1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988

1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
2014 Annual Report - Environment, Health and Safety - University of North Carolina at Chapel Hill
From the Director
Welcome to the 7th annual report of the department of Envi-
ronment, Health and Safety. This report is our mechanism
for communicating the most relevant parts of our EHS or-
ganization and how we support the mission of the University.
1974-2014 As a service organization, the importance of communication,
collaboration, and customer service is an everyday value
which drives the safety culture. As a department we are com-
mitted to continuous improvement through the use of our
management system:
Plan – Do - Check - Act (PDCA)
Throughout this report you will see specific examples of this
model, along with examples that demonstrate the diversity of
our operations.
In 2014, the department celebrated 40 years of service to the
University. Over those years the regulatory requirements
have increased but the importance of providing a safe work
environment continues to be the main driver of our depart-
ment’s work. That work would not have been possible
without collaboration and communication with all of the
members of the campus community and the local community.
During 2014, two important events occurred at the national
level focusing on our commitment to a safety culture. In Au-
gust, the National Research Council released a new report
“Safe Science: Promoting a Culture of Safety in Academic
Chemical Research.” A few days later, the National Institutes
of Health asked grantee institutions to ensure safe practices
in biomedical research by promoting National Biosafety
Stewardship Month. EHS and the leadership of the Universi-
ty saw the great importance of the report and the safety
month request and immediately began to implement both. A
notice was sent to all Principle Investigators who do re-
search and have laboratories. The activities recommended in
the report and the promotion continue to be instituted across
campus. EHS developed a web page to support the Safe Sci-
ence report at ehs.unc.edu/ih/lab/safescience, and we con-
tinue to review our programs for improvements. Additional-
ly, the University’s leadership continues to demonstrate
2
 their support and clearly understand their role in building
and maintaining a culture of safety.
As an institution, we have defined safety culture as:
Safety Culture = individual beliefs + organizational design.
Our job at EHS is to help every individual on campus un-
derstand their role in safety in order to expand and deepen
that safety culture. During 2014, we implemented the
“What Do You Care About” campaign” to improve this edu-
cational process. We also support the University in its re-
sponsibility to provide the structure of how the people, the
information and the technology are integrated while provid-
ing a mechanism of accountability and a process of continu-
ous improvement. Every program we implement has these
components, as well as clear expectations of individual re-
quirements and responsibilities.
I ask every individual to utilize the process of hazard evalu-
ation in all of their activities, whether personal or work
3
related. Approaching every task with self-awareness, delib-
erateness and caution are elements of accident prevention
that can provide all of us with safer and healthier lives.
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 the dedication of our staff to excel-
lence and collaboration. As a team, we take great pride in
our accomplishments and great pride in contributing to the
health and safety of one of the world’s leading academic and
research institutions.
We also recognize and commend our fellow Tar Heels. It is
their commitment to health and safety, their collaborative
spirit, and their pride in being part of a great University
that makes UNC-CH a safe and healthy place to teach, learn
and serve.
Mary Beth Koza, Director
Environment, Health and Safety
Who We Are
Administration Biological Safety Chemical Safety Environmental Affairs
Mary Beth Koza Dan Eisenman Catherine Brennan Mal Donohue
Director Biological Safety Officer & Manager Chemical Hygiene Officer & Manager Manager
Michael Long
Amy Butler Constance Birden Ray Bond
Associate Chemical Hygiene Officer
Dosimetry Technician Export Control Specialist Jim Potts Senior Hazardous Materials Specialist
1974-2014
John Covely Nick Chaplinski Chemical Safety Specialist Janet Clarke
Public Communication Specialist Associate Biological Safety Officer Environmental Specialist
Nelda Hamlett Kara Milton Roger Connor
Administrative Assistant Assistant Biological Safety Officer Radioactive Materials Specialist
Bianca Trollinger Larry Daw
Biological Safety Specialist Environmental Compliance Officer
Sharon Myers
Environmental/Stormwater
Compliance Officer
Mike Novitzky
Hazardous Materials Specialist
Frank Stillo
Environmental Specialist
Steve Parker
Hazardous Materials Manager
Daryle White
Senior Radioactive Materials Specialist

4
Fire Safety & Occupational & Radiation Safety UEOHC Workplace Safety
Emergency Response Environmental Hygiene Roger Sit Mary Crabtree
James Hill MD, MPH
Billy Mitchell John Murphy Radiation Safety Officer & Manager Medical Director Manager
Manager Gerald Bida Debra Bergman
Manager-retired 2/2105 Cynthia Gamble
David Catalano
Kitty Lynn Cyclotron Health Physicist Occupational Health Nurse Workers' Compensation/
Field Hygienist
Fire Safety Professional Kim Haley Mark Brueckner Suzanne Johnson Clinical Hygienist
Tommy Simmons Industrial Hygienist Associate Radiation Safety Officer Administrative Assistant T.J. DeLuca
Fire Safety Technician Janet Phillips Montego Fearrington Sherice Love Facilities Services Safety Officer
Adam Swift Industrial Hygienist, Health Physics Technician Administrative Support Associate Jeff Dunn
Fire Safety Inspector John Grachus Pam Miner Workplace Safety Field Specialist
Health Physics Technologist Occupational Health Nurse Neah Tucker
Aaron Gunsalus Luigi Troiani Occupational Field Hygienist
Lead Health Physics Technologist Physician Assistant-C Rebecca Watkins
Jonathan Moore Web Applications Technician
Associate Radiation Safety Officer
Mike Soles
Health Physics Technologist
Bradford Taylor
Associate Radiation Safety Officer

5
What we do
EHS Organization
Each service section within EHS has unique and
specific management duties and responsibilities
that are determined by any number of compli-
1974-2014 ance requirements, state and federal regulatory
agencies, university policies, industry standards,
and a commitment to going beyond compliance,
when possible, to ensure a safe and healthy cam-
pus, community and state.
Biological Safety
Biological Safety provides
gu id ance, ass is tan ce, and
surveillance over research
activities involving biohaz-
ardous agents, recombinant
DNA, bloodborne pathogens,
and biohazardous waste man-
agement. Biological Safety
monitors and reviews the
performance and maintenance
of laboratory containment
systems and provides tech-
nical support to EHS incident
responders.
Chemical Safety
The main function of the Chem-
ical Safety section is to manage
the process of improving safety
through education, compliance,
and the constant task of identi-
fying and evaluating potential
safety hazards in order to reach
the destination of a safe re-
search laboratory environment.
Because the breadth and depth
of UNC research is always
expanding, the process of safety
improvement is ongoing and
ever-changing, providing daily
challenges to support the re-
search process.
Environmental Affairs
The Environmental Affairs
section proactively manages the
environmental permitting of the
campus and ensures compliance
with the increasing number of
permits required by state and
federal agencies. The section
has responsibility for oversight
of underground/above ground
storage tank management, air
quality permits (Title V), water
quality (NPDES) permits, sur-
face water quality, storm water
management, wetland issues,
environmental assessments at
inactive waste sites, collection
of radioactive and hazardous
materials/wastes from campus,
and operation of the Hazardous
Materials Facility (a fully per-
mitted Treatment-Storage-
Disposal facility), and the stor-
age-for-decay program for short
-lived radioactive wastes.
6
Fire Safety &
Emergency Response
Fire safety management in-
cludes six functions: inspec-
tions, enforcement, education,
engineering, fire investiga-
tion, and response. With 438
buildings on campus and a
wide range of potential fire
safety risks, EHS personnel
are constantly checking fire
related equipment, running
test alarms, and assessing
egress risks. The section
provides student and employ-
ee fire education, so that safe-
ty becomes a collaborative
effort and a fire safety culture
becomes the norm.
7
Occupational &
Environmental Hygiene
OEH is responsible for en-
suring that indoor campus
environments are conducive
to good health and wellbeing
by recognizing evaluating
and controlling health and
safety hazards, using
knowledge and experience in
industrial hygiene, asbestos
management, air and water
quality and safety engineer-
ing. OEH assesses potential
safety hazards, possible in-
stances of exposure and suit-
ability of protective equip-
ment. Working with facilities
engineering and facilities
services personnel to keep
historical buildings function-
al, while protecting employee
health, and working with
planning, construction and
startup of new and renovated
buildings to anticipate build-
ing health issues.
Radiation Safety
Radiation Safety integrates
education, oversight, compli-
ance, service and consultation
to protect students, staff, the
general public and the envi-
ronment, from the effects of
both ionizing and non -
ionizing radiation. Implicit
in all aspects of radiation
safety is security. Safety and
security are accomplished
through training, inspection,
licensing, registration and
controlled access to certain
materials.
UEOHC
The University Employee
Occupational Health Clinic
provides occupational health
care services to all part-time,
full-time, and temporary em-
ployees of the University of
North Carolina at Chapel Hill.
The UEOHC directs medical
care for all workplace inju-
ries/illnesses. The Clinic pro-
vides pre-employment screen-
ing, annual immunization
reviews, and medical surveil-
lance for healthcare and non-
healthcare workers.
Workplace Safety
Workplace Safety provides
services in the areas of ergo-
nomics, respiratory protection,
safety training, industrial
maintenance and construction
safety, clinical safety, medical
surveillance, Workers' Com-
pensation, and the Safety
Management Information
System. The diversity of
services provided by the
Workplace Safety section
supports the University’s
overall mission of teaching
and research for both academ-
ic and non-academic divisions.
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 2014, 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
1974-2014 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
Do Implementation and Operations
Outreach
Lab Safety and Hazard Management Plans
Emergency response
CLIP inspections
HMP inspections
Check Checking Monthly reports
Annual reports
Performance reviews

Policy & procedure adoption

Act Corrective and Preventive Actions
Strategic planning process

8
 PLAN
EHS Goals
Hazard Review
Design Review
Lab Worker Registration
Lab Safety Plan
New Regulations
Training Design

DO
Lab Surveys
ACT
Safety Committees UNC – CH Risk Assessments
Hazmat Responses
EHS Data Analysis
Incident Investigation EHS Lab Waste Disposal
Medical Surveillance
Regulatory Impact Analysis
Responses to Regulatory
Management Environmental Permits
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 proactively assist
the campus in the areas of regulatory compliance for biological safety, chemical safety, radiation safety, con-
trolled substances, export shipping controls, occupational safety, environmental permitting, fire/life safety, and emergency response. Monthly reporting
metrics as well as the University’s safety committee structure support this process. A critical component 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 man-
9 agement compliance system.
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
1974-2014 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.

