INJURY ON DUTY
PPE
SLIP, TRIP, & FALL
Safety Say What?!
EMERGENCY ACTION PLAN
100

A supervisor must complete this form when a injury is reported

What is a COPA II form

100

The word that is identified by the second "P" in PPE.

What is "Protective"

100

What household or workplace item left across the floor is a common cause of trips?

What is a power cord or extention cord?

100

This part of your body is supported by a lumbar cushion

Back

100

A safety exercise to rehearse evacuating a building in the event of an emergency.

What is a fire drill

200

This form must be sent with the employee to the place of treatment

What is a Referral form

200

Acronym of government agency that regulates workplace safety?

What is OSHA

200

This should always be used to mark wet flloors?

What is a slippery when wet sign

200

This electrical device should never overload

Outlet

200

This acronym is the standard procedure for responding to a fire

What is the R.A.C.E acronym?

300

Employee Injuries Should be reported to supervisor no later than this time period

What is 48 hours

300

When handling contaminated materials what protective equipment should be worn?

What are gloves

300

How many points of contact should a person have on a ladder at all times?

What is a 3 Point Contact

300

OSHA is under what U.S. department?

What is Labor


300

This role is responsible for assisting employees and visitors during emergency events, such as a building evacuation

Floor Captain

400

This form will be given to the Employee upon discharge from the Comp Clinic

What is the Encounter form

400

This Government agency sets PPE standards?

What is CDC (Center for Disease Control)?

400

This type of fall occurs when someone trips over an object on the floor or falls on stairway steps?

What is a same-level fall

400

This part of your body should be aligned with the top of your computer screen

What is Eyes 

400

The P.A.S.S acronym is the procedure for operating this device

What is a fire extinguisher

500

If a contaminated sharps injury occurs, this form must accompany the COPAII form

What is the Bloodborne Pathogen Report form

500

What PPE would you use when working with airborne particles or dust?

What is a respirator or N95 mask?

500

This type of fall occurs when a person falls from a height greater than 4 feet, such as from a ladder, platform, or loading dock

What is a fall from an elevated surface


500

What US President started OSHA?

What is Richard Nixon

500

This should never be used to for evacuations during emergencies

What is an elevator