B D 1 A 2 B A A A A A A A C A A D 12 D A C A Not given. Lab Safety Comm. RS Officer. No answer. No answer. No answer

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1 UNIVRSITY LSR SFTY SURVY 3. nswer based on your program as it currently exists. 4. Information about specific institutions will be shared only with other SHM committee members. How many undergraduate and graduate students at all campuses of your university? oes your institution have a Laser Use Policy approved by upper management? = Yes- solely covers laser use B = Yes- part of broader safety policy but lasers are mentioned = Yes- part of a broader safety policy but lasers are not specifically mentioned = policy approved by mgmt. Job title of person in upper management who has signed off on laser safety policy o you have a Laser Safety Manual? = Yes- manual solely covering laser use B = Yes- section in a manual that covers other hazards = What department has laser safety responsibilities? = HS B = utonomous Radiation Safety Office = utonomous Industrial Hygiene Office = Other (specify) stimate the number of lass 3b and 4 research lasers at all campuses Is a list of lass 3b and 4 lasers kept up-to-date by HS? = Yes B = = Yes but not updated that often stimate number of all lass 3b and 4 operators Is a list of approved lass 3b and 4 operators kept up-to-date by HS? = Yes B = = Yes but not updated that often UPen UFl uke UIU UI Purd. IUPUI N St. Stanf. UKY UMd Utah UB Pitt SLU MU Baylor Uel Miami SU Harv. UMo te t given B 1 2 B 12 t given ne Lab Safety omm RS Officer te 11 ne ne B B 12 B 6 B B President xecutive VP Vice Pres 13 B te ne Un- Known 8 B 8 9 B 12 8 B Unknown Un- Known Unknown B B 5 8 B 8 B 5 10 B B 12 B 12 B 14 B 14 B

2 UNIVRSITY LSR SFTY SURVY 3. nswer based on your program as it currently exists. 4. Information about specific institutions will be shared only with other SHM committee members. How is laser safety instruction provided to laser operators? = Provided by immediate supervisor B = Provided by HS = Web based/on-line training = Lecture training = Other (specify) F = training is provided Is there follow-up by a central safety department (such as HS) to determine that all laser operators have attended safety instruction? = YS = training is provided Is refresher training required? te frequency in parenthesis. = YS What non-accident related medical exams are required by institution for laser operators? = ne B = Pre-assignment = Periodic (list how often) = Terminal Who conducts the non-accident related medical exams for laser operators? = exams conducted B = ampus health = ontracted medical professional = Operator s choice of medical professional = Hospital associated with university UPen UFl uke UIU UI Purd. IUPUI N St. Stanf. UKY UMd Utah UB Pitt SLU MU Baylor Uel Miami SU Harv. UMo, B, te 17, B,,, B,,, B, B,, B, B,,, B te F te, B (handout with a test) B, B, te B B B B B B B B B B 23 B 19 B B B (4yrs) B B B B B B B B B B B B B B B B B B B B 18 B te 21 te 22 B, B,, B, B B B Maybe or B

3 UNIVRSITY LSR SFTY SURVY 3. nswer based on your program as it currently exists. 4. Information about specific institutions will be shared only with other SHM committee members. o you have a standing Laser Safety ommittee (LS)? = YS = Radiation Safety ommittee does laser safety committee work o you have a Laser Safety Officer (LSO)? If LSO is not their job title, enter job title in parenthesis. = YS The duties below are the responsibility of- = the LS B = the LSO = no /unclear response etermine Laser Use Policy for institution UPen UFl uke UIU UI Purd. IUPUI N St. Stanf. UKY UMd Utah UB Pitt SLU MU Baylor Uel Miami SU Harv. UMo B B B B B B 31 B B B B B B B B B (sst RSO) 30 B 33 B B, B, B, B, B B B B B B te B B, B te Issue laser permits, B, B, B B B B B B B B, B Review/approve laser uses B, B B, B B B B B B B, B B, B Review/approve SOPs B B, B B, B, B B B B B B B, B B B B Review/approve laser facilities B B, B B B, B B B B B B B B, B B B B, B Inspect laser labs B B 24, B B B B B B B B B B B, B B B B Issue deficiencies for non-compliance B B, B B B B B B B B, B B B B nforce policy in labs when B B, B, B B, B B B B, B B B B deficiencies are not corrected etermine NHZ in lass 4 facilities B B, B B B B B B B B B, B B B B alculate O of laser eyewear B B, B B B B B B B B B B, B B B Provide laser safety instruction B B, B B B, B B B B B B B B, B B B B B Investigate accidents B B, B B B, B B B B B B B B B, B B B B B Other B B 29 B 25 What is the current total amount of time spent administering and managing the laser safety program in FT? If still developing program, the expected total amount of time spent administering and managing the laser safety program in FT (in parenthesis)? (0.35) (0.5) <0.25 < < < (0.1) te 34 (0.25) (te 35) 1 1 <0.25 (Bio. Offcr)

