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4.26 4.26 LABOR AND POLICY\\Workplace Violence Prevention Program Policy – Adopt Amended – 1-1-2021 RESOLUTION AUTHORIZING ADOPTION OF AMENDED TOWN OF QUEENSBURY WORKPLACE VIOLENCE PREVENTION PROGRAM RESOLUTION NO.:_______________________________________________, 2021 INTRODUCED BY: _______________________________________________ WHO MOVED ITS ADOPTION SECONDED BY: _______________________________________________ WHEREAS, the Queensbury Town Board has long recognized the value of its employees by seeking to provide a safe working environment for each and every Town employee and minimize the risk of workplace violence, and WHEREAS, by Resolution Nos: 144 and 167 of 2018, the Town Board authorized adoption of an amended Workplace Violence Prevention Program (“Program”), and WHEREAS, the Town Board wishes to authorize an amended Program to include a new Appendix E regarding establishment of a Workplace Violence Prevention Advisory Committee as presented at this meeting, NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby authorizes the adoption of the amended Town of Queensbury Workplace Violence Prevention Program substantially in the form presented at this meeting and authorizes and directs the Town Supervisor to make arrangements for the distribution of copies to all Town employees, including members of the Town’s Unit of the Civil Service Employees Association, and BE IT FURTHER, RESOLVED, that the Town Board further authorizes and directs the Town Supervisor to forward a certified copy of this Resolution along with the amended Workplace Violence Prevention Program to the appropriate representatives of the New York State Department of Labor if needed, and the Town Supervisor, Town Safety Officer, Town Counsel and/or Town Budget Officer to take any actions necessary to effectuate the terms of this Resolution. st Duly adopted this 1 day of January, 2021, by the following vote: AYES : NOES : ABSENT : Appendix E Workplace Violence Prevention Advisory Committee • Committee Members • Committee Duties - The workplace violence prevention committee shall consist of the follow ing individuals: Town Supervisor Town Supervisor Administrative Assistant Human Resource Representative Town Safety Officer Union Representative (As needed) Labor Counsel (as Needed) - The duties of the Committee, will as a minimum consist of the following: Perform the required annual policy review Participate in workplace site assessments as required. It may be necessary to solicit assistance from other employs such as Director of Building and Grounds, for the evaluations Be convened upon receipt of a workplace violence incident report. The Committee will discuss a plan of action to address the report. Be convened for a disposition conference at the conclusion of an incident investigation and follow up Make recommendations for changes to the Workplace Violence Policy Town of Queensbury Workplace Violence Prevention Program Adopted April 2,2018 Table of Contents Pate No. Introduction 1 Purpose 1 Statement of Program 2 Scope of Program 2 Application of Program 2 Training 2 Reporting of Violence 3 Workplace Risk Evaluation 4 Introduction 4 Risk Evaluation and Methods to Prevent Incidents 4 Hierarchy of Controls 4 Program Review Plan 4 Appendix "A" 5 Workplace Violence Prevention Policy Statement 5 Appendix "B" 6 Workplace Violence Incident Report 6 Appendix "C" 7 Explain Risk Factors and Protection Measures from Workplace Assessment 7 Clerical 8 Public Officials 9 Appendix "D" Site Specific Assessment and Hazards 10-72 i Overview Workplace Violence Prevention Program Introduction Workplace violence presents a serious occupational safety hazard for workers. On June 7,2006,New York State enacted legislation that requires the Town of Queensbury to perform a risk evaluation of its workplaces and develop and implement programs to prevent and minimize workplace assaults and homicides. The Town of Queensbury along with the authorized union representatives, were given the opportunity and assisted in the development of this program,the evaluation of the physical and environmental threats which they face, and the annual review of the workplace violence program. The Town of Queensbury has adopted a Workplace Violence Prevention Policy Statement which is attached hereto as Appendix"A." Purpose The purpose of the Workplace Violence Prevention Program is to provide information to managers, supervisors,and employees about preventing and responding to incidents of workplace violence or threats of violence and the "New York State Public Employer Workplace Violence Prevention Law"contained in Section 27-b of the New York State Labor Law. The goals of the program are: 1. To reduce the probability of threats or acts of violence in the workplace, and 2. To ensure that any incident, complaint, or report of violence is taken seriously and dealt with in a timely manner. The Town of Queensbury will not tolerate violence in the workplace. All incidents, complaints, and or reports of violence and threats of violence,will be taken seriously because the Town of Queensbury is committed to providing its employees with a reasonably safe and secure work environment. The Town of Queensbury's Workplace Violence Prevention Policy Statement will be conspicuously posted in each location as well as on the Intranet to advise all employees where they may report violations. 1 The purpose of this program is to address the issue of potential workplace violence, prevent workplace violence from occurring to the fullest extent possible, and set forth procedures to be followed when such violence has occurred. Statement of Program Violence and threats of violence in the workplace will not be tolerated by the Town of Queensbury. Examples of workplace violence can include oral or written statements, gestures, or expressions that communicate a direct or indirect physical threat of harm. Such behavior will be taken seriously and will be dealt with appropriately. Scope of Program All the Town of Queensbury employees are required to comply with this program. In addition, since visitors of the Town of Queensbury owned property and facilities are required to conduct themselves in a non-violent manner in conformity with existing law, employees who observe or experience visitors of the Town of Queensbury property engaging in violent behavior should follow the procedures in our policy for the reporting such behavior. Application of Program Violence and other physical disruptive behavior by or against an employee of the Town of Queensbury are unacceptable. Individuals who commit such acts may be removed from the premises and may be subject to appropriate disciplinary action, including, where legally appropriate,termination of employment and or criminal penalties. Training All employees will be informed of the requirements of the law, the risk factors in their workplace, and the location of the written workplace violence prevention program. Training is also required for employees on the measures they can take to protect themselves from the risks identified in the assessment and the details of the written workplace violence prevention program. Employee workplace violence training is to be provided annually. 2 Reporting of Violence An effective reporting system: (1) protects the Town of Queensbury's employees from harm in the workplace; (2) assists management in its effort to maintain a safe and productive work environment; and (3) ensures management the opportunity to investigate and determine the cause(s) and make recommendations to minimize recurrence. All workplace violence incident reports must be in writing. Any employee who witnesses or encounters any act of violence should: A Complete and submit the"Workplace Violence Incident Report"attached hereto as Appendix "B"and is available on the intranet or with their Department Manager. The Town of Queensbury will take necessary action. Any employee who believes that an imminent danger exists should bring the matter to the Town of Queensbury's immediate attention. ® Immediately notify his/her supervisor and/or HR, as appropriate ® As appropriate, notify building security ▪ As appropriate, call 911 Supervisors/managers should approach such situations with caution, balancing the need to maintain an orderly workplace with personal safety. Following notification, if the Town of Queensbury's management has been given reasonable time to take corrective action and no such action has been taken,the employee or his or her representative may inform the Commissioner of Labor of the danger and request that an inspection be conducted. Such request must be in writing and include with a reasonable level of specificity the grounds of the notice. The Town of Queensbury is prohibited by law from taking any retaliatory action against any employee who: (1)has made the Town of Queensbury management aware of what the employee deems to be an imminent danger; (2) has requested that the Commissioner of Labor conduct an inspection; or (3) accompanies the Commissioner during an inspection of the Agencies,pursuant to §27-b.6 of Article 2 of the State Labor Law. 12 NYCRR Part 500.6(g)(2)(viii) Note: Nothing in this part shall require the disclosure of information otherwise kept confidential for security reasons. Such information may include information which,if disclosed: 6 Would interfere with law enforcement investigations or judicial proceedings; O Would deprive a person of a right to a fair trial or impartial adjudication; O Would identify a confidential source or disclose confidential information relating to a criminal investigation; O Would reveal criminal investigative techniques or procedures, except routine techniques and procedures; or e Would endanger the life or safety of any person. 