Asbestos Abatement and Stabilization The Facilities Coordinator for the School of Nursing noticed that the Supporting UNC Cancer Hospital asbestos acoustical treatment applied to the ceilings of the original The Radiation Safety unit assisted in acquiring, installing, building of Carrington Hall was delaminating causing debris on commissioning, and licensing of a new medical accelerator, the work surfaces. Efflorescence was also occurring along exterior Elekta VersaHD. This cutting edge medical accelerator is the plaster walls that contain asbestos. The building envelope has a convergence of conventional radiotherapy with advanced stereotactic history of moisture intrusion. EHS conducted a risk assessment and precision. created a strategy to mitigate the hazard and worked closely with Facilities Services, the asbestos design consultant, the abatement Implementing the Radiation Effluent Release Monitoring System contractor and the School of Nursing to schedule the work so that The Radiation Safety Office successfully implemented the radiation there was minimal impact to faculty and staff. effluent release monitoring system at the cyclotron facility. The very first annual report was generated documenting the radionuclide Bynum Hall Painting Project gases released from the cyclotron facility during production. Responding to a concern about excessive paint odors and possible lead-based paint contamination associated with the renovation of the New Semester Course Offered main lobby. EHS reviewed the work practices and the safety of the The Radiation Safety unit added a new semester course (an elective) products used in the renovation. Modifications to the contractor’s titled “Radiation and Radiation Protection” in the OEES work practices were implemented to minimizing the odor in the (Occupational and Environmental Exposure Science Program) in the occupied areas of the building and EPA recommended cleaning Environmental Sciences and Engineering Department. The practices were also initiated. Volatile organic compound levels were inaugural class was given in Spring 2015. monitored on a daily basis to verify that the modified engineering controls were effective.

Occupational & Environmental Hygiene Radiation Safety UEOHC Workplace Safety

UEOHC Workplace Safety

Fitness for Duty Evaluations Princeton Benchmarks with UNC Fitness for duty evaluations help determine whether an employee is In an effort to analyze their workplace safety efforts, Princeton able to perform his or her job duties in a safe and efficient manner. University asked to review the UNC Workplace Safety program. EHS and the UEOHC have fitness for duty programs in place for The director and assistant director from Princeton’s Environmental employees who work in high containment laboratory settings, Health and Safety department visited the UNC campus and met with employees in the Division of Laboratory and Animal Medicine, and the Workplace Safety manager, the Hazards Management Plan the UNC Department of Public Safety. Inspection Team, the University Occupational Health Clinic staff as

Blood Borne Pathogen Program well as other staff. They discussed the pros and cons of programs The University’s blood borne pathogen program is a joint effort with and saw a demonstration of the Health and Safety Information Campus Health and UNC Healthcare. Efforts are ongoing to Management System. The benchmarking data was utilized to streamline the administration of post-exposure prophylaxis (PEP) identify gaps in Princeton’s existing program and facilitate the medications for occupational HIV exposure. In addition, health care design of their strategic plan.

providers traveling internationally are now required to document the Climbing Walls availability of PEP in their international practice setting. EHS continues its partnership with UNC Campus Recreation, a unit Travel Services in the department of Exercise and Sports Science, to enhance its The UEOHC supports international travel for employees on internal procedures for recreational climbing walls. The two University business. International locations include the University of climbing walls on campus are located in Fetzer Gym C and Rams North Carolina Project-Malawi (UNC Project) in Lilongwe, Malawi, Head Recreation Center. From the novice to the expert climbing several clinical sites in West Africa and the UNC/USFQ Galapagos sports enthusiast, the climbing walls offer a variety of climbing Science Center located on San Cristobal Island in the Galapagos terrain for University students, faculty and staff. To ensure that Archipelago. staffing procedures are fully understood and followed, job Safety Analysis for various tasks, staff orientation, and certification procedures for equipment were established.

UNC Implements System of Oversight of Dual Use Research 22 Biological Safety Partly in response to public concerns over experiments that incident reporting was emphasized by the NIH after conducting might expand the host range of highly pathogenic avian influ- more than one hundred institutional audits over the last decade and enza that could easily spread to mammals, the U.S. Govern- seeing those areas as needing improvement. ment issued policies on oversight of dual use research of con- cern (DURC) in March 2012 and September 2014. While the In order to ensure compliance with the new federal and UNC first policy placed the burden of oversight for previously fund- DURC policies, all high containment researchers were trained on ed research on the NIH, the 2014 policy required federally the requirements of the new policy during their annual Biosafety funded institutions to provide oversight of such research prior level 3 training. The Biological Safety Officer serves as the Institu- to obtaining funding. tional Contact for Dual Use Research of Concern and a new com- mittee, the Institutional Review Entity, was created to review pro- In 2015, the new federal DURC policy went into effect. In jects with DURC potential. The UNC DURC oversight program order to ensure institutional compliance, the Biological Safety was reviewed by the Department of Homeland security and found Officer wrote a new UNC policy which was reviewed and ap- to be fully compliant with the new federal policy. proved by the Institutional Biosafety Committee, the Univer- sity Safety and Security Committee and the Chancellor. In response to UNC’s efforts to ensure compliance with the new federal DURC policy, Fred Sparling, MD, Emeritus Chair of Mi- To inform the research community a special edition of the crobiology and Immunology, member of the UNC Institutional Avert newsletter was mailed to all UNC research faculty as Biosafety Committee, member of the UNC Institutional Review part of National Biosafety Stewardship month to bring atten- Entity and Former member of the National Science Advisory tion to the new DURC policy and to highlight the importance Board on Biosecurity said, “we have done a thorough job of prepar- of NIH training and incident reporting. NIH training and ing for dual use types of research and are fully compliant with the

Biological Safety

Dual use research of concern (DURC) is life sciences research that, based on current understanding, can be reasonably anticipated to provide knowledge, information, products, or technologies that could be directly misapplied to pose a significant threat with broad potential consequences to public health and safety, agricultural crops and other plants, animals, the environment, materiel, or national security. Photo courtesy of NIH.

24 Biological Safety Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing optimum performance. The adjacent page shows the specific performance activities and the level of that performance for 2015. Education Customer Service Internal Processes 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Level 4 ------

Level 3 -

Level 2

Level 1

Compliance

2015 Performance

Education Customer Service Internal Processes

Trained 8,385 healthcare workers, facilities services employees,

researchers, and childcare providers in bloodborne pathogens Level Four annual requirement.

Conducted 279 online training in DLAM Orientation, DLAM

BSL-2, and Zoonotic/Lab Animal Allergy for DLAM employees. . Investigated 14 incidents of laboratory spills, accidents, and pro- cedural problems involving potentially infectious materials with Trained 471 researchers and other campus personnel in proper no laboratory acquired infections resulting from incidents. requirement for shipping with dry ice. Conducted 10 Institutional Animal Care and Use Committee Trained 502 campus researchers, staff and administrators about inspections in accordance with their guidelines and regulations. federal and international shipping, importing and exporting regu- lations through online and in-class sessions. Assisted Appalachian State University in developing a BSL-2 training program. Established the Export Control Working Group to conduct inter- Trained 1042 researchers in basic principles of conducting re- nal review of UNC’s export control program. Level Three search at BSL-2, such as proper technique and waste handling and Submitted 15 registration updates to CDC in reference to labora- trained 271 researchers in enhanced BSL-2 procedures. tory operation changes. Developed various improvements to the Institutional Biosafety Committee review process including simplifying registration Trained 355 researchers, maintenance and emergency personnel Certified 472 campus biological safety cabinets ensuring safety of forms, allowing for expedited review of low risk / exempt re- in specialized biological safety, meeting regulatory requirements product, personnel, and environmental protection. search and developing a reporting function to streamline adminis- of the CDC and NIH for biological agent management in labora- trative processes. tory environment. Conducted 232 on-site BSL-2 lab safety audits verifying imple- mentation of new CDC/NIH Biosafety regulations/procedures. Developed a Dual Use Research of Concern policy, establishing Trained 13 Facilities Services employees on how to respond to the Institutional Review Entity oversight committee and provid- potentially infectious sewage spills. Reviewed 54 I-123 visa applications. ing in-person training to relevant groups.

