Health Safety Primer
Health Safety Primer
Health Safety Primer
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Table of Contents
Health & Safety
A Primer for CrossFit Trainers |
TABLE OF CONTENTS
SECTION 1
INTRODUCTION TO HEALTH AND SAFETY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
SECTION 2
HEALTH AND SAFETY PROGRAM ELEMENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
SECTION 3
KEY HEALTH AND SAFETY DOCUMENTATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
SECTION 4
RISK ASSESSMENT FOR WORKSITE HAZARDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SECTION 5
PLANNING FOR EMERGENCIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
SECTION 6
FIRE SAFETY AND PREVENTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
SECTION 7
CHEMICAL SAFETY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
SECTION 8
PRECAUTIONS FOR BIOLOGICAL FLUIDS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
SECTION 9
GYM-SPECIFIC SAFETY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
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Section 1
Introduction to Health and Safety
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SECTION 1
INTRODUCTION TO HEALTH AND SAFETY
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Section 1
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What is health and safety? We often think of it as hard hats on construction sites and
hazard signs on wet floors. These are health and safety issues, but the topic is much larger.
The concept of health and safety encompasses all relevant governmental and organi-
zational regulations and procedures that are intended to prevent accident or injury in a
workplace or public environment. A gym is a workplace and a public environment, so it
is incumbent upon trainers, managers and owners to understand and emplace relevant
standards and procedures.
Gym owners are responsible for providing their employees and customers a safe work-
place and training environment. The contents of this text are intended to help trainers
adhere to widely adopted guidelines. While designed to be compliant with U.S. Occu-
pational Safety and Health Administration (OSHA) standards, the contents also closely
align with the UK Health & Safety at Work Act of 1974 and the proceedings of the 1985
International Labour Organization Occupational Health Services Convention. Note that
cities, states and regions might have different standards, and it is up to the business to
identify and comply with any additional or different regulations. If you are a gym owner,
make sure you know the requirements. If you are a trainer working in a gym, make sure
you understand and follow the business’s operating procedures relevant to health and
safety. Doing so will keep your clients safe and your job secure.
Websites provide information relevant to small businesses in most countries. Before a gym
opens, the owner should use these resources to determine what policies and regulations
are applicable to the business site, the business owner, the employees and the clientele.
USA—https://www.osha.gov
U.K—http://www.hse.gov.uk
Australia—http://www.safeworkaustralia.gov.au
Canada—http://www.canoshweb.org
Ireland—http://www.hsa.ie/eng/
South Africa—http://www.labour.gov.za/DOL/legislation/acts/occupation-
al-health-and-safety
India—http://www.labour.nic.in/industrial-safety-health
New Zealand—http://www.worksafe.govt.nz/worksafe/hswa
Malaysia—http://www.dosh.gov.my/index.php/en/
Germany—https://www.baua.de/DE/Aufgaben/Forschung/Kooperationen-und-Interna-
tionales/EU-OSHA.html
China—http://www.chinasafety.gov.cn/newpage/
Italy—https://www.inail.it/cs/internet/home.html
Austria—https://www.arbeitsinspektion.gv.at/inspektorat/Information_in_English/OSH_
in_Austria/
Mexico—http://www.gob.mx/stps
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https://www.osha.gov/Publications/osha3165.pdf
http://www.hse.gov.uk/pubns/lawleaflet.pdf
The intent of policies and regulations is to inform and assist employers in the creation of
safer workplaces to reduce losses. Many thousands of workers are injured or die on the
job each year. The U.S. Bureau of Labor Statistics lists 3 million non-fatal work-related inju-
ries in 2013; 346,300 of them occurred in the leisure and hospitality category that would
include gyms. A total of 4,585 fatal work injuries were reported in the same period, with
207 deaths listed under leisure and hospitality. The top four work-related causes of death
across all occupations in 2013 were:
1. Transportation incidents.
2. Violence by persons or animals.
3. Contact with objects and equipment.
4. Falls, slips and trips.
The latter two categories are very important to risk management in gym-based busi-
nesses. The presence of training implements, exercise equipment, floor-level storage,
varied-level floor surfaces (lifting platforms on top of a subfloor, for example) and more all
contribute to the risk of injury or death. Loss of employee work time, loss of revenue from
employee work, loss of clientele and even loss of finances from legal action can all be pre-
vented through creation and implementation of a worksite health and safety policy.