3 Workplace Risk Evaluation Introduction Certain factors or situations may place employees at a greater risk of workplace violence. This workplace evaluation is based upon surveys of all of the Town of Queensbury's facilities conducted by Town of Queensbury representatives and authorized employee representatives. Risk Evaluation and Methods to Prevent Incidents Workplace violence can occur in any workplace setting. However, some settings or factors may pose a greater degree of workplace violence risk. Employment situations or factors that may pose higher risks for the Town of Queensbury employees include, but not limited to: O Working public settings • Working alone in small numbers O Having a mobile workplace assignment, and O Worker on worker workplace violence Records Examination and Risk Evaluations were also conducted and the methods and means by which the hazards are being addressed are listed in the document "Explain Risk Factors and Protective Measure from Workplace Assessment attached hereto as Appendix "C"."All Town of Queensbury sites were surveyed along with authorized employee representatives and hazards are identified in"Explain Risk Factors and Protective Measure from Workplace Assessment." Hierarchy of Controls A hierarchy of controls to which the program shall adhere as follows: engineering controls, work practice controls, and finally personal protective equipment. Program Review Plan The Town of Queensbury has a plan for program review and update on at least an annual basis. Such review and update shall set forth any mitigating steps taken in response to any incident of workplace violence. The review will also include the participation of the authorized employee representative(s). 4 APPENDIX"A" Workplace Violence Prevention Policy Statement The Town of Queensbury is committed to the safety and security of our employees. Workplace violence presents a serious occupational safety hazard to our agency, staff, and clients. Threats,threatening behavior,or acts of violence against the Town of Queensbury's employees where any work related duty is performed will be thoroughly investigated and appropriate action will be taken, including summoning criminal justice authorities when warranted. All employees are responsible for helping to create an environment of mutual respect for each other as well as clients, following all policies, procedures and program requirements, and for assisting in maintaining a safe and secure work environment. This policy is designed to meet the requirements of NYS Labor Law 27b and highlights some of the elements that are found within our Workplace Violence Prevention Program. The process involved in complying with this law included a workplace evaluation that was designed to identify the workplace violence hazards our employees could be exposed to. Authorized Employee Representative(s) will, at a minimum, be involved in: o The evaluation of the physical environment; O The development of the Workplace Violence Prevention Program and; o The review of workplace violence incident reports at least annually to identify trends in the types of incidents in the workplace and review of the effectiveness of the mitigating actions taken. All employees will participate in the annual Workplace Violence Prevention Training Program. The goal of this policy is to promote the safety and well-being of all people in our workplace. All incidents of violence or threatening behavior will be responded to immediately upon notification. All Town of Queensbury personnel are responsible for notifying the contact person designated below of any violent incidents, threatening behavior,including threats they have witnessed,received, or have been told that another person has witnessed or received. First Contact Person: Direct Department Supervisor Second Contact Person: Town Supervisor's office—Executive Assistant or Town Supervisor 5 APPENDIX"B" Workplace Violence Incident Report 1. Date of Incident 2. Time of day/shift when the incident occurred 3. Workplace Location where incident occurred 4. Provide a detailed description of the incident including: Events leading up to the incident and how the incident ended; Names and job title of involved employee(s); Name or other identifier of other individuals involved; Nature and extent of injuries arising from the incident and; Name of witnesses Name of Employee Reporting the Incident(Optional) Note: Refer to 12 NYCRR Part 800.6 Section (i)(3)(ii)for special instruction on privacy concern cases. Print additional sheets if necessary. Date 6 APPENDIX "C'„ Explain Risk Factors and Pr,,tection Measures from Workplace Assessment Highway/Water and Waste Water Dept./Recreation/Maintenance/Recycling A. Working in remote work assignments- .) Employees will work hours assigned by their supervisor and will notify supervisor of any needed change in work schedule. Employees should be aware of closest phone or radio for 911 calls a. Dealing with irritated people outside of fellow staff 0 Employees are to keep calm and not escalate the situation and walk away from irate individuals and call 911 if necessary C. Employee internal disputes • Employees will be instructed that screaming,yelling, cursing, make derogatory remarks about each other is unacceptable behavior in the work place. • Internal arguing and yelling will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If you cannot exit you need to take appropriate action to get away. If there has been a threat of workplace violence,fill out an incident report. D. Employee External disputes o Employees will be instructed that this is unacceptable behavior in the work place. a Arguing and yelling with residents or individuals from the outside will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If there has been a threat of workplace violence, fill out an incident report. Field Service Personnel (Fire Marshal, Code Enforcement, Appraiser) A. Dealing with irate people in the field o See Above B. Dealing with irate people in the office/counter o See Above e Activate panic buttons if available e Notify direct or appropriate supervisor o Notify others in the building if warranted o Limit public access to public areas only C. Conflict via phone o Do not escalate situation and speak calmly © Take notes o Notify direct or appropriate supervisor. 7 Clerical A. Dealing with irritated people at windows or open counters, including handling of cash. Residents access open offices • Employees will be instructed on when to call 911 and to make others in the building aware of an emergency. • The public will be kept out of offices whenever practical • Alternate persons will make cash bank deposits at different times of day. o Employees will be trained on keeping calm if an irate person confronts them. Employees will not get into vocal confrontations with the public. Such behavior is unacceptable. Employees should notify and involve their supervisor and let them handle it if warranted. B. Irate people attending court, board meetings and public hearings e Instructions will be given on use of the panic button in the meeting room,the building intercom as well where there is a phone available to dial 911 will be given during training. Officials and the public will be advised of emergency exits at the beginning of all public meetings. C. Working alone in the building C Employees will work hours that have been assigned by their supervisor and will notify their supervisor of any needed change in work schedule. Employees should be aware of closest phone for 911 calls D. Employee internal disputes C Employees will be instructed that this is unacceptable behavior in the work place. Internal arguing and yelling will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If there has been a threat of workplace violence,fill out an incident report 8 Public Officials Irate people attending court, board meetings and public hearings o Officials and the public will be advised of emergency exits at the beginning of all public meetings. • Instructions will be given on use of the panic button in the meeting room, where there is a phone available to dial 911 will be given during training. o Elected and appointed officials will be trained on the proper conduct for officials at public meetings. Officials will not get into vocal confrontations with the public or each other e Court bailiffs will be present for court nights and metal detectors used to screen all attending court. The rear door of court room (by restrooms) will be locked so court attendees cannot enter once exiting that door Employee internal disputes o Employees will be instructed that yelling and fighting is unacceptable behavior in the work place. Internal arguing and yelling will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If there has been a threat of workplace violence, fill out an incident report. EMPLOYEE TRAINING Employees will be trained about the physical risks at their respective places of employment with regard to workplace violence by their Department Head and/or supervisor. See Appendix D for physical hazards. 9 nci- afoc APPENDIX "D" Toul S e\ ) sOr "Tc A.