Level Two Trained 217 researchers and staff members on proper use of Met with Collaborative Cross researchers to review/address new Created a special immunizations program for BSL-2 research. campus autoclaves through online training. safety concerns involving use of Collaborative Cross mice in infec- tious disease research. Developed design guidelines for BSL2+infectious disease labora- Trained 177 researchers on policies about Dual Use Research of tories. Concern through online training. Collaborated with biosafety cabinet manufacturers to develop a new engineering control for mice in biosafety cabinets. Developed guidelines for research involving Non-Human Primate Trained 177 researchers in identifying and registering projects materials. meeting NIH Guidelines for Research Involving Recombinant Collaborated with North Carolina A & T State University to DNA Molecules. reviews SOPs and conduct functional testing on their high- Developed guidelines for cryo-preservation of biohazardous mate- containment laboratory at Kannapolis. rials. Provided training to veterinarians on Biohazards, Occupational Health and Biological Safety at Biosafety Level 2 and Biosafety Revised facility use agreement contracts to allow a greater range Participated in Biosafety Stewardship month through the distribu-

Level One Level 3 as part of the Research Triangle Laboratory Animal of research applications for startup companies leasing space from tion of the Avert newsletter and staffing of EHS booth at the Training Program. the University. Graduate Student Fair. COMPLIANCE

A Record Fifty Three Lab Closeouts 26 Chemical Safety When Principal Investigators and their staff move to another or in some cases, having the EHS Environmental Affairs staff on-campus location or leave the university lab safety plans remove abandoned chemicals or biological waste. must be updated, chemical inventory must be transferred, lab Nearly two-thirds of those 53 moves were due to the impending entrance signs for new spaces must be generated and posted, closure of the Mary Ellen Jones building, an eleven story re- and a lab closeout must be performed in the old space to ensure search building comprised of approximately 120,000 square feet the closeout meets safety guidelines. That requires timely and of laboratory space. The Chemical Safety staff led an EHS in- extensive work by the Chemical Safety staff and in 2015 there terdisciplinary team charged with ensuring that all lab spaces were a record number of moves. were clear of hazards, surplus equipment properly deconned This record number was due to the continuing occupancy of the and posted, and hazardous material signage and any remaining new imaging building, Marsico Hall, and the impending total biological, chemical or radiological wastes was removed. The renovation of the Mary Ellen Jones building. As a result, the team worked for approximately two months, moving floor by Chemical Safety team performed 53 lab closeouts which is more floor as researchers left. Several items that had been abandoned than three times the number of closeouts in 2014. The lab by researchers had be deconned or properly discarded. Biologi- closeout process involves an inspection and at times a lengthy cal waste had to be boxed up for incineration and chemical follow-up for items not properly completed. This could involve waste had to be prepped for pickup by a hazardous waste ven- contacting the Principal Investigator for removal of equipment, dor. The team was able to clear all floors by the deadline so that that the building renovation could move forward on schedule.

Chemical Safety

Photos depict similar renovations planned for the Mary Ellen Jones building

28 Chemical Safety Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing optimum per- formance. The adjacent page shows the specific performance activities and the level of that performance for 2015. Education Customer Service Internal Processes 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Level 4 ------

Level 3 -

Level 2

Level 1

Compliance

2015 Performance

Education Customer Service Internal Processes

Level Four Trained 2181 new laboratory employees on Laboratory Performed 172 CLIP/Radiation/HazWaste inspections, Environment through online self-study. Reviewed 596 new and/or updated Laboratory Safety assessing campus laboratory safety and compliance.

Plans and reviewed deficiencies with PI’s and Safety Su- Trained 808 employees on Formaldehyde to comply with pervisors, ensuring compliance with the University’s Reviewed all IACUC applications including reviewing and OSHA requirements. Chemical Hygiene Plan. approving Chemical Hazard forms, ensuring research compliance for animal care and use. Trained 171 employees on Nanotechnology Safety online. Uploaded 46 chemical inventories into online system and reviewed 273 annual inventory updates as part of Chemi- Verified 53 lab closeouts to ensure lab spaces were clean, Trained 158 employees on Chemical Fume Hoods through cal Hygiene Plan compliance. decontaminated and free of waste. online training. Supported animal care and use in research regulations by Inspected 1265 chemical fume hoods and submitted 111 Level Three Trained 84 employees on Compressed Gas Safety through participating in satellite facility, semi-annual inspections Facilities repair requests for fume hoods. online training. and AAALAC site visit. Calibrated EHS Departmental thermo-anemometers for

Trained 15 UNC SPIRE summer program students Gen- Assessed potential chemical exposures by monitoring air use in chemical fume hood face velocity checks during eral Laboratory Safety. concentrations in the breathing zones and laboratory work inspections. areas of 14 employees and made suggestions for controls Trained six Chapel Hill Fire Department shifts on EHS to eliminate/minimize chemical health hazards. Participated in EOC University tabletop exercise and monitoring equipment and gave tour of Hazardous Mate- campus-wide full-scale active shooter drill. rials Facility. Assessed five lab employee work environments as part of the Conceptus Protection Program. Supported DLAM in the investigation into creating a Conducted chemical safety training for incoming Chemis- pharmacy on campus that supplies DEA controlled sub- Level Two try department Teaching Assistants, Chemistry 550L Participated in clean-up of six chemical spills in campus stances. undergraduate class and Chemistry 701 graduate class. laboratories. Developed a comprehensive chemical fume hood alarm Utilized Principal Investigator listserv to distribute up- Investigated two research laboratory accidents/incidents, manual that notes types used on campus, building loca- dates, alerts, laboratory safety news, Avert newsletter, and evaluated root causes, and provided recommendations for tion, specifications and calibration information. LCSC meeting minutes. modifications of work operations to prevent future inci- dents. Supported the shut-down of the Mary Ellen Jones build- Updated EHS web pages and added new Safe Science ing by addressing lab closeout procedures in vacated labs webpage. Generated and delivered lab entrance signs for 652 labora- throughout the 11 story building. tory rooms.

Completed a new online DEA controlled substances train- Attended several emergency response trainings including Level One ing for researchers that utilize controlled substances on Assessed chemical storage compliance and safety at North Computer-Aided Management of Emergency Operations campus. Carolina School of Science and Math in Durham. (CAMEO), Ebola Decontamination and AED/CPR. COMPLIANCE

Preventing the discharge of pollutants into local streams. 30 Environmental Affairs In an effort to prevent discharges of polluted, non-storm pipes carrying water from the building converge in the shafts. If the water into campus streams, Environmental Affairs brightly-colored water appears in the sanitary sewer pipes, it will partnered with Facilities Services, Energy Services, continue on to the water treatment plant along with other building Grounds, and Athletics to investigate drainage piping in wastewater. In some of the historical buildings, the water exits the basement mechanical rooms and other facilities that could building through the storm drains and travels through the pipes potentially allow polluted water to discharge improperly. ending up in one of the campus streams. The nontoxic dye causes Mechanical rooms in buildings often contain heating and air the creek to appear green for a few hours, but the dye breaks down conditioning equipment which can be a source of polluted in sunlight and will not harm aquatic life. water discharge if piping in basements discharges to the If the drains connect to the storm drain system, EHS works with stormwater system. the maintenance staff to capture any potential pollutants by using To test the plumbing drains, the team poured bright yellow- drums or other collection method. Then the pipes are rerouted to green dye into mechanical room floor drains and then added the sanitary sewer. This process can take time and money, but it water to the drains. A team member stays inside with a significantly improves the water quality in streams. water hose, while other team members are outside watching The Environmental Affairs team collaborating with numerous cam- for the dye to show up in either a sanitary sewer or storm pus units fulfills the requirements of the National Pollutant Dis- drain pipe. The outside team opens one or more manhole charge Elimination System, and keeps our environment healthy by covers, looks down into the access shafts and watches as the preventing pollutant discharges into our local streams.

Environmental Affairs

32 Environmental Affairs Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing optimum performance. The adjacent page shows the specific performance activities and the level of that performance for 2015. Education Customer Service Internal Processes 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Level 4 ------

Level 3 -

Level 2

Level 1

Compliance

2015 Performance

Education Customer Service Internal Processes

Conducted annual Medical Air Operations NPDES Storm- water Discharge Permit Storm Water Pollution Prevention Plan training for 4 RDU Airport Medical Air Operations personnel.

Conducted annual Service Station NPDES Stormwater Dis- charge Permit Storm Water Pollution Prevention Plan train- ing for seven Service Station personnel. Level Four

Trained 27 Grounds and Athletic department personnel on

Reclaimed Wastewater Beneficial Use. Conducted 8,856 waste pickups of 44,949 kg of hazardous Trained 710 UNC employees from Facilities, Energy Services waste and 46,502 kg of non-hazardous solid waste from Uni- and Public Safety including restaurant staff and managers versity generators. from Carolina Dining Services, Aramark, Rizzo Center, and Carolina Inn, restaurant contractors, football stadium volun- Conducted 741 pickups of radioactive waste. teers and football stadium concession volunteers. Completed 31 HW manifests for transport of hazardous waste Presented “Integrating GIS into NPDES Monitoring” at the and solid waste to an offsite vendor TSDF for treatment and NCDENR/WRRI Erosion and Sedimentation Control Plan- disposal. Level Three ning and Design Workshop for 130 design professionals, contractors and developers. Shipped 104,684 kg of waste from the TSDF to an offsite Requested and received a revised Title V Air Permit from vendor TSDF for treatment and disposal. NCDEQ DAQ to support the replacement of an emergency Trained 20 people on “Techniques to Help Facilities Employ- generator at the University and to incorporate new operating ees Understand Their Role in Environmental Compliance” at Created 54 waste manifests associated with the direct ship- limits for managing fuel combustion operations at the Cogen- the North Carolina Association of Higher Education Facilities ment of solid and hazardous waste from UNC-CH laboratories eration Facility. Officers. to offsite vendor TSDFs for treatment and disposal. Prepared and submitted a RCRA TSD Facility Permit renew- Trained 24 UNC Emergency Responders on “EHS Hazmat Shipped 29,517 kg of solid and hazardous waste directly to al to the NCDEQ DWM. Response at Stormwater Outfalls. offsite vendor TSDFs. Prepared and submitted a revised notification to manage Trained 880 people from Facilities Services, Electrical Distri- Shipped 1,071 mCi of radioactive waste offsite for treatment mixed low level waste as conditionally exempt to include an