The International Labour Organization proposes that employers are responsible for the
health and safety of the employees. In general, they must attend to the following in an
appropriate manner to mitigate risks:
1. Identification and assessment of the risks from health hazards in the workplace.
2. Surveillance of factors in the working environment and working practices that
might affect workers’ health, to include sanitary installations, canteens and housing
when these facilities are provided by the employer.
3. Advice on planning and organization of work, including the design of workplaces,
selection and maintenance of machinery and other equipment, and on substances
used in work.
4. Participation in the development of programs for the improvement of working
practices, as well as testing and evaluation of health aspects of new equipment.
5. Advice on occupational health, safety, hygiene, ergonomics, and individual and
collective personal protective equipment.
6. Surveillance of workers’ health in relation to work.
7. Promotion of the adaptation of work to the worker.
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As stated above, one must be familiar with local regulations, which can be variable. Use
the internet to find the government website for worksite health and safety in your home
country, and be sure to research state, council, county or municipal regulations.
“It shall be the duty of every employer to ensure, so far as reasonably practicable,
the health, safety and welfare at work of all his employees.”
• “The provision and maintenance of plant and systems of work that are, so far as is
reasonably practicable, safe and without risks to health;
• “Arrangements for ensuring, so far as is reasonably practicable, safety and absence
of risks to health in connection with the use, handling, storage and transport of
articles and substances;
• “The provision of such information, instruction, training and supervision as is
necessary to ensure, so far as is reasonably practicable, the Health & Safety at work
of his employees;
• “So far as is reasonably practicable as regards any place of work under the
employer’s control, the maintenance of it in a condition that is safe and without
risks to health and the provision and maintenance of means of access to and egress
from it that are safe and without such risks;
• “The provision and maintenance of a working environment for his employees that
is, so far as is reasonably practicable, safe, without risks to health, and adequate as
regards facilities and arrangements for their welfare at work.”
Note the word “practicable.” The regulation considers that all risk cannot be eliminated,
but employers should endeavor to make the workplace as safe as possible. We also
endeavor to make our gym safe for customers. Section 3 of the act outlines general duties
of employers and self-employed persons (trainers and coaches) to persons who are not
employees:
• “It shall be the duty of every employer to conduct his undertaking in such a way as
to ensure, so far as is reasonably practicable, that persons not in his employment
who may be affected thereby are not thereby exposed to risks to their health or
safety.
• “It shall be the duty of every self-employed person to conduct his undertaking
in such a way as to ensure, so far as is reasonably practicable, that he and other
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persons (not being his employees) who may be affected thereby are not thereby
exposed to risks to their health or safety.”
• “In such cases as may be prescribed, it shall be the duty of every employer and
every self-employed person, in the prescribed circumstances and in the prescribed
manner, to give to persons (not being his employees) who may be affected by
the way in which he conducts his undertaking the prescribed information about
such aspects of the way in which he conducts his undertaking as might affect their
health or safety.”
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Section 2
Health and Safety Program Elements
Health & Safety
A Primer for CrossFit Trainers |
SECTION 2
HEALTH AND SAFETY PROGRAM ELEMENTS
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Health and Safety Program Elements
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A health and safety program and its related documentation doesn’t have to be a huge
mass of paperwork. Government guidance and operational aids for small business can
help keep the workload and documentation requirements relatively low. In the U.S., OSHA
identifies four elements of any plan for any business:
Trainers are often independent contractors, and they must also be cognizant of and follow
the same guidelines as employers and managers.
Below are a few considerations to initiate the process of planning and documentation:
1. Identify the regulations and resources needed for your business and location (see
Chapter 1).
2. Post the policy poster on worksite health and safety required by your regulating
organization or government office.
3. Make a list of regulations to be implemented and documents to be completed and
filed.