[ieric cce'e&S 1 This is the name of each building evaluated, followed by the names of the persons performing the evaluation, a physical description of each building evaluated and the specific hazards identified during this evaluation. Senior Center: Chuck Rice and Susan Sheehan • This is a two-story building with the downstairs (basement) containing storage and a wood shop used by the employees of buildings and grounds. The building Is very busy daily with programs for seniors. There are no areas of previous security concerns with these activities. The biggest concern is the employee from buildings and grounds who is alone in this building in the evenings for cleaning. This will be a recurring theme for shift workers and a "panic" button to be worn on their person seems a reasonable solution. Town Board meeting every other Monday may at some time present a security concern if there are any contentious issues. There are no safety officers staffed for these potential occurrences. TOWN OFFICE CAMPUS BUILDING: Two story building housing multiple departments. Seven entrances to building and many windows. Security/safety breakdowns are below for each department. Supervisor's Office: Chuck Rice and Susan Sheehan This area contains the receptionist area for the administrative assistant and the supervisor's office. The main safety/security concern in this area is a visit from a disgruntled member of the public. There are panic buttons and paths of egress for the Supervisor, but not for the administrative assistant. Accounting Department: Chuck Rice and SUsan Sheehan This department has stellar security in place. No concerns here. 10 Appendix E Workplace Violence Prevention Advisory Committee • Committee Members • Committee Duties - The workplace violence prevention committee shall consist of the follow ing individuals: Town Supervisor Town Supervisor Administrative Assistant Human Resource Representative Town Safety Officer Union Representative (As needed) Labor Counsel (as Needed) - The duties of the Committee, will as a minimum consist of the following: Perform the required annual policy review Participate in workplace site assessments as required. It may be necessary to solicit assistance from other employs such as Director of Building and Grounds, for the evaluations Be convened upon receipt of a workplace violence incident report. The Committee will discuss a plan of action to address the report. Be convened for a disposition conference at the conclusion of an incident investigation and follow up Make recommendations for changes to the Workplace Violence Policy Town of Queensbury Workplace Violence Prevention Program Adopted April 2,2018 Table of Contents Page No. Introduction 1 Purpose 1 Statement of Program 2 Scope of Program 2 Application of Program 2 Training 2 Reporting of Violence 3 Workplace Risk Evaluation 4 Introduction 4 Risk Evaluation and Methods to Prevent Incidents 4 Hierarchy of Controls 4 Program Review Plan 4 Appendix "A" 5 Workplace Violence Prevention Policy Statement 5 Appendix "B" 6 Workplace Violence Incident Report 6 Appendix "C" 7 Explain Risk Factors and Protection Measures from Workplace Assessment 7 Clerical 8 Public Officials 9 Appendix "D" Site Specific Assessment and Hazards 10-72 i Overview Workplace Violence Prevention Program Introduction Workplace violence presents a serious occupational safety hazard for workers. On June 7, 2006,New York State enacted legislation that requires the Town of Queensbury to perform a risk evaluation of its workplaces and develop and implement programs to prevent and minimize workplace assaults and homicides. The Town of Queensbury along with the authorized union representatives, were given the opportunity and assisted in the development of this program,the evaluation of the physical and environmental threats which they face,and the annual review of the workplace violence program. The Town of Queensbury has adopted a Workplace Violence Prevention Policy Statement which is attached hereto as Appendix"A." Purpose The purpose of the Workplace Violence Prevention Program is to provide information to managers, supervisors, and employees about preventing and responding to incidents of workplace violence or threats of violence and the "New York State Public Employer Workplace Violence Prevention Law"contained in Section 27-b of the New York State Labor Law. The goals of the program are: 1. To reduce the probability of threats or acts of violence in the workplace, and 2. To ensure that any incident, complaint, or report of violence is taken seriously and dealt with in a timely manner. The Town of Queensbury will not tolerate violence in the workplace. All incidents, complaints, and or reports of violence and threats of violence, will be taken seriously because the Town of Queensbury is committed to providing its employees with a reasonably safe and secure work environment. The Town of Queensbury's Workplace Violence Prevention Policy Statement will be conspicuously posted in each location as well as on the Intranet to advise all employees where they may report violations. 1 The purpose of this program is to address the issue of potential workplace violence, prevent workplace violence from occurring to the fullest extent possible, and set forth procedures to be followed when such violence has occurred. Statement of Program Violence and threats of violence in the workplace will not be tolerated by the Town of Queensbury. Examples of workplace violence can include oral or written statements, gestures, or expressions that communicate a direct or indirect physical threat of harm. Such behavior will be taken seriously and will be dealt with appropriately. Scope of Program All the Town of Queensbury employees are required to comply with this program. In addition, since visitors of the Town of Queensbury owned property and facilities are required to conduct themselves in a non-violent manner in conformity with existing law, employees who observe or experience visitors of the Town of Queensbury property engaging in violent behavior should follow the procedures in our policy for the reporting such behavior. Application of Program Violence and other physical disruptive behavior by or against an employee of the Town of Queensbury are unacceptable. Individuals who commit such acts may be removed from the premises and may be subject to appropriate disciplinary action, including,where legally appropriate,termination of employment and or criminal penalties. Training All employees will be informed of the requirements of the law,the risk factors in their workplace, and the location of the written workplace violence prevention program. Training is also required for employees on the measures they can take to protect themselves from the risks identified in the assessment and the details of the written workplace violence prevention program. Employee workplace violence training is to be provided annually. 2 Reporting of Violence An effective reporting system: (1) protects the Town of Queensbury's employees from harm in the workplace; (2) assists management in its effort to maintain a safe and productive work environment; and (3)ensures management the opportunity to investigate and determine the cause(s) and make recommendations to minimize recurrence. All workplace violence incident reports must be in writing. Any employee who witnesses or encounters any act of violence should: • Complete and submit the"Workplace Violence Incident Report"attached hereto as Appendix"B"and is available on the intranet or with their Department Manager. The Town of Queensbury will take necessary action. Any employee who believes that an imminent danger exists should bring the matter to the Town of Queensbury's immediate attention. • Immediately notify his/her supervisor and/or BR, as appropriate • As appropriate,notify building security • As appropriate, call 911 Supervisors/managers should approach such situations with caution, balancing the need to maintain an orderly workplace with personal safety. Following notification, if the Town of Queensbury's management has been given reasonable time to take corrective action and no such action has been taken,the employee or his or her representative may inform the Commissioner of Labor of the danger and request that an inspection be conducted. Such request must be in writing and include with a reasonable level of specificity the grounds of the notice. The Town of Queensbury is prohibited by law from taking any retaliatory action against any employee who: (1)has made the Town of Queensbury management aware of what the employee deems to be an imminent danger; (2) has requested that the Commissioner of Labor conduct an inspection; or (3) accompanies the Commissioner during an inspection of the Agencies,pursuant to §27-b.6 of Article 2 of the State Labor Law. 12 NYCRR Part 800.6(g)(2)(viii)Nate: Nothing in this part shall require the disclosure of information otherwise kept confidential for security reasons. Such information may include information which, if disclosed: • Would interfere with law enforcement investigations or judicial proceedings; • Would deprive a person of a right to a fair trial or impartial adjudication; • Would identify a confidential source or disclose confidential information relating to a criminal investigation; • Would reveal criminal investigative techniques or procedures,except routine techniques and procedures; or • Would endanger the life or safety of any person. 3 Workplace Risk Evaluation Introduction Certain factors or situations may place employees at a greater risk of workplace violence. This workplace evaluation is based upon surveys of all of the Town of Queensbury's facilities conducted by Town of Queensbury representatives and authorized employee representatives. Risk Evaluation and Methods to Prevent Incidents Workplace violence can occur in any workplace setting. However, some settings or factors may pose a greater degree of workplace violence risk. Employment situations or factors that may pose higher risks for the Town of Queensbury employees include, but not limited to: • Working public settings • Working alone in small numbers • Having a mobile workplace assignment,and • Worker on worker workplace violence Records Examination and Risk Evaluations were also conducted and the methods and means by which the hazards are being addressed are listed in the document"Explain Risk Factors and Protective Measure from Workplace Assessment attached hereto as Appendix"C"."All Town of Queensbury sites were surveyed along with authorized employee representatives and hazards are identified in"Explain Risk Factors and Protective Measure from Workplace Assessment." Hierarchy of Controls A hierarchy of controls to which the program shall adhere as follows: engineering controls, work practice controls,and finally personal protective equipment. Program Review Plan The Town of Queensbury has a plan for program review and update on at least an annual basis. Such review and update shall set forth any mitigating steps taken in response to any incident of workplace violence. The review will also include the participation of the authorized employee representative(s). 