Level Two bution, EHS, Construction Services, Electric Shop, Student and disposal. additional characteristic waste, D039 to the list of EPA HW Services (Student Union) and OWRR on handling universal numbers managed as conditionally exempt low level mixed waste. Shipped 10,461 kg of scrap metal (ferrous and non-ferrous) waste at the TSD Facility. offsite for reclamation and recycle. Trained 50 personnel from EHS and Construction Services on Requested and received a revised Small Source Air Permit for

Hazardous Waste Management. Shipped 958 regulated medical waste boxes to Stericycle for the UNC-CH LFG to Energy Project landfill gas fired gener- incineration. ator; the revision amended the emissions limits for NOx and Trained 10 EHS employees on the NPDES Stormwater Dis- CO gases charge Permit Storm Water Pollution Prevention Plan. Conducted 60 sediment and erosion control inspections of NPDES permitted land disturbance project. Requested and received a 404 Permit from the USACE for the Conducted annual RCRA HW training, OSHA HAZWOPER Battle Grove Regenerative Stormwater Conveyance Project refresher training and TSDF Hazardous Waste Contingency Implemented 103 corrective actions as a result of inspection Plan training for 10 EHS employees. findings from NPDES Land Disturbance Permit inspections. Assisted in implementing a program of dye testing for me- chanical room floor drains to determine where they discharge Level One Conducted USDOT Security Awareness Plan training for 15 Conducted 22 NPDES Stormwater Discharge Permit Outfall (storm drainage system or sanitary sewer system) for the EHS personnel. inspections. HVAC group. COMPLIANCE

In Memoriam 34

Daryle White Oct. 4, 1963 - August 31, 2015

Environmental Affairs

For most of us, and for most of our adult lives, Here is some of the important work Daryle White did for all of us. we are in a work place where we go about our tasks  Managed the decay-in-storage for short lived radio-isotopes at the while working with others. And, day after day, week University Radioactive Waste Storage facility. after week, and, sometimes year after year, we learn about our coworkers. We learn about their lives, their  Tested and monitored University radioactive waste radio-isotope decay-in- families, their hopes and their dreams. Sometimes we storage pursuant to North Carolina Administrative Code. become more than co-workers, we become friends. In the more than 5,000 days that Daryle White was with  Treated and disposed of radioactive waste including long-lived and short- lived radio-isotopes for both dry waste and liquid waste in accordance with us in that workplace, anyone and everyone who NCAC regulations. worked with him became his friend. We liked him. We enjoyed working with him. We all wanted to be his  Managed the collection, storage, treatment and disposal of regulated friend. He was smart, kind, funny, positive, and caring, medical waste from University laboratory and UNC Hospital generators. and dedicated to the task of keeping us all healthy and safe.  Managed the collection, storage, treatment and disposal of universal waste from University and UNC Hospital generators. It is with great sadness that Daryle has left us. We all miss him. But, we have those memories. Memories that  Managed the collection, storage, treatment and disposal of mixed waste made those days, weeks, and years pleasant ones for all from University and UNC Hospital generators. of us.  Served as a member of the EHS Emergency Response Team. Daryle contributed to our lives, but he also contributed to the health and safety of thousands of others in those 21 years. His work made this University and this community safer.

What is Hidden Can be Hazardous. 36 Fire Safety and Emergency Response There is a hidden part of campus that most people never see inspect these mechanical spaces. A pilot program was creat- but is equal in square feet to about 300 basketball courts. ed in 2015 to conduct inspections of 237 mechanical rooms These “hidden” areas are known as mechanical rooms. They in 17 buildings, buildings managed by Housing and Resi- contain almost everything a building needs to operate, elec- dential Education, the School of Medicine, Athletics and trical panels for heating, air conditioning, and fire suppres- Finance and Administration sion systems. The campus has more than 3,000 mechanical rooms, totaling almost 1.4 million square feet of floor space, With data collected during the inspections, the fire safety and University employees work in these spaces regularly to section developed a new mechanical room inspection model. keep our buildings functioning. Each member of the Fire Safety unit has been assigned a zone of campus where they will conduct inspections of pub- But these areas can be full of hazards: non-functional or lic areas and mechanical rooms on a regularly scheduled insufficient lighting, storage, equipment with improper basis. This new inspection program will roll out in 2016. If safety devices, slip and trip hazards, and other safety issues. safety hazards are found during these inspections, the staff The most common hazard and a serious safety violation is will then work collaboratively with Facilities Services and improper storage. Mechanical rooms can often become a building occupants to correct eliminate these hazards. EHS storage area for inappropriate items. To make these build- will also work with individual departments and shops to ings safer, the Fire Safety staff developed a program to prevent new safety problems from occurring.

Fire Safety and Emergency Response

For graphic purposes only. Not an actual UNC-CH mechanical room.

38 Fire Safety & Emergency Response Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing optimum per- formance. The adjacent page shows the specific performance activities and the level of that performance for 2015.

Education Customer Service Internal Processes 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2011 2012 2013 2014

Level 4 ------

Level 3 ------

Level 2

Level 1

Compliance

2015 Performance

Education Customer Service Internal Processes

Level Four

Improved emergency response capability at UNC football Level Three games with the addition of a third Fire Safety staff member during football games.

Initiated new permitting process for on-campus public assem- bly events, simplifying and streamlining the process for cam- Provided 275 Emergency Coordinators with annual emergen- pus customers and stakeholders. cy preparedness and fire safety training via the “Safe Passag- es” electronic newsletter. Inspected dining facilities with 35 bi-annual cooking hoods. Began a transformation of the EHS Emergency Response Team in an effort to improve response capabilities to campus Held annual fire safety fair in collaboration with UNC Public Provided life safety recommendations and monitored the emergencies. Safety, Chapel Hill Fire Department, Carolina Dining Services annual Fall Festival for safety issues. and Orange County Emergency Services to develop on-going Implemented a mechanical room inspection procedure to Level Two fire safety relationships with students and to provide hands-on Assisted the Chapel Hill Fire Department with scheduling of ensure fire safety and worker safety. training. on-campus high rise drills at Craige Residence Hall. Developed a new Emergency Action Plan process for campus Conducted annual fire alarm testing and drills at all campus Evaluated all seating plans and occupancy loads, and provided work units and departments to improve emergency prepared- buildings. best practices for storage of combustible materials and other ness for all University employees. fire safety issues at Carolina Union. In compliance with North Carolina Fire Code 405.2, conduct- Maintained 22 Fleet vehicles including bi-annual service and ed after hour fire drills for all residence halls. Completed fire safety and assembly occupancy evaluations for permitting requirements. UNC General Administration to facilitate the Board of Gover- Trained 2,200 students and staff on fire safety and fire extin- nors move to the Center for School Leadership Development. Provided two work-study students an opportunity to learn guisher use. about fire safety and how to operate fire extinguishers, while Conducted regular stakeholder meetings with campus groups freeing staff for other critical responsibilities.

Presented comprehensive data regarding Fire Safety annual to discuss the Town of Chapel Hill Fire Alarm Ordinance in Level One work management duties to University Safety Security Com- order to develop ways to minimize financial impact to the Purchased 870 fire extinguishers to replace obsolete and mittee University. outdated fire extinguishers in campus buildings.

COMPLIANCE

Helping UNC Horizons Help Others 40 Occupational and Environmental Hygiene The UNC-CH department of Obstetrics and Gynecology de- In 2014/15 UNC Horizons provided services to 236 women, partment contacted EHS in 2015 out of concern for the health raised one million dollars to match the Oak Foundation gift of women and children who were part of their Horizons pro- challenge, hosted their 11th annual conference, partnered gram. The department asked EHS to inspect their apartments with Orange County Early Head Start and awarded a federal for indoor quality concerns. The inspection revealed chronic partnership grant for a new child care center. water damage, HVAC systems that needed maintenance and They welcomed 51 babies born to mothers attending their badly worn carpeting.

prenatal clinic and assisted women with finding employment. Based on the inspections, EHS made several recommenda- Fifty-three percent of Horizons graduates were employed tions which allowed the UNC Property Management to work when they completed treatment and 13% were in school full with the building management firm to repair the water dam- time and 100% of mothers and children who completed the aged sections of walls and ceilings, apply a preventative residential program had stable or positive Child Protective maintenance plan for the HVAC system, and develop a plan Services outcomes. Through Horizons’ effort, more than to replace the carpeting. Through these efforts, EHS helped 5,000 people were educated through webinars, conferences the program support its women and children. and seminars across North Carolina and around the world.

Occupational and Environmental Hygiene

“The one thing I like about this program is that they never give up on you. And, even if you have given up on yourself, they will say something that makes you realize that you are not alone.” Program Graduate UNC Horizons

42 Occupational and Environmental Hygiene Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing optimum performance. The adjacent page shows the specific performance activities and the level of that performance for 2015. Education Customer Service Internal Processes 2011 2012 2013 2014 2015 2011 2012 2013 2014 2011 2012 2013 2014 2015

Level 4 ------

Level 3 - - - -

Level 2

Level 1

Compliance

2015 Performance

Education Customer Service Internal Processes

Trained 676 Maintenance, Housekeeping, and Design and Construction Services employees in asbestos awareness Conducted 128 lead and asbestos inspections, including build- through online and in-class training. ing and material testing to support in-house maintenance and construction activity. Trained 128 Maintenance and Design/Construction Services Performed personal and area noise-monitoring assessments employees on OSHA Lead-in Construction Standard through for Taylor Hall, Marsico Hall, Cogeneration, and the Art Lab in-class and online training. during noise generating work activities or in response to noise Level Four concerns. Trained 425 employees enrolled in the Hearing Conservation Coordinated mobile hearing tests for 145 employees enrolled Program on Occupational Noise Safety through in-class and

in the Hearing Conservation Program, saving $4000 for the online training. tested departments.