4. Meet with management and employees to establish responsibility, authority, and
division of labor for preparing documents, completing documents, and maintaining
documents.
5. Once standard policies are in place, ensure everyone understands and follows them.
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It might be appropriate to include “engage with health and safety policies” in all job
descriptions.
6. If anyone does not have the appropriate knowledge, provide him or her with
training. If equipment is needed, such as first aid kits or an AED, invest in it.
7. Make sure compliance tasks are completed on time. It is the business owner’s
or manager’s responsibility to ensure policies are followed, so if a task is not
completed by an assigned employee, its accomplishment falls back on the manager
or owner.
8. Review the health and safety plan annually to determine if updates are required.
For the U.S., if 10 or more persons are employed at the gym, a written health and safety
policy must be on the premises. The U.K.’s regulation is five or more employees. This text
presents information as a general policy on health and safety and shows the organization
and arrangements for its conduct.
The U.K. Health and Safety Executive provides a free downloadable example policy on its
website (http://www.hse.gov.uk/simple-health-safety/write.htm). Note that one of these
forms would be completed for each task within the health and safety plan.
Worksite Analysis
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Health and Safety Program Elements
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Here are some things to consider when developing and conducting a worksite hazard
analysis:
• Ensure that the owner, manager and designated personnel are cognizant of normal
hazards recognized within the fitness industry.
• Review, initially and periodically, any pieces of training equipment, training
methods or areas inside or outside the gym that present hidden hazards to
employees or clients. This process often entails walk-throughs and step-by-step
reviews of equipment and training methods.
• Create and implement a regular process of inspection.
• Ensure all personnel understand that hazard surveillance is an ongoing process and
clearly outline the line of communication when a hazard is identified.
• Develop an investigation process and ensure it is followed when accidents occur.
• Review the hazard-analysis process and outcomes annually to determine if updates
are required.
OSHA provides an example hazard-analysis form in one of its online documents (www.
osha.gov/Publications/osha3071.pdf - see page 46).
After a hazard assessment is completed, the focus becomes risk reduction or elimination.
The best outcome is elimination of risk, and minimization of risks to the lowest possible
level is next best. Governing offices and relevant publications offer guidance. Issues for
consideration are:
1. Develop easily, effective and understandable procedures that mitigate risk. Inherent
risks cannot be eliminated, so all other risks must be eliminated or minimized.
2. Ensure procedures and rules are followed and enforcement measures are in place.
3. Gyms contain few chemical hazards, but relevant personal protective equipment
should be available and maintained. Employees should know when and how to use it.
4. The space and equipment should be on a regular schedule of review and
maintenance, complete with documentation of dates.
5. Although rare, fire and natural disasters should be planned for, and periodic drills
will ensure employees know what actions to take if disaster strikes.
6. Ensure that the nearest medical facilities are identified and contact information is
rapidly available in case of emergency. Ensure that all personnel are aware of where
to go for medical advice and consultation with regard to worksite health. This
does not imply that employers must provide health care; rather, they must inform
employees and be prepared to deal with medical emergencies or health problems
associated with the worksite.
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Section 2
Health and Safety Program Elements
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Some form of educational program must be in place to ensure health and safety in a gym.
Education is for everyone. Owners, managers and trainers must know about the equip-
ment, facilities, and forms of exercise they deliver, and they must how to identify and
control risks. Owners and managers must also ensure that all employees are trained. It is
important to note that health and safety training can be part of other job training, such as
training on how to use a new piece of equipment or training on how to train clients within
a system of exercise.
Health and safety training does not have to be intrusive. Training doesn’t have to be a
group affair or provided according to some academic standard. The information can be
communicated effectively from one person to another.
Employees should not be assigned or undertake a job for which they are not appropri-
ately trained or authorized to perform. If a contractor is a yoga instructor, it is not safe to
assign him or her to teach a specialty session on strongman implements. Common sense
can be a guide, and no employees should be expected to engage in work activities that
they cannot conduct in a safe manner for themselves and their clients. Some basic guide-
lines for training could be:
1. Educate all employees about all potential hazards to which they or their clients
could be exposed. Everyone should understand these hazards and be able to
protect themselves and their customers from them.