4 APPENDIX"A" Workplace Violence Prevention Policy Statement The Town of Queensbury is committed to the safety and security of our employees. Workplace violence presents a serious occupational safety hazard to our agency,staff, and clients. Threats,threatening behavior, or acts of violence against the Town of Queensbury's employees where any work related duty is performed will be thoroughly investigated and appropriate action will be taken, including summoning criminal justice authorities when warranted. All employees are responsible for helping to create an environment of mutual respect for each other as well as clients, following all policies, procedures and program requirements, and for assisting in maintaining a safe and secure work environment. This policy is designed to meet the requirements of NYS Labor Law 27b and highlights some of the elements that are found within our Workplace Violence Prevention Program. The process involved in complying with this law included a workplace evaluation that was designed to identify the workplace violence hazards our employees could be exposed to. Authorized Employee Representative(s)will, at a minimum, be involved in: • The evaluation of the physical environment; E The development of the Workplace Violence Prevention Program and; O The review of workplace violence incident reports at least annually to identify trends in the types of incidents in the workplace and review of the effectiveness of the mitigating actions taken. All employees will participate in the annual Workplace Violence Prevention Training Program. The goal of this policy is to promote the safety and well-being of all people in our workplace. All incidents of violence or threatening behavior will be responded to immediately upon notification. All Town of Queensbury personnel are responsible for notifying the contact person designated below of any violent incidents,threatening behavior,including threats they have witnessed,received, or have been told that another person has witnessed or received. First Contact Person: Direct Department Supervisor Second Contact Person: Town Supervisor's office—Executive Assistant or Town Supervisor 5 APPENDIX"B" Workplace Violence Incident Report 1. Date of Incident 2. Time of day/shift when the incident occurred 3. Workplace Location where incident occurred 4. Provide a detailed description of the incident including: Events leading up to the incident and how the incident ended; Names and job title of involved employee(s); Name or other identifier of other individuals involved; Nature and extent of injuries arising from the incident and; Name of witnesses Name of Employee Reporting the Incident(Optional) Note: Refer to 12 NYCRR Part 800.6 Section(i)(3)(ii)for special instruction on privacy concern cases. Print additional sheets if necessary. Date 6 APPENDIX"C" Explain Risk Factors and Protection Measures from Workplace Assessment Highway/Water and Waste Water Dept./Recreation/Maintenance/Recycling A. Working in remote work assignments- • Employees will work hours assigned by their supervisor and will notify supervisor of any needed change in work schedule. Employees should be aware of closest phone or radio for 911 calls B. Dealing with irritated people outside of fellow staff e Employees are to keep calm and not escalate the situation and walk away from irate individuals and call 911 if necessary C. Employee internal disputes • Employees will be instructed that screaming,yelling, cursing, make derogatory remarks about each other is unacceptable behavior in the work place. © Internal arguing and yelling will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If you cannot exit you need to take appropriate action to get away. If there has been a threat of workplace violence, fill out an incident report. D. Employee External disputes © Employees will be instructed that this is unacceptable behavior in the work place. © Arguing and yelling with residents or individuals from the outside will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If there has been a threat of workplace violence, fill out an incident report. Field Service Personnel (Fire Marshal, Code Enforcement, Appraiser) A. Dealing with irate people in the field • See Above B. Dealing with irate people in the office/counter m See Above • Activate panic buttons if available e Notify direct or appropriate supervisor • Notify others in the building if warranted • Limit public access to public areas only C. Conflict via phone • Do not escalate situation and speak calmly o Take notes © Notify direct or appropriate supervisor. 7 Clerical A. Dealing with irritated people at windows or open counters, including handling of cash. Residents access open offices • Employees will be instructed on when to call 911 and to make others in the building aware of an emergency. • The public will be kept out of offices whenever practical • Alternate persons will make cash bank deposits at different times of day. • Employees will be trained on keeping calm if an irate person confronts them. Employees will not get into vocal confrontations with the public. Such behavior is unacceptable. Employees should notify and involve their supervisor and let them handle it if warranted. B. Irate people attending court,board meetings and public hearings • Instructions will be given on use of the panic button in the meeting room,the building intercom as well where there is a phone available to dial 911 will be given during training. • Officials and the public will be advised of emergency exits at the beginning of all public meetings. C. Working alone in the building • Employees will work hours that have been assigned by their supervisor and will notify their supervisor of any needed change in work schedule. Employees should be aware of closest phone for 911 calls D. Employee internal disputes • Employees will be instructed that this is unacceptable behavior in the work place. Internal arguing and yelling will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If there has been a threat of workplace violence,fill out an incident report 8 Public Officials Irate people attending court, board meetings and public hearings • Officials and the public will be advised of emergency exits at the beginning of all public meetings. • Instructions will be given on use of the panic button in the meeting room, where there is a phone available to dial 911 will be given during training. • Elected and appointed officials will be trained on the proper conduct for officials at public meetings. Officials will not get into vocal confrontations with the public or each other • Court bailiffs will be present for court nights and metal detectors used to screen all attending court. The rear door of court room (by restrooms)will be locked so court attendees cannot enter once exiting that door Employee internal disputes • Employees will be instructed that yelling and fighting is unacceptable behavior in the work place. Internal arguing and yelling will not be tolerated. Employees need to walk away and exit the area immediately then report incident to their Supervisor. If there has been a threat of workplace violence, fill out an incident report_ EMPLOYEE TRAINING Employees will be trained about the physical risks at their respective places of employment with regard to workplace violence by their Department Head and/or supervisor. See Appendix D for physical hazards. 9 APPENDIX 'D" This is the name of each building evaluated, followed by the names of the persons performing the evaluation, a physical description of each building evaluated and the specific hazards identified during this evaluation. Senior Center: Chuck Rice and Susan Sheehan • This is a two-story building with the downstairs (basement) containing storage and a wood shop used by the employees of buildings and grounds. The building is very busy daily with programs for seniors. There are no areas of previous security concerns with these activities. The biggest concern is the employee from buildings and grounds who is alone in this building in the evenings for cleaning. This will be a recurring theme for shift workers and a "panic" button to be worn on their person seems a reasonable solution. Town Board meeting every other Monday may at some time present a security concern if there are any contentious issues. There are no safety officers staffed for these potential occurrences. TOWN OFFICE CAMPUS BUILDING: Two story building housing multiple departments. Seven entrances to building and many windows. Security/safety breakdowns are below for each department. Supervisor's Office: Chuck Rice and Susan Sheehan This area contains the receptionist area for the administrative assistant and the supervisor's office. The main safety/security concern in this area is a visit from a disgruntled member of the public. There are panic buttons and paths of egress for the Supervisor, but not for the administrative assistant. Accounting Department: Chuck Rice and Susan Sheehan This department has stellar security in place. No concerns here. 10 Department of Parks and Recreation: Chuck Rice and Susan Sheehan Though there is an adequate barrier to the public in the reception atrium, the Clerk from Parks and Recreation has been tasked with greeting all persons who enter the atrium to visit the office building. They should be equipped with a panic button for emergency calls for help. Assessor's Office: Chuck Rice and Susan Sheehan This office should NOT have open counter space. If there is a need to interview a taxpayer (for an assessment review, for example) they should take them into the Supervisor's conference room or be provided with a separate interview area. There is no protection from disgruntled persons and the employee present during this assessment says they are not uncommon. A barrier should be provided that protects the employee from any type of potential assault. Town Clerk's Office: Chuck Rice and Susan Sheehan The only time that persons other than