UTK Environmental Health & Safety Procedure AD-015
This procedure defines the process by which records related to Safety, Health and Environmental Protection should be maintained
Effective Date: 01/01/2009
Revision Date: 08/01/2015
Purpose
The purpose of this procedure is to provide guidance for the proper management records related to safety, industrial hygiene and environmental protection
Scope and Applicability
This shall apply to all employees in all departments on the University of Tennessee Knoxville campus. This procedure applies to records that are required by OSHA, EPA, State Fire Marshal’s Office, NFPA, DOT and other state and federal agencies involved with safety, industrial hygiene and environmental protection.
Abbreviations and Definitions
Abbreviations
DOT – Department of Transportation
EHS – Environmental Health and Safety
EPA – Environmental Protection Agency
NFPA – National Fire Protection Association
OSHA – Occupational Safety and Health Administration (or Act depending on context)
TSCA – Toxic Substances Control Act
Definitions
Disposition – Disposition refers to the final stage in the life cycle of records. Disposition may be defined as either the destruction or the transfer of records.
Electronic Record – Records communicated and maintained by means of electronic equipment.
File – A collection of paper records and/or electronic records grouped together by a common subject.
Record – A record is recorded information, in any form, including data in computer systems, created or received and maintained by an organization or person in the transaction of business or the conduct of affairs and kept as evidence of such activity. A record can be:
- A document (for example, note of a telephone conversation, meetings, notes of discussion, annotation to a record, completed form, graph, chart, plan, drawing or computer printout);
- A type of correspondence (for example, facsimile, e-mail, voice mail, electronic data exchange, letter, memorandum, minute, message, agenda, contract, certificate, data, database, directory, index, register, or log);
- A form of media (for example, electronic organizers, facsimile, electronic mail, disk, erasable optical disc, video, audio tape, film, photograph, photographic negative, microfilm, microfiche, on-line database, a publication, booklet, newspaper, pamphlet, brochure, map, architectural or building plan, catalog, manuals, reproduction or duplicate of a record or part of a record).
Roles and Responsibilities
Deans, Directors, and Department Heads shall:
- Maintain records that fall under their department’s purview related to safety, industrial hygiene and environmental protection.
Environment Health and Safety shall:
- Maintain a master list of those records that require retention and post on the EHS website.
- Identify the length of time a record must be kept. A retention time longer than is specified in the regulation may be recommended by EHS.
- Notify departments when a new recordkeeping requirement is identified or a deficiency is noted in the department’s records.
- Assist departments with recordkeeping where feasible.
- Make records available to regulators and others upon request. Note that if litigation is likely, release of records shall be done in coordination with the UT Legal Counsel’s office.
- Ensure that key records under their control are maintained in a duplicate form in a remote location.
- Maintain secure access to records that may have sensitive information
- Review, revise and disseminate this procedure as necessary.
- Assist other campuses in the UT system with recordkeeping to the extent feasible.
Training and Information
None specific to this procedure.
Disclaimer
The information provided in these guidelines is designed for educational use only and is not a substitute for specific training or experience.
The University of Tennessee Knoxville and the authors of these guidelines assume no liability for any individual’s use of or reliance upon any material contained or referenced herein. The material contained in these guidelines may not be the most current.
This material may be freely distributed for nonprofit educational use. However, if included in publications, written or electronic, attributions must be made to the author. Commercial use of this material is prohibited without express written permission from the author.
