How Do You Rate EH&S Office

http://www.ksre.k-state.edu/agsafe/

Your EH&S Progress?

Revision: 1.3
October 18, 2016

Assessment Tool
Environmental health and safety issues impact each Department in KSU's College of Agriculture. Actions you
may take to create and maintain a safe work environment and reduce your environmental footprint can materially
impact your department. The steps to a sustainable environmental health and safety program include committed
management, engaged staff, feasible business strategy, gap analysis and plan, and integration of environmental
health and safety practices into the core values and daily activities of the College.
The following questions should help you develop or expand on an environmental health and safety strategy.
Starting, running, and growing an environmental health and safety sustainable program takes significant time,
resources, and financial commitment. The more “yes” answers you select, the more prepared your department
should be to improve your health and safety performance and reduce your environmental footprint. If you need
assistance in interpreting the questions or findings, please contact the EH&S Office (agsafe@ksu.edu).

Instructions
This tool has been created in Excel to accept your responses and automatically calculate and graph your results.
To enter your responses, simply select a Yes or No GREEN cell, enter an "x" and hit “enter.” In the event you
want to go back and change your response, select the cell, enter the new response and hit “enter.” You can
delete the questions that are not relevant to your department and add questions that are pertinent.

A. Management Commitment and Employee Involvement

How can your department integrate EH&S into the day-to-day business operations?
YES NO
1. Are employees aware of the Dean's commitment to health, safety, and environmental protection?
2. Does management communicate their commitment to the safety and health program?
3. Have program goals and expectations been established and communicated to the staff?
4. Is there dedicated EH&S staff, committed and working in the department?
5. Is EH&S performance included in the staff’s personal development and evaluation process?
6. Is there a safety budget to address outstanding financial outlays for EH&S matters?
7. Are employees encouraged to report health and safety concerns?
8. Do workers have access to safety and health information?
9. Are workers involved in all aspects of the safety and health program?
10. Are employees held accountable for not following work rules designed to promote safety?
MANAGEMENT COMMITMENT AND EMPLOYEE INVOLVEMENT TOTALS 0 0

B. Worksite Analysis
Is there an ongoing process to identify and prioritize hazards?
YES NO
1. Are there procedures in place to manage health and safety hazards and environmental impacts?
2. Are there systems in place to identify and keep current with legal and other requirements?
3. Have Job Safety Analysis (JSAs) been completed and are they up-to-date?
4. Have PPE Hazard Assessments been completed and are they up-to-date?
5. Is proper clothing attire being worn?
6. Are spill kits fully stocked?
7. Are self-inspections being conducted to identify new hazards and are existing hazards being tracked
to resolution?
8. Are hazards being evaluated for severity of outcome, likelihood of occurrence, and the number of
workers exposed?
9. Are hazards associated with emergency and non-routine work being evaluated?
10. Are employees reporting practices and conditions that look dangerous or out of place?
WORKSITE ANALYSIS TOTALS 0 0

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 How Do You Rate EH&S Office
http://www.ksre.k-state.edu/agsafe/

Your EH&S Progress?

Revision: 1.3
October 18, 2016

C. Hazard Prevention and Control

Is there an ongoing process to correct and prevent hazards from reoccurring?
YES NO
1. Are safe work procedures set-up based on the analysis of the work environment?
2. Where feasible, are hazards being engineered out of the work environment?
3. Is personal protective equipment (PPE) being used and maintained properly?
4. Are Preventive Maintenance programs established and functioning?
5. Is an up-to-date emergency plan in place and routinely tested during table top and field drills?
6. Are medical personal readily available for advice and consultation?
7. Are emergency medical procedure in place?
8. Are routine walk-throughs of the worksite conducted?
9. Are root-cause incident investigations being conducted?
10. Are EH&S issues resolved in a timely manner?
HAZARD PREVENTION AND CONTROL TOTALS 0 0

D. Training for Employees, Supervisors, and Managers

Does the staff know about the hazards in their work environment and how to control them?
YES NO
1. Does the staff have a basic understanding of the program's structure, plans, and procedures?
2. Is the staff being trained on their roles and responsibilities in the safety and health program?
3. Are workers being trained on hazard identification, hazard analysis, and controls?
4. Is training being done when work procedures or personnel change?
5. Is training being provided in a language and at a literacy level that all workers can understand?
6. Is training being documented to verify that training was conducted and the employee understood the
training and his or her role and responsibility?
7. Are individuals trained in emergency preparedness (e.g., spill kits) and response?
8. Are lessons learned communicated to employees and affected parties?
9. Do supervisors understand all the hazards faced by their employees and how to reinforce training?
10. Does Administration understand their responsibilities and how to hold subordinates accountable?
TRAINING FOR EMPLOYEES, SUPERVISORS, AND MANAGERS TOTALS 0 0

E. Program Evaluation and Improvement

Is there a process in place to evaluate hazards and track metrics to identify whether the program is effective?
YES NO
1. Have metrics been established to indicate whether the program is effective?
2. Has a baseline been completed of the overall program followed by periodic reviews to identify
hazards and opportunities for improvement?
3. Are injuries, illnesses, incidents, hazards, and concerns being reported?
4. Are injury and illness records being reviewed to identify trends (lagging indicator)?
5. Are the number of hazards identified decreasing during inspection walk-arounds (leading indicator)?
6. Is management conducting safety walk-arounds on a frequent basis (leading indicator)?
7. Are maintenance activities conforming to planned preventive maintenance schedules (leading
indicator)?
8. Have objectives and targets been established to address high risk EH&S practices and conditions?
9. Have the program's core elements been fully and effectively implemented?
10. When issues are identified, is prompt action taken to correct the problem and prevent recurrence?
PROGRAM EVALUATION AND IMPROVEMENT TOTALS 0 0

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 How Do You Rate EH&S Office
http://www.ksre.k-state.edu/agsafe/

Your EH&S Progress?