employees need to be behind the counter is for FOIL requests. The glass barrier separating the employees of this office from the public is not bulletproof. It is essentially useless. Zoning and Buildings and Codes: Chuck Rice and Susan Sheehan This department is extremely secure. No potential problems identified. Buildings and Grounds: Chuck Rice and Susan Sheehan Though the offices for this department are downstairs in the Town Office Building, there are many satellite locations where the employees of this department also go to perform their assigned tasks, including: Town Court, State Police Barracks, Banner at Quaker and Bay, Aviation Rd. Welcome sign, roundabout Aviation and Dixon, Queensbury EDC Dix Avenue, Bus 11 stop Media Drive, Sunnyside Historical and maintain kiosk at Main Street. This work is largely outside and there is minimal interaction with the public. Highway Department and Historian: Mike Palmer and Susan Sheehan This assessment is for the administrative section of the Highway Department and the Historian's office. The camera that covers the lobby needs to have an angle change or there needs to be another camera installed. If the visitor rings the bell and proceeds to the door they are obscured from the camera angle by the hallway. This was the only , concern. Highway Department Garage: Mike Palmer and Susan Sheehan The Highway Department is slated to be refurbished and/or replaced. The areas of concern will most likely be addressed by having this done. It would be wise to note them here though. The Parts Shop is a cave. There is one path of egress and anyone can enter. This is dangerous for multiple reasons. In an active shooter situation, any employee (s) in this location would have to run towards the gunfire to escape. There should be another path of egress for this area. The next issue is the tight quarters for so large a number of employees that work LONG hours. The past incidence of workplace violence that the union has been made aware of in this department were worker on worker incidence. They need a LARGER more modern break area with more space to spread out and get away from others if they choose. Training on diffusing difficult situations is also called for and sexual harassment is imperative given the outstanding investigation into charges that all witnesses and the accused stated: "That's the environment here." UNACCEPTABLE Solid Waste (Ridge Rd. & Luzerne Rd.): Mike Palmer and Susan Sheehan The only risk to employees here (as disposing of one's trash doesn't in and of itself cause too much stress) are not in any imminent danger from the public. This can be re-evaluated annually. 12 Town Court: Mike Palmer and Susan Sheehan The courts (like the accounting department) is very secure and there are two security guards during court on Monday evenings. They are trained and armed. The employees had no issues with security. I would recommend perhaps one more panic button at a desk. There is one in the courtroom and one at the front window. Cemetery: Michelle Hatin and Susan Sheehan The cemetery is a fairly secure environment. Warren County Sheriffs patrol intermittently and the only area of some concern is that the receptionist and Cemetery Superintendent have only one path of egress and would be trapped in any time of concern. Crematorium: Michelle Hatin and Susan Sheehan The crematorium is secure. Water Department Administrative Building: Mike Palmer and Susan Sheehan The doors have locks and bars but are not always secured after hours providing entry to anyone. The reception desk downstairs has no barrier to the public and no panic button. Further, if confronted with a disgruntled individual, there is no way for the person to get out. They are trapped and there is no panic button. Each office downstairs should be armed with panic buttons. Water Treatment Plant: Mike Palmer and Susan Sheehan This is a non-secure facility in which there are often employees working alone throughout the night. There needs to be a different entry system for this facility and better protocol for outside contractors working after hours. Many times, the operator on duty is not even informed that there may be others in the facility after hours. Beside better security for the doors, the 13 employee on duty alone after hours should be armed with a panic device to summon assistance for emergencies. Water Distribution: Mike Palmer and Susan Sheehan Multiple exits. The prior report of violence here was employee on employee(s). As with the highway department, training in diffusing situations with difficult people would be warranted. Wastewater Department: Mike Palmer and Susan Sheehan No areas of concern here. Gurney Lane: Steve Lovering and Susan Sheehan Gurney Lane has not suffered any areas of safety concerns since doing away with the evening free swim. There is a supervisory employee there or available at all times to handle any issues that may arise with the public. Jenkensville Park: Steve Lovering and Susan Sheehan No areas of previous concern here. Plenty of exits from all buildings. Security (tag) system for entering the building should be applied to Water Treatment Plant. 14 DEPARTMENT: Senior Center Supervisor's Office Accounting Dept of Parks&Rec. Security Features YES NO N/A YES NO N/A YES NO N/A YES NO N/A Reception Area X X X X Barriers separating client from work area X X X x Separate Interview area X X X X Emergency Numbers posted by phones X X X X Multiple Exits X X X X Unobstructed Office Exits X X X X Door Control(s)lock,buzzer, panic bar some doors/not all X X X Door Detector alarm(s) X X X X Adequate lighting in and around X X X X Parking lot well lighted X X X X Panic Button(s) X X X Video Monitor(s) X X X X Landscaping to provide unobstructed view X X X X of workplace u7 Limiting signs on windows X X X X '~ Employee Risk Factors Working with the public X X X X Work late night or early morning X X X X Exchange money with the public X X X X Work alone or in small numbers X X X . X Work in a location with uncontrolled X X X X public access Areas of previous security concerns X X X X Any other factors that might place employees at risk Town Counsel Assessor's Office Town Clerk's Office Codes and Zoning YES NO N/A YES NO N/A YES NO N/A YES NO N/A X X X X X x X X X X X except FOILS X X X X X X X(shared door) X X X X X X X X X X X X X X X X X X X X X X ? X X X X X X X X X X X vD X X X X "" X X X X X X X X X X X X X X X X X X X X X ? X X X DEPARTMENT: Buildings and Grounds Highway Admin/Hist. Highway Garage Luz Rd.Solid Waste Security Features Yes No N/A Yes No N/A Yes No N/A Yes No N/A Reception Area X X X X Barriers separating clients for work area X X X X Separate Interview area X X X • X Emergency Numbers posted by phones X X X X Multiple Exits X X X X Unobstructed Office Exits X X X X Door Control(s) lock,buzzer,panic bar X X X X Door Detector alarm(s) X X X X Adequate lighting in and around X X X X Parking lot well lighted X X X X Panic Button(s) X X X X Video Monitor(s) X X X X Landscaping to provide unobstructed view X X X X of workplace e.. Limitinng signs on windows X X X X ,..4 Employee Risk Factors Working with the public X X X X Work late night or early morning X X X X Exchange money with the public X X X X Work alone or in small numbers X X X X Work in a location with uncontrolled X X X X public access Areas of previous security concerns X emp./emp. X X X Any other factors that might place employees at risk Ridge Rd.Solid Waste Courts Cemetery Crematorium Yes No N/A Yes No N/A Yes No N/A Yes No N/A X X x x x x X X X X X X x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x x oo x x x x X x x x x x x x x x x x x x x x x x x x x x x x DEPARTMENT: Wtr/W.Water Admin Water Plant Water Distribution Wastewater Dept. Security Features Yes No N/A Yes No N/A Yes No N/A Yes No N/A Reception Area X X X X Barriers separating client from work area X X X X Separate Interview area Xup Xdown X X X Emergency Numbers posted by phones X X X X Multiple Exits X X X X Unobstructed Office Exits Xup Xdown X X X Door Control(s)lock,buzzer,panic bar X X X X Door Detector alarm(s) X X X X Adequate lighting in and around X X X X Parking lot well lighted X X X X Panic Button(s) X X X X Video Monitor(s) X X X X Landscaping to provide unobstructed X X X X view of workplace as Limited signs on windows X X X X 1.* Employee Risk Factors Working with the public X X X X Work late night or early morning X X X sometimes X sometimes Exchange money with the public Xdown Xup X X X Work alone or in small numbers X X X X Work in a location with uncontrolled X X X X public access Areas of previous security concerns X X X X Any other factors that might place employees at risk Gurney Lane Rec. Jenkinsville Rec. Yes No N/A Yes No N/A X X X X X X X X X X X X X X X X X X X X X X X X X X X X x X x X x X x X x X X X Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Senior Center 1. Security Features Yes No N/A Reception Area J Barriers separating clients from work area Separate Interview Area(s) f % Emergency Numbers Posted by Phones / Multiple Exits Unobstructed Office Exits I/ .. Door Control(s) lock, buzzer,panic bar so d05 Door Detector(s) alarm Adequate lighting In and around ✓� Parking Lot well lighted �f Panic Button(s) / Video Monitor(s).Q�/�ttLe D .pI Qa ✓ ) 4& Landscaping to provide LOW otga.63 unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public �/ l Work late night or early morning Exchange money with public / Work alone or in small numbers V/ Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees at risk ei/ d n attn. --414-55 .. 21 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features,areas of concern related to security 51,nreee- - - 6 ►, ;) s4, . � Wed. gam. d • 3 ri,( 4- • I LI- 5(2.4_unepiiaVvid 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. 