Appendix A:
Record Retention Guide for Environmental Health and Safety Records
Area |
Record Type |
Required by |
Length of Retention (regulatory) |
Length of Retention (good practice) |
Location of Record |
Access to Medical Records | Training | 29 CFR 1910.1020(g)(1) | Not specified | 5 years | IRIS – Events Management or Department |
Aerial Lifts and bucket Trucks | Training | 29 CFR 1926.453 | 3 years | 5 years | IRIS – Events Management or Department |
Air Emissions Inventory | Environmental Compliance | EPA | Facilities Services | ||
Air Monitoring – Any hazardous material | Industrial Hygiene | OSHA | EHS Office | ||
Air Monitoring – Arsenic | Industrial Hygiene | 29 CFR 1910.1018(q) | 40 years to 20 years past the date of last employment for r the employee | 50 years | EHS Office |
Arsenic | Training | 29 CFR 1910.1018 | Not specified | 3 years | IRIS – Events Management or Department |
Arsenic X-rays | Medical Monitoring | 29 CFR 1910.1018 (q)(2) | 5 years | 5 years | Employee Health |
Asbestos – Bulk sampling | Environmental Management | EPA | 3 years | Facilities Services | |
Asbestos – personal sampling | Industrial Hygiene | 29 CFR 1910.1001 (m) | 30 years | 50 years | EHS Office |
Asbestos Awareness Training | Training | 29 CFR 1910.1001 (m)(4) | 1 year past the date of last employment | 50 years | IRIS – Events Management or Department |
Asbestos – medical monitoring | Medical Monitoring | 29 CFR 1910.1001 (m)(3) | 30 years | 50 years | Employee Health |
Asbestos Containing Material – Objective Data | Industrial Hygiene | OSHA 1926.1101(n)(1)(i) also 29 CFR 1910.1001 (m)(2) | No specified | 20 years | |
Asbestos Containing Materials -Preventive Measures or Response Action | Environmental Compliance | EPA 763.94 Recordkeeping. | 3 years | ||
Asbestos Containing Materials -Removal Location | Environmental Compliance | EPA 763.94 Recordkeeping. | 3 years after next reinspection | Facilities Services, TN Fitts | |
Asbestos Inspector | Training | 29 CFR 1910.1001 | Not specified | 3 years | IRIS – Events Management or Department |
Asbestos Project Manager | Training | 29 CFR 1910.1000 | Not specified | 3 years | IRIS – Events Management or Department |
Asbestos Containing Materials – Periodic Surveillance | Environmental Compliance | EPA 763.94 Recordkeeping. | 3 Years | Facilities Services or EHS | |
Audiometer calibration (annual) | Medical Monitoring | 29 CFR 1910.95 – Appendix C and E | Not specified | 3 years | Employee Health |
Audiometric Testing – Baseline and Annual | Medical Monitoring | 29 CFR 1910.95 | 40 years to 20 years past the date of last employment fo r the employee | 50 years | Employee Health |
Audiometry – functional test (daily) | Medical Monitoring | 29 CFR 1910.95 | Not specified | Employee Health | |
Audiometry calibration – Every 2 years – Exhaustive | Medical Monitoring | 29 CFR 1910.95 | Not specified | Employee Health | |
Biosafety Cabinet Certification | Biosafety | ANSI NSF 49 | Current | On outside of cabinet | |
Bloodborne Pathogens | Training | 29 CFR 1910.1030 | Not specified | 3 years | IRIS – Events Management or Department |
Bloodborne Pathogens – declination of immunization | Medical Records | 29 CFR 1910.1030 | 40 years to 20 years past the date of last employment for r the employee | 50 years | Employee Health |
Bloodborne Pathogens – post exposure medical treatment and follow up | Medical Records | 29 CFR 1910.1030 | 40 years to 20 years past the date of last employment for r the employee | 50 years | Employee Health |
Bloodborne Pathogens HEP B vaccination | Medical Records | 29 CFR 1910.1030 | 40 years to 20 years past the date of last employment for r the employee | 50 years | Employee Health |
Building Inspection Reports | General Safety | Not specified | Not specified | 10 years | EHS Office |
Chemical Fume Hood Tests | Laboratory Safety | Not specified | Not specified | 10 years | EHS Office and Radiation Safety |
Chemical Hygiene Plan | Training | 29 CFR 1910.1450 | Not specified | 3 years | Department Files |
