Medical Safety
Medical Safety References 

Army Regulations external link icon

11-34 - The Army Respiratory Protection Program external link icon

40-3 - Medical, Dental, and Veterinary Care external link icon

40-5 - Preventive Medicine external link icon

40-61 - Medical Logistics Policies external link icon

40-68 - Clinical Quality Management external link icon

190-51 - Security of Unclassified Army Property (Sensitive and Nonsensitive) external link icon

200-1 - Environmental Protection and Enhancement external link icon

385-10 - The Army Safety Program external link icon

 420-1 - Army Facilities Management external link icon

DA Pamphlets external link icon

40-11 - Preventive Medicine external link icon

40-21 - Ergonomics Program external link icon

40-501 - Hearing Conservation Program external link icon

40-503 - Industrial Hygiene Program external link icon

40-506 - The Army Vision Conservation and Readiness Program external link icon

385-10 - Army Safety Program external link icon

385-24 - The Army Radiation Safety Program external link icon

385-25 - Occupational Dosimetry and Dose Recording for Exposure to Ionizing Radiation external link icon

 385-69 - Safety Standards for Microbiological and Biomedical Laboratories external link icon

 420-10 - Space Management Guide external link icon

 Army Techniques Publication (ATP) external link icon 

 ATP 5-19 Risk Management external link icon


MEDCOM Regulations

 40-35, Management of Regulated Medical Waste (New) external link icon

 385-2 - Army Medical Command Safety Program (AKO Users) external link icon


Technical Bulletins-Medical external link icon

245 - Warning Tag for Medical Oxygen Equipment (DD Form 1191) external link icon

507 - Heat Stress Control and Heat Casualty Management external link icon

508 - Prevention and Management of Cold-Weather Injuries external link icon

 510 - Guidelines for the Evaluation and Control of Occupational Exposure to Waste Anesthetic Gases external link icon

 515 - Occupational Health and Industrial Hygiene Guidance for the Management, Use and Disposal of Hazardous Drugs external link icon

 521 - Occupational and Environmental Health Management and Control of Diagnostic, Therapeutic and Medical Research X-Ray Systems and Facilities external link icon

523 - Control of Hazards to Health from Microwave and Radio Frequency Radiation and Ultrasound external link icon

 524 - Control of Hazards to Health from Laser Radiation external link icon

 525 - Control of Hazards to Health from Ionizing Radiation Used by Army Medical Dept external link icon

530 - Occupational and Environmental Health Food Sanitation external link icon

 561 - Pest Surveillance external link icon

750-1 - Operating Guide for Medical Equipment Maintenance external link icon


PHC Fact Sheets & Technical Information Papers

  Biological Safety Cabinets: Certification

  Biological Safety Cabinets: Types

 Hand Drying at Medical Treatment Facilities

  Latex Allergy

  Radio Frequency Identification

  Procedures for Cleaning Contaminated Ice Machines

  USACHPPM Consensus Statement on UV Germicidal Irradiation for Upper Air Disinfection in the Workplace


PHC Technical Guides

190 - Guide to Managing Occupational Exposure to Bloodborne Pathogens


Subjects Specific to the Environment of Care/Physical Environment


Guidance to help healthcare organizations implement strategies to prevent injuries and illnesses using a multi-component prevention plan.

        ASSE Body of Knowledge external link icon

CDC Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program external link icon

IOM Report: Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases: Personal Protective Equipment for Healthcare Personnel Update 2010 external link icon

NAP Keeping Patients Safe: Transforming the Work Environment of Nurses external link icon

NAP Safe Work in the 21st Century: Education and Training Needs for the Next Decade's Occupational Safety and Health Personnel external link icon

NAP To Err is Human: Building a Safer Health System external link icon

NFPHS Design Guide for the Built Environment of Behavioral Health Facilities external link icon

NIOSH Does It Really Work? How to Evaluate Safety and Health Changes in the Workplace external link icon

NIOSH Exposure to Stress: Occupational Hazards in Hospitals external link icon

OSHA Personal Protective Equipment external link icon

VHA Patient Safety Center Safe Bariatric Patient Handling Toolkit external link icon



Guidance to assist healthcare organizations in assessing the vulnerabilities of their facilities and implementing appropriate physical security measures.