10
The University of North Carolina at
Chapel Hill, as an educational
Core Diversity Values of the University The University will achieve and
maintain diversity on the campus
instit ution, is committ ed to t he through the admission of students and
following core values with respect to employment of faculty and staff who
diversity: broadly reflect the ways in which we
The University supports intellectual differ.
freedom, promotes personal integrity The University promotes intellectual
and justice, and pursues values that growth and derives the educational
foster enlightened leadership devoted benefits of diversity by creating
to improving the conditions of human opportunities for intense dialogue and
life in the state, the nation, and the rigorous analysis and by fostering
world. mutually beneficial interactions among
The University believes that it can members of the community.
achieve its educational, research, and The University provides an
service mission only by creating and environment that values and respects
sustaining an environment in which civility and cordiality of discourse in
students, faculty, and staff represent order that all members of a diverse
diversity, for example, of social community feel welcomed and feel free
backgrounds, economic circumstances, to express their ideas without fear of
personal characteristics, philosophical reprisal.
outlooks, life experiences, perspectives,
beliefs, expectations, and aspirations,
to mention some salient factors.
11
What They Say
Biological Safety
“The biological safety program at
EHS work s in supp ort of t he
researc h ent erp rise t o ensure
1974-2014 research is conducted safely. Their
efforts have made biosafety
stewardship a success at UNC.”
Barbara Entwisle
Kenan Distinguished
Professor of Sociology
Vice Chancellor for Research.
Chemical Safety
“The lab safety committee works
closely with EHS to review safety
and health policies and procedures
to promote laboratory and chemical
safety. This strong collaborative
r e l a t i o n s h i p f os t e r s a st r o n g
commitment to promoting a culture
of safety at UNC.”
Dr. Lorraine Alexander
Chair, Laboratory and
Chemical Safety Committee
Professor, Epidemiology
School of Medicine
Fire Safety &
Emergency Response
“I have really enjoyed working with
the Fire Safety staff. Chapel Hill
Fire Department helps Fire Safety
employees reach out to the campus
c o m m u nit y b y p ro v i d i ng f i r e
reports for the Cleary Act. While
EHS oversees a local ordinance and
daily logs fire calls for reporting
residence hall fires, the
communication is great and the
folks at fire safety are always
cheerful and patient. They are
conscientious about accurate
metrics and quality control.
Together, we can educate students
and faculty in our efforts to reduce
the nuisance calls.”
Jimmy Spero
Technology Officer
Chapel Hill Fire Department
12
Environmental Affairs and
Occupational & Environmental
Hygiene
“The EHS Environmental Affairs
st a f f a n d t h e O c c up at i o n al &
E n v i r o n m e nt a l H y g i e n e s t a f f
brought their expertise to multiple
environmental issues, reviewing
numerous consultant proposals and
reports and providing the
professional insight and guidance to
ensure the project was done
correctly, timely, and economically.
I’d put EHS up against any
environmental team I’ve worked
with and they would definitely come
out on top.”
Gordon Merklein, AICP
Executive Director
Real Estate Development
University of North Carolina
13
Radiation Safety
“During the construction of the
BRIC cyclotron facility,
radiochemistry research labs, and
radiopharmaceutical production
facility in Marsico Hall, we had the
benefit of a close collaboration with
EHS Radiation Safety Officer (RSO)
and staff. We benefited greatly from
the RSO’s input into vital factors.
They have taken a proactive
approach towards the development
of the radiochemistry research
programs and offered technical help
and donated equipment. We are
fortunate to have these dedicated
people that help us with radiation
safety. We greatly appreciate their
concern for the facility and its
occupants, and we look forward to
further collaboration with EHS.”
Ben Giglio, Ph.D.
Postdoctoral Research Associate
School of Medicine
UEOHC
“The 2014 Ebola outbreak in West
Africa highlights the importance of
interprofessional collaboration and
communication in high risk,
complex patient care environments”.
Interprofessional simulation
provides the platform to prepare
teams of practitioners for the care of
an Ebola patient.”
Carol Fowler Durham
Clinical Professor
School of Nursing
Workplace Safety
“EHS has been a valuable resource
for educating students and staff
about safety for the football video
office. Being able to film practice in
a safe work environment with the
proper training is invaluable to
myself and the coaching staff.
Training sessions provide great
work enhancement for everyone
involved. EHS is a great asset and I
am thankful I have developed such a
great relationship with them.”
Christopher Luke
Director Football Videography
UNC Athletic Department
2014 Performance————————————————
Intrapreneurship*
Continue to utilize customer-feedback mechanism of the
In collaboration with Facilities Services, continue to develop
Collaborative Laboratory Inspection Program to drive early Finalize implementation of on-line HMP program across
strategies to expand cleaning of air-handling units to im-
identification of safety risks, hazards, communications and campus. Develop a chemical inventory tracking section.
prove energy savings as well as enhancing indoor air quality.
training needs.
Lead cross functional team to review issue of fire false alarms
Train and implement 5S Management Process for Environ- Review and update written protocols for medical surveillance across campus. Team will analyze 2013 data of false alarms,
mental Affairs Waste Handling group pertaining to all program to support customer service and mission of identify improvements to fire alarm process and minimize
vehicles, storage and office areas. UEOHC. number of false alarms so that Chapel Hill false alarm ordi-
nance will not be a financial burden to the University.

Education

Expand EHS derived standard operating procedures (SOPs)

Review current training programs (universal waste manage-
for commonly used hazardous chemicals and laboratory
Incorporate Biological Safety manual into new web format to ment, stormwater management, erosion and sedimentation
processes. Post at least six new SOPs on EHS website so
improve ease of navigation, use and reference updating. control and recordkeeping for emergency generators) for
researchers can use as part of their lab safety plan and also
content. Upgrade and incorporate into HASMIS system.
model their own unique SOPs after posted examples.

Continue review of Building Emergency Coordinator train-

Develop a lentiviral vector online study module for Univer- ing program to determine areas of improvement, develop-
Update University’s export/shipping webpage.
sity researchers. ment of on-line application and verification of required train-
ing.

Compliance

Maintain compliance activities of wastewater treatment Implement registration of campus fire alarm system as re- Implement process improvements to University Employee
system at Bingham Facility. quired by Chapel Hill false alarm ordinance. Occupational Health Clinic Needle stick program.

Develop strategic plan to review and implement new NRC

Work with Facilities Services on development and imple-
Renew following radioactive materials licenses: Institute of regulation 10 CFR Part 37. These new requirements will
mentation of a campus wide oxygen monitor program for
Marine Sciences, campus broad-scope academic, campus improve administrative processes to ensure robust security
areas that have potential for oxygen deficiency (storage of
academic irradiator, and hospital medical accelerator. clearance for personnel and robust operational testing of
cryogenics, carbon monoxide manifold systems, etc.).
security systems.

Growth
Update and integrate code and University policy and best
Develop, identify and implement new clinical location classi-
practice changes to University’s “Lab Design Guidelines” to
Support move-in and commissioning of Marsico Hall. fication mechanism in HASMIS for SOM personnel located
ensure new construction and renovations of laboratories are
off campus.
designed to meet Environment, Health and Safety concerns.
*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.
———————————————————————————

Develop graphic metrics and dashboard indicators (e.g.

Expand capability of Fire Safety section’s use of GIS
trending graphs and charts) for hazardous waste/materials
mapping to improve emergency egress and emergency
management system to improve service and customer
response.
feedback.

Development, identification and implementation of an

Develop web page for remediation project entitled “UNC
informative biotoxin website as a resource for UNC
Airport Road Waste Disposal Area.”
personnel.

Continue to ensure University complies with all regulatory Update, and revise, as necessary, air permitting strategy and
requirements for biological agents and toxins that could milestone plans, incorporating new requirements for model- Develop mechanical room inspection process to identify and
pose severe threat to public health, plant health, or to ani- ing, monitoring, record keeping and reporting for subpart eliminate hazards to ensure a safe work environment for
mal or plant products. Support development of a robust 112(j) boiler MACT, RICE MACT and NSPS for combustion Facilities Services and Energy Services employees.
communication process. sources including boilers/emergency generators.
Develop and lead cross functional team of EHS, Energy
Work with NCDENR on development and implementation
Services and Facilities Services to determine the applicabil- Ensure compliance with crystalline silica exposure standard
of remedial action plan (RAP) for the Town of Chapel Hill
ity of the ASHRAE Standard 188P-Prevention of Legionel- related to campus masonry activities.
Old Sanitary Landfill at Carolina North.
losis Associated with Building Water Systems.

Key Completed In Process Stopped

2015 Goals———————————————————
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.
———————————————————————————

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 2014 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.

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.

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.

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-
—
ment personal heat stress monitoring for Grounds Department.
Highlights of 2014
Biological Safety Chemical Safety Environmental Affairs Fire Safety and Emergency Response
—- —- —- —-