2. Keep a record of training provided to any and all employees.
3. Ensure that all new employees are trained prior to assumption of duties. This is
also relevant for any trainer who adds new job tasks or deals with new equipment.
Novices to a business or a task are at the highest risk.
4. All managers should be aware of all hazards to employees and customers within the
gym and on gym grounds. They should follow all policies, including those related to
enforcement.
In order to comply with government regulations and to show that your health and
safety policy actually works, you need to document your activities. All completed forms
and reports should be organized and kept in one location, and records that are legally
required must be kept for as long as the law requires. These records include your gym’s
health and safety policy documents and documentation of any employee health and
safety training. They could include workers compensation claims and reports, insurance
audits, government inspections, etc. These records can aid in other aspects of business
– such as supporting credit acquisition – but their primary intent is to aid in the efficient
conduct of health and safety activities.
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Section 3
Key Health and Safety Documentation
Health & Safety
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SECTION 3
KEY HEALTH AND SAFETY DOCUMENTATION
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Health and safety records that document accidents, injuries, illnesses and property loss
help the owner or manager make business-related changes and keep employees and
clients safe and healthy.
According to OSHA, HSE or any other government body, record keeping is key to improv-
ing working conditions. Record keeping archives information about accidents and ill-
nesses so employers can determine causes and develop procedures to prevent recurrence.
Although every business can benefit from record keeping, some businesses are exempt
due to size. This varies by country. For example, in the U.S., businesses with fewer than 10
employees are exempt from most requirements. In the U.K., businesses with fewer than
five employees are exempt from most requirements. Gym owners and independent train-
ers need to read the relevant regulations and determine the nature of the records they
must keep. Most government health and safety offices have briefs available to simplify
the search.
Some businesses are exempt from keeping certain records, but those in the fitness
industry do not qualify for this exception. In the U.S., gyms fall under North American
Industry Classification System (NAICS) number 713940, which is not on the exemption list
(www.osha.gov/recordkeeping/ppt1/RK1exempttable.html). Remember, only gyms with
fewer than 10 employees are exempt from keeping records. However, all employers must
report to OSHA any workplace incident that results in an employee’s fatality, hospitaliza-
tion, amputation or loss of eye (29 CFR 1904.39). Some time requirements govern report-
ing. For example, businesses must report deaths and instances in which three or more
employees are injured or hospitalized simultaneously within eight hours of occurrence.
A complete injury and illness record-keeping system is generally composed of four basic
activities and three forms:
1. The business must obtain and maintain a report of injury and treatment for every
work-related injury or illness that requires medical treatment (this does not include
injuries where simple on-site first aid is adequate). The employee should provide an
account/documentation of the medical treatment. The employer will then prepare
an OSHA Form 301 – Injury and Illness Incident Report (included in the packet
www.osha.gov/recordkeeping/new-osha300form1-1-04.pdf).
2. Every work-related injury or illness that requires medical treatment should be noted
in a cumulative annual record. In the U.S., this information will be entered into
OSHA Form 300 – Log of Work-Related Injuries and Illnesses (included in the packet
www.osha.gov/recordkeeping/new-osha300form1-1-04.pdf).
3. Records are meant to be seen. A summary of all injury and illness data must be
completed and posted on the gym premises for all employees to see each year.
This summary, OSHA Form 300A – Summary of Work-Related Injuries and Illnesses
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In reality, these records are not intrusive, and it is good practice for all businesses to main-
tain such records, even if they are exempt.
Once these records are set up, they are relatively simple to maintain. They will require peri-
odic review and update when new chemicals or new equipment are brought into the gym.