Trained 19 new hires and employees with standard threshold Participated in the planning, review, and implementation of 38 environmental remediation projects involving asbestos, lead, shifts in the Hearing Conservation Program on the proper fit and mercury abatement. of ear plugs using the Veripro system. Attended EHS meeting to discuss the campus hot work pro- Conducted silica monitoring for the Art Lab and Masonry gram and identified action items. Trained 242 employees from Facilities Services and Energy Shop to assess exposure during activities. Assisted EHS BioSafety with containment test of equipment Level Three Services on confined space via in-class and online training. Provided support to confined space program by the following: in BSL2 Lab in Marsico Hall. conducting atmospheric monitoring during four in-house Trained 17 employees from Facilities Services, Energy Ser- confined space entries; reviewing contractor’s entry program Participated in the PAT program to provide cost savings to vices and EHS on confined space job-specific protocols. for projects at Navy Field and Global Fed Ex; and auditing EHS by conducting PCM asbestos analysis in-house.

the Electric Distribution Systems entry forms.

Provided 17 mercury and asbestos abatement design specifica- Trained 142 employees from Facilities Services and Energy Assisted DLAM in purchasing and installing sensor for hy- tions, including provision of a written scope of work, contrac- Services on lockout/tagout through online training. drogen peroxide monitor in Genetics Cage Washing. tor pricing and hiring of the abatement contractor and con- sultant for Facilities Services, saving $12K for Facilities Ser- Monitored for ultrafine particles in Makerspace hub at Kenan vices’ clients. Two EHS staff attended Asbestos Inspector, Management Science Library and Manning SILS Library during 3D print- Planner and Designer refresher training provided by NC ing. Determined ventilation requirements. Provided mercury assessments and mercury cleanup guidance

Level Two OSHERC. for 17 laboratory renovation projects and spill responses. Met with Art Lab to discuss monitoring for crystalline silica during classes involving the molding of pottery/ceramics. Developed JSAs for the Case 580 Backhoe and Showers-n- Two EHS staff attended Asbestos Supervisor Refresher train- Met with Facilities Services to develop a plan to eliminate the Stuff cleaning product for residential showers for use by Facil- ing along with 6 Facilities Services employees arranged by ventilation concerns within the Art Lab. ities Services.

EHS and provided by AAA Environmental. Performed 25 indoor air quality investigations within various Met with audiologists from the Hearing and Communication campus buildings and responded to 17 odor complaints and Center to discuss program and improvement opportunities. Two EHS staff attended Lead Renovator training along with recommended response actions. 3 Facilities Services employees arranged by EHS and provided Conducted walkthroughs for UNC-TV Bryan Center and by AAA Environmental. Responded to 8 flood events, 4 of which were black water Carrboro Public Works to identify opportunities for safety events. Assisted Building Services in determining the extent improvements and exposure monitoring. of the water damage.

Presented “Why Worry about Asbestos” and “Hearing Con- Level One Conducted 74 Hazard Management Plan inspections for servation Program Overview” to Facilities Services as part of Investigated 15 instances of mold contamination and recom- Facilities Services, Energy Services and departmental shops OSHA training conducted by the Safety Officer., mended remediation protocols. throughout campus. COMPLIANCE

Supporting the Opening of a New UNC Community Hospital 44 Radiation Safety In 2015, UNC Healthcare opened a new hospital at the register each device with the NC RPS X-ray Branch prior Hillsborough Campus, an area adjacent to Durham Tech- to their installation, conduct radiation shielding plan re- nical Community College about 5 miles from downtown views, acquire the FDA installation reports, conduct post- Hillsborough, NC. This expansion of UNC Healthcare is a installation radiation surveys, and submit to NC RPS X-ray 68-bed, 265,000 square foot facility focusing on many elec- Branch for final approval. tive surgery programs. In order to provide appropriate pro- fessional care, this new hospital must use radioactive mate- The section also supported the opening of the hospital’s rials and radiation-producing machines for diagnostic pur- new nuclear medicine clinic which includes a “hot lab,” a poses. room for dosing the patient, a room with the gamma cam- era, and a stress treadmill room. All existing radiological Since the inception of this new facility about five years ago, procedures for package receipt, check-in, accounting, use, the Radiation Safety staff provided radiological engineering waste production, occupational exposure, etc., had to be oversight and input into the design of the facility. In 2015, replicated at the Hillsborough Campus since it is operating EHS supported the opening of the hospital by assisting in under the UNCH Medical broad-scope license. the acquisition, installation, and licensing or registration of 14 radiation producing machines including radiography, Through the specialized expertise and commitment of the fluoroscopy, computed tomography, mammography, and EHS Radiation Safety staff to the health and safety of our DEXA (Dual energy x-ray absorptiometry); as well as port- community, UNC Healthcare continues to serve the citizens able radiographic units and c-arms. Radiation Safety had to of North Carolina.

Radiation Safety

Photo courtesy of Summit Design and Engineering Services

46 Radiation Safety Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing optimum per- formance. The adjacent page shows the specific performance activities and the level of that performance for 2015. Education Customer Service Internal Processes 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Level 4 ------

Level 3 - -

Level 2

Level 1

Compliance

2015 Performance

Education Customer Service Internal Processes

Level Four

Administered radiation safety training courses to 2271 per- sons; non-ionizing radiation safety training to 466 persons.

Taught Fundamentals of Health Physics semester course for UNC Environmental Sciences and Engineering. Provided 110 radiation related procedures to UNC Hospital patients. Co-taught Radiologic Health Physics semester course for UNC Allied Health Sciences. Provided radiation instrument calibration services for 314 instruments.

Level Three Taught two three-day short courses titled Applied Health Physics for the NC Occupational Safety and Health Education Inspected and tested 294 X-ray tubes. Received, processed, and delivered 619 containers of radioac- and Research Center. tive materials for PI’s research. Monitored 1307 persons for external radiation exposure. Provided a lecture for the Radiopharmacy I – The Physics & Processed six applications for new source licenses for new Chemistry of Molecular Imaging. Conducted 76 bioassays for potential internal radiation expo- faculty members. sure. Provided lectures for the Chemistry Department’s Nuclear Processed 24 applications for license modifications for faculty Chemistry Class. Conducted 584 collaborative laboratory inspections. members.

Provided a lecture for the Epidemiology Class on Radiation Conducted 695 radiation safety laboratory inspections. Reviewed 25 Institutional Review Board research protocols Dose Assessment. utilizing radioactive materials for human use. Aided the Department of Radiation Oncology in their research Level Two Provided a lecture for the Health Effects of Environmental by interfacing with vendors and SOM administration to repair Administered eight quarterly hospital and campus radiation Agents course. power supply and cooler for the XRad irradiator. safety committee meetings to review and approve research and clinical use of radioactive materials and to review employ- Hosted eight Nuclear Medicine Technology students for two- Coordinated with DLAM, SOM administration, and vendors ee radiation dose information. week rotations through radiation safety as part of the NMT on the relocation of the XRad irradiator from MEJ to Marsico

didactic program. Hall to prepare for DLAM remodel. Amended the UNC and UNCH radioactive material licenses nine times to accommodate research and clinical use of radia- Provided the annual radiation safety class to incoming Biolog- Provided radiation safety services UNC system campuses: tion and radioactive materials. ical and Biomedical Sciences Program doctoral students. Appalachian State, UNC Greensboro, Gateway University Research Park, Western Carolina, NC A&T, and North Caro- Participated in planning and design activities for continued Taught the annual radiation safety class to incoming the lina Central. cyclotron facility development. Summer Undergraduate Research Experience Program stu- dents. Provided free materials to PI’s including lead sheets and Conducted required annual radiation protection program Level One bricks, Geiger counters or parts, and multiple pieces of Plexi- review for eight licenses and 18 x-ray registrations, including Participated in Creekside Elementary School Science Week. glas shielding. all off-site locations.

COMPLIANCE

Occupational Health Clinic Day to Day 48 University Employee Occupational Health Clinic As the sole occupational health provider for more than occurs in the summer months, leading to an influx of tem- 30,000 full-time, part-time and temporary employees of a porary employees and new essential job functions. Each Carnegie-classified very high research-activity University, ice storm brings slip and fall injuries and each flood results the UEOHC staff knows that almost any illness or injury in indoor air quality complaints. Clinical and basic science can happen at any time. research is constant and every changing: new animal mod- els, new technology and new chemical and biological haz- The day-to-day activities of the University determine the ards.

day-to-day activities of the UEOHC. Every job, every event, every season, every grant, every building and every Being able to manage this wide-ranging, ever changing task has the potential to cause injury or illness. Fall foot- population requires the broadest of skill sets and an expan- ball games and other events require overtime from the sive knowledge base. As an integral part of the Universi- departments of Parking Services and Public Safety, in ad- ty’s health and safety programs, the University Employee dition to their daily responsibilities. Grounds crew tasks Occupational Health Clinic staff works with other health change with the season as do their workplace exposures. and safety professionals to ensure that our employees get Annual and preventative maintenance of student housing high-quality occupational health services.