Renovated space returned to Select Site Visit by Association for Assessment Hazardous Waste Contingency Plan Evacuation maps created for campus
Agent lab. and Accreditation of Laboratory submitted to local agencies recreation facilities
Facilities and paperwork was prepared Animal Care An update of the Hazardous Materials More than 21,000 people enter and exit
as required by State and Federal The site visit and audit happens every Facility Hazardous Waste Contingency the seven recreational facility buildings
guidelines to return a renovated space three years and involves all facets of the Plan was submitted for review and every year, and, thus, it is important to
to a Select Agent lab that is regulated University’s animal care program comment to the Town of Chapel Hill, make sure that in the event of a fire the
by the CDC. The process involved including occupational health and O r a n g e Co u n t y , O r a n g e Co u n t y guests are able to find an exit, especially
collaboration with UNC Facilities safety. After the audit findings gave Emergency Services, Regional Response if the one they regularly use is blocked
Services and the Centers for Disease UNC full accreditation, anesthetic gas Team 4, Carrboro Fire Department, by fire. Evacuation maps were created
Control and Prevention. procedures were reviewed, eyewashes Carrboro Police Department, Chapel for all seven buildings and are displayed
were inspected and individual lab Hill Fire Department, Chapel Hill in each building where visitors can
CDC Inspection of Federal Select Police Department, UNC-CH easily view them and find the
groups were retrained on proper
Agent Program handling and use of chemicals. department of Public Safety, and UNC information they need.
The C DC cond uct ed a thr ee -day Health Care as part of the facility RCRA
inspection of UNC’s high-containment Installation and replacement Part B Permit renewal. Three hundred and four campus
laboratories and found no significant of fume hoods buildings tested for proper fire alarm
violations. Laboratory inspections are With the opening of Marsico Hall, the Three treated waste-water system operation
the primary means by which the CDC new imaging research building, impoundments closed and Three hundred and four building fire
confirms compliance with the select approximately 150 new chemical fume decommissioned alarm systems were jointly tested with
agent regulations. Inspections consist of
hoods were added, totaling more than Three treated waste-water Fire Safety and Life Safety technicians
an extensive review of laboratory safety1,100 fume hoods on campus. These impoundments were closed and for proper functioning. The ability of
and security measures, as well as new hoods were certified and tested decommissioned for construction of a occupants to safely and quickly evacuate
interviews with University researchers, ensuring their function and safety and new wastewater treatment management the building was also tested.
faculty and staff. then added to an internal database. sy st em . Upgra d es to t h e sy st em
Pandemic response protocols updated Forty-eight student fume hood included modification of the collection After-hour drills for 9,000 students in
The EHS pandemic response protocols enclosures in Morehead Chemistry Labs system, refurbishment of the treatment 87 student housing units.
were updated to include the EHS Ebola were tested and replaced prior to infrastructure and construction of two Students get to practice their escape
response procedure. In addition, an EHS student use. n e w impo u nd me nts . Th e tr ea te d routes from their dorm location by fire
pandemic response team was created, Advanced training for hazardous wastewater is reused in an engineered drill testing of the alarms and
comprised of Biosafety and Chemical drip irrigation system. evacuation during afternoons and
Safety team members. These members
materials response evenings. This “after hours” method of
are trained in remediation of
Advanced hazardous materials response Forty-five laboratory closure and testing meets NC State Fire Code
training continued, with one new cleanout projects requirements and provides an
contaminated areas that might be part
member of the team certified as a Characterization, packaging, transport, opportunity for greater participation by
of a pandemic event.
Hazardous Material Technician. All tracking, treatment and disposal of 45 students who are more likely to be in
members of the section attended Federal laboratory closure and cleanout projects the residences in afternoons and
training on Homemade Explosives: were conducted. Laboratory chemical evenings.
Awareness, Recognition and Response, waste totaled 21,594 kg, representing a
and helped train other EHS responders 67% and 52% increase, respectively, in
by providing training on Acid/Base the number of projects and the quantity
1974-2014 Spill Response. of waste generated during laboratory 18
closures and cleanouts.
Occupational and Environmental
Hygiene
—-
New confined space response training
module developed
A new confined space response training
module was developed for UNC Public
Safety, as a supplement to their training
for a telecommunicator’s and officer’s
response to confined space emergencies.
Although these employees do not
conduct rescues, it is important that
they understand what a confined space
is and the hazards rescuers may face.
Water quality analysis and baseline
noise assessment of Marsico Hall
As Marsico Hall gained occupancy
status, the water quality from water
fountains and general use sinks was
tested. Lead content was measured and
compared to the EPA drinking water
standards. AsBuilding Services
personnel began the responsibility of
maintaining and servicing the various
mechanical systems that were installed,
EHS provided a baseline noise
assessment to determine personal
protective equipment that might be
necessary for those tasks.
Confined space drill
A confined space drill for a simulated
emergency in a confined space located
on the Carolina North campus was
conducted to improve the emergency
response to a confined space incident.
The response involved a number of
agencies: UNC Public Safety, Chapel
Hill Fire Department, South Orange
County Technical Rescue Team and the
UNC Electrical Distribution staff.
19
Radiation Safety
—-
Eight radioactive materials licenses and Blood borne pathogen program
21 x-ray registrations for 305 x-ray
machines
Eight radioactive materials licenses and
about 20 x-ray registration were
administered and submitted for renewal.
These are audited by the NC Radiation
Protection Section. There were six
different inspections covering licenses,
registrations and operations, and the
results of the inspections were that the
radiation safety program was in good
shape and there were no citations or
violations.
Supporting UNC Hospitals in the
engineering of radiological facilities
Support for UNC Hospitals continued in
the engineering of radiological facilities
at new facilities including the UNCH
Wellness Center at Meadowmont and in
Hillsborough. Support included plan
reviews, shielding design, radiological
surveys, registration of machines,
licensing of radioactive materials, and
establishment of written radiation safety
programs.
Five radioactive material
licenses renewed
Five radioactive material licenses were
developed and the renewal applications
for five different radioactive material
licenses were submitted for NRI at
Kannapolis, UNC Academic Broad-
scope, UNCH Medical Accelerator,
UNC Academic Irradiator, and IMS at
Morehead City.
UEOHC
—-
Scaffold training for users and erectors
After-hour protocols were revised Multiple days of on-site training was
resulting in reduced costs, faster provided for users of scaffolds as well as
a d m i n i s t r a ti o n o f p o s t - e x p o s u r e
medication and a more streamlined
results reporting system. Changes were
also made to integrate the required
order sets into EPIC@UNC. The
University’s blood borne pathogen
program is a joint effort with Campus
Health and UNC Healthcare.
Electronic medical record
As a result of the UNC Healthcare
introducing a new electronic record
system called EPIC, almost all of the
internal and external processes at
UEOHC, including ordering point-of-
care testing, images and referrals for
workers compensation cases were
changed to fit into the new system.
UEOHC staff, along with UNC
Hospitals OHS staff completed many
hours of training on the new system and
worked tirelessly to minimize disruption
to clinical services during the transition.
Travel services
The UEOHC supports international
travel for employees on University
business. In addition to the usual and
customary international locations, the
UEOHC supported several University
clinicians traveling to West Africa in
response to the 2014 Ebola Outbreak.
Extensive communication and risk
assessment plans were put in place to
ensure the safety of clinicians traveling
to West Africa as well as a
comprehensive screening process to
determine safe return to campus.
Workplace Safety
—-
the erectors of scaffolds, focusing on the
employee’s responsibility for inspecting
the scaffold prior to use, donning
appropriate PPE, and identifying any
deficiencies. Training for erectors
included scaffold selection, erecting, use,
movement, alterations, maintenance,
and dismantling.
Golf cart safety
A safety alert was issued to all known
users of campus golf carts after a UNC
Healthcare golf cart caught fire last
July. This in-depth alert provided
information about potential safety issues
with the carts and reminded users to
make sure their carts are maintained
and inspected on a regular basis.
Fall protection
In collaboration with Facilities Services,
EHS evaluated current procedures to
ensure protection from falls. This
involved participation in a three-day
advanced fall protection course and a
redesign of internal procedures for
Facility’s employees. Quarterly training
is now being provided for any employee
that has the potential of working at
heights, and stocking the Facilities
Services storeroom with a wide array of
manufacturer styles of personal fall
arrest systems.
Biological Safety
National Biosafety Stewardship Month
In response to recent lapses in biosafety practices at federal
laboratories, the National Institutes of Health and other
agencies within the Department of Health and Human Ser-
1974-2014
vices declared September as National Biosafety Steward-
ship Month and the University participated in this new
national declaration of a month to promote safety in bio-
logical use and research.
As part of the 30 days of safety promotion, EHS Biosafety
specialists created a freezer inventory survey and then
asked all 570 University Principal Investigators that work
with biological agents to complete the survey. The freezer
inventory ensures the institution has documentation that
those materials are properly stored under the appropriate
containment conditions and cites the party responsible for
appropriate stewardship of the materials. The freezer
survey provided researchers a platform for discussing their
lab’s inventory of biological materials. This allowed labs to
clean out archival samples, create more freezer space and
increase the efficiency of their freezers, thereby decreasing
the risk of freezer malfunction and sample loss. The survey
also creates an inventory of all the freezers on the campus.
In addition to the survey, Biosafety personnel reviewed
existing biosafety manuals and had an outside group re-
view the biosafety manual to ensure that it was up-to-date
and applicable to any emergency. Online and in-person
training programs were also reviewed and revised to en-
sure that the biosafety training program was accurate and
effective in promoting and maintaining a safe research en-
vironment and that the frequency of the training was effec-
tive in providing important education for biological safety.
 The National Institutes
of Health (NIH)
NIH is a part of the U.S. Depart-
ment of Health and Human Ser-
vices and is the nation’s medical
research agency—making im-
portant discoveries that improve
health and save lives.
Thanks in large part to NIH-
funded medical research, Ameri-
cans today are living longer and
healthier. Life expectancy in the
United States has jumped from 47
years in 1900 to 78 years as re-
ported in 2009, and disability in
people over age 65 has dropped
dramatically in the past three
decades. In recent years, nation-
wide rates of new diagnoses and
deaths from all cancers combined
have fallen significantly.

Photo courtesy of NIH.

Biological Safety Performance
Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most
essential components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing op-
timum performance. The adjacent page shows the specific performance activities and the level of that performance for 2014.

Education Customer Service Internal Processes

2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

Level
4 - - - - - - - - -

Level
3 -

Level
2

Level
1

Compliance
 2014 Performance
Education Customer Service Internal Processes
Trained 8,270 Housekeeping, staff members, Facilities Ser-
vices personnel, researchers, and Child Care Providers about

Level Four
bloodborne pathogens.

Trained 244 DLAM employees via DLAM Orientation,

DLAM BSL-2, and Zoonotic/Lab Animal Allergy online
trainings.

Trained 551 research and campus personnel for dry ice ship-
ping to increase shipping compliance.
Through online training and in-class sessions, 455 campus
researchers, staff and administrators were trained in federal
Investigated 13 incidents of laboratory spills, accidents and
procedural problems involving potentially infectious materi-
als, with no laboratory acquired infections resulting from the
incidents and some labs incorporated changes into their work

Level Three
and international shipping, importing and exporting regula-
tions. processes to avoid future incidents.

Trained 1025 researchers in basic principles of conducting Conducted 10 Institutional Animal Care and Use Committee
research at BSL-2, such as proper technique and waste han- inspections in accordance with their guidelines and regula-
dling and trained 225 researchers in enhanced BSL-2 proce- tions.
dures.
Applied for and received 1 CDC Import Permits and submit-
Trained 383 researchers, maintenance and emergency person- ted International Traffic in Arms Regulations (ITAR) regis-
nel in specialized biological safety, meeting regulatory re- tration to the Department of State.
quirements of the CDC and NIH for biological agent manage-
ment in the laboratory environment. Provided guidance to UNC-Wilmington on shipping/
importing research materials.

Trained 9 Facilities Services personnel how to respond to
potentially infectious sewage spills.
Trained 220 researchers and staff members on proper use of
campus autoclaves through online training.
Provided 127 university researchers with online training on
policies surrounding Dual Use Research of Concern.
Trained 130 researchers in identifying and registering pro- procedures.
jects meeting the NIH Guidelines for Research Involving
Recombinant DNA Molecules.
Submitted 15 registration updates to the CDC in reference to
laboratory operation changes.
Certified 405 biological safety cabinets on campus, ensuring
safety of product, personnel, and environmental protection.
Conducted 240 on-site BSL-2 lab safety audits verifying im-
plementation of new CDC/NIH Biosafety regulations/
Reviewed 54 I-129 visa applications.
Level Two
Contributed literature on MTA’s and International shipping
for DLAM’s “Vivarium Vitals” newsletter.
Developed a ‘BSL3 Medical Surveillance Chart’ for UEOHC
Personnel to streamline appointments and ensure compliance
by researchers.
Implemented ABSL-1/2 signage across campus.
Drafted and implemented EHS Ebola Response Protocols.
Created a spreadsheet to facilitate the distribution of NIH

Level One
Co-presented ‘How to Develop an Export Management and Met with Collaborative Cross (CC) researchers to review/ documents during public records requests.
Compliance Program, including the I-129 for Deemed Ex- address new safety concerns involved CC research.
ports’ at the 57th Annual American Biological Safety Confer- Completed a reference document on Viral Vectors to address
ence. Completed a Technology Control Plan for a subcontract with common questions surrounding their use in research.
the University of Nebraska.
Presented at the Town Hall Panel on ‘Conducting Research Supported NC A & T researchers by conducting the conduct
Internationally” and the bi-annual new PI Training for Center Conducted a risk assessment for researchers going to Thai- functional testing on their high-containment laboratory at
for Faculty Excellence training series. land to study Q fever in cattle. Kannapolis.

COMPLIANCE
Chemical Safety
Lab Safety Culture Development Efforts Continue
In 2014, a very important report focusing on academic promotes the mindfulness that we need to reduce, or even
chemical safety was released by the National Research eliminate, risks that are not anticipated by existing rules.
Council (NRC), Safe Science: Promoting a Culture of Safety
The Chemical Safety staff consistently strives to work col-
1974-2014
in Academic Chemical Research. The NRC project, chaired
laboratively with all campus entities involved in laboratory
by former UNC Chapel Hill chancellor Holden Thorp and
research to ensure the practice of safe science. The team in-
current provost at Washington University in St. Louis,
teracts with new graduate students and teaching assistants
looked at current safety practices and attitudes in academic
in the department of Chemistry by providing safety training
chemistry labs; behavioral science; and safety experience in
and lectures so that their first taste of science at UNC in-
aviation, health care, industrial research facilities, and the
volves thinking about safety.
nuclear industry.
A presentation on the importance of lab safety was made
The most important takeaway from the report: A holistic
part of the Setting Up Your Lab module of the Center for
approach that goes beyond simple compliance with existing
Faculty Excellence New Principal Investigator training se-
rules is the best way to reduce the potential hazards of
ries. The Chemical Safety staff also generated several new
chemical research—and all of the hazards faced by organiza-
chemical specific standard operating procedures to model
tions. Compliance generally means reducing the hazards
this important component of individual lab safety plans for
that we know about, but a strong, positive culture of safety
Principal Investigators.
 What Do You
Care About?
During 2014, EHS launched a
campus wide campaign featur-
ing Justin Black and Thomas
Freeman indicating why they
wear PPE. The poster was
displayed on digital boards
across campus and on a poster
which was the reverse side of
the EHS newsletter: Avert.