0.18u etacs-U, 411 dot b coutid S ,4,1 ✓ to pewu.. busoms wma--tuf,-tred citykik. Evaluation Performed by: Iii_471 Aid)et") 22 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Supervisor's Office 1. Security Features Yes No N/A Reception Area J , Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits // Unobstructed Office Exits ✓ Door Contrnl(s) fork, buzzer, panic / bar 1/ J Door Detector(s) alarm t Adequate lighting in and around l Parking Lot well lighted N./ Panic Button(s) Video Monitor(s) on,Liku-r‘ / jLandscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public ✓ Work late night or early morning ✓/ Exchange money with public / Work alone or in small numbers Work in a location with uncontrolled public access Areas of previous security concerns pulpit., Any other factors that might place employees at risk 23 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building,security features, areas of concern related to security SeL CIA S 0-01X,(_ S. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: L-(1-7) 144 C,fX1 , ,/,;./V—t,Zy1/y ) 24 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Accounting 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area ✓ Separate Interview Area(s) ✓ Emergency Numbers Posted by Phones ✓ Multiple Exits Unobstructed Office Exits Door Control(s) lock, buzzer,panic bar ✓ Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted Panic Button(s) Video Monitor(s) Landscaping to provide unobstructed view of workplace • Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public Work late night or early morning Exchange money with public Work alone or in small numbers Work in a location with uncontrolled public access ✓ Areas of previous security concerns Any other factors that might place employees at risk 25 • 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features, areas of concern related to security • I,C-;`5 0 VIAL 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. nik)f\- Evaluation Performed by: _4(A4,04') Ai}01')-7r 26 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Department of Parks and Recreation °- -6 GD , 1. Security Features Yes No N/A Reception Area t/ Barriers separating clients from work area ✓ Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits Unobstructed Office Exits 114 Door Control(s)lock,buzzer, panic bar V Door Detector(s) alarm Adequate lighting in and around ✓ Parking Lot well lighted Panic Button(s) Video Monitor(s) G' .�0 kLandscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public ✓ Work late night or early morning ,f Exchange money with public Work alone or in small numbers V Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees at risk 27 3. Na Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building,security features, areas of concern related to security rI sow .tracts 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. toal4 R(034- ii(D00 s spa,ce./0 • Evaluation Performed by: � (!/1 1 (1//) 28 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Assessors Office 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits cjj, G60 -k CaLik- Unobstructed Office Exits 't` Door Control(s) lock, buzzer,panic bar Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted Panic Button(s) l� Video Monitor(s) C .) aft j 5 - Landscaping to provide)1 '� 1// '` unobstructed view of workplace atoll �,`el-- Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public Work late night or early morning Exchange money with public ✓ Work alone or in small numbers Work in a location with uncontrolled / public access ✓ Areas of previous security concerns mum Any other factors that might place employees at risk 29 3. NO Security guards in this department 4. Description of the Building: #entrances and exits,number of employees, access to building, security features,areas of concern related to security Set, 0,QA14---5 S. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: )),,41 i } 7-) 30 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Town Clerks Office 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area j Separate interview Areas le.. t 5 ✓ [DI Emergency Numbers Posted by Phones / ✓ -k< Multiple Exits t/ Unobstructed Office Exits Door Control(s)lock, buzzer,panic bar Door Detector(s) alarm ^' Adequate lighting in and around y� Parking Lot well lighted v Panic Button(s) Video Monitor(s) Landscaping to provide / unobstructed view of workplace t/ Limiting signs on windows . Other v4_ 2. Employee Risk Factors Yes No N/A Working with the public ✓ Work late night or early morning Exchange money with public Work alone or in small numbers ✓ Work in a location with uncontrolled public access-` - Areas of previous security concerns 16t40 r-ta- Any other factors that might place employees -"'""' at risk 31 3. NO Security guards in this department 4. Description of the Building: #entrances and exits, number of employees, access to building, security features,areas of concern related to security . 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. (UL Evaluation Performed by: 32 t Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Zoning 4_t k,: i 4-CpA5 1. Security Features Yes No N/A Reception Area ,// Barriers separating clients from work area ✓ Separate Interview Area(s) ,✓ Emergency Numbers Posted by Phones / Multiple Exits ✓ Unobstructed Office Exits / Door Control(s) lock, buzzer,panic bar V I Door Detector(s) alarm \(; ` Adequate lighting in and around Ili/ Parking Lot well lighted Panic Button(s) 1✓ Video Monitors) ✓ „ Landscaping to provide unobstructed view of workplace / Limiting signs on windows ✓ Other 2. Employee Risk Factors Yes, No N/A Working with the public I Work late night or early morning V - Exchange money with public Work alone or in small numbers ✓ Work in a location with uncontrolled ✓ public access Areas of previous security concerns 13 kW iL Any other factors that might place employees at risk 33 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features,areas of concern related to security Sw &vies 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. 1)31(1 Ukj WASA OW) FaI I C.- Evaluation Performed by: �,{ ,�i�lcvn 34 [MISER?EMPLOYER NAME] APPENDIX 2-B• [INSERT DATE] Sample Evaluation of the Physical Environment Location: t.-.e.1' yit-..-i "F C 4_.YYI_Cd-r'v1 (J._k Person(s)conducting the evaIuatiot,►: Stoat) ,SG-4.,,j1,t,,,,- J'�; i 4 ,p��•;. 1- �_ • Date of assessment: _S t t Z 1 R + • This section requires the participation of the authorized employee representatrve(s). • Instructions:All sections below refer to present conditions_Check"NA"for any items you donot consider applicable to the worloite/facility being evaluated.Using the information from Sections 1-3•and your working knowledge of the building describe in Section 4 the building Le.number of stories,number of entrances and exits;number of employees,access tothe building;security features,areas of concern related to security.Using the information from Sections 1-41ist•the specific•bazards related to this - evaluation in Section 5 r I.'R,i: t tiilfirvi3t'iYreS f t Eo e czlie '1 ). ;,,I, i54. itgal = i i 31211a _ en ., Jz» giffif.<tt-Y. +,-.. F ? t Reception Area Available • ,l • S Bath to to Se pastClients from Work Area �✓ ��Li ,� Area(s)view el Numbers Posted by Phones /,v'- �4 .7 Multiple Exits ft,� / Unobstructed Office Exits 4 ..- Door Controls)i.e.locks,remote buzzer,panic v • bars sC ;:. . •Door Detector(s)door alarm ,� Y h1U .- C,c Adequate liEhtinsr in and around the workplace \/ I N fv,,.,,r- ; 1.. C.A- ok. =:-►JD Parking lot well lighted \ f . c r'O - I ifIC,in---- . Panic Button(s) ✓ / IJ(? mow. Video Monitor(s) yr t\.1 cfrtcw` • Landscaping to provide unobstructed view of the, workplace. ../ L ,,,,t Limiting the.posting of signs on windows • i~ f;rt1,,, Other: Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Buildings and Grounds 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area Separate Interview Area(s) ✓ Emergency Numbers Posted by Phones ✓ Multiple Exits Unobstructed Office Exits Door Control(s) lock, buzzer, panic bar Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted Panic Button(s) Video Monitor(s) cty,okinuix ailitAS ✓ Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public Work late night or early morning ✓ V Exchange money with public Work alone or in small numbers Work in a location with uncontrolled ✓ public access Areas of previous security concerns tfity\ApNe_, Any other factors that might place employees at risk 36 3. NO Security guards in this department 4. Description of the Building: #entrances and exits, number of employees, access to building,security features, areas of concern related to security_ Tb szt.)a-Q)14 ak1J-m . ntiati c \ o k-' of tuA b� � s `' u►uue 1024, jjzik, --ram C - �-Q ', ' ': &W .... Pb. In oEbc, Pot 5. Specific Hazards: Using the information from Sections 1-4 list specific hazards related to this evaluation in Section 5. • Evaluation Performed by: jtt/Pa/17) 7 • G/ 37 Town of Queensbury March 14, 2018 Evaluation of the Physical Environment Highway Department 4- 00,,N 1. Security Features Yet No NjA Reception Area J Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits17/ Unobstructed Office Exits ,�QVZ Door Control(s) lock, buzzer,panic bar V (r ' U (4)-) Door Detector(s) alarm I Adequate lighting in and around Parking Lot well lighted Panic Button(s) Video Monitor(s) Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public Work late night or early morning v/ Exchange money with public Work alone or in small numbers Work in a location with uncontrolled public access ✓/ Areas of previous security concerns ✓ Any other factors that might place employees at risk • 38 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building,security features, areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: -04 //7 39 Town of Queensbury March 14, 2018 Evaluation of the Physical Environme_nt,:�, Highway Department Go'""_dt 1. Security Features Yes No N/A Reception Area ✓/ Barriers separating clients from work area ✓ Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits• Unobstructed Office ExsJ Door Control(s) lock, buzzer,panic bar Door Detector(s) alarm Adequate lighting in and around ✓ Parking Lot well lighted ✓ Panic Button(s) Video Monitor(s) ✓ Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public Work late night or early morning Exchange money with public ✓ Work alone or in small numbers Work In a location with uncontrolled ✓ �• �,�p public access Vim""" roje,rs 1 , +„ �,�,/�l(�i�,QQ) 41. Areas of previous security concerns p ;i �-'•`-'°"l'' _ Q Any other factors that might place employees at risk 40 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features, areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: _ 41 • Town of Queensbury March 14, 2018 Evaluation of the Physical Environment: Solid Waste—Luzerne Rd. 