University Employee Occupational Health Clinic

50 UEOHC Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a three-year period with Level Four representing optimum performance. The adjacent page shows the specific performance activities and the level of that performance for 2015. Education Customer Service Internal Processes 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Level 4 ------

Level 3 ------

Level

2 ------

Level 1 ------

Compliance

2015 Performance

Education Customer Service Internal Processes

Level Four

Fit-tested and provided consultative services for 468 individu- als under the University’s Respiratory Protection program.

Provided immunization review, annual physicals and respira- tor clearance for 4,695 employees.

Provided 4,676 flu vaccinations at 24 clinics in 10 different campus locations to UNC students, employees and family members.

Level Three Provided off-site flu clinics for Chancellor’s Office, CDP in Durham, Campus Health, School of Medicine Faculty Meet- ing, and Carolina Living & Learning.

Consulted with School of Medicine, Dental School, and TEACCH regarding clinical compliance classification, immun- Developed and implemented on-line influenza self-reporting izations, TB placements and flu shot compliance. web applications for religious and medical contraindications reasons and updated flu shot webpage. Expedited medical and respiratory clearance for the UNC Provided Conflict Resolution training to UEOHC staff. Healthcare Ebola Response Team. Updated UEOHC medical surveillance monthly and annual

billing for Connect Carolina go-live. Level Two Mentored UNC School of Nursing Senior Student for the Provided after hour medical surveillance screening for Public semester. Safety’s third shift. Reviewed 1556 animal research registrations to monitor for potential health effects from working with animals and im- Published peer-reviewed article titled Varicella-Zoster Im- Assisted UNC Healthcare with immunization reviews of their proving work practices for animal research. munity in US Healthcare Personnel with Self- new hires. Reported History of Disease in the Infection Control & Hospi- Prepared reports regarding measles in order to identify poten- tal Epidemiology Journal. Evaluated new Clinical Fellows. tial needs of the University if an outbreak were to occur.

Appointed teaching faculty for the Eagleson Institute course Provided on-site fit testing at UNC Institute of Marine Sci- Prepared BSL3 checklists for clinical staff to assist with annu- on advanced BSL3 work practices and procedures. ence at Morehead City. al medical surveillance.

Level One Staffed the medical booth during Facilities Service annual Researched and administered Small Pox Vaccine to select Reviewed the beta database for the new TB compliance re- Summer Splash event and provided blood pressure research group. quirements.

COMPLIANCE

UNC Participates in the State Workers’ Compensation Project 52 Workplace Safety North Carolina Government Efficiency and Re- standardized state-wide program. Understanding Essential to the success of providing excellent form, known as NCGEAR, is a legislative review who and how workers’ compensation claims are customer services and future avoidance of work- program implemented by the Governor and Gen- managed across the state was the initial focus of ers’ compensation expenses, the Core Team de- eral Assembly to analyze and reform operations the Core Team. FTE Assessment surveys were veloped a comprehensive training program. The of state government. NC strategic transfor- sent to categorize the number of personnel identi- “Workers; Compensation Administrator – Man- mation plan main goals are to improve process, fy as the Workers’ Compensation Administrators aging your Claims” program is required for all enhance customer services, and realize cost sav- (WCAs) and the percentage of time allocated to personnel designated as a WCA. The program ings and avoidance. One area the review identi- manage workers’ compensation claims. Identify- encompasses the following topics: initial han- fied where process improvements could be real- ing some inconsistencies, recommendations for dling of the claim, incident investigation, claims ized was the State’s Workers’ Compensation pro- WCA position descriptions were sent to OSHR acceptance/denial decisions, return to work, gram. Management of this program has suffered Classification and Compensation Team to be im- workers’ compensation benefits, claims monitor- due to administrative changes and budget cuts plemented in 2016. Business process mapping ing, detecting fraud and abuse, and closure of resulting in fewer employees to oversee the pro- was conducted with various WCAs to define their claims. Detailed resource materials called job gram. As a result Neal Alexander, Director Of- current process for managing a workers’ compen- aides are provided for the WCA to utilize back in fice of State Human Resources, formulated a sation claim from initial claims reporting, to re- the workplace. Learning exercises were imple- Workers’ Compensation Core Team to evaluate turn to work, to final closure of the claim. mented in each module to evaluate the overall the current system and identify where program understanding of the key concepts. enhancements could be realized. Recognizing Best practices from each Agency/University was UNC Chapel Hill’s Workers’ compensation pro- compiled to formulate a consolidated state-wide Though the improvements mentioned above are gram as a model to benchmark, EHS Workplace business process. In conjunction with the State’s in its infancy, it is expected that the state will Safety was asked to serve on the States’ Core Hazard Hero program, developed to recognize realize some cost savings in the near future. In Team. and prevent injuries by reporting safety concerns, the interim, the Core Team continues to cultivate the Core Team submitted “Safety and Health” other enhancements for the state-wide Workers’ The WC Core Team began the collaborative pro- value language to OSHR Valuing Individual Per- Compensation program. cess of evaluating current procedures in various formance (VIP) values. The performance lan- agencies/Universities in order to develop a guage will be added to the State’s VIP’s plan be- ginning 2016-2017.

Workplace Safety

54 Workplace Safety Performance Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most essen- tial components of our work. The chart below indicates the performance in these areas over a three-year period with Level Four representing optimum performance. The adjacent page shows the specific performance activities and the level of that performance for 2015.

Education Customer Service Internal Processes

2011 2012 2013 2014 2015 2011 2012 2013 2014 2015 2011 2012 2013 2014 2015

Level 4 ------

Level 3 ------

Level

2 - - - - -

Level 1 ------

Compliance

2015 Performance

Education Customer Service Internal Processes

Processed and managed 427 workers’ compensation claims with medical treatment, return to work, hearings/ mediations, and monthly expenditures. Level Four

Trained Type/Number of Employees: Respiratory Protec- Conducted on-site inspection of 195 Hazards Management tion/1601; EHS Office, Clinic, IMAC, SS, Student Af- Plans (HMP) for numerous campus units and entered fairs/4818; Joint Commission/4173; Clinical Tuberculosis HMPs for work units into the new on-line HMP system. Infection Control/6162; Clinical Bloodborne Patho- gens/5846; Ergonomic Self-Evaluations:40. Assisted the Arc Flash Facilities subcommittee with the developing subcommittee goals. Presented “Safety: Communication and Reporting Safety Workplace Issues” at the Annual Collegiate Sports Video Assisted Student Stores with safety questions, generating Association conference. work units, and developing Hazards Management Plans.

Trained 27 Facilities Services staff on Trench/Excavation Evaluated DLAM maintenance task to assist with devel- Level Three Awareness. opment of JSAs and evaluated new N95 that DLAM want- ed to implement. Trained 20 Football Video staff on Scissorlifts. Evaluated the Rams Head Climbing Wall to assist them Participated in the Finance and Administration IT Govern- Presented “UNC HASMIS – Workers’ Compensation” at with the development of a Hazard Management Plan. ance and Professional Development committees. the NC State Safety and Health Steering Committee. Prepared incident statistics for IACUC semi-annual meet- Prepared IT information needed for the EHS servers, decom- Trained 35 Facilities Services staff on Forklift Safety. ings. mission of 2003, network file storage moves, and networking access rights. Trained 70 “Carolina for the Kids” dance marathon opera- Reviewed building designs regarding fall protection for

tions and Student Union staff on Manual Propelled lift. several University buildings. Coordinated with UNC Healthcare EPIC personnel to resolve Level Two billing system issues for the University. Trained 21 Facilities Services supervisors on OSHA 10 Provided consultation services to University Counsel and hour course. Attorney General’s office regarding other claims (not Participated in the University’s table top exercise and full workers’ compensation). scale drill.

Conducted CPR/AED course game at the EHS In-Service Day. Investigated improper disposal of needles found at Fetzer Updated Hot Work permit procedures.

Gym. Mapped HASMIS apps vs HASMIS web apps. Assisted the State of North Carolina with preparing and participating in the workers’ compensation pilot training Assisted the Outdoor Education Center with the prepara- Evaluated Fire Resistance rated clothing rental/laundry for program. tion of an owners/training manual for use of tractor EHS personnel. equipment.

Prepared and presented the departments information Updated PPE Hazard Assessments for Workplace Safety, Fire Level One technology needs to the new Finance and Administration Assisted University Payroll regarding workers’ compen- Safety, Hazardous Waste, Occupational and Environmental IT Director. sation coverage for employees located in other states. Hygiene and Emergency Response Core Team. COMPLIANCE

56 University Safety and Security Committee (USSC) State regulations require each state agency (including universities) to create health and safety committees to perform workplace inspections, review injury and illness records, make advisory recommendations to the administration, and perform other func- tions determined by the State Personnel Commission to be necessary for the effective implementation of the State Workplace Requirement Program.

The USSC is responsible for reviewing and approving each of the workplace safety committee’s recommended safety policy and procedures. Once approved, the recommendations are forwarded to the Chancellor for approval before implementation.