The slogan, “What Do You

Care About” was created by
EHS after interviews with
Principal Investigators
showed that the most im-
portant reasons researchers
wear PPE is their concern for
the safety of other researchers,
family members and their
research.
Chemical Safety Performance
Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most
essential components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing op-
timum performance. The adjacent page shows the specific performance activities and the level of that performance for 2014.
Education Customer Service Internal Processes

2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

Level
4 - - - - - - - -

Level
3

Level
2

Level
1

Compliance
 2014 Performance

Education Customer Service Internal Processes

Level Four
Reviewed 631 new and/or updated Laboratory Safety
Plans and reviewed deficiencies with PI’s and Safety Su-
pervisors, ensuring compliance with the University’s
Chemical Hygiene Plan.

Uploaded 43 chemical inventories into online system as

part of Chemical Hygiene Plan compliance.

Level Three
Trained 1852 new laboratory employees on Laboratory Supported animal care and use in research regulations by
Environment through online self-study. participating in satellite facility, semi-annual inspections
and AAALAC site visit.
Trained 851 employees on Formaldehyde to comply with
OSHA requirements. Assessed potential chemical exposures by monitoring air Performed 150 CLIP/Radiation/HazWaste inspections,
concentrations in the breathing zones and laboratory work assessing campus laboratory safety and compliance.
Trained 203 employees on Nanotechnology Safety online. areas of 5 employees and made suggestions for controls to
eliminate/minimize chemical health hazards. Reviewed all IACUC applications including reviewing and
Trained 149 employees on Chemical Fume Hoods through approving 1138 Chemical Hazard forms, ensuring re-
online training. Participated in clean-up of 4 chemical spills in campus search compliance for animal care and use.
laboratories.

Level Two
Trained 105 employees on Compressed Gas Safety Verified 17 lab closeouts to ensure lab spaces had been left
through online training. Investigated 8 research laboratory accidents/incidents, clean, decontaminated and free of waste.
evaluated root causes, and provided recommendations for
Trained UNC PREP and HHMI students starting the modifications of work operations to prevent future inci- Inspected 1114 chemical fume hoods and submitted 141
summer program on General Laboratory Safety. dents. Facilities repair requests for 194 fume hoods.

Conducted chemical safety training for incoming Chemis- Generated and delivered lab entrance signs for 480 labora- Calibrated EHS Departmental thermo-anemometers for
try department Teaching Assistants, Chemistry 550L tory rooms. use in chemical fume hood face velocity checks during
undergraduate class and Chemistry 701 graduate class. inspections.
Gave presentation at new PI Training for Center for Fac-
Utilized Principal Investigator listserv to distribute up- ulty Excellence, and gave general lab safety training at Participated in EOC University tabletop exercise and
dates, alerts, laboratory safety news, Avert newsletter, and Responsible Conduct of Research class sponsored by campus-wide emergency response hazardous materials

Level One
LCSC meeting minutes. TRACS Institute. drill.

Updated EHS web pages and added new Chemical Securi- Tested 48 new student fume hood enclosures in Morehead Produced 6 new Standard Operating Procedures (SOP’s)
ty webpage. Chemistry Labs after installation and prior to student use. for EHS Chemical Safety website.

Exhibited at Graduate Student Orientation Fair and UNC Oversaw certification protocols and testing for 150 chemi- Prepared for and participated in Department of Homeland
Wellness event as part of EHS effort to inform laboratory cal fume hoods in new imaging research building, Marsico Security, Chemical Facility Anti-Terrorism Standards
researchers about EHS services and policies. Hall. (CFATS) site visit.

COMPLIANCE
Environmental Affairs
Helping Carolina Square Become a Reality*
By 2017, the area known as University Square, a 12-acre site on
the south side of the one hundred block of West Franklin
Street, will be transformed into an urban-style mix of retail,
offices and residences with 1,000 parking spaces and thousands
1974-2014 of square feet dedicated to cultural amenities. And EHS is
helping to make it happen.
Duri ng 2 014 , Envi ronment al Affairs emp loy ees and
Occupational and Environmental Hygiene employees overcame
some environmental hurdles so the preparation of the site could
begin. They inspected for environmental and health hazards,
especially asbestos containing materials (ACM). It is a major
task to identify all of the materials in large structures, so EHS
recommended a consultant who had the resources to identify all
the ACM in the facility. EHS reviewed the inspection report
and t hen assist ed with the review of t he ab at ement
specifications to determine if the proposed methods met all
applicable regulatory compliance requirements and were cost
effective.
EHS also assisted the Chapel Hill Foundation in reviewing the
p ot e nt i a l e n v i r on m e nt al im p a ct s . T hi s r e q ui r ed a n
environmental site assessment in accordance with the American
Society for Testing and Materials Standard Practice for
Environmental Site Assessments. Federal and State
*This story is repeated on page 36, since both EHS sections were involved in supporting Carolina Square.
environmental informational databases were examined, along
with other historical information such as aerial photographs,
fire insurance maps, tax files, building department records,
zoning/land use records, street directories and topographic
maps. The team inspected the site and adjacent properties
and interviewed individuals familiar with the property and
surrounding properties.
This site assessment discovered an 8,000 gallon underground
storage tank (UST) that had stored heating oil. Though
closed in 1993 using accepted practices, residual fuel could
still negatively impact the cost and project schedule. EHS
investigated the subsurface soils and groundwater around the
UST and found petroleum impacted soil and groundwater and
plans were made to remove the UST and address the soil and
groundwater impacts during construction.
The ESA also identified a former gas station across Franklin
Street that had leaked fuel into the ground and contaminated
the groundwater. Groundwater sampling was conducted and
found no environmental impacts.
EHS will assist with the development of Carolina Square by
overseeing the removal of the UST, the remediation of petro-
leum impacted soils and groundwater, and the management of
regulatory compliance requirements.
Carolina
Square

Located in the heart of Chapel Hill, Carolina

Square will encompass a mixed set of uses includ-
ing 42,000 sq. ft. of retail space, 159,000 sq. ft. of
office space, and 246 apartments.
Information provided by Cousins Properties Inc.
Environmental Affairs Performance
Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most
essential components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing op-
timum performance. The adjacent page shows the specific performance activities and the level of that performance for 2014.
Education Customer Service Internal Processes

2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

Level
4 - - - - - - - -

Level
3 -

Level
2

Level
1

Compliance

Education
Created online computer based training for Universal Waste
Handlers, 72 employees completed training and 70 UNC
Facilities, Contractor and EHS CLIP Team and HMP Team
personnel completed training.
Worked with IT to modify HASMIS E-501 Waste Pickup
Request Form along with E-510 Approval Form for formalde-
hyde waste and universal waste to include a message to waste
requestor to complete online computer based training.
Conducted Storm Water Awareness training for 486 UNC
Facilities Services employees.
Conducted Storm Water Awareness training for 35 volunteer
UNC Concession personnel at Kenan Stadium.
Managed computer-based training for annual Spill Preven-
tion, Control and Countermeasures training, both mandatory
and optional training for 34 employees from EHS, Energy
Services, Construction Management, and Facilities Services.
Conducted annual Storm Water Pollution Prevention Plan
training for 26 employees from EHS HMF Facility, UNC
Service Station and RDU Airport AHEC operations.
Conducted annual RCRA Hazardous Waste Contingency
Plan/OSHA HAZWOPER training for 12 EHS HMF em-
ployees.
Supported UNC Sustainability department by staffing an
informational booth at Campus Sustainability & America
Recycles Day event, informing visitors about effects of storm
water runoff.
2014 Performance
Customer Service Internal Processes
Level Four
Conducted 9,419 waste pickups of 46,494 kg hazardous waste
and 53,965 kg non-hazardous solid waste from generators
representing a 52% increase in pickups, 20% increase in haz-
ardous waste and 76% increase in solid waste.
Received revised Title V Air Quality Permit 03069T32 from
Level Three
Conducted 831 pickups of radioactive waste representing a NCDENR DAQ; revised permit included removal of toxic air
10% decrease. pollutants limits as UNC-CH emission sources subject to
MACT limits.
Managed transport, tracking, reclamation and disposal of 28
shipments containing 66,741 kg of solid and hazardous waste Received letter of “no further action” from NCDENR follow-
representing a 33% increase in number of shipments. ing University’s submittal of limited site assessment for for-
mer underground storage tank at Mary Ellen Jones Building.
Managed 11 shipments of universal waste lamps totaling
9,509 kg representing a 10% increase in shipments offsite and Performed monthly monitoring and maintenance of ground-
an 81% increase in quantity. water remediation systems at Mason Farm Road legacy waste
remediation site and former Chemical Waste Disposal Area
Managed hazardous waste contractor packaging and disposal site including monthly sampling and testing of groundwater
of 45 laboratory cleanouts totaling 21,594 kg of known, un- samples pursuant to OWASA testing protocol.
known and special handling required laboratory chemical
Level Two
waste; representing a 67% increase in number of laboratory Provided oversight and management to assist Cogeneration
cleanouts and 52% increase in quantity of HW shipped from Facility with characterization of soils, sediments and ground-
laboratories. water impacted by former coal ash storage at facility as part of
NCDENR DWM Inactive Branch Sites Voluntary Cleanup
Managed 1 offsite shipment of radioactive waste for treatment Program.
and disposal totaling 1,472 kg representing 42% increase in
the quantity of radioactive waste. Submitted RCRA Hazardous Waste Biennial Report to
NCDENR DWM for waste generation, transport, storage,
Managed 7 shipments of lead and ferrous metals to reclama- treatment and disposal.
tion facility for metals recycling totaling 14,238 kg represent-
ing increase of 176%. Observed performance testing of emissions for Cogeneration
Facility Blackstart Generators and coal fired boilers 6 & 7. All
Managed 12 shipments of 929 boxes of medical waste for tested regulated pollutants were below permitted limits.
Level One
incineration representing 4% decrease in the number of medi-
cal waste boxes incinerated. Submitted application for renewal of Craige Parking Deck
Expansion Air Quality Permit 10280M00 and received re-
Performed 71 storm water inspections at 15 University con- newed permit.
struction projects and implemented 76 requests for corrective
actions resulting in improved compliance. Initiated process of renewing RCRA hazardous waste TSD
Facility Permit. Work associated with Part B Permit renewal
Performed 51 University NPDES Permit storm water outfall includes revision and submission of facility Hazardous Waste
inspections at 6 major campus outfalls identifying potential Contingency Plan along with revision and resubmission of
stormwater illicit outfall inspections at six campus outfalls. Parts A and B of Permit.
COMPLIANCE
Fire Safety & Emergency Response
Reducing False Fire Alarms Saves Time, Money and Risk
In 2014, Chapel Hill Fire Department (CHFD) responded So given the expense, the many risks to personnel, equip-
to 359 fire emergency calls at UNC residence halls and stu- ment and not having that unit available for a real fire, every
dent housing. Only four of these emergency responses were year the Fire Safety staff evaluates the number of fire calls
actual fires. The rest were different types of alarms, but not and designs new and additional ways to reduce the number
1974-2014 ones that needed a CHFD response. through education and training of UNC students.
 230 cooking incidents
 67 smoke detector activations from shower steam and
Though it seems a simple task to educate and train students
hair dryers about fire and fire safety, it is actually a very difficult task
 7 maliciously pulled fire alarms
and a never ending task, because each year, approximately
 Nine activations from cigarettes and other unauthorized
40% of the nearly 9,000 students in residence halls and stu-
smoking materials. dent housing are new to UNC. Each year Fire Safety has to
find, educate, and train nearly 3,500 new students about fire
At an approximate cost to the CHFD of approximately
prevention, ingress, egress, the use of fire extinguishers and
$1,000 per fire call, the cost for any single academic year of
other important issues that will reduce the number of false
responding to fire calls could be as expensive as $350,000.
fire alarms and make their lives and the lives of hundreds of
That cost goes right through UNC and the town of Chapel
fellow students safer from the terrible consequences of a
Hill and is ultimately born by North Carolina taxpayers. In
fire.
addition to the mostly unnecessary expense of responding
to a fire that does not exist, is the unnecessary risk to the In addition to reducing false fire alarms, the Fire Safety
firefighters and the time those firefighters and a fire truck is staff is making significant changes to alarm systems with
taken away from what might be a real fire with serious con- new detector heads, and alarm upgrades in some locations.
sequences to life and property.
The Chapel Hill Fire Department is home to the famous
Carolina Blue fire trucks and provides fire protection, basic
rescue and first responder medical services to the University.