No specific formatting requirements govern a gym’s health and safety policy document;
only the reporting forms are absolute in structure, and those are available online. A gym’s
local documents should be structured to fit its individual circumstances to make instruc-
tions clear and record keeping efficient. The U.K. Health and Safety Executive offers a
number of downloadable and modifiable documents for such use:
www.hse.gov.uk/risk/risk-assessment-and-policy-template.doc
http://www.hse.gov.uk/risk/
www.hse.gov.uk/risk/assessment.htm
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Section 4
Risk Assessment for Worksite Hazards
Health & Safety
A Primer for CrossFit Trainers |
SECTION 4
RISK ASSESSMENT FOR WORKSITE HAZARDS
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Risk Assessment for Worksite Hazards
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Hazards are circumstances, items, processes or even persons that hold the potential to
cause harm to a person or cause damage or loss. It is extremely common to see “hazard”
and “risk” used interchangeably. The nature of hazards is frequently divided into “volun-
tary risks” and “involuntary risks.”
You jump out of a perfectly good airplane to do some recreational skydiving. You get on
a treadmill, the most dangerous piece of equipment in the gym, to exercise. Those are
examples of an individual who knowingly and voluntarily enters potentially hazardous
circumstances.
Involuntary risks involve hazards that occur without any prior knowledge or consent. The
prototypical examples are “acts of nature” or “acts of God” – lightning, fire, flood, tornado,
etc. In the worksite, examples include unintended exposure to chemicals, tripping hazards
or electrical hazards, among many others.
Risk is a normal part of the human condition. If the forecast calls for rain, we take an
umbrella to mitigate the risk of getting soaked. Although we constantly evaluate and
mitigate risks, these considerations are often unconscious.
Data indicates that only about 3 percent of all work-site accidents are the result of materi-
als, equipment or environmental causes. Human factor is primary in the other 97 percent
(SAIF Corp. data 2014). It is important to remove or minimize as many risks as possible.
Hazard analysis is the first step. After hazard identification, the goal is to remove or abate
risks. This process entails several steps that require attention to detail and careful applica-
tion:
1. Identify.
2. Analyze.
3. Solve.
4. Implement.
5. Evaluate.
Identify
Hazard identification is likely the most important aspect risk assessment. If a hazard is not
identified, risk cannot be eliminated or reduced.
Non-Human Factors—There are three basic categories of non-human factors: (1) mate-
rials, (2) equipment and (3) environment. These types of hazards are best identified by
conducting a review of the workspace and assessing the employee from arrival to depar-
ture. The process of risk identification should examine:
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Assessors are looking for anything that could pose a risk to employees or customers.
Some common worksite hazards are:
Mechanical—Some gyms are filled with exercise machines that have moving
parts that present a risk for crush injuries. Some exercise machines have open
casings with exposed pulleys and cables under tension that can lacerate or
amputate digits. CrossFit gyms generally limit such mechanical equipment to
rowers and assault bikes, but the risk still applies. Also consider climbing ropes,
ring tethers, racks and any other exercise implement as “mechanical.” Wear can
lead to failure and failure of equipment can be catastrophic. Inspection routines
are important and safe operative status is a chief consideration.
Human Factors—These are factors that are introduced by trainers themselves while
performing jobs. For assessment, it is normal to use interviews, walkthroughs and obser-
vation, both informal and formal, to identify hazards. The intent is to identify any risks in
the normal workflow that are not essential and can be abated. Some things that would be
considered hazardous elsewhere are not viewed that way in a gym. Strain and fatigue are
the cases in point. Group exercise instructors often lead their sessions by performing the
same exercises as their clients, so physical strain and fatigue are expected.
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Analyze
After completing the hazard survey, examine the information and determine if the risk is
inherent to the work or if it is extraneous and can be mitigated.
For example, it is unlikely that the construction of a piece of exercise equipment with
an exposed pulley system and weight stacks can be modified in the gym to remove
employee and customer access. In fact, local modification of manufactured equipment
might actually increase risk of equipment failure and injury.
Sanitizing equipment with blood on it can present another potential hazard. Using pro-
tective equipment, such as latex gloves, can help mitigate the risk of chemical injury or
disease transmission.
Appendix 2 of OSHA 307 —Job Hazard Analysis provides a more complete listing of
common hazards and hazard descriptions.
5. Lighting — Dark areas in the gym are not useful in coaching, safety or security.
Considerations: Type of light, intensity, controls, conditions, diffusion, location, glare
and shadow control.