Chemical Inventories | Laboratory Safety | 29 CFR 1910.1020(d) | 30 years | 50 years | Facilities Services Server |
Clearance Air Monitoring – Asbestos | Environmental Management | EPA | 30 years past date of last employment | Facilities Services | |
Compressed Gas Cylinders | Training | OSHA | Not specified | 3 years | IRIS – Events Management or Department |
Confined space -completed permits | General Safety | 29 CFR 1910.146 (e)(6) | 3 years | 3 years | Department Files |
Confined Space Entry | Training | 29 CFR 1910.146 (g) | Not specified | 3 years | IRIS – Events Management or Department |
Correspondence with EPA | Environmental Compliance | EPA | Not specified | 20 years | EHS Office |
Correspondence with TOSHA | General Safety | OSHA | Not specified | 20 years | EHS Office |
DOT – Shippers of Hazardous Materials | Training | DOT | 3 years | 3 years | IRIS – Events Management or Department |
DOT Security Plan | Environmental Compliance | DOT | Annually | Annually | EHS Office |
Electrical Safety Work Practices | Training | 29 CFR 1910.332 | Not specified | 3 years | IRIS – Events Management or Department |
Emergency Action Plan | Training | 29 CFR 1910.38 | Not specified | 3 years | IRIS – Events Management or Department |
Employee Accident Reports | General Safety | State Claims | 5 years | Workers Compensation Office | |
Employee Alarm Systems | Training | 29 CFR 1910.165 | Not specified | 3 years | IRIS – Events Management or Department |
Employee Exposure Records | Industrial Hygiene | 29 CFR 1910.1020(d) | 30 years | 50 years | EHS Office |
Employee Medical Records | Medical Monitoring | 29 CFR 1910.1020(d) | Duration of Employment plus 30 years | 50 years | Employee Health |
EPCRA Annual Report | Environmental Compliance | EPA | Not specified | 30 years | EHS Office |
Fall Protection | Training | 29 CFR 1926.503 | Not specified | 3 years | IRIS – Events Management or Department |
Fire | |||||
Fire Prevention Plan | Training | 29 CFR 1910.39 | Not specified | 3 years | IRIS – Events Management or Department |
Fire Alarm System Testing | Fire Safety | Fire Code | Not specified | 3 years | Fire |
Fire Drills | Fire Safety | Fire Code | Not specified | 3 years | EHS Office |
Fire Extinguisher Firm – Authorized Firm | Fire Safety | Fire Code | Not specified | 3 years | EHS Office |
Fire Extinguisher Inventory | Fire Safety | Fire Code | Not specified | 3 years | EHS Office |
Fire Extinguishers – Monthly Record of Inspections | Fire Safety | Fire Code | Not specified | 3 years | EHS Office |
Fire Inspector – Licensed Technician | Fire Safety | State Licensing | Not specified | 3 years | EHS Office |
Fire Protection System Impairments | Fire Safety | OSHA | Not specified | 3 years | EHS Office |
Fire Protection System Testing | Fire Safety | Fire Code | Not specified | 3 years | Facilities Services |
Fire Suppression Systems | Training | 29 CFR 1910.160 | Not specified | 3 years | IRIS – Events Management or Department |
First Aid | Training | 29 CFR 1910.151 | Not specified | 3 years | IRIS – Events Management or Department |
Forklift Operation | Training | 29 CFR 1910.178 | Not specified | 3 years | IRIS – Events Management or Department |
Formaldehyde | Training | 29 CFR 1910.1048 (o) | Not specified | 3 years | IRIS – Events Management or Department |
Formaldehyde – person air monitoring | Industrial Hygiene | 29 CFR 1910.1048 (o)(5)(i) | 30 years | 40 years | EHS |
Formadlehyde – medical monitoring | Occupational Health | 29 CFR 1910.1048 (o)(5) | Duration of Employment plus 30 years | 40 years | Employee Health |
Hazard Communication | Training | 29 CFR 1910.1200 | Not specified | 3 years | IRIS – Events Management or Department |
Hazardous Waste – Annual Reports | Environmental Compliance | 40 CFR 372 c | 3 years | 50 years | EHS Office |
Hazardous Waste – Annual Reports, Offsite Shipping | Environmental Compliance | 40 CFR 372 c | 3 years | 50 years | EHS Office |
Hazardous Waste Contingency Plan | Environmental Compliance | 40 CFR 373-4 | Keep current | 5 years for past copies | EHS Office |
