Volume 2: Chapter 7, Section 5

Question 1

Site supervisors must complete a ___________ in all cases involving non-employee injuries occurring at Fire Department administrative sites

Answer 1

Non-Employee Injury Form 539

Question 2

A ‘serious injury’ consists of (3) types of injury_________, _________, __________

Answer 2

• Hospitalized for more than 24 hours
• loss of body part
• serious disfigurement

Question 3

Each Administrative Site shall establish a ______________

Answer 3

• Form 78

* Building Survey Record Folder

Question 4

____________ and _________ shall be immediately notified when the Fire Department is called to an accident involving an employee where an occupational injury, illness or death has occurred

Answer 4

• CAL/OSHA

* Los Angeles County DA’s Office

Question 5

_______ and ________ must be notified by U.S.mail, when receiving a CAL/OSHA citation

Answer 5

Safety Officer

Question 6

The ______________ shall be the Department CAL/OSHA Coordinator

Answer 6

Deputy Director of the Administrative Bureau

Question 7

The ____________shall be posted on the employee’s bulletin board

Answer 7

Log/Summary of Occupational Injuries and Illnesses

Question 8

The Log/Summary of Occupational Injuries and Illnesses shall be posted and must remain in place until ____________

Answer 8

March 1 of each calendar year

Question 9

The Employer’s Report of Occupational Injury or Illness shall be completed _____________

Answer 9

Before going off-duty

Question 10

Any employee who believes that a CAL OSHA violation has occurred may request an inspection by the _____________

Answer 10

Department Safety Officer by using a Safety Inspection Form (Form# 565)

Question 11

CAL OSHA violations should be reported using ______________

Answer 11

Safety Inspection Form (Form# 565)

Question 12

The Duty Safety Officer shall also be notified via what channel____________

Answer 12

Command and Control

Question 13

There are three types of violations for which an employer may be cited______, ________, _______

Answer 13

blank

Question 14

The (3) categories of violations are: ________, ________,________:

Answer 14

• Willful
• Repeat
• Carcinogenic

Question 15

The County of Los Angeles has ____________ to notify the CAL /OSHA Appeals Board or State Division of Industrial Safety that they wish to contest a citation or penalty

Answer 15

15 working days

Question 16

A “Notice of Contest” must be filed within ___________ after receipt by Certified Mail, of the Department’s proposed penalty

Answer 16

15 working days

Question 17

Time abatement for hazards may be contested within _______ days

Answer 17

15

Question 18

There are (3) types of variances ________, _______, _______

Answer 18

• Permanent
• Interim
• Temporary

Question 19

The Log and Summary of Occupational Injuries and Illnesses (CAL / OSHA Form 200) must be kept for ________

Answer 19

5 years

Question 20

The Log/Summary of Occupational Injuries or Illness shall remain in place until __________

Answer 20

March 1 of the following year

Question 21

Injuries and Illnesses that must be recorded in the Log/Summary are____________, __________

Answer 21

• Occupational fatalities

* Lost workday cases