The department operates from five fire stations located

strategically across the community and staffed by 93
employees. On average, the department responds to more
than 4000 incidents annually, ranging from house fires and
heart attacks to vehicle accidents and hazardous conditions.
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
essential components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing op-
timum performance. The adjacent page shows the specific performance activities and the level of that performance for 2014.

Education Customer Service Internal Processes

2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

Level
4 - - - - - - - - - - -

Level
3 - - - - -

Level
2

Level
1

Compliance
 2014 Performance

Education Customer Service Internal Processes

Level Four
In collaboration with Occupational and Environmental Hy-
giene staff, developed and coordinated Confined Space train-
ing for Chapel Hill Fire Department, South Orange Rescue,
Orange County Emergency Medical Services, UNC Police
Department, and Police Dispatch.

Level Three
Participated in Emergency Response Tank Spill Drill on
Manning Drive involving Raleigh’s Regional Response Team,
Chapel Hill Fire Department, UNC Public Safety, Orange
County Emergency Management, and UNC Emergency
Management. .

Trained 2301 students and staff on fire safety and extinguish-

er use.

Conducted more than 30 life safety meetings with multiple

UNC departments, focusing on eliminating fire hazards, im-
proving egress and meeting evacuation protocols.

Level Two
Provided 273 Emergency Coordinators with two annual
evacuation trainings via “Safe Passages” electronic newsletter.

Held annual fire safety fair in collaboration with UNC Public
Safety, Chapel Hill Fire Department, Carrboro Fire Depart-
ment, Lenoir Dining Hall, and Office of State Fire Marshal
developing on-going relationships with students and provid-
ing extinguisher training.
In compliance with North Carolina Fire Code 405.2, conduct-
ed after hour fire drills for residence halls.
Presented data on Fire Safety annual work management
Inspected 35 bi-annual cooking hoods and 11 dining facilities.
Provided comprehensive fire safety inspections for five Prop- Maintained 22 Fleet vehicles including bi-annual service and
erty Office leased buildings. permitting requirements.
Increased life safety and fire prevention at Marsico Hall by Successfully integrated annual campus-wide fire alarm testing
adding 150 new extinguishers through-out building. to implement full-scale building evacuation drills.
Provided life safety recommendations and monitored annual Provided two work-study students an opportunity to learn
Fall Festival for safety issues. about fire safety and how to operate fire extinguishers, while
freeing staff for other critical responsibilities.

Level One
duties to University Safety Security Committee. Distributed safety brochures and trained student occupants
attending Halloween Safety Festival at Student Academic Participated as Command in the “Shots Fired” weapons drill at
Hosted “Alarming Truth” Residential Hall Fire Safety confer- Services Building and Granville Towers. Davis Library with UNC Public Safety, UNC Facilities and
ence for 25 people. Chapel Hill Fire Department.
Provided on-going support for High Rise drills at Eringhaus
Arranged for two speakers to train Emergency Responders in Residence Hall over six days involving Chapel Hill Fire De- Purchased iPad for Hazardous Materials response team to
hazardous materials response techniques and current stand- partment training drills. improve support of campus haz-mat calls.
ards and protocols on response to E-85 fuel spills and inci-
dents at Cogeneration Facility. Work Study students inspected 9500 fire extinguishers. Initiated team to reduce campus false fire alarm activations.

COMPLIANCE
Occupational and Environmental Hygiene
Carolina Square Moves Forward with EHS Support*
By 2017, the area known as University Square, a 12-acre site on
the south side of the one hundred block of West Franklin
Street, will be transformed into an urban-style mix of retail,
offices and residences with 1,000 parking spaces and thousands
1974-2014 of square feet dedicated to cultural amenities. And, EHS is
helping to make it happen.
Duri ng 2 014 , Envi ronment al Affairs emp loy ees and
Occupational and Environmental Hygiene employees overcame
some environmental hurdles so the preparation of the site could
begin. They inspected for environmental and health hazards,
especially asbestos containing materials (ACM). It is a major
task to identify all of the materials in large structures, so EHS
recommended a consultant who had the resources to identify all
the ACM in the facility. EHS reviewed the inspection report
and t hen assist ed with the review of t he ab at ement
specifications to determine if the proposed methods met all
applicable regulatory compliance requirements and were cost
effective.
EHS also assisted the Chapel Hill Foundation in reviewing the
p ot e nt i a l e n v i r on m e nt al im p a ct s . T hi s r e q ui r ed a n
environmental site assessment in accordance with the American
Society for Testing and Materials Standard Practice for
Environmental Site Assessments. Federal and State
*This story is repeated on page 28, since both EHS sections were involved in supporting Carolina Square.
environmental informational databases were examined, along
with other historical information such as aerial photographs,
fire insurance maps, tax files, building department records,
zoning/land use records, street directories and topographic
maps. The team inspected the site and adjacent properties
and interviewed individuals familiar with the property and
surrounding properties.
This site assessment discovered an 8,000 gallon underground
storage tank (UST) that had stored heating oil. Though
closed in 1993 using accepted practices, residual fuel could
still negatively impact the cost and project schedule. EHS
investigated the subsurface soils and groundwater around the
UST and found petroleum impacted soil and groundwater and
plans were made to remove the UST and address the soil and
groundwater impacts during construction.
The ESA also identified a former gas station across Franklin
Street that had leaked fuel into the ground and contaminated
the groundwater. Groundwater sampling was conducted and
found no environmental impacts.
EHS will assist with the development of Carolina Square by
overseeing the removal of the UST, the remediation of petro-
leum impacted soils and groundwater, and the management of
regulatory compliance requirements.
Carolina
Square

Located in the heart of Chapel Hill, Carolina

Square will encompass a mixed set of uses includ-
ing 42,000 sq. ft. of retail space, 159,000 sq. ft. of
office space, and 246 apartments.
Information provided by Cousins Properties Inc.
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
essential components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing op-
timum performance. The adjacent page shows the specific performance activities and the level of that performance for 2014.

Education Customer Service Internal Processes

2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

Level
4 - - - - - - - -

Level
3 - - -

Level
2

Level
1

Compliance
 2014 Performance

Education Customer Service Internal Processes

Level Four
Conducted 119 lead and asbestos inspections, including build-
ing and material testing to support in-house maintenance and
construction activity.
Trained 379 Maintenance, Housekeeping, and Design and
Conducted personal and area noise-monitoring assessments
Construction Services employees in asbestos awareness for Facilities, DLAM, Kenan Labs, Loudermilk Center for
through online and in-class training. Excellence and Genetics Medicine departments during noise
generating work activities.
Trained 108 Maintenance and Design/Construction Services
Conducted octave band analysis of mechanical rooms associat-
employees on OSHA Lead-in Construction Standard through ed with Marsico Hall construction project.

Level Three
in-class and online training.
Coordinated mobile hearing tests for 65 Public Safety officers
and employees within FOBRL.
Trained 351 employees enrolled in the Hearing Conservation
Program on Occupational Noise Safety through in-class and Conducted asbestos monitoring during 13 in-house projects
online training. involving the disturbance of asbestos containing materials.

Participated in the planning, review, and implementation of

Trained 20 new employees and employees with standard
25 environmental remediation projects involving asbestos,
threshold shifts in the Hearing Conservation Program on the lead, and mercury abatement.
proper fit of ear plugs using the Veripro system.
Assisted Facilities Services with the management of an asbes-
tos emergency project due to the disturbance of ACM in
Trained 268 Facilities Services and Energy Services employ-

Level Two
Mangum and Ruffin Residence Halls.
ees on confined space through in-class and online training. Participated in the development of a Chilled Water Refriger-
Provided support to confined space program by conducting ant Leak Response Policy.
Trained 30 Facilities Services, Energy Services and EHS atmospheric monitoring during two in-house confined space
entries, conducting two audits during in-house entries, and Evaluated and commented on improvements to HazMat
employees on confined space job-specific protocols.
conducting evaluations to determine if a space was permit- eSPOTs once the system was upgraded to ensure all capabili-
required. ties were retained within the new system.
Trained 88 Facilities Services and Energy Services employees
on lockout/tagout through online training. Performed 16 indoor air quality investigations in various Participated in the PAT program to provide cost savings to
campus buildings. EHS by conducting PCM asbestos analysis in-house.
Attended Asbestos Supervisor training along with 6 Facilities Responded to 7 flood events, 4 of which were black water Provided 10 mercury and asbestos abatement design specifica-
Services employees arranged by EHS and provided by AAA events. Assisted Building Services in determining the extent tions, including provision of a written scope of work, contrac-

Level One
Environmental. of the water damage. tor pricing and hiring of the abatement contractor and con-
sultant for Facilities Services, saving $11K for Facilities Ser-
Investigated 15 instances of mold contamination and recom- vices’ clients.
Presented program on campus hazards related to asbestos, mended remediation protocols.
mercury and confined space per the EHS Emergency Re- Coordinated 2014 Confined Space Drill with emergency re-
sponse SOP to the Chapel Hill Fire Department. Responded to 24 odor complaints and recommended response sponders (CHFD, SORS, UNC Public Safety, EHS and Ener-
actions. gy Services).
Developed online training on Department of Public Safety Conducted 63 Hazard Management Plan inspections for Facil- Provided mercury assessments and mercury cleanup guidance
response to confined space incidents. ities Services, Energy Services and departmental shops. for 11 laboratory renovation projects and spill responses

COMPLIANCE
Radiation Safety
Birth of a Cyclotron Radionuclide Production Facility
In 2014, the Biomedical Research Imaging Center made
tremendous progress towards their goal of establishing a
high energy cyclotron facility to produce radionuclides for
nuclear imaging in human and non-human use research
1974-2014
applications. Located in the sub-basement of Marsico Hall
the Center has been under construction since 2009. When
it becomes operational, the University will be one of only
two institutions in the country with this latest medical im-
aging equipment which includes a radionuclide production
facility, a PET/MR machine and a 7-Tesla whole body
MRI machine.
The Radiation Safety staff worked closely with the contrac-
tors, providing radiological engineering oversight from the
very beginning of the design more than five years ago and
in 2014, assisted in the acquisition and licensing of the 17
million electron-volt proton cyclotron, nine hot cells, re-
mote facility radiological monitoring system, environmen-
tal effluent monitoring system, and personnel contamina-
tion monitoring systems. Dozens of other actions were im-
plemented by the radiation staff, including regulatory
compliance guidance and actions, licensing of the cyclotron,
post-installation regulatory surveys of radiation producing
machines for modification of machine registrations, internal
licensing of Authorized Users for use of radioactive materi-
als, RSC approvals of new AUs and ANPs, establishment of
new radiological procedures such as personnel monitoring,
among others.
A health physicist and veteran cyclotron professional was
added to the EHS staff in order to continue supporting the
radiological safety of the facility. This new employee will
support the cyclotron facility and other research activity in
Marsico Hall, as there will be both human use and non-
human use research occurring with many types of new im-
aging technologies.
The section also contributed useful radiological equipment
to the cyclotron facility that was inherited from the ESE
Radiological Hygiene academic program many years ago,
including laboratory detector shielding for high resolution
detectors, high resolution NaI detectors containing high
power supply, amplifier, and multi-channel analyzer and
other radiochemistry laboratory electronic and non -
electronic equipment.
Cyclotron
A cyclotron is a type of particle
accelerator invented by Leo Szilárd
and Ernest O. Lawrence in 1932 in
which charged particles accelerate
outwards from the center along a
spiral path. The particles are held
to a spiral trajectory by a static
magnetic field and accelerated by a
rapidly varying (radio frequency)
electric field.
Radiation Safety Performance
Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most
essential components of our work. The chart below indicates the performance in these areas over a five-year period with Level Four representing op-
timum performance. The adjacent page shows the specific performance activities and the level of that performance for 2014.
Education Customer Service Internal Processes

2010 2011 2012 2013 2014 2010 2011 2012 2013 2014 2010 2011 2012 2013 2014

Level
4 - - - - - - - -

Level
3 -

Level
2

Level
1

Compliance
 2014 Performance

Education Customer Service Internal Processes

Level Four
Level Three
Provided 116 radiation related procedures to UNCH
healthcare patients ensuring patient, occupational and public
safety while complying with all patient release regulations.