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area Separate Interview Area(s) ✓ / Emergency Numbers Posted by Phones / / Multiple Exits / Unobstructed Office Exits �/V✓/ Door Control(s) lock, buzzer, panic bar Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted Panic Button(s) Video Monitor(s) Landscaping to provide l unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public ✓ Work late night or early morning Exchange money with public1. / Work alone or in small numbers Work in a location with uncontrolled t/ public access Areas of previous security concerns Any other factors that might place employees at risk 42 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features,areas of concern related to security .0-ds -krae, 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: n vNIA 43 Town of Queensbury March 14, 2018 Evaluation of the Physical Environment: Solid Waste—Ridge Rd. 1. Security Features Yes No N Reception Area V Barriers separating clients from work area / Separate Interview Area(s) Emergency Numbers Posted by Phones / Multiple Exits ✓ Unobstructed Office Exits Door Control(s)lock, buzzer,panic bar ✓/ Door Detector(s) alarm f Adequate lighting in and around Parking Lot well lighted Panic Button(s) Video Monitor(s) Landscaping to provide / unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public Work late night or early morning Exchange money with public Work alone or in small numbers Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees at risk 44 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building,security features,areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. l li Evaluation Performed by: 4 , , �'A Ad / ' I (,/' 45 Town of Queensbury March 14, 2018 Evaluation of the Physical Environment: 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area Separate Interview Area(s) J Emergency Numbers Posted by Phones Multiple Exits -t c`(( ,, " J Unobstructed Office Exits Door Control(s) lock, buzzer, panic bar Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted Panic Button(s) o V ifrO k) Video Monitor(s) Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public Work late night or early morning V Exchange money with public Work alone or in small numbers Work in a location with uncontrolled V/ public access r Areas of previous security concerns lP`' ' , Any other factors that might place employees at risk 46 3. NO Security guards in this department � G�UUi,�t cw-, 4. Description of the Building: #entrances and exits, number of employees, access to building, security features,areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: &L f� Y 47 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Cemetery 1. Security Features Yes No N/A Reception Area J Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits ✓ Unobstructed Office Exits ✓ Door Control(s) lock, buzzer,panic bar Door Detector(s) alarm V • Adequate lighting in and around ✓ Parking Lot well lighted Panic Button(s) Video Monitor(s) Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public ✓ Work late night or early morning Exchange money with public Work alone or in small numbers Work in a location with uncontrolled ✓ public access Areas of previous security concerns Any other factors that might place employees ✓/ at risk 48 3. NO Security guards in this department &aria#' �� S P tiittuth, teth 4. Description of the Building: #entrances and exits, number of employees, access to building, security features, areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. • (to po 5 1464 aadpriv43- Aftel tAydo obteA Evaluation Performed by: // {� ,tr1 ` '` L' 49 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Crematorium 1. Security Features Yes No N/A Reception Area � Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits Unobstructed Office Exits Door Control(s)lock, buzzer,panic bar Door Detector(s) alarm Adequate lighting D� q g g in and around V / Parking Lot well lighted V Panic Button(s) Video Monitor(s) 1.7 Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public ✓ Work late night or early morning Exchange money-with public Work alone or in small numbers Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees at risk VJ 50 3. NO Security guards in this department 4. Description of the Building: #entrances and exits, number of employees, access to building, security features, areas of concern related to security (l?1t 5 G 6 p0.6)3 . C OJ' A - (3 &dopb ) 5. Specific Hazards: Using the information from ections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: -ei1 0/7l 51 [INSERT EMPLOYER NAME] •?Td `+S.ggi.. T` sri r re my $p rn.••$�' ''• z 1 M741.1 ?:ii.C`E`.��i� �'�� �4���r��}�£�4��.1k'���� � ��Cl`.R� �.✓ Work in public settings-e.g.Health Care,Police. Officers,Firefighters,Social Workers N/ _ 3 -4_ e —c; �e.:. o_r- 0, Work late night or early morning hours f .• • Exchange money with the Public Work alone or in small numbers x Work in a location with uncontrolled public access v' e., Areas of previous security concerns • Any other factors that might place employees at risk /I ?>�=+�vcr' s.t ♦vh rY .ry,v c ro.•..-.t -•�' — ���;�: t.�'• F�f:';�1`+..is:•. lY.i'p'-�'h�l:-i• r r !7 s` '9C' d Q" ,a t 3 Y"IiSt � .a,.,i...r. ��•T.•L: 3 6, 'Z<Meq` 1!'d ,m;a• ,.,�. �c a � a icri H�'+ +r' �w r;; -!':���oF,+a+reuw .b:2.•,''3.:a'F..: sfch(h" �� a`�,. �S• -�3�a. n= � d .�." .S.Frl1'd. �J ,,yy rlj+'F �:;i � h S r7 F• ?"•:��.:.i+3 .+k�"ir` it.._ c L\'N�i ��.' �� J, S��+k����. r 3 �':!:�tt.. 'r=i^,f�...;��r"„? 1`.•' Are security guards present at the location • Are guards posted at entrance(s) Do they patrol the building ✓ eq Are they provided with communication?If yes, indicate what type in notes. Any other relevant information t. W;' ' 71 - D p bQrA Oturcm it sin thg o ', ,onal,... .,,,,, -.rS. .. foi c�'Nq� �� o, i e g,'.a •fu f. el: i lin �eci7iei . ,,? `iff ' ,tr+ ,;i-,n.s � x. 7•.Sec 4eF � be i a . F w, o e'rti _,.ees .Ze o Youm— ea: eSe fi QneeV•Yt1^..f• ••• •• • e o,, aa - t- ti . �t':wto .q rrNc •>"' P : .: L • *tir1. )^ '7" ,?c..;re[ p;.4.d il r, dt .,L iF� 1r✓led l RIA. 4 ._'* 'c •.g4A"> _ ..4;i .. rr?:- C. y 'b, .' � *> [INSERT EMPLOYER NAME) • .MYL•.• ••f. 4•..'tu•. •r' n 4•' M' ti J'.w'AJIIM' �IhL3l+•4'47ip,9 M4F.•'/_�w+lY•T. 1 •V'•MaG W M N i K S•":•�1+' �'.•• • S':S ec •c.•' �° °s ainfa ,47: o olta7 r a " us nab i h 0g9;. : .. tIo ? - M ay, w „ 1 O i ■l r O1 UEEN B K Q RY 742 Bay Road, Queensbury, NY. I28D4-5902 Workplace Violence Risk Evaluation walk through with Sue Sheehan, President of Town of Queensbury CSEA—the union employees group. i(11,4 1L-11 ti3 (Print name) have walked through and reviewed the Town of Queensbury worksite: with Sue Sheehan,president'of the Town of Queensbury's employee's union. We have made any comments,notes,and suggestions for training employees who work in this job site on how to handle any foreseeable workplace violence possible scenarios,on the attached risk evaluation. Date and tim : (�J ,�/M tO Atc- Signed by: Department Manager or Safety Officer: n Date: ;3 12- 1 1$. Sue Sheehan: Date: 3/14 ) a � "Home of Natural Beauty... A Good Place to Live " 54 Town of Queensbury March 14, 2018 Evaluation of the Physical Environment: Water Admin. Bldg tif)+bOW) 1. Security Features Yes No N/A Reception Area y1// Barriers separating clients from work area Separate Interview Area(s) �vi vown Emergency Numbers Posted by Phones Multiple Exits UP 3 Unobstructed Office Exits PO lof ✓Ith Door Control(s)lock, buzzer, panic bar ✓ 9 Uv�' Gvt U S Door Detector(s) alarm I�'�_ J Adequate lighting in and around V J �/ m Parking Lot well lighted /✓ Panic Button(s) V �� Video Monitor(s) ✓✓ Landscaping to provide unobstructed view of workplace Limiting signs on windows ✓ Other 2. Employee Risk Factors Y/es No N/A Working with the public ✓ Work late night or early morning ✓i Exchange money with public /j, p' ✓ Work alone or in small numbers /if I ;� Work in a location with uncontrolled • /� public access ►/ Areas of previous security concerns Any other factors that might place employees at risk 55 3. NO Security guards in this department 4. Description of the Building: #entrances and exits, number of employees, access to building, security features, areas of concern related to security �r 3 jsoktAu' as 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: 56 Town of Queensbury March 14, 2018 Evaluation of the Physical Environment: Water Plant 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area �✓ Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits 14' I V Unobstructed Office Exits Door Control(s) lock,buzzer,panic bar Door Detector(s) alarm ✓ Adequate lighting in and around Parking Lot well lighted Panic Button(s) ✓ Video Monitor(s) Landscaping to provide unobstructed view of workplace t// Limiting signs on windows Other 2. Employee Risk Factors Yes No WA Working with the public 11 / Work late night or early morning Exchange money with public Work alone or In small numbers Work in a location with uncontrolled public access Areas of previous security concerns PONU;2 14 Pab G Any other factors that might place employees up(1 6 p at risk - p au A�, ����(1'�'' un. S7 3. NO Security guards in this department 4. Description of the Building: #entrances and exits, number of employees, access to building,security features, areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: \N-A, 58 Town of Queensbury March 14, 2018 Evaluation of the Physical Environment: Water Distribution 1. Security Features Yes No, N/A Reception Area 1/ Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits :/) (O Unobstructed Office Exits Door Control(s) lock, buzzer,panic bar Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted 1/ Panic Button(s) Video Monitor(s) / l Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public I Work late night or early morning tiOn Exchange money with public Work alone or in small numbers Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees at risk 59 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features, areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: 2AJji ' � ' try v / .