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gears, shafts, pulleys, belts, couplings, sprockets, chains, frames, controls, brakes,
exhaust, adjustments/calibration, maintenance, grounding, maintenance history.
11. Fire prevention—Most local building codes and landlord contracts cover fire-
prevention requirements. Considerations: Extinguishers, alarms, sprinklers, smoking
rules, exits, explosion-proof fixtures in hazardous locations if present, waste
disposal, training of personnel.
12. Personal protection—This is limited category in a gym; gloves and CPR dams are
examples of protective equipment. Considerations: Type, size, maintenance, repair,
age, storage, assignment of responsibility, training in care and use, rules of use.
14. Evacuation plan—It is possible the gym might need to be evacuated for some
emergency reason (fire, chemical spill, bomb threat, etc.). Considerations:
procedures for an emergency evacuation, practice of plan, routes and
responsibilities, employee and client accounting following an evacuation, rescue
and medical duties, reporting of emergencies.
Solve
In this part of the process, plan to eliminate or minimize risk, and document your actions.
Ideally, a method of remediation should be noted for every hazard seen. These recom-
mended solutions could be as simple as purchasing a stock of latex exam gloves, clearing
the pathway to an exit or changing a light bulb. In some instances, such as the non-mod-
ifiable open pulleys and cables on a lat-pull-down machine, it would be appropriate to
propose training or signage as remediation.
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Once hazards are identified and solutions are determined, the plan is implemented.
Figure 4-1.
The Identify, Analyze and Solve processes can be captured on a simple document.
Implement
The implementation plan does need to be committed to print, but action must be taken.
An action plan must govern what needs to be done, who is going to do it, the time frame
for implementation and the outcome. The action plan details what has to be accom-
plished, the order of importance for tasks, who is responsible for the entire process, and
who is responsible for any sub-tasks. It is often helpful to assign a realistic target comple-
tion date for each item.
Health and safety plans can change as circumstances change, so it is important to begin
with the most important items – those that present the most significant risk to employees
and customers. From there, progress systematically to lower risk items. Involving employ-
ees in the implementation of the plan helps them understand the specific risks and how
to control those risks through responsible work conduct. Implementing an action plan
with the aid of employees will expedite the process and make the gym safer.
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Section 5
Planning for Emergencies
Health & Safety
A Primer for CrossFit Trainers |
SECTION 5
PLANNING FOR EMERGENCIES
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Planning for Emergencies
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Every disaster movie shows chaos and poor decisions: People run into crumbling build-
ings, people stand still as a zombie horde approaches, etc. Generally, people make every
bad decision possible. We don’t want to be those people.
While Hurricane Harvey brought disaster to many gyms in the Texas area and highlighted
the need to plan ahead, gyms are generally not afflicted by Hollywood-scale disasters. But
emergencies will occur, and a plan must be in place to deal with these incidents. A written
and disseminated set of procedures must govern procedures in the event of an emer-
gency. While incidents vary, a basic emergency plan constructed according to regulations
can help employers safeguard their employees and customers.
Creating an emergency plan according to regulatory guidance is not difficult. Only a few
very important items must be included in the plan.
As long as these items are covered within the document, the format can be quite varied. A
gym is not a factory, so the plans and documentation for these business types should be
different.
Generally, very small operations do not require a written plan. The owners or managers
may communicate the plan verbally to employees if there are less than 10 (U.S.), though it
is much better to actually write it down for easy reference. This also makes training of new
employees easier.
Once written, the plan needs to be disseminated to employees through training or other
appropriate means. Key personnel named in the plan must be familiar with their parts,
and the plan should be practiced periodically. It is important that all employees know
what is expected of them during emergencies. Training and practice provide intimate
knowledge of expectations and develop skills. Conducting regular fire and emergency
drills will familiarize the employees with how to safeguard themselves and customers
when exiting the premises.