Provided radiation instrument calibration services for 311

instruments for UNC, UNCH, UNCG, UNCC, NC A&T,
Appalachian State, Western Carolina, and Carrboro Fire Received, processed, and delivered 693 containers of radioac-
Department. tive materials for PI’s research.

Inspected and tested 258 X-ray tubes including radiographic, Processed 10 applications for new source licenses for new
fluoroscopic, CT, bone densitometers, and dentals. faculty members.

Monitored 1401 persons for external radiation exposure in- Processed 30 applications for license modifications for faculty

Level Two
cluding research and clinical personnel to ensure that occupa- members.
tional dose is ALARA.
Administered radiation safety training courses to 1,898 per- Reviewed 51 Institutional Review Board research protocols
sons; administered non-ionizing radiation safety training to Conducted 52 bioassays for potential internal radiation expo- utilizing radioactive materials for human use.
431 persons. sure to ensure no internal exposure to radioactive materials.
Administered 8 quarterly hospital and campus radiation safety
Cotaught Radiologic Health Physics course for UNC Allied Conducted 561 collaborative laboratory inspections including committee meetings, reviewing and approve research and
Health Sciences. interdisciplinary review for radiation safety, chemical safety, clinical use of radioactive materials and to review employee
biological safety, fire safety, and workplace safety. radiation dose information.
Provided lecture for the Environmental Epidemiology course
on Radiation Dose Assessment. Conducted 634 radiation safety laboratory inspections of Amended UNC and UNCH radioactive material licenses 5
approximately 142 radiation authorized users and their labs. times to accommodate research and clinical use of radiation
Provided lecture for the Health Effects of Environmental and radioactive materials, including development of license

Level One
Agents course. Provided radiation safety services, including instrument cali- renewal applications for 4 licenses.
bration and/or annual program reviews to Appalachian State,
Taught 3-day short course entitled “Applied Health Physics” UNC Greensboro, UNC Charlotte, Gateway University Re- Participated in planning and design activities for new Cyclo-
for the North Carolina Occupational Safety and Health Educa- search Park, Western Carolina, NC A&T and North Carolina tron facilities at UNC, including state of the art NMR and
tion and Research Center of the UNC Gillings School of Central. MRI equipment for new Marsico Hall.
Public Health.
Developed and submitted radioactive materials license renew- Conducted required annual radiation protection program
Hosted 10 Nuclear Medicine Technology students for two al package for the Institute of Marine Sciences in Morehead review for 8 licenses and 20 x-ray registrations, including all
week rotations as part of NMT didactic program. City. off-site locations.

COMPLIANCE
University Employee Occupational Health Clinic
The Threat of Ebola and the UNC Response
As a leading research, medical and teaching institution,
the University’s response to the Ebola outbreak highlights
the missions of the University and the need for collabora-
1974-2014 tion and coordination between departments. In August
2014, under the University’s Emergency Operations plan,
a Communicable Disease Response Team was assembled.
Communicable disease planning is a very fluid process and
having the ability to quickly share information and
knowledge is critical. Team members were chosen for
their expertise and leadership with the responsibility of
sharing activities related to Ebola planning within their
departments and the team. Communication was essential
to this process with emails and web sites as the main com-
munication vehicle. EHS led the team with the UEOHC
playing a critical support role to UNC-CH employees.
The Team’s response to the outbreak was to manage and
reduce the risks to students, employees, patients and the
community. The actions and collaborations were far reach-
ing and included participation in the International Travel
Registry, identification and screening of students traveling
from West Africa, establishing a fitness-for-duty program
for clinicians on the UNC Healthcare Ebola Response
Team, working with Orange County Health Department
to determine monitoring of employees returning from
West Africa and planning return to campus and patient
care activities. Additionally, UEOCH provided interna-
tional travel vaccinations and worked with the Office of
Sponsored Research to review new research programs
involving patients in West Africa. EHS and the UEOCH
continue to monitor the disease outbreak to make sure the
campus and the community are as safe as possible.
Poster courtesy of the Centers for Disease Control
UEOHC Performance
Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most
essential 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 2014.

Education Customer Service Internal Processes

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

Level
4 - - - - - - - - -

Level
3 - - - - - - - - -

Level
2 - - - - -

Level
1 - - - - - - - - -
Compliance
 2014 Performance

Education Customer Service Internal Processes

Level Four
Level Three
Supported UNC School of Medicine and UNC Healthcare.
Participated with Campus Health providing influenza vaccine
administration instruction for MSII students.

Provided occupational health medical services for 4,203 em-

ployees covering immunization review, annual physicals and
respirator clearance.

Administered 1,125 seasonal influenza vaccinations.

Reviewed 1,219 animal research registrations to monitor for

potential health effects from working with animals and im-

Level Two
proving work practices for animal research.

Provided 5,217 flu vaccinations at 24 clinics in 10 different

campus locations to UNC students, employees and family
members.

Provided 611 new workers compensation visits. Collaborated with UNC Hospitals in support of their manda-
tory influenza vaccine program.
Expedited medical and respiratory clearance for the UNC
Obtained certification as a Medical Review Officer by the Healthcare Ebola Response Team. Updated the on-line influenza self-reporting web applications
Medical Review Officer Certification Council. for religious and medical contraindications reasons and updat-

Level One
Participated in a public forum with the Office of Research and ed flu shot webpage.
Completed the FEMA Respirator Program: Program Devel- the School of Public Health to discuss plans for working with
opment and Administration, Department of Homeland Securi- 1918 influenza virus. Updated UEOHC medical surveillance annual and monthly
ty. billing for Connect Carolina go-live.
Provided medical clearance for travelers to West Africa in
Consulted with School of Medicine, Dental School, and support of Ebola research. Integrated UEOHC clinical care to work with UNC Hospitals
TEACCH regarding clinical compliance classification, immun- change over to a new electronic medical record and billing
izations, TB placements and flu shot compliance. Provided 54 International Travel appointments and reviews. system.

COMPLIANCE
Workplace Safety

Electrical Safety in the Workplace

Electricity demand in our country continues to grow cost for implementation. The equipment was then la-
with our high dependence on technology, climate con- beled to indicate the arc flash boundary, or the incident
trol, and general equipment, and, as such, there are energy working distance, and the category of PPE re-
more and more needs for no downtime of day to day quired within the arc flash boundary. For the qualified
1974-2014 operations. However, for those who have to provide electrical employee, the Arc Flash Hazard analysis la-
maintenance services, there is an increased risk of elec- bels clearly identify the potential hazards at different
trical hazards if proper safety procedures and work working distances and the category of PPE required
practices are not followed. In 2014, EHS received spe- when conducting electrical work.
cial funding to initiate Electrical/Shock/Arc Flash
To inform employees about the current fire rated (FR)
Hazard Analysis of several campus buildings in accord-
clothing for performing electrical work, EHS consulted
ance with NFPA 70E – 2015 Standard for Electrical
with three different clothing vendors. The Committee
Safety in the Workplace. After receiving the funding,
evaluated samples of the FR clothing and a user PPE
EHS partnered with Facilities Services to initiate an
pilot testing program was implemented. Each vendor
Arc Flash Safety Committee. The committee identified
brought in complete FR uniforms, which was fitted to
three main objectives: identification of buildings and
selected front-line employees within different divisions
scope of work for the analyses, evaluation of the electri-
of Facilities and the employees wore the clothing for
cal personal protective equipment (PPE) provided, and
several weeks and then provided feedback.
improvements to employee electrical safety training.
Facilities Service also allocated additional funding to
Arc Flash Hazard analysis is designed to identify work-
provide more in-depth hands-on training for employees
place electrical safety hazards and reduce or eliminate
who perform electrical work. This training is currently
employee exposures to those hazards. The analysis
being developed and will be implemented in 2015 and
provided recommendations on how to reduce Arc Flash
2016 to incorporate the revised 2015 regulatory re-
Incident Energy levels requiring higher category of
quirements.
PPE for the employee along with prioritization and
 Arc Flash
An arc flash is a phenomenon
where a flashover of electric
current leaves its intended
path and travels through the
air from one conductor to
another, or to ground. The
results are often violent and
when a human is in close
proximity to the arc flash,
serious injury and even death
can occur.
Arc flash can be caused by
dust, dropping tools,
accidental touching,
condensation, material failure,
corrosion and faulty
installation.
Because of the violent nature
of an arc flash exposure when
an employee is injured, the
i n j u ry i s s eri o us – ev e n
resulting in death.

Photo courtesy of High Voltage Maintenance Corporation

Workplace Safety Performance
Performance measurement is a critical part of the EHS management system. Education, customer service and internal processes are the three most
essential 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 2014.

