Environmental Health & Safety Program Manager

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Additional Information

JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Environmental Health and Safety (EH&S) Program manager is responsible for the planning, administration and management of safety, health and fire safety programs throughout the hospital to ensure compliance with all applicable local, state and federal laws, regulations and standards concerning environmental health and safety, as well as applicable standards set forth by the Joint Commission(TJC). Ensure compliance with all standards promulgated by all Federal, State and local agencies through developing and implementing environmental management programs, on-site inspection and monitoring programs throughout the organization. Manages interactions with outside agencies and regulatory agency personnel for assigned area. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. * Advises management and staff regarding safety protocols and procedures to ensure regulatory compliance as mandated by local, state, and federal agencies. Investigates, researches and makes recommendations regarding best practices with respect to health and safety management * Conducts environmental safety rounding and staff training for assigned programs; Conducts fire drills, equipment and emergency evacuation training (as assigned). Conducts life safety inspections for construction projects * Conducts safety inspections and develops safety manual policies and procedures. Provides all aspects of project management relating to occupational safety and health investigations and inspections. * Conducts The Joint Commission (TJC), Fire/Life Safety regulatory compliance audits; Conducts interviews, reviews records and recommends corrective actions and performance improvement opportunities. Responsible for the interpretation, coordination, and enforcement of The Joint Commission (TJC) Safety Standards; maintains regulatory compliance documentation and records. * Develops and conducts mandated Environment of Care (EOC) Audits in ambulatory and/or hospital facilities. Conducts environmental assessments and recommends mitigation methods as warranted. * Develops and presents reports to leadership as required. Provides written reports of the conducted audits. Analyzes and provide report data and report results to management and various committees of the hospital. * Develops, implements and continuously updates safety and environmental health policies and programs to comply with local, state and federal regulations. Identifies, measures and improves environmental health and safety processes. * Identifies personnel, institutional and material resources needed to accomplish program management objectives. Develops and present annual budgetary requirements for assigned environmental program operations. * Manages all aspects of Laser Safety program (as assigned). * Participates with external task forces, committees and agencies related to health and safety management including those at the hospital, local, regional, state and federal levels. * Prepares and reviews reports to identify root causes and recommend corrective actions. Serves as a technical/regulatory resource in assigned program area and the interpretation of analytical data to determine safety, industrial hygiene or environmental remediation control measures, etc. * Responsible for negotiation of compliance issues with regulatory agencies as necessary and track any response to citations/violations should they occur. * Responsible for overall day to day implementation, training, execution and administration of the Environment of Care (EOC), TJC/Fire Safety management plans. Develops and administers budgets and schedules and performance requirements. * Responsible for the development, administration, management and oversight of effective health and safety programs (as assigned) to ensure environmental safety and compliance with all various safety, health and environmental regulations and requirements of accrediting and licensure bodies. * Works in conjunction with OCIP (Owner Controlled Insurance Program) Safety Manager

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