 HHS: Incorporating Active Shooter Incident Planning into Healthcare Facility Emergency Operations Plan external link icon

 Mayo Clinic: Diversion of Drugs Within Health Care Facilities, a Multiple-Victim Crime: Patterns of Diversion, Scope, Consequences, Detection, and Prevention (New) external link icon

  National Center for Missing and Exploited Children: For Healthcare Professionals: Guidelines on Prevention of and Response to Infant Abductions, 9th ed. and Self-Assessment external link icon

NIOSH Guidance for Protecting Building Environments from Airborne Chemical, Biological, or Radiological Attacks external link icon

NIOSH Violence: Occupational Hazards in Hospitals external link icon

OSHA Guidelines for Preventing Workplace Violence for Health Care and Social Service Workers external link icon


Hazardous Materials and Waste

Guidance to help healthcare organizations prevent occupational exposures to hazardous gases and vapors, radioactive materials and hazardous energy sources, hazardous drugs and chemicals, blood and other potentially infectious materials.

CDC Biosafety in Microbiological and Biomedical Laboratories (BMBL) 5th Edition external link icon

DLIS Hazardous Materials Information Resource System external link icon

EPA Medical Waste Publications external link icon

EPA Pharmaceuticals external link icon

 NAP Prudent Practices in the Laboratory: Handling and Management of Chemical Hazards, Updated Version external link icon

NIOSH Control of Smoke from Laser/Electric Surgical Procedures external link icon

NIOSH Personal Protective Equipment for Health Care Workers Who Work with Hazardous Drugs external link icon

NIOSH Pocket Guide to Chemical Hazards external link icon

NIOSH Preventing Occupational Exposure to Antineoplastic and Other Hazardous Drugs in Health Care Settings external link icon

NIOSH Waste Anesthetic Gases - Occupational Hazards in Hospitals external link icon

OSHA Best Practices for the Safe Use of Glutaraldehyde in Healthcare external link icon

OSHA Hazard Communication Guidelines for Compliance external link icon

OSHA Model Plans and Programs for the OSHA Bloodborne Pathogens and Hazard Communications Standards external link icon

OSHA Permissible Exposure Limits - Annotated Tables external link icon


Fire Safety

Guidance to assist healthcare organizations in protecting occupants from fire, smoke, and panic and maintaining fire protection systems, equipment, and means of egress.

FDA Preventing Surgical Fires external link icon

FDA Public Health Notification: Safety Tips for Preventing Hospital Bed Fires external link icon

ECRI Surgical Fire Prevention external link icon

 NFPA Health Care Interpretations Task Force (HITF) external link icon

OSHA How to Plan for Workplace Emergencies and Evacuations external link icon


Medical Equipment

Guidance to help healthcare organizations manage medical equipment risks from equipment failure and biological contamination.

 AACN Strategies for Managing Alarm Fatigue external link icon

 AAMI/ECRI: Executive Insights on Healthcare Technology Safety (New) external link icon

 AHRQ: Multifaceted Initiative to Reduce "Alarm Fatigue" on Cardiac Unit Reduces Alarms and Increases Nurse and Patient Satisfaction external link icon

ECRI Alarm Safety Resource Site external link icon

FDA Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment external link icon

FDA Public Health Notification from FDA, CDC, EPA and OSHA: Avoiding Hazards with Using Cleaners and Disinfectants on Electronic Medical Equipment external link icon



Guidance to help healthcare organizations manage risks from utilities system disruptions and biological contamination.

 ASHRAE Guideline 12-2000 Legionellosis external link icon

 Guidelines for Control of Legionella in Ornamental Water Features external link icon

CDC Legionella external link icon

OSHA Control of Hazardous Energy Lockout/Tagout external link icon

OSHA Controlling Electrical Hazards external link icon

OSHA Hand and Power Tools external link icon

OSHA Preventing Mold-Related Problems in the Indoor Workplace external link icon


Emergency Management

Emergency Management is another chapter related to the Physical Environment.
Organizations need to plan to respond to the effects of potential emergencies.

Listed below is guidance to help healthcare organizations manage emergencies by assessing threats, developing a comprehensive emergency response plan, and evaluating the effectiveness of emergency response strategies.