Education Customer Service Internal Processes

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

Level
4 - - - - - - - - -

Level
3 - - - - - - - - -

Level
2 - - - - -

Level
1 - - - - - - - - -
Compliance
 2014 Performance

Education Customer Service Internal Processes

Level Four
Training/Number of Employees: Respiratory Protec-
tion/1740; EHS Office, Clinic, IMAC, SS, Student Af-
fairs/6728; Joint Commission/4172; Clinical Tuberculosis
Infection Control/6201; Clinical Bloodborne Patho- Processed and managed 459 workers’ compensation
gens/5612; Ergonomic Self-Evaluations/26. claims with medical treatment, return to work, hearings/
mediations, and monthly expenditures.
Trained 88 UNC Dance Marathon students, Memorial

Level Three
Hall and Student Union personnel on proper use of manu- Fit-tested and provided consultative services to 592 indi-
al propelled lifts. viduals under the University’s Respiratory Protection
program.
Trained 65 Athletics football videography and Facilities
Service staff on proper use of scissor lifts. Conducted on-site inspection of 169 Hazards Management
Plans for a multitude of campus programs.
Developed Job Safety Analysis for “Removal of DEA Completed several incident surveys for Federal OSHA and
Chemicals”, Use of Oxygen – Acetylene Equipment, Blue Consulted with Student Stores and Athletics on Hazards North Carolina Department of Labor; posted annual OSHA
Giant Lift Platform, Opening and Lifting Bags of Fertiliz- Management plans for their groups. summary.
er/Seed.
Reviewed and implemented new cyber security measures for
Consulted with researcher regarding ergonomic questions
EHS network drives along with “least privilege” access con-
Enhancements were made to the following on-line educa- concerning workstation and animal research area. trol.
tion programs: Emergency Coordinator training. Ship-

ping, Radiation, and Botanical Gardens.
Developed the following new web pages: Communicable
Diseases, Ebola Preparedness.
Trained EHS staff on fall protection rescue equipment.
Developed a new chemical security web page and made
additions to the on-line orientation training for Laborato- Consulted with Athletics regarding the University’s Tail- Connect for the University’s workers’ compensation program.
ry & IMAC/SS regarding Chemicals of Interest.
Level Two
Provided on-site consultation to UNC Dance Marathon Prepared internal procedures for the division of Facilities
committee for set-up and take-down of the event. Services regarding reporting of employee safety concerns and
purchased equipment training.
Managed the EHS booth at the UNC Wellness Fair.
Evaluated and integrated Carolina Connect Customer Billing
Provided on-site consultation for Marsico loading docks Management with HASMIS.
and Bell Tower project.
Investigated and implemented new accounts under Carolina
gate policy.
Assisted the Facilities subcommittee with the development
and improvements to Arc Flash Analysis and work proce-

Level One
Hosted and presented “Safety in your Office” video at the Provided on-site consultation for Carolina Outdoor Edu-
dures.
Annual Collegiate Sports Video Association conference. cation Center Risk Management and Campus Recreation
regarding UNC’s climbing walls. Developed an on-line freezer survey for the research commu-
Presented “Breaking Barriers to Cultivate Safety” at the nity.
annual CSHEMA conference. Provided on-site consultation services for Institute of
Marine Science located in Morehead, NC. Prepared and implemented Mechanical Room Policy.
Developed a Golf Cart Safety Alert for the campus com-
munity following a recent fire on campus involving hospi- Consulted on fall protection designs for upcoming campus UEOHC Converted the Radiation Safety and Biological Safety
tal patient transportation. projects/renovations across campus. manual to the new HTML format for website.

COMPLIANCE
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 functions 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 rec-
ommendations are forwarded to the Chancellor for approval before implementation.

University Safety
and Security Committee

Hazards Laboratory & Occupational Health

Institutional Biological Radiation Safety
Management Safety Chemical Safety & Clinical Safety
Safety Committee Committee
Committee Committee Committee

High Containment Clinical Occupational Exposure

Laboratory Subcommittee Subcommittee for Students and Staff

Chair, Safety and Security Committee; Associate Professor Dramatic Art;

Matt Fajack Michael Rolleri
Vice Chancellor Finance and Administration Chair, Hazard Management Committee
Bruce Runberg/ Associate Vice Chancellor Facilities Planning and Construction/ Dr. Barbara Entwisle/ Vice Chancellor Research and Economic Develop-
Anna Wu Assistant Vice Chancellor, Facilities Operations, Planning & Construction Dr. Craig Fletcher ment/Director, Laboratory Animal Medicine
Director, Director,
Mary Beth Koza, MBA Cindy Taylor
Environment, Health & Safety UNCH Environmental, Health and Safety
Felicia Washington/ Vice Chancellor Workforce Strategy, Equity and Engagement/
Judy Culhane Faubert Assistant University Counsel
Gena Carter Interim Associate Vice Chancellor Human Resources
Nurse Supervisor, TraCS Institute; Chair, Associate Athletic Director,
Jennifer Rees Paul Pogge
Occupational Health and Clinical Safety Committee UNC Athletics
Professor and Vice Chair Research Development; Professor, Psychology;
Dr. David Kaufman, MD Dr. Mitchell Picker
Co-Chair, Radiation Safety Committee Chair, Institutional Animal Care & Use Committee
Professor, Cell & Development Biology; Director, Public Safety;
Dr. Douglas Cyr Jeff McCracken
Chair, Institutional Biosafety Committee Chair, Campus Personal Safety Committee
Clinical Associate Professor, Epidemiology; Professor, Biochemistry and Biophysics;
Dr. Lorraine Alexander Dr. Beverly Errede
Chair, Laboratory and Chemical Safety Committee Co-Chair, Radiation Safety Committee
Winston Crisp/ Vice Chancellor Student Affairs/
Dr. Meredith Weiss Senior Associate Vice Chancellor Business Services and Administration
Christopher Payne Associate Vice Chancellor Student Affairs
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 pertain-
ing 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 regarding safety and
health hazards, analyzing work injury and illness statistical records related to laboratory and chemical safety, conducting inspections of laboratories 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.
2014 Committee Accomplishments
 Began discussions and outlined CLIP Non-compliance process.
 Discussed, reviewed and disseminated recent safety culture articles to UNC researchers.
 Increased frequency of LCSC meetings.

2015 Committee Goals

 Finalize CLIP Non-Compliance process specifically defining committees role.
 Convene focus group and develop draft guidelines regarding safety issues in open lab design buildings.
 Examine historical injury data to target injury reduction and disseminate information using various modes of communication (updating trainings, safety fairs,
posters, newsletters, etc)

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 bio-
logical 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, princi-
ples and work authorization. Safe research includes worker safety, public health, agricultural and environmental protection, ethics, and compliance with applica-
ble biosafety standards and UNC-CH policies.
2014 Committee Accomplishments
 Appointment of Doug Cyr as Chair.
 Led effort to support awareness and compliance of national biosafety month.
2015 Committee Goals
 Creation of a subcommittee to serve as the Institutional Review Entity for dual use research of concern to comply with United States Government Policy for
Institutional Oversight of Life Sciences Dual Use Research of Concern, effective 9/24/15.
 Revise the Schedule G application for research involving recombinant or synthetic nucleic acids.

Members
Professor, Chair, Institutional Biosafety Com- Professor,
Dr. Douglas Cyr Dr. Ann Matthysse
mittee; Professor, Cell & Development Biology Department of Biology

Deputy Chief of Community,

Dr. Dwight Bellinger, DVM Professor, Laboratory Animal Medicine J.M. Lawrence
Chapel Hill Fire Department

Laboratory Manager, Associate Professor, Pediatrics,

Sandra F. Bradshaw Dr. Paul E. Monahan, MD
Orange Water & Sewer Authority Hematology/Oncology; Gene Therapy

Biological Safety Officer, Associate Biological Safety Officer,

Dan Eisenman, PhD, CBSP Nick Chaplinski, MS
Environment Health and Safety Environment, Health and Safety

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,
Mary Beth Koza, MBA
Environment, Health and Safety
54
High Containment Laboratory Subcommittee
The High Containment Laboratory Subcommittee is a cross functional team to support UNC research activities. The subcommittee serve as a source of information
and planning for the users and identifies opportunities for knowledge sharing and continuous improvement at the University, The Subcommittee makes recommenda-
tions to UNC leadership on the management of the laboratories, as needed, and support compliance, promotes safe, secure and efficient operation of laboratories, and
otherwise facilitates research requiring high containment. This committee reports to the Institutional Biological Safety Committee.

Members

Professor, Medicine, Microbiology and Immunology; Professor,

Dr. Stanley M. Lemon, M.D. Dr. Tom Kawula
Chair, High Containment Laboratory Subcommittee Microbiology & Immunology

Assistant Vice Chancellor, Facilities Associate Professor,

Anna Wu Dr. Mark Heise
Operations, Planning & Construction Genetics, School of Medicine

Professor, Medicine,
Dr. Ralph Baric Professor, Epidemiology Dr. P. Frederick Sparling, MD
Microbiology and Immunology

University Program Manager, Commissioning Coordinator,

Rob Kark, MS Rod Rabold
Medicine Administration Planning Office Energy Management

Professor, School of Medicine, Research Associate Professor,

Dr. Victor Garcia-Martinez Dr. Chris Barker
Division of Infectious Diseases Genetics, School of Medicine

Strategic Communications Manager, Life Safety and Access

Katie O'Brien Mark Bristol
School of Medicine Superintendent, Building Services

Biological Safety Officer,

Dan Eisenman, PhD, CBSP Jeff McCracken Director, Public Safety
Environment Health and Safety

Director,
Mary Beth Koza, MBA
Environment, Health and Safety

55
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
environment. The clinic work environment is primarily characterized by activities involving patient contact and exposure to blood or other potentially infectious mate-
rials. The clinical work environment frequently has additional health and safety requirements imposed by accreditation organizations, such as the Joint Commission.
2014 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.

2015 Committee Goals:

 Integrate allied health school immunization records and training into Hasmis.

Members
Nurse Supervisor, TraCS Institute; Chair, Assistant Vice Chancellor,
Jennifer Rees Dr. Mary Covington
Occupational Health and Clinical Safety Committee Campus Health Services

Nurse Manager, Nurse Clinician,

Cheryl Henderson Foretta Davis
Family Medicine Clinical Affairs

Plumbing Shop Supervisor, Workers’ Compensation Administrator,

Rickey Robinson Janet Perry
Building Services UNC Healthcare

Clinical Assistant 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

Clinical Assistant Professor,

Pam Fogelman Human Resources Facilitator, Dr. Mary Baker
Surgery

Environment of Care Manager, HR Date/Reporting Manager,

Thomas Thedieck, James Hawkins
Campus Health Services Medicine Administration

Administrative Specialist, Division Manager/Administrator,

Charlene Womble Cheryl Culpepper
School of Nursing Maternal-Fetal, Obstetrics and Gynecology

Workplace Safety Manager,

Mary Crabtree
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 56
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 stu-
dents are exposed to as part of their clinical training. This subcommittee reports to the Occupational Health and Clinical Safety Committee.
Members
Clinical Associate Professor, AHEC, Associate Director
Lisa Johnston Alan Brown
Allied Health Sciences - Physical Therapy for Regional Education
Clinical Instructor, Student Services Representative,
Laine Stewart Andrew Clapper
Allied Health Sciences School of Pharmacy

Nurse Clinician, Clinical Assistant Professor,

Michelle Camarena Andrew Woodward
Campus Health Services Allied Health Sciences

Assistant Vice Chancellor, Health & Safety Coordinator,

Mary Covington Bernice Mayo
Campus Health Services Medical Education, School of Medicine,
Health Information Manager, Pharmacist,
Melody Gibson Christine Goodman
Campus Health Services Campus Health Services
Administrative Officer, Director of Nursing Service,
Pattie Currie Carol Kozel
Medical Education, School of Medicine Campus Health Services
Business Manager, Clinical Associate Professor,
Sandra Void Douglas Solow
Medical Education, School of Medicine Diagnostic Science/General Dentistry

Professor, Associate Dean,

Susan Beck Georgette Dent
Allied Health Sciences Pathology & Lab Medicine
Clinical Medicine Physician, Associate Dean of Academic Affairs,
Thevy Chai Janet Guthmiller
Campus Health Services Periodontology

Clinical Assistant Professor, Administrative Assistant,

James Hill Janice James
Physical Medicine/Rehabilitation, Medical Director-UEOHC School of Pharmacy
Clinical Medicine Physician, Clinical Instructor,
Ann Chelminski Jennifer Hayden
Campus Health Services Allied Health Sciences
Director of Student Affairs, Associate Professor,
Brad Wingo Joy Renner
School of Pharmacy Allied Health Sciences
Nurse Clinician, Clinical Assistant Professor,
Foretta Davis Kathy Moore
Clinical Affairs, School of Dentistry School of Nursing
Clinical Associate Professor, Clinical Assistant Professor,
Martha Mundy Kim Leadon
Audiology, Allied Health Sciences, School of Pharmacy
Assistant Director for Student Compliance, Clinic Manager, General Medicine,
Jessica Ward Karen Allen
School of Nursing Campus Health Services
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.
2014 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)

2015 Committee Goals:

 Implementation of a reporting mechanism for the State’s Hazard Hero program for UNC Chapel Hill.