Hazardous Waste Determinations | Environmental Compliance | 40 CFR 372 c | 3 years | 50 years | EHS Office |
Hazardous Waste Management | Training | 40 CFR 373-3.3 | 3 years beyond the date of last employment | IRIS – Events Management or Department | |
Hazardous Waste Manifests | Environmental Compliance | 40 CFR 262 | 3 years | 50 years | EHS Office |
Hazardous Waste Reduction Plan | Environmental Compliance | TN Hazardous Waste Act 1990 | 3 years | 5 years for past copies | EHS Office |
Hazardous Waste Release | Environmental Compliance | EPA | EHS Office, Facilities Services | ||
HAZWOPER | Training | 29CFR 1910.120 | Not specified | 3 years | IRIS – Events Management or Department |
Hearing Conservation | Training | 29 CFR 1910.95 | Not specified | 3 years | IRIS – Events Management or Department |
Hot Work Permit | General Safety | OSHA | 3 years | ||
IATA – Shippers of Hazardous Materials | Training | DOT | 3 years | 3 years | IRIS – Events Management or Department |
IBC Required Documents | Biosafety | IBC | 3 years after expiration or termination | IBC Office | |
Interim Life Safety Plans | Fire Safety | Fire Code | Not specified | EHS | |
Laser safety | Training | OSHA | Not specified | 3 years | IRIS – Events Management or Department |
Lead Paint Firm | Environmental Compliance | EPA | |||
Lead Paint Inspector – Certification | Training | EPA | 3 years | 3 years | IRIS – Events Management or Department |
Lead Paint notice for child occupied residential facilities – acknowledgement of receipt | Environmental Compliance | EPA | Not specified | 10 years | Department Files |
Lead Paint Risk Assessor -Certification | Training | EPA | 3 years | 3 years | IRIS – Events Management or Department |
Lead Paint Sampling Results for Day cares and child occupied facilities | Environmental Compliance | EPA | Not specified | 10 years | EHS Office |
Local Exhaust Ventilation System Testing | General Safety | Not specified | Not specified | 3 years | EHS Office |
Lockout/Tagout | Training | 29 CFR 1910.147 | 3 years | 3 years | IRIS – Events Management or Department |
Lockout/Tagout – Annual Audit | General Safety | OSHA | Not specified | 3 years | Department Files |
Material Safety Data Sheets (MSDS) | Hazardous Materials Management | 29 CFR 1910.1200 | 40 years to 20 years past the date of last employment for r the employee | 50 years | EHS Office |
Medical Evaluation for Respirator Use | Medical Monitoring | 29 CFR 1910.134 | 40 years to 20 years past the date of last employment for r the employee | 50 years | EHS Office |
Medical Records for Pesticide Applicators | Medical Records | DOA | 40 years to 20 years past the date of last employment for r the employee | 50 years | Employee Health |
Medical Screening Forms – Respirator Use | Medical Monitoring | 29 CFR 1910.134 | 40 years to 20 years past the date of last employment for r the employee | 50 years | EHS Office |
Medical Surveillance – Pre-employment, Annual, Termination for Hazwoper | Medical Monitoring | OSHA | 40 years to 20 years past the date of last employment for r the employee | 50 years | Employee Health |
Medical Surveillance Following Exposure- | Medical Monitoring | EPA | 40 years to 20 years past the date of last employment for r the employee | 50 years | Employee Health |
Motor Oil Spill Exceeding 25 gallons | Environmental Compliance | EPA | EHS Office | ||
Noise Meter calibration | Industrial Hygiene | 29 CFR 1910.95 | Not specified | 3 years | EHS Office |
Noise Monitoring | Industrial Hygiene | 29 CFR 1910. 95(m)(3) | 2 years | 10 years | EHS Office |
Offsite shipment of universal waste | Environmental Compliance | EPA | 3 years | Facilities Services | |
OSHA 300 End of Year | General Safety | OSHA | 7 years | Workers Compensation Office | |
Oxygen-fuel gas welding and cutting | Training | 29 CFR 1910.253(a)(4) | Not specified | 3 years | IRIS – Events Management or Department |
Personal Protective Equipment | Training | 29 CFR 1910.132 | Not specified | 3 years | IRIS – Events Management or Department |
Personal Protective Equipment – Assessment | General Safety | 29 CFR 1910.132 | Not specified | 10 years | Department Files |