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“There are several emergency exits on this aircraft – forward, aft and over each
wing. Please take a few moments now to locate your nearest exit. In some cases,
your nearest exit may be behind you. If we need to evacuate the aircraft, floor-
level lighting will guide you toward the exit. Doors can be opened by moving
the handle in the direction of the arrow. Each door is equipped with an inflatable
slide which may also be detached and used as a life raft.”
Anyone who flies frequently probably has that set of instructions memorized. That’s
exactly the intent. Whether it’s in a Boeing 787 Dreamliner or in our own gyms, we want
everyone to understand how to get out in the event of emergency. That means having a
defined exit plan and providing instruction to employees and clients.
1. Exit access—All employees and customers must have ready access to a building exit.
The portion of an exit route leading to an exit door is called exit access.
2. Exit—The part of an exit route between the workspace and the exit door is called
the exit.
3. Exit discharge—This portion of the exit route is where the exit leads directly outside.
It is a common building-code requirement to have at least two exit routes in any commer-
cial building. As the size and anticipated worker population of the building increases, so
does the number of required exit routes. Placement of exit routes generally has the exits
as far away from each other as is practical. For example, in a two-door building, the doors
and exit routes are likely in front and in back.
Exit-route construction requirements may vary, but in general the following are good
practice:
1. Exit routes must be a permanent part of the workplace because varying routes can
cause uncertainty and delay egress.
2. Exit discharges must lead directly to a street, walkway, area of refuge or open space
away from the worksite.
3. If stairs continue up or down past the intended exit discharge, there must be an
interruption by a door, partition or some other means of directing the employees
and customers out the intended door.
4. Exit-route doors must remain unlocked from the inside as to not prevent egress.
5. Side-hinged doors must be used if a room connects to an exit route, and the door
must swing open in the direction of exit-route travel if more than 50 persons are to
occupy the room.
6. Exit routes are governed by the maximum load of the building. For example, if the
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gym has a maximum capacity of 100 persons but the working load does not exceed
50 persons at any time, it still must have a 100-person exit-route plan. Simple U.K.
guidelines list the minimum number of exits as follows:
7. Although generally not an issue in gyms, the minimum ceiling height of an exit
route should be 7 feet, 6 inches (2.29 meters).
8. Exit routes must be wide enough. In general, the minimum width must be 28 inches
(0.71 meter), and the exit door must be wide enough to handle the maximum
building load. Simple U.K. guidelines list the appropriate door width as follows:
9. Exit doors must be made of fire-resistant material. If the building is three or fewer
stories in height, the door must be rated for one-hour resistance. If the building is
taller than three floors, two-hour resistance is required.
10. Doors identified as part of exit routes must be self-closing, approved fire doors.
Additional considerations for safe operation and maintenance of exit routes are as follows:
1. Exit routes should be clear of obstruction at all times. Importantly, they should be
free of explosive or highly flammable materials.
2. Exit routes should be designed so employees and clients do not travel toward areas
of high hazard.
3. Exit routes should not be obstructed by locked doors, equipment or dead ends.
4. All safeguards along the exit route should be operational.
5. An exit route should be lighted appropriately such that a person with normal vision
could identify and navigate it without confusion.
6. Exit-route doors should be free of decorations or other materials that obscure the
visibility of the door or its sign.
7. Exit routes should be marked with highly visible directional exit-access and exit-
discharge signs. Floor-plan signage with exit routes indicated is also useful.
8. Any door along an exit route should be marked with an identifying sign (“closet,”
“mechanical,” etc.) so it will not be confused with an exit door.
9. Exit signs are required and must be printed in a plain, legible font.
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Figure 5-1.
A typical exit sign with large red
characters and a plain sans serif font.
10. Follow local ordinances for installation of an emergency alarm system. It might not
be required in smaller businesses.
11. Note that some government offices might require that exit routes feature fire-
retardant paint.
12. Construction or remodeling does not diminish exit-route requirements. The
requirements above must be fulfilled regardless of worksite status.
Emergency-Plan Resources
The U.S. Centers for Disease Control and Prevention provides an example
Emergency Action Plan Template that can be filled out by hand and used by businesses.
Alternatively, the template can be recreated and adapted to fit local needs.