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

Tonya Miller Team Leader, Laboratory Animal Medicine Paul Pogge Associate Athletic Director

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

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 58
Radiation Safety Committee
The Radiation Safety Committee is responsible for establishing policies governing the procurement, use, storage and disposal of radioactive materials and radiation-
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 Chancel-
lor. It makes an annual report of activities to the Vice Chancellor for Finance and Administration.

2014 Committee Accomplishments:

 Renewed 5 expiring licenses including the UNC Institute of Marine Sciences, the UNC academic broad-scope, UNC academic irradiator, UNCH medical accelera-
tor, and UNC Nutrition Research Institute.
 Provided licensing support for receipt and installation of new irradiator at Marsico hall, including NRC licensing, State licensing, and security protocols.
 Hosted six different state inspections for licenses, registrations, and operations. No citations were issued.
2015 Committee Goals:
 Monitor startup of new cyclotron facility. Establish appropriate safety programs for all imaging modalities in BRIC.
 Develop strategy to meet 10 CFR 37 requirements for security of radionuclides in quantities of concern.
 Renew radioactive materials licenses: UNCH Medical broad-scope and the UNC academic irradiator licenses.

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

Dr. Louise M. Ball Professor, Environmental Science & Engineering Dr. Adrian Marchetti Assistant Professor, Marine Sciences

Dr. Hong Yuan Director, BRIC Small Animal Imaging Facility Dr. Jeff Sekelsky Associate Professor, 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

Mary Beth Koza, MBA Director, Environment, Health and Safety

59
EHS Compliance Report
Radiation Safety
Inspection date Agency Number of citation Nature of Citations
4/3/2014 DHHS-RPS and FDA 0 -
6/26/2014 DHHS-RPS and FDA 0 -
7/25 & 29/2014 DHHS-RPS 0 -
8/27-28/2014 DHHS-RPS and FDA 0 -
10/23/2014 DHHS-RPS 0 -
12/15-18/2014 DHHS-RPS 0 -
Environmental Affairs
2/06/2014 NCDENR-DWR 0 -
4/01/2014 NCDENR-DAQ 0 -
4/10/2014 NCDENR-DWR 0 -
6/19/2014 NCDENR-DWR 0 -
7/28/2014 EPA Region 4 1 Failure to provide adequate line tightness testing for underground piping at Service Station USTs
7/28/2014 EPA Region 4 0 -
09/05/2014 NCDENR-DAQ 0 -
Joint NCDENR-DWM and HW container marking requirement for <90 Day Storage, HW container closure requirement for satellite
9/16 &18/2014 2
EPA Region 4 Inspection accumulation areas at laboratories, Universal Waste marking requirements and floor sealant defect at TSDF
09/24/2014 NCDENR-DWR 0 -
Biological Safety

4/29 -5/1/14 CDC 0 0

Chemical Safety
11/18-19/14 Dept. of Homeland Security 0 0
2014 Employee of the Year
Kim Haley, CIH
Kim Haley has been selected as the 2014 employee of the year for her exemplification of the best in the industrial hygiene profession and her dedication to the
department and the University. She is a true professional always willing to give her best. Every day, she emulates the mission and values of the organization, provides
high customer service and collaborates effectively with all groups on campus. She manages the University’s hearing conservati on and testing program with
professionalism and commitment. Her leadership of the annual confined space drills is an excellent example of her commitment to safety. She constantly researches
new issues and ideas and strives for the best. She is committed to the community and performs outreach programs to local schools to introduce the profession of
industrial hygiene to young students. She also is a perfect example of the EHS mottos “Be All You Can Be” and “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 future 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.

61
2014 Innovation Award
Mike Long
ASHRAE certification of the chemical fume hoods for Marsico Hall
During the commissioning of Marsico Hall, there was a major problem in having ASHRAE certification of the chemical fume hoods. Mike took the
lead in understanding the issue and developing a solution. He developed the certification procedure and updated all Universit y documents for
compliance. He also worked closely with the certifying vendor to ensure complete and relevant reports were submitted.

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 world  contribute to the improvement of the environment, health, or
leader in launching university-born ideas for the good of society,” the safety at UNC.
EHS department instituted a new Innovation award for 2010.  be in the form of process, education, customer service, communi-

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

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.

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 62
2014 Collaboration Award
Radiation Safety Department of Public Safety
Roger Sit Aaron Gunsalus Capt. Connie Bullock Investigator Matt Dodson
Gerald Bida Jonathan Moore Lt. Tommy Twiddy Sgt. Mike Goodwin
Mark Brueckner Mike Soles Sgt. Chris Burnette Investigator Ross Barbee
Montego Fearrington Bradford Taylor Sgt. Jake Kornegay Officer Kayla McNeely
John Grachus Sgt. Cameron Gales Sgt. Jacob Kornegay
Sgt. Jeff Mosher
Irradiator Transport
Received new irradiator for research at Marsico Hall. Event included providing traffic control; vendor escort; armed security during unloading,
assembly on the dock, and installation into irradiation room; and population control. The event required pre-planning, strategic planning for
security personnel placement and road closure, pre-notification to Department of Justice through ISAAC, and interfacing with NC RPS inspectors
while on site.

EHS Core Values & collaboration: Award Qualifications

The organization will:
 value and encourage individual growth and development.
 collaborate and support each other through the twists and turns.
 be a safe haven of trust, respect, and open communication.
 foster constructive debate when appropriate.
The recipient must exhibit outstanding contribution to collaboration by fulfilling one or more
of the following attributes:
 Agreement about objectives
 Respect for specialist expertise of another person
 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 employees and between EHS employees and other University employees (or other groups or organizations).
63
Awards - Achievements - Appointments ~ Presentations & Acknowledgements
Awards Achievements
The University received the North Cathy Brennan, Mike Long and Jim
Carolina Department of Labor’s Gold Potts received training for Federal
Safety Award for the fourth year in a Homemade Explosives: Awareness,
row.
Recognition and Response.
Employee of the Year Award
(See page 61.) Janet Clarke was certified as Profes-
sional in Erosion and Sediment Con-
Innovation Award
trol from EnviroCert International.
(See page 62.)
Collaboration Award Janet Clark received a Geographic
(See page 63.) Information Systems certificate from
NC State.
Roger Connor received certificates for
North Carolina Environmental, Ener-
gy, Health, and Safety School training,
Hazard Communication Training for
1974-2014
Chemical Users, Basic Hazardous
Waste Compliance for Generators
training, and Business Environmental
and Safety Training.
Mal Donohue received a Master of
Science degree in Environmental En-
gineering from the Missouri Universi-
ty of Science and Technology.
Achievements
Mal Donohue was certified as a Safety
Professional from the Board of Certi-
fied Safety Professionals.
Kitty Lynn was re-certified in the
American Red Cross Adult first aid/
CPR training program.
Kitty Lynn received a Crowd Manag-
er Certificate for protecting the public
at events.
Kitty Lynn attended the Campus Fire
Forum for Building Operation, Inves-
tigation, Benchmarking Programs,
and NFPA 1730, 72, 101, Safety and
Compliance training.
John Murphy received a certificate for
the Industrial Ventilation System
Diagnosis and Troubleshooting Pro-
gram.
Jim Potts received a certificate for the
24-Hour Hazardous Material Techni-
cian-Level for Emergency Response.
Appointments
Gerald Bida was appointed Cyclotron
Health Physicist.
John Covely was appointed chair of
the Marketing/Communications and
Education Community of Practice for
the Campus Safety, Health and Envi-
ronmental Management Association.
Mary Crabtree was elected to the
Campus Safety, Health and Environ-
mental Management Association
executive board of directors. She will
serve as recording secretary, vice
president, president, and immediate
past president.
Dan Eisenman was appointed Biolog-
ical Safety Manager.
64
 Appointments
Jonathan Moore was appointed chair
of the Radiation Safety Community
of Practice for the Campus Safety,
Health and Environmental Manage-
ment Association.
Roger Sit was appointed Adjunct
Assistance Professor in the Depart-
ment of Allied Sciences, UNC-CH
School of Medicine.
Mike Soles was appointed Health
Physics.
Mr. Nelson Wilkins was appointed
Hazardous Materials Specialist.
Jim Potts was appointed Chemical
Safety Specialist.
65
Presentations
Constance Birden co-presented “How
to Develop an Export Management
and Compliance Program Including
the 1-129 for Deemed Exports” at the
American Biological Safety Associa-
tion annual conference.
John Covely presented “The Human
Brand: What It Means for EHS De-
partments” at the Campus Safety,
Health and Environmental Manage-
ment Association annual conference.
Catherine Brennan presented
“Assessment of an Online Chemical
Inventory System” at the Campus
Safety, Health and Environmental
Management Association annual con-
ference.
Janet Clarke participated as a subject
matter expert on a panel discussion
about the NCDENR 319 Grant at a
committee meeting in Raleigh, NC.
Presentations Annual Report
Mary Crabtree gave a keynote address Contributors:
on “Safety in your Video Office” at the Catherine Brennan
Annual Collegiate Sports Video Asso- Mary Crabtree
ciation conference. Larry Daw
Mary Crabtree presented “Breaking Mal Donohue
Barriers to Cultivate Safety” at the Dan Eisenman
Campus Safety, Health and Environ- Dr. James Hill
mental Management Association an- Mary Beth Koza
nual conference. Kitty Lynn
John Murphy
Mary Beth Koza presented a seminar Roger Sit
on “Environmental Remediation in Bianca Trollinger
the University” at the Campus Safety,
Testimonials:
Health and Environmental Manage-
Lorraine Alexander
ment Association annual conference.
Carol Fowler Durham
Roger Sit presented “UNC-CH Cyclo- Barbara Entwisle
tron Facility” at the North Carolina Ben Giglio
Healthy Physics Society spring meet- Christopher Luke
ing. Gordon Merklein
Jimmy Spero
Roger Sit presented “UNC-CH Bio-
medical Imaging Research Center- Printing:
Updat e” at th e Nort h Car olina Erin MacDermut, Classic Printing
Healthy Physics Society fall meeting. Copy and Design:
John Arthur Covely
2014 Highlights
Environmental Affairs Fire Safety & Emergency Response
9,419 Pickups for disposal of hazardous, radioactive 300 Number of Resident Advisors trained on fire safety.
and hazardous chemicals.
838 Emergency responses.
102,459 Kgs. of hazardous, radioactive and hazardous
1974-2014 305 Life-safety fire alarm tests.
chemicals disposed of.
7,500 Fire extinguisher inspections.
18 Environmental permits for air, waste, water,
stormwater and underground storage tanks. 2,301 Students, staff and faculty trained in the proper use
of fire extinguishers.

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 66
Research Safety Support University Employee Occupational Health Clinic Workplace Safety
6 Biosafety Level 3 laboratories. 254 OSHA recordable related injuries/illnesses. 67 Online EHS training courses offered.
1,114 Chemical fume hood inspections. 3,479 employees in the immunization review program. 169 Hazard Management Program inspections.
408 Biological safety cabinets and in-line HEPA 459 Worker compensation claims
certifications. 2.12 Million dollars in worker compensation
563 Collaborative Laboratory Inspection Program expenditures.
inspections. 4,255 Clinic visits for immunization review, workers
651 Laboratory Safety Plans covering chemical, compensation and medical surveillance.
biological and radiological laboratories.

67 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
 1974-2014

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