Revision: 1.3
October 18, 2016

OVERALL ASSESSMENT RESULTS

1
0.9
0.8 Col
0.7 um
0.6 nC
0.5
0.4
0.3
0.2
0.1
0
Commitment and Worksite Analysis Prevention and Employee Training Program Evaluation Overall Assessment
Involvement Control
TOTAL SCORES YES NO

Commitment and Involvement 0 0

Worksite Analysis 0 0

Prevention and Control 0 0

Employee Training 0 0

Program Evaluation 0 0

Overall Assessment 0 0

One Approach to Interpreting Your Department's Overall Results

40-50: Your department is well on its way to reducing your health, safety, and environmental
risks. Review each category and see what you can do to address your “no” answers.
Use the Action Plan Worksheet to identify and record your next steps. Contact the COA
EH&S Office if you need assistance.

30-39: Your department has some work to do in order to reduce your risk profile. Look at the
categories and see where you selected the most “no” answers. Consider what your
department can do to make those responses “yes.” Use the Action Plan to identify and
record your next steps. The COA EH&S Office may be able you further translate your
ideas into a plan for a successful risk reduction strategy.

29 and below: Review each category to determine where to concentrate your department's efforts. Do
you need to be more prepared before taking on more initiatives? Do you need to focus
on a different programs? Use the Action Plan Worksheet to identify and record your next
steps. The COA EH&S Office may provide the structured assistance needed to
transform your ideas into a successful plan.

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 How Do You Rate EH&S Office
http://www.ksre.k-state.edu/agsafe/

Your EH&S Progress?

Revision: 1.3
October 18, 2016

Notes

Section/Number ID Observations

Page 4
 Creating Specific, Measurable, EH&S Office
http://www.ksre.k-state.edu/agsafe/
Revision: 1.0
Attainable, Realistic and Timely Goals December 10, 2015

Objectives & Targets Action Plan

Environmental health and safety issues impact each Department of KSU's College of Agriculture. Actions you may
take to create and maintain a safe work environment and reduce your environmental footprint can materially impact
your department. The steps to a sustainable environmental health and safety organization include committed
management, engaged staff, feasible business strategy, gap analysis, creating SMART goals, and integrating
environmental health and safety into the core values and daily activities of the College.
The following review of SMART goals should help you develop or expand on an environmental health and safety
strategy. Starting, running and growing an environmental health and safety sustainable organization takes
significant time, resources and financial commitment. The greater level of specificity you employ in establishing
SMART goals, the more prepared your department should be for improving your health and safety performance and
in reducing your environmental footprint. If you need assistance in developing SMART goals in the Project
Initiatives worksheet, please contact the EH&S Office.

SPECIFIC: A specific goal has a greater chance of being accomplished than a general one. To set a specific goal
answer the six “W” questions:
Who:      Who is involved?
What:     What do I want to accomplish?
Where:   Identify a location.
When:    Establish a time frame.
Which:    Identify requirements and constraints.
Why:      Specific reasons, purpose or benefits of accomplishing the goal.

MEASURABLE: Establish concrete criteria for measuring progress toward the attainment of each goal you set.
When you measure your progress, you stay on track and reach your target dates.
To determine if your goal is measurable, ask questions such as…
How much?
How many?
How will I know when it is accomplished?

ATTAINABLE: When you identify goals that are most important to reducing risk, you develop the attitudes, abilities,
skills, and financial capacity to reach them. You begin seeing previously overlooked opportunities to bring yourself
closer to the achievement of your goals.

REALISTIC: To be realistic, a goal must represent an objective toward which you are both willing and able to work.
A goal can be both high and realistic, You are the only one who can decide just how high your goal should be, but
be sure that every goal represents progress.

TIMELY: A goal should be grounded within a time frame. Whey goals are not time bounded there is no sense of
urgency.

EXAMPLES: By 12.31.15, develop a comprehensive training program for the two departments with the highest
number of ergonomic-related injuries; By 08.31.16, complete a systematic assessment of the top ten hazardous
jobs revealed in the hazards analysis assessment accross COA; By 03.31.16, update the WPS training program
based on EPA's October revisions to the Worker Protection Standard beginning with a feasibility and needs
assessment; To foster a sustainable EH&S program, develop, secure buy-in and put in practice EH&S Design
Guidelines by 12.31.16.
 Objectives & Targets Projects Not
Started
On
Completion Complete
m n Completion
Project Number Category Project Plan/Production Agreements Project Manager Start Date Status
Target Date Target Date
ü u
Issues

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Controlled documents are maintained electronically.
Revision: 1.0 Printed documents are UNCONTROLLED. Wednesday, August 19, 2020
Prior to relying on a printed document, verify that it is current.