�r�� 60 Town of Queensbury March 14, 2018 Evaluation of the Physical Environment: Wastewater Department 1. Security Features Yes No N/A Reception Area Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits Unobstructed Office Exits l ,/ Door Control(s) lock, buzzer, panic bar Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted f / Panic Button(s) ✓/ Video Monitor(s) ' Landscaping to provide unobstructed view of workplace Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public V/ Work late night or early morning .e'- ,o Exchange money with public Work alone or in small numbers V Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees ✓ at risk 61 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features,areas of concern related to security 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. Evaluation Performed by: t)OM 62 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment Gurney Lane 1. Security Features Ye No N/A Reception Area J Barriers separating clients from work area V Separate Interview Area(s) Emergency Numbers Posted by Phones Multiple Exits Unobstructed Office Exits Door Control(s) lock, buzzer,panic bar Door Detector(s) alarm / V Adequate lighting in and around a/) Parking Lot well lighted ✓ Panic Button(s) V/ Video Monitor(s) Landscaping to provide / unobstructed view of workplace Limiting signs on windows ✓ Other GOttee (b 6M'"1 A a i kx-ril 6 2. Employee Risk Factors Ye No N/A Working with the public Work late night or early morning Exchange money with public Work alone or in small numbers Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees at risk 63 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to building, security features, areas of concern related to security 1 s1'' a faym ibbh 3 a:) u ge r rpm ettteA co 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. S+aum tegols urn S g-�2- sckI \1O.c0+um - tamer (v rvig T-1-°1-- Steck 5>ivit- fAri citfikey9 3 ,00,1 tufzilojvi Evaluation Performed by: jta JA4n . •" ( 2/1F 64 • ILNSERT EMPLOYER NAME] APPENDIX 2-B jLNSERT DATE] Sample Evaluation of the Physical Environment Location: l .i(.A(N•-6,- L -4 e,- acc,--rdAsi-f'hJ /r — Person(s)conducting the evaluation: SUaain �� Date of assessment: ().1 l This section requires the participation of tine authorized employee representative(s). Instructions:All section below refer to present conditions.Check"NA"for any items you do not consider applicable to the worksite/facility being evaluated.Using the information from Sections 1-3 and your working knowledge of the building describe in Section 4 the building i.e. number of stories.number of entrances and exits.number of employees.access to the building.security features.areas of concern related to security.Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. :•. I(tetiis .5. -:.. ...(.- �I ..�,.:k. ti, i:=�i'. .:(� r I�i�(A'..1f.3vx�._.Y�. : t�' ,, s.t i•.: ';: r d':, .i - .. r t A R. F d ✓tv '4>iv t-`� Y 4�."+.. �d 7� ...�� ... �.`.. 9 r. I.Security Features Notes/Comments Reception Area Available Barriers to Separate Clients from Work Area 1 tit Separate Interview Area(s) Emergency Numbers Posted by Phones t iii Multiple Exits Unobstructed Office Exits 4. K Door Control(s)i.e.locks.remote buzzer.panic barsA ._ Door Detector(s)door alarm t. Adequate lighting in and around the workplace Parking lot well lighted Panic Button(s) V.,, Video Monitor(s) Landscaping to provide unobstructed view of the, workplace Limiting the posting ofsi°g Is on windows c Other: �j • 1 �V [INSERT EMPLOYER NAME] • 2.Factors That Might Place Employees at Risk Work in public settings-e.g.Health Care.Police Officers.Firefighters.Social Workers Work late night or early tnnrning hours Exchauge money with the Public Work alone or in small numbers Work in a location with uncontrolled public access Areas of previous security concerns Any other factors that might place employees at risk r 3.Security Guards • Are security guards present at the location Are guards posted at entrance(s) Do they patrol the building Y Are they provided with communication?If yes. ' indicate what type in notes. Any other relevant information NA)4.Description of the Building:Using the inforuiatiod fr ii iections':1=3;and:yourwork mg moivleilge of.die'buildu g describe in. Section 4 the building(nuritber of eutranices and a lit ,nat ibex of employees,access to the building,security features;areas of concern related to security). A.(vo 0, 4.: o,r►kS ree ctifr C Ce iStb (L\SERT EMPLOYEE tiA.11E1 5.Specific Hnzarcls:Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. .'l fa, 67 Town of Queensbury March 12, 2018 Evaluation of the Physical Environment: Jenkinsville 1. Security Features Yes No N/A Reception Area ✓ Barriers separating clients from work area Separate Interview Area(s) Emergency Numbers Posted by Phones / f Multiple Exits ✓ Unobstructed Office Exits t✓ op. Door Control(s) lock, buzzer, panic bar V Door Detector(s) alarm Adequate lighting in and around Parking Lot well lighted Panic Button(s) Video Monitor(s) f Landscaping to provide / unobstructed view of workplace V'` Limiting signs on windows Other 2. Employee Risk Factors Yes No N/A Working with the public (rvlt !k1 kint 4 -9 ✓ Work late night or early morning Exchange money with public / f Work alone or in small numbers Work in a location with uncontrolled I✓ public access Areas of previous security concerns Any other factors that might place employees at risk 68 3. NO Security guards in this department 4. Description of the Building:#entrances and exits, number of employees, access to buildinf, security features,areas of concern related to security Sock'' .4.-eriroinceio oeaildo balifivormi I nCo c9- 56° e 5toa vl i trictMcL - , AAW Rffoc (cad() 3 tueAkiatel d ztrik 5. Specific Hazards: Using the information from Sections 1-4 list the specific hazards related to this evaluation in Section 5. (\Me Evaluation Performed by: c)- - , A-) 3 ((2- (0- 69 • (INSERT EMPLOYER NAME] APPENDIX 2-B [INSERT DATE] Sample Evaluatio,q of the Physical Environment Location: TP V i l l{y ri t "h -h .5 P Person(s)conducting the evaluation: SLI...Ea '1 Sty O Date of assessment: 3 C i 2 ' l A This section requires the participation of the authorized employee representative(s). Instructions:All sections below refer to present conditions.Check"NA"for any items you do not consider applicable to the worksite/facility being evaluated.Using the information from Sections 1-3 and your working knowledge of the building describe in Section 4 the buildiing i.e.number of stories.number of entrances and exits.number of employees.access to the building.security features.areas of concern related to security.Using the information from Sections 1-4 list the specific hazards related to this evaluation iiu Section 5. "C. _iRti, 1.Security Features Notes/Comments Reception Area Available • Barriers to Separate Clients from Work Area Separate Interview Area(s) e" Emergency Numbers Posted by Phones Multiple Exits Unobstructed Office Exits Door Control(s)i.e.locks.remote buzzer.panic L bars Door Detectors)door alarm x • Adequate lighting in and around the workplace Parking Iot well lighted Panic Button(s) Video Monitors) Landscaping to provide unobstructed view of the• workplace Limiting the posting of signs on windows Other: OGLek • [INSERT EMPLOYER NAME) J • .... 2:Factors That Might Place Employees at Risk Work in public settings-e.g.Health Care.Police . Officers.Firefighters.Social Workers 7\ Work hue night or early morning hours Exchange money with the Public Work alone or in small numbers Wont in a location with uncontrolled public access ✓ Areas of previous security concerns Any other factors that might place employees at risk 3.Security Guards • Are security guards present at the location , Are guards posted at entrance(s) g)...---' •Do they patrol the building Are they provided with communication?If yes. indicate what type ill notes. Any other relevant information . 4.Description of the Building:Using the information from Sections I-3 and your workiug•lmocvledge of the building describe in Section 4 the building(number of entrances and exits,niunber of employees,access to the building,security features,areas of concern related to securitty). taCcts I -i'•) Cr)nCt2st'o;J 5)(Lti • Or 115 1 r 1 .\1,\),/ [INSERT EMPLOYER NAME] 5.Specific'lizards:Using the information front Sections 1-4 list.tln specific hazards related to this evaluation in Section 5. 72 Appendix E Workplace Violence Prevention Advisory Committee • Committee Members • Committee Duties - The workplace violence prevention committee shall consist of the follow ing individuals: Town Supervisor Town Supervisor Administrative Assistant Human Resource Representative Town Safety Officer Union Representative (As needed) Labor Counsel (as Needed) - The duties of the Committee, will as a minimum consist of the following: Perform the required annual policy review Participate in workplace site assessments as required. It may be necessary to solicit assistance from other employs such as Director of Building and Grounds, for the evaluations Be convened upon receipt of a workplace violence incident report. The Committee will discuss a plan of action to address the report. Be convened for a disposition conference at the conclusion of an incident investigation and follow up Make recommendations for changes to the Workplace Violence Policy