University Safety and Security Committee

Hazards Management Institutional Biological Laboratory & Chemical Safety Occupational Health & Radiation Safety Safety Committee Safety Committee Committee Clinical Safety Committee Committee

Clinical Occupational Exposure Subcommittee for Students and Staff

University Safety and Security Committee (USSC) University Safety and Security Committee Members

Chair, Safety and Security Committee; Associate Professor Dramatic Art; Matt Fajack Michael Rolleri Vice Chancellor Finance and Administration Chair, Hazard Management Committee

Assistant Chair, Safety and Security Committee; Dr. Terry Magnuson Vice Chancellor, Research Derek Kemp Associate Vice Chancellor Campus Safety and Risk Managment Dr. Craig Fletcher Director, Laboratory Animal Medicine

Director, Anna Wu Associate Vice Chancellor, Facilities Services Cindy Taylor UNCH Environmental, Health and Safety

Director, Mary Beth Koza, MBA Judy Culhane Faubert Assistant University Counsel Environment, Health & Safety

Linc Butler Vice Chancellor Human Resources Associate Athletic Director, Paul Pogge Gena Carter Senior Director, Employee and Management Relations UNC Athletics

Chair, Occupational Health and Clinical Safety Committee Professor, Psychology; Matthew Hawkins Dr. Mitchell Picker HR Data & Reporting Manager, School of Medicine Chair, Institutional Animal Care & Use Committee

Professor and Vice Chair Research Development; Director, Public Safety; Dr. David Kaufman, MD Jeff McCracken Co-Chair, Radiation Safety Committee Chair, Campus Personal Safety Committee

Professor, Cell & Development Biology; Professor, Biochemistry and Biophysics; Dr. Douglas Cyr Dr. Beverly Errede Chair, Institutional Biosafety Committee Co-Chair, Radiation Safety Committee

Clinical Associate Professor, Epidemiology; Winston Crisp/ Vice Chancellor Student Affairs/ Dr. Lorraine Alexander Chair, Laboratory and Chemical Safety Committee Christopher Payne Associate Vice Chancellor Student Affairs

58 Laboratory and Chemical Safety Committee This committee focuses on the receipt, usage, storage, and disposal of chemicals along with the emerging issues of health and safety in the laboratory environ- ment. The laboratory work environment consists of those work units that are subject to the OSHA Laboratory Standard and laboratory EHS issues not per- taining to biological safety or radiation safety. The Lab Safety Committee is responsible for reviewing safety and health policies and procedures, reviewing incidents involving work-related fatalities, injuries, illnesses or near misses related to laboratory and chemical safety, reviewing employee complaints regard- ing safety and health hazards, analyzing work injury and illness statistical records related to laboratory and chemical safety, conducting inspections of labora- tories and worksites utilizing chemicals at least annually and in response to complaints regarding safety or health hazards, reviewing training records related to laboratory and chemical safety, conducting meetings at least once every three months, and maintaining written minutes of such meetings.

2015 Committee Accomplishments  Finalize CLIP Non-Compliance process specifically defining committees role.  Convene focus group and develop draft guidelines regarding safety issues in open lab design buildings.

2016 Committee Goals  Initiate Safety Supervisors training, quarterly meetings, FAQ, and/or incentives.  Examine historical injury data to target injury reduction and disseminate information using various modes of communication (updating trainings, safety fairs, posters, newsletters, etc)  Launch near-miss online reporting form. Laboratory and Chemical Safety Committee Members Clinical Associate Professor, Epidemiology; Research Specialist, Dr. Lorraine Alexander Karen Hogan Chair, Lab and Chemical Safety Committee Gene Therapy Center Research Associate, Associate Professor, Medicinal Chemistry Dr. Bruna Brylawski Dr. Rihe Liu Pathology & Laboratory Medicine & Natural Products, School of Pharmacy Research Specialist, UNC Cystic Fibrosis Pulmonary Associate Chemical Hygiene Officer, Kimberlie Burns Mike Long Research and Treatment Center Environment, Health and Safety Graduate Student, Research Associate, Center for Environmental Medicine, Courtney Roberts Dr. Kirby Zeman Chemistry Asthma and Lung Biology Assistant Director, UNC Healthcare Professor, Physiology and Nutrition, Pat Boone, MSPH,CIH Dr. Anthony Hackney Environmental, Health and Safety Exercise and Sport Science Chemical Hygiene Officer, Director of Undergraduate Labs, Cathy Brennan Dr. Nita Eskew Environment, Health and Safety Department of Chemistry Assistant Professor, Dr. Kathryn Reissner Psychology

Institutional Biological Safety Committee The IBC is responsible for the oversight, administration, and review of UNC‐CH Lab policies and projects involving research with rDNA and hazardous biological materials that may pose safety, health, or environmental risks. To this end, the IBC assists and advises Principal Investigators and other researchers in meeting their responsibilities to ensure that the biological aspects of the research are conducted in a safe manner using established biosafety standards, principles and work authorization. Safe research includes worker safety, public health, agricultural and environmental protection, ethics, and compliance with applicable biosafety standards and UNC-CH policies. 2015 Committee Accomplishments  Review of the Dual Research of Concern (DURC) oversight process to ensure compliance with the new federal policy which went into effect on 9/24/15. The new process involved approval of a new UNC DURC policy and creation of the Institutional Review Entity (IRE) for dual use research.  Review of the schedule G application process for research involving recombinant or synthetic nucleic acids. The schedule G form was revised. An expedit- ed approval process for low risk exempt research was implemented.  Appointment of Barbara Savoldo, MD, PhD (human gene transfer expert) and Judith Nielsen, DVM (animal containment expert) to the committee. 2016 Committee Goals  Review process for oversight of clinical trials involving human gene transfer to ensure compliance with the revised NIH review process.  Review IBC policies and procedures. Institutional Biological Safety Committee Members Professor, Chair, Institutional Biosafety Com- Professor, Dr. Douglas Cyr Dr. Ann Matthysse mittee; Professor, Cell & Development Biology Department of Biology Research Professor, Deputy Chief of Community, Barbara Savoldo, MD, PhD J.M. Lawrence Pediatrics, Hematology and Oncology Chapel Hill Fire Department Laboratory Manager, Assistant Professor, Medicine, Microbiology Sandra F. Bradshaw Rita Tamayo, PhD Orange Water & Sewer Authority and Immunology Biological Safety Officer, Professor, Medicine, Dan Eisenman, PhD, CBSP Aravinda Desilva Environment Health and Safety Microbiology and Immunology Director, Division of Research Assistant Professor, Dr. Craig Fletcher, DVM, DACLAM Dr. Amy C. Sims Laboratory Animal Medicine Epidemiology Professor, Medicine, Dr. Peggy Cotter Dr. P. Frederick Sparling, MD Community Member Microbiology and Immunology Assistant Biological Safety Officer, Professor, Medicine, Kara Milton, MS Dr. Stanley M. Lemon, M.D. Environment, Health and Safety Microbiology and Immunology

Director, Professor Mary Beth Koza, MBA Judith Nielsen Environment, Health and Safety Laboratory Animal Medicine

60 Occupational Health and Clinical Safety Committee This committee focuses on Occupational Health services for University personnel and the emerging issues of health and safety for employees working in the clinic envi- ronment. The clinic work environment is primarily characterized by activities involving patient contact and exposure to blood or other potentially infectious materials. The clinical work environment frequently has additional health and safety requirements imposed by accreditation organizations, such as the Joint Commission. 2015 Committee Accomplishments:  Update the University policy on employment of HBV, HCV, and HIV infected health care workers.  Continue to review the effectiveness of the afterhours Needle Stick program per required changes. 44 2016 Committee Goals:  Integrate allied health school immunization records and training into Hasmis. Occupational Health and Clinical Safety Committee Members

HR Date/Reporting Manager, Medicine Administration Assistant Vice Chancellor, Matthew Hawkins Dr. Mary Covington Chair: Occupational Health and Clinical Safety Committee Campus Health Services

Nurse Manager, Division Manager/Administrator, Cheryl Henderson Cheryl Culpepper Family Medicine Maternal-Fetal, Obstetrics and Gynecology

Plumbing Shop Supervisor, Workers’ Compensation Administrator, Rickey Robinson Janet Perry Building Services UNC Healthcare

Clinical Associate Professor, Physical Medicine/Rehabilitation, Accounts, Dr. James Hill Angela Atwater Medical Director-UEOHC Psychiatry

Human Resources Manager, Worker’s Compensation/Clinical Hygienist, Amber Kimball Deb Bergman UNC School of Nursing Environment, Health and Safety

Human Resources Facilitator, Clinical Assistant Professor, Pam Fogelman Dr. Mary Baker Pediatrics Surgery

Environment of Care Manager, Administrative Specialist, Thomas Thedieck Charlene Womble Campus Health Services School of Nursing

Workplace Safety Manager, Mary Crabtree Environment, Health and Safety

Clinical Occupational Exposure Subcommittee for Students and Staff The mission of the Clinical Exposure Subcommittee is to identify and address clinical occupational hazards that undergraduate and professional students are exposed to as part of their clinical training. This subcommittee reports to the Occupational Health and Clinical Safety Committee. Clinical Occupational Exposure Subcommittee for Students and Staff Members

Clinical Associate Professor, AHEC, Associate Director Nurse Clinician, Lisa Johnston Alan Brown Foretta Davis Allied Health Sciences - Physical Therapy for Regional Education Clinical Affairs, School of Dentistry

Clinical Instructor, Student Services Representative, Clinical Associate Professor, Laine Stewart Andrew Clapper Martha Mundy Allied Health Sciences School of Pharmacy Audiology, Allied Health Sciences,

Nurse Clinician, Clinical Assistant Professor, Jessica Lambert Assistant Director for Student Michelle Camarena Andrew Woodward Campus Health Services Allied Health Sciences Ward Compliance, School of Nursing