 AHRQ Hospital Evacuation Decision Guide external link icon

AHRQ Hospital Assessment and Recovery Guide external link icon

ATSDR Managing Hazardous Materials Incidents external link icon

 Hospital Incident Command System 2014 HICS Revision external link icon

CDC Agents, Diseases, and Other Threats (A to Z) external link icon

CDC Laboratory Information external link icon

CDC Mass Casualty Event Preparedness and Response external link icon

CDC Trauma and Disaster Mental Health Resources external link icon

DOT 2012 Emergency Response Guidebook external link icon

HHS: Incorporating Active Shooter Incident Planning into Healthcare Facility Emergency Operations Plan external link icon

NIOSH Guidance on Emergency Responder Personal Protective Equipment (PPE) for Response to CBRN Terrorism Incidents external link icon

NIOSH Protecting Emergency Responders, Volume 3 external link icon

NIOSH Recommendations for the Selection and Use of Respirators and Protective Clothing for Protection Against Biological Agents external link icon

OSHA Best Practices for Hospital-Based First Receivers of Victims from Mass Casualty Incidents Involving the Release of Hazardous Substances external link icon

OSHA Best Practices for Protecting EMS Responders During Treatment and Transport of Victims of Hazardous Substance Releases external link icon

OSHA Fire and Explosion Planning Matrix external link icon

OSHA Pandemic Influenza Preparedness and Response Guidance for Healthcare Workers and Healthcare Employers external link icon


Infection Control

The infection prevention and control chapter helps healthcare organizations reduce the number of health care-associated infections linked to failures in the environment of care.

Listed below is guidance to help healthcare organizations implement infection control measures to prevent the transmission of infectious agents.

CDC Vaccine Storage and Handling Toolkit external link icon

CDC Guidelines for Environmental Infection Control in Healthcare Facilities external link icon

CDC Guidelines for Preventing Transmission of mycobacterium tuberculosis in Healthcare Settings external link icon

CDC Healthcare-Associated Infections (HAI) external link icon

EPA's Registered Sterilizers, Tuberculocides, and Antimicrobial Products Against Certain Human Public Health Bacteria and Viruses external link icon

FDA-Cleared Sterilants and High Level Disinfectants with General Claims for Processing Reusable Medical and Dental Devices external link icon

NIOSH Environmental Control for Tuberculosis: Basic Upper-Room Ultraviolet Germicidal Irradiation Guidelines for Healthcare Settings external link icon

HLAC Accreditation Standards for Processing Reusable Textiles for Use in Healthcare Facilities external link icon



Standards and Guidelines

Authoritative standards and guidelines are developed by technical or professional societies or by national and international standards-setting organizations.

Compliance is voluntary; however, many government regulators now accept adherence to authoritative standards and guidelines as sufficient for meeting their regulatory requirements especially in the absence of laws.

Listed below are recognized standards-producing organizations.

Standards and guidelines may be purchased through the individual organizations

ACGIH Threshold Limit Values (TLVs®) and Biological Exposure Indices (BEIs®) external link icon

Air-Conditioning, Heating, and Refrigeration Institute Standards external link icon

American National Standards Institute external link icon

American Society of Heating, Refrigerating and Air-Conditioning Engineers Standards external link icon

Association for the Advancement of Medical Instrumentation’s Standards and Recommended Practices external link icon

American Society of Mechanical Engineers external link icon

American Society for Testing and Materials Standards external link icon

 ASIS Online (New) external link icon

Association for Professionals in Infection Control and Epidemiology Standards external link icon

Compressed Gas Association’s American National Standards external link icon

ECRI Institute external link icon

Facility Guidelines Institute: Guidelines for Design and Construction of Health Care Facilities external link icon

 Health Physics Society external link icon

Illuminating Engineering Society of North America external link icon

Institute of Electrical and Electronic Engineers external link icon

International Association of Healthcare Security and Safety (New) external link icon

International Electrotechnical Commission external link icon

Joint Commission Resources external link icon 

 National Fire Protection Association Codes and Standards external link icon

United States Pharmacopeia–National Formulary (USP–NF) external link icon

Underwriters Laboratory Standards for Safety external link icon