Pesticide Application Records | Environmental Management | DOA | Facilities Services, Athletic Department | ||
Pesticide Application Records – pesticide used, target pest, name of applicator, date, dilution, property owner, application rate | Environmental Compliance | TCA 0080-06-14-.12 | 2 years | 5 years | Facilities Services, Athletic Dept. |
Physician’s Opinion – Audiometric testing | Medical Monitoring | 29 CFR 1910.95 | 40 years to 20 years past the date of last employment for r the employee | Employee Health | |
Portable Fire Extinguishers | Training | 29 CFR 1910.157 | Not specified | 3 years | IRIS – Events Management or Department |
Respirator Fit Testing | Industrial Hygiene | 29 CFR 1910.134 | Until the next fit testing is conducted | 3 years | EHS Office |
Respirators | Training | 29 CFR 1910.134 | Not specified | 3 years | IRIS – Events Management or Department |
Respirators Used for Emergency Purposes – Monthly Inspection | General Safety | OSHA | EHS Office | ||
Safety and health complaint reports | General Safety | Not specified | Not specified | 10 years | EHS Office |
SPCC – Periodic Tank Inspection | Environmental Compliance | 40 CFR 112 | 3 years | EHS Office, Facilities Services | |
Spill Prevention Control and Countermeasures | Training | 40 CFR 112 | Not specified | 3 years | IRIS – Events Management or Department |
Steam Plant – Monthly Inspection | Environmental Compliance | EPA | Facilities Services | ||
Steam Plant – Annual Storm Water – Site Assessment | Environmental Compliance | EPA | 3 years | Facilities Services | |
Steam Plant – Annual Storm Water Analysis | Environmental Management | EPA | 3 years | Facilities Services | |
Steam Plant – Quarterly Storm Water Visual Examination | Environmental Management | 40 CFR | EHS | ||
Storm Water – Oil/Water Separator – periodic inspection and maintenance | Environmental Compliance | EPA | Facilities Services | ||
Storm Water Pollution Prevention – Steam Plant | Training | EPA | Not specified | 3 years | IRIS – Events Management or Department |
TDEC Site Visits | Environmental Compliance | EPA | EHS Office | ||
TOSHA Site Visits | General Safety | OSHA | EHS Office | ||
Underground Storage Tanks – Closed Clean | Environmental Compliance | EPA | 50 years | ||
Underground Storage Tanks – Discharges Reports | Environmental Compliance | EPA | |||
Underground Storage Tanks – Leak Detection | Environmental Compliance | EPA | Motor Pool | ||
Underground Storage Tanks – Permits | Environmental Compliance | EPA | 3 years | 50 years | Facilities Services |
Underground Storage Tanks – Spill Bucket Inspection | Environmental Compliance | EPA | 3 years | 50 years | Motor Pool |
Underground Storage Tanks – Tightness Integrity Testing | Environmental Compliance | EPA | 3 years | 50 years | Motor Pool |
Universal Waste | Training | 40 CFR | Not specified | 3 years | IRIS – Events Management or Department |
Visitor Accident/Incident Reports | General Safety | State Claims | 7 years | Risk Management | |
Waste Oil Burner – Oil Composition Testing | EPA | EPA | Motor Pool | ||
Waste Oil Burner – Permits | EPA | EPA | Motor Pool | ||
Waste Water Annual Sampling for Discharge | Environmental Compliance | EPA | |||
Arc Welding, Cutting | Training | 29 CFR 1910.254 (d)(1) | Not specified | 3 years | IRIS – Events Management or Department |
Disclaimer
The information provided in this procedure is designed for educational use only and is not a substitute for specific training or experience.
The University of Tennessee Knoxville and the authors of this procedure assume no liability for any individual’s use of or reliance upon any material contained or referenced herein. The material contained in this procedure may not be the most current.
This material may be freely distributed for nonprofit educational use. However, if included in publications, written or electronic, attributions must be made to the author. Commercial use of this material is prohibited without express written permission from the author.