Assistant Vice Chancellor, Health & Safety Coordinator, Clinical Professor, Mary Covington Bernice Mayo Ralph Leonard Campus Health Services Medical Education, School of Medicine Director, DFP, Operative Dentistry

Health Information Manager, Pharmacist, Compliance Specialist, Melody Gibson Christine Goodman Peyton Lombardi Campus Health Services Campus Health Services SOP Practice Advancement

Administrative Officer, Director of Nursing Service, Clinical Associate Professor, Pattie Currie Carol Kozel Shannon Mitchell Medical Education, School of Medicine Campus Health Services Dental Ecology

Business Manager, Administrative Support Specialist Judy Anderson Clinical Assistant Professor, Sandra Void Kayla Lowry Conley Medical Education, School of Medicine Allied Health Sciences Schmidt Allied Health Sciences

Professor, Associate Dean, Associate Professor, Susan Beck Georgette Dent Joy Renner Allied Health Sciences Pathology & Lab Medicine Allied Health Sciences

Clinical Medicine Physician, Clinical Professor, Clinical Medicine Physician, Thevy Chai Sue Coppola Ann Chelminski Campus Health Services Allied Health Sciences Campus Health Services

Clinical Associate Professor, Clinical Assistant Professor, Director of Student Affairs, James Hill Physical Medicine/Rehabilitation, William B. Hoole IV Brad Wingo Medical Director-UEOHC Allied Health Sciences School of Pharmacy

Patient Care Coordinator, Associate Dean for Clinical Affairs, Clinical Assistant Professor, Annetta Streater Darryn Weinstein Todd Williams Clinical Affairs Pediatric Dentistry Allied Health Sciences

62 Hazards Management Safety Committee This committee focuses on the emerging issues of health and safety for employees working in the office, support services, and industrial, maintenance/construction work environments. The support services work environment consists of activities that are conducted outside of the office environment, usually involve public contact and may involve hazardous materials. These environments can include the Department of Public Safety, Department of Environment, Health and Safety, Material Support, and Housekeeping. The industrial, maintenance and construction work environment consists of those work units whose primary activities are performed at various locations around campus and at fixed locations, using industrial-type machines and equipment. These units include Facilities Services, Electrical, Plumbing, HVAC Shops, Grounds, Athletics, Finley Golf Course operations, and Electronics Office Service Center and some academic shops. 2015 Committee Accomplishments:  Approved and Implemented Mechanical/Electrical/Boiler Room Usage and Access Policy.  Ongoing: Approved and implemented Aerial Work Platforms Policies (Scissor lift, Boom lift, Manual Propelled Lift) 2016 Committee Goals:  Implementation of a reporting mechanism for the State’s Hazard Hero program for UNC Chapel Hill. Hazards Management Safety Committee Members

Michael Rolleri Associate Professor of Dramatic Art; Chair, Hazards Management Committee

Kittie Allen Agricultural/Horticultural Specialist Amy Alves Administrative Assistant

Bradley Barnes Safety Coordinator, Energy Services Lisa Daley Human Resources Manager, Energy Services

Administrative Assistant for Facilities Management Tonya Miller Team Leader, Laboratory Animal Medicine Richard Grimsley Athletics Outdoor Facility Operations

Facilities Maintenance, Assistant Operations Director, Phillip Spangler Christine Bhirdo Coordinator, School of Law Laboratory Animal Medicine

Workplace Safety Manager, Mary Crabtree Neah Tucker Occupational Field Hygienist Environment, Health and Safety

Insurance Program Specialist Robin Bennington Lynn Farrar Payroll Coordinator, UNC Student Stores Risk Management Services

Mary Beth Koza Director, Environment, Health and Safety

Environment, Health and Safety - Division of Finance and Administration - University of North Carolina at Chapel Hill - 1120 Estes Drive Extension, Chapel Hill, NC 27599 - 919-962-5507 - ehs.unc.edu

Radiation Safety Committee The Radiation Safety Committee is responsible for establishing policies governing the procurement, use, storage and disposal of radioactive materials and radia- tion-producing devices. The Committee includes individuals experienced in the use or application of radioactive materials and radiation devices and provides a peer review of these uses among researchers at the University. The Committee meets at least quarterly to review reports on the receipt and disposal of radioactive materials/radiation-producing devices, and to act on applications for authorization to use these sources. The Committee, along with its Chairman, is appointed by the Chancellor. It makes an annual report of activities to the Vice Chancellor for Finance and Administration. 2015 Committee Accomplishments:  Successfully renewed two expiring licenses including the UNC Academic Accelerator and the UNCH Medical broad-scope licenses.  Successfully provided licensing support for cyclotron facility going from startup testing to licensing for full operations.  Hosted multi-inspector/multi-day inspection of the UNC broad scope academic license. No citations were issued. 2015 Committee Goals:  Monitor the design and startup of a new FDA-approved clean room at the Cyclotron facility for the production of human-use radiopharmaceuticals.  Develop and apply for a Manufacturing and Distribution license for use at the cyclotron facility.  Develop strategy to meet 10 CFR 37 requirements for security of radionuclides in quantities of concern.

Radiation Safety Committee Members

Professor & Vice Chair for Research Develop- Professor, Biochemistry & Biophysics; Dr. David G. Kaufman, MD Dr. Beverly J. Errede ment; Co-Chair, Radiation Safety Committee Co-Chair, Radiation Safety Committee

Professor, Assistant Professor Dr. Louise M. Ball Rita Tamayo Environmental Science & Engineering Microbiology and Immunology Associate Professor Dr. Hong Yuan Director, BRIC Small Animal Imaging Facility Dr. Jeff Sekelsky Biology

Associate Professor University Radiation Safety Officer Dr. Jian Liu Dr. Roger Sit Medicinal Chemistry/Natural Products Environment, Health and Safety

Professor, Vice Chair Dr. Marija Ivanovic Clinical Associate Professor, Radiology Dr. Mahesh A Varia, MD Department of Radiation Oncology

Director Mary Beth Koza, MBA Environment, Health and Safety

64 EHS Compliance Report Radiation Safety Environmental Affairs

Inspection Number of Inspection Number of Agency Description Agency Description date citations date citations

DHHS- NCDEQ 4/29/2015 0 - 3/17/2015 0 - RPS DWR

DHHS- NCDEQ 4/30/2015 0 - 3/20/2015 DWR and 0 - RPS USACE

DHHS- NCDEQ 5/6-7/2015 5 Written program requirements 6/24/2015 0 - RPS DWM

DHHS- NCDEQ 5/14/2015 0 - 7/19/2015 0 - RPS DAQ DHHS- NCDEQ 7/21/2015 RPS and 0 - 8/12/2015 0 - DAQ FDA NCDEQ DAQ revised the Air Permit to 8/24- DHHS- NCDEQ 0 - 8/27/2015 1 increase the BACT emissions limits and no 27/2015 RPS DAQ fine was issued. DHHS- 9/10- NCDEQ RPS and 0 - 9/9/2015 0 11/2015 DWM FDA

NCDEQ 9/15/2015 0 Biological Safety DAQ

Amalgam mercury storage practices at UNC NCDEQ Dental School and fixer developer solutions 9/16/2015 0 6/10/15 USDA 0 - DWM storage practices in UNC laboratories were amended to meet compliance requirements.

7/7/15- NCDEQ CDC 14 Written program requirements 9/29/2015 0 7/9/15 DWR

8/19/15 FAA 0 - Workplace Safety

OSHA- 12/4/15 USDA 0 - 4/15 0 0 NCDOL

2015 Employee of the Year

Nelda Hamlett

Nelda Hamlett was chosen as 2015 EHS Employee of the Year for her exemplification of professionalism and customer service. She is dedicated to the department and is a reliable source of information for every employee to help them complete their many tasks.

Nelda is a professional, always willing to give her best. She emulates the mission and values of the organization every day, providing excellent customer service and collaborating with numerous individuals and teams. She is often the first line of communication with our customers connecting relationally and with a focus on customer service. She is a perfect example of the EHS motto: Strive Towards Excellence.

History of the Award The Employee of the Year of Award was started in 2000 in recognition of an employee who met the mission of the organization and whose performance went above the norm. Former Director, Peter Reinhardt, initiated the award. Beginning that first year, a traveling trophy was created and represents the past and fu- ture as the base of the trophy is the base of a lamp in the office of the first director of the department, Don Willhoit. The recipient is chosen by the Director and emulates the values of the organization.

Core Values of the Department  be a safe haven of trust, respect and open communication. The organization will:  foster constructive debate when appropriate.  utilize time and resources efficiently.  be a resource for new ideas and innovation.  value and encourage individual growth and development.  establish state of the art EHS protocols & procedures.  collaborate and support each other through the twists and turns.

66 2015 Innovation Award

Janet Clarke

The Innovation: Map/Mapbook project and training for the Emergency Response team regarding guidance for cleaning up environmental spills. Mapbook project for Tier II reporting uploaded with the annual Tier II reports and distributed to both OWASA and CHFD community partners.

Description of Project GIS layers and maps are visually innovative and can help solve problems in a nontraditional way. The resulting GIS layers and maps that Janet produced this year are used both internally in EHS in both the Environmental Affairs group and with the Emergency Response Team as well as externally with customers and partners such as Facilities Services, Energy Services, OWASA and CHFD. For example, now instead of a spreadsheet list of Tier II facilities, partners can view building footprints, geographic location, nearby facilities, utilities and hazards all in one glance. Janet continues to advance EHS’ grasp and use of GIS and is one of the innovative leaders implementing and advancing GIS among campus work units.