4 UNIVRSITY LSR SFTY SURVY 3. nswer based on your program as it currently exists. 4. Information about specific institutions will be shared only with other SHM committee members. Who conducts laser inspections/audits? = LSO B = eputy LSO = HS technician = LS member(s) = PI self-inspection F = udits not currently being performed How often is the inspection/audit conducted? = nnual B = Quarterly = Upon request only = udits not currently being performed How is inspection/audit documented? = Standardized checklist/form (paper or electronic) B = tes in file = documentation UPen UFl uke UIU UI Purd. IUPUI N St. Stanf. UKY UMd Utah UB Pitt SLU MU Baylor Uel Miami SU Harv. UMo F, B, Initial Only B B, F s needed B B B B, (work together) F, B, HS lab audit teams 37, B,, B or F biannual, B B etailed SOP unknown Which are required in your lass 4 facilities? (* means not always required) = Posted SOP B = Laser curtains or barriers to isolate operation = Only one lass 4 laser per room or curtained area = ntranceway interlocked with laser power or shutter = Illuminated warning sign at entrance F = Total beam enclosure G = Other lass 4 facility requirement- (Specify), B*, *, *, F*, B,,, F *, B*, *, *, *, F*, B,,,, F *, B*, *, *, *, F*, B,,,, F B, B,,, F, G 36 B,, te, B, B *, * *, B*, F*, B, *,,, B,, NON (up to PI)

5 UNIVRSITY LSR SFTY SURVY 3. nswer based on your program as it currently exists. 4. Information about specific institutions will be shared only with other SHM committee members. tes: 1 Policy in place but not approved by upper management 21 ye exams are offered but not required 2 Has two laser policies; one for clinical, one for research 22 Only the large LSR institute is doing this 3 dditional 50 lasers in storage 23 LSO provides handout with a written test that must be returned. 4 dditional 800 clinical lasers 24 Inspect lass 3b and 4 facilities only 5 List of laser supervisors or (laser owner ) is maintained but not operators 25 Register lasers with State agency 6 ctually RS (chem./bio/rad) but no OS&H 26 The LS mainly focuses on exceptions to the guidelines if regional campuses included but little laser use there 27 Radiation Safety Manager is the LSO 8 Still working on list 28 sst irector of Research Safety is the LSO 9 List depends on users to register information 29 We are still trying to gain acceptance so our enforcement is rather weak 10 Based on completion of training requirement 30 Laboratory Safety Manager or Safety & Training Manager is the LSO 11 Policies not signed off but hancellor signs manual 31 LS initiated program but then was disestablished 12 Under development Planning to develop laser safety program and establish this feature of the program 13 VP for Business Services 33 ssist. irector and Biosafety Officer is also the LSO 14 Has list of those that have received training 34 Large portion of time currently spent due to program infancy 15 Policy issued by Rad Safety ommittee chartered by university 35 FT will increase as satellite facilities are added to program Planning to develop on-line laser safety training 36 Laser enclosure interlock 17 Training may also be provided by LSO on case by case basis 37 Training LSO assistant to do and also developing on-line self-inspection form 18 onsidering a requirement for medical exams 19 PIs are informed about training and are expected to send operators 20 onfirmation of laser training is part of annual lab inspection Questionnaire Respondents: UPen University of Pennsylvania, Karen Kelley, kelley@ehrs.udel.edu Utah University of Utah, Marty Shaub, marty.shaub@ehs.utah.edu UFl University of Florida, William Properzio, bill@ehs.ufl.edu UB University of labama-birmingham, Randy Pewitt, rpewitt@healthsafe.uab.edu uke uke University, Wayne Thomann, thoma010@m.uk.u Pitt University of Pittsburgh, Jay Frerotte, jfrerotte@ehs.pitt.edu UIU University of Illinois at Urbana-hampaign, Irene ooke, i-cooke@uiuc@edu SLU St. Louis University, Mark Haenchen, haenchen@slu.edu UI University of Illinois hicago, Marilyn Hau, mhau@uic.edu MU arnegie Mellon University, Madelyn Miller, mmiller@andrew.cmu.edu Purd. Purdue University, Jim Schweitzer, jfschweitzer@purdue.edu Baylor Baylor ollege of Medicine, Paul Muraca, muraca@bcm.edu IUPUI Indiana Univ Purdue Univ at Indianapolis, K. Lee Stone, Uel University of elaware, William Fendt, wfendt@udel.edu N St. rth arolina State University, avid Rainer, david_rainer@ncsu.edu Miami University of Miami, Kenneth apezzuto, kcapezzuto@med.miami.edu Stanf. Stanford University, Lance Phillips, ljpchp@stanford.edu SU rizona State University, Matthew Walker UKY University of Kentucky, ndy Miller, andy.miller@uky.edu Harv. Harvard University, Joe Griffin, c/o Joe Ring joseph_ring@harvard.edu UMd University of Maryland Baltimore, James Jaeger, jjaeger@af.umaryland.edu UMo University of Missouri-olumbia, Peter shbrook, ashbrookp@missouri.edu