Reasons for creating the Award Qualifications for the Award In order to emphasize the department’s core values and to support the To be considered for the award, the innovation must: University’s “Innovate @ Carolina” program, “to make Carolina a  contribute to the improvement of the environment, health, or safety at UNC. world leader in launching university-born ideas for the good of socie-  be in the form of process, education, customer service, communication, policy, structure, or

ty,” the EHS department instituted a new Innovation award for 2010. method.

EHS core values related to innovation: The organization will:  be applied. (See definition above.)   utilize time and resources efficiently. be in some stage of the process of activation, but does not necessarily have to be completed.  have been identified and approved by EHS management before implementation can begin.  be a resource for new ideas and innovation.  establish state of the art EHS protocols & procedures.

Innovation Award: In 2010, the department instituted an Innovation Award in order to emphasize the department’s core values and to support innovation in environment, health and safety processes, education and customer service.

2015 Innovation Award 2015 Collaboration Award

Cathy Brennan, David Catalano, Kara Milton, Jonathan Moore, Janet Philips, Jim Potts, Mike Soles, Frank Stillo

The Collaboration: Preparation of the Mary Ellen Jones building for Renovation

Description of Project Once all of the groups moved out of the Mary Ellen Jones building, EHS did a completed decontamination of the eleven story building prior to handing over the building to the project. This team physically worked to clean and decontaminate the entire building. Each team member worked as a group and took responsibility for the project.

EHS Core Values & collaboration: Award Qualifications The organization will: The recipient must exhibit outstanding contribution to collaboration by fulfilling one or more of  value and encourage individual growth and development. the following attributes:  collaborate and support each other through the twists and turns.  Agreement about objectives  be a safe haven of trust, respect, and open communication.  Respect for specialist expertise of another person  foster constructive debate when appropriate.  Joint working, shared effort, shared responsibilities  Blurring of professional boundaries (no use of rank in process)  Open and transparent lines of communication within groups and between people  Behavior that instills confidence and respect for others  Open and full discussions of all issues (no shortchanging of another person’s idea)  Empathy for others

In 2010, the department instituted a Collaboraton Award in order to emphasize the department’s core values and to support the attribute of collaboration among EHS em- ployees and between EHS employees and other University employees (or other groups or organizations).

68 Awards - Achievements - Appointments Awards Achievements The University received the North Carolina Depart- Mary Crabtree was elected to the Campus Safety Health Environ- ment of Labor’s Gold Safety Award for the fifth year mental Management Association executive board of directors and in a row. serves as Vice President.

Employee of the Year Award Cathy Brennan, Mike Long and Jim Potts attended “Introduction (See page 65.) to the Computer-Aided Management of Emergency Operations Suite” training. Innovation Award (See page 66.) Jim Potts attended “Decontamination Training for Ebola.”

Collaboration Award Cathy Brennan completed the “2015 Leadership Chapel Hill- (See page 67.) Carrboro” program sponsored by the Chapel Hill-Carrboro Cham- ber of Commerce.

Awards - Achievements - Appointments Achievements Appointments Aaron Gunsalus was re-certified as an EPA Asbestos Air-Monitor. Tommy Simmons was appointed Workplace Safety Field Specialist.

Dan Eisenman was named Co-Chair of the Biosafety Review Course Mark Brueckner was appointed to the NC Radiation Protection Commis- Committee of the American Biological Safety Association. sion Working Group on 10 CFR 37 regulations.

Dan Eisenman was recertified as Specialist Microbiologist in Biological Bradford Taylor continued to serve on the NC Radiation Protection Com- Safety, National Registry of Certified Microbiologists, American Society mission Working Group on .0600 X-ray/CT regulations. for Microbiology. Jonathan Moore was appointed speaker coordinator for the regional Cam- Frank Stillo was awarded a Master of Science degree in Public Health pus Safety Health and Environmental Management Association meeting. from the University of North Carolina at Chapel Hill. Roger Sit was appointed to FDA approved Radioactive Drug Research Mal Donohue earned the American Board of Industrial Hygiene certifica- Committee. tion as a Certified Industrial Hygienist.

70 Appointments - Presentations - Acknowledgements Appointments Presentations Roger Sit was appointed to the NC Radiation Protection Commission. Mary Crabtree was key note speaker at the Annual Collegiate Sports Video Association conference and presented “Safety: Communication Roger Sit was re-appointed adjunct Assistant Professor in the School and Reporting Safety Workplace Issues.” of Medicine, Department of Allied Health Sciences. Mary Crabtree presented “UNC HASMIS – Workers’ Compensation” David Guynn was appointed Fire Safety & Emergency Response Man- at the NC State Safety and Health Steering Committee. ager. Dan Eisenman was an invited lecturer for the Research Triangle La- Erika England was appointed Biosafety Specialist. boratory Animal Training Program for the National Institute of Envi- ronmental Health Sciences. Dan Eisenman named UNC’s Institutional Contact for Dual Use Re- search. John Covely presented “Brand Attributes for Health and Safety Behav- ior Response” at the Campus Safety Health and Environmental Man- John Covely was appointed Co-Chair of the Campus Safety Health and agement Association regional meeting and co-presented a Marketing/ Environmental Management Association Marketing/Communication Communication Professional Development Seminar. and Education Community of Practice. Mary Beth Koza presented “Risk Communications” at the UNC Public Administration Conference.

Appointments - Presentations - Acknowledgements Presentations Annual Report

Mary Beth Koza gave a webinar/presentation “Marketing Your EHS Contributors: Testimonials: Printing Program” as part of the BioRAFT Laboratory Safety Leadership Se- Catherine Brennan John Bogner Classic Printing ries. Janet Clarke Amy E. Dean Janet Clarke presented, “Integrating GIS into NPDES Monitoring” at Mary Crabtree Dan Eisenman Copy and Design: the NCDENR/WRRI Erosion and Sedimentation Control Planning Mal Donohue Doug Fleming John Arthur Covely and Design Workshop for design professionals, contractors and devel- Dan Eisenman Mark Obenshain opers. Dr. James Hill Crystal Royal Mary Beth Koza P. Frederick Sparling, MD Janet Clarke presented “Training Techniques to Help Facilities Em- Sharon Myers Cindy Taylor ployees Understand Their Role in Environmental Compliance” at the John Murphy

North Carolina Association of Higher Education Facilities Officers Roger Sit conference.

David Guynn presented “PPE: More than a Safety Data Sheet” at the 2016 Wake County Business and Environmental Safety Training Con- ference.

72 2015 Highlights - Environment, Health and Safety Department Environmental Affairs Fire Safety & Emergency Response Pickups for disposal of hazardous, radioactive and 8,856 296 Emergency responses. hazardous chemicals. 285 Life-safety fire alarm tests. Kgs. of hazardous, radioactive and hazardous chemicals 134,201 treated and disposed of. 8,000 Fire extinguisher inspections. Environmental permits for air, waste, water, stormwater Students, staff and faculty trained in fire safety and 18 2,200 and underground storage tanks. the proper use of fire extinguishers.

Research Safety Support University Employee Occupational Health Clinic & Workplace Safety 5 High Containment laboratories. 238 OSHA recordable related injuries/illnesses. 1,265 Chemical fume hood inspections. 3,415 Employees in the immunization review program. 427 Biological safety cabinets and in-line HEPA certifications. 427 Worker compensation claims. 563 Collaborative Laboratory Inspection Program inspections. 2.12 Million dollars in worker compensation expenditures. Laboratory Safety Plans covering chemical, biological and 4,695 Occupational Health Medical Services. 596 radiological laboratories. 8 Radioactive Materials Licenses registered. Workplace Safety 323 X-ray Machines registered. 66 Online EHS training courses offered. 195 Hazard Management Program inspections.

Environment, Health and Safety - Division of Finance and Administration - University of North Carolina at Chapel Hill - 1120 Estes Drive Extension, Chapel Hill, NC 27599 - 919-962-5507 - ehs.unc.edu

2015 Highlights - Environment, Health and Safety Department 2015/16 Men’s Basketball Team

Nate Britt, , Joel Berry II, , , , Brice Johnson, Kanler Coker, Kenny Williams, Stilman White, Justin Coleman, , Toby Egbuna, Joel James, Spenser Dalton , Justin Jackson Coaches: Roy Williams, , C.B. McGrath, Steve Robinson, Jonas Sahratian, Brad Frederick, Eric Hoots, Sean May

2015/16 Record: ACC Regular Season Championship, ACC Tournament Champion, NCAA National Championship-Second Place

Be All You Can Be - Strive for Excellence The EHS management and staff salute the 2015/16 UNC Men’s Basketball team. They exhibit the mottos of the EHS department: Be All You Can Be and Strive for Excellence! Thank you all for a Kennedy Meeks attends our Fire Brice Johnson attends our Fire Safety Fair and displays his skills

Safety Fair and displays his skills great and exciting season. You made us proud to be a Tar Heel. with a fire extinguisher. David with a fire extinguisher. David Guynn, Fire Safety and Emergency Guynn, Fire Safety and Emergency Response Managers is credited with

Response Managers is credited with another assist.

Environment, Health and Safety - Division of Finance and Administration - University of North Carolina at Chapel Hill - 1120 Estes Drive Extension, Chapel Hill, NC 27599 - 919-962-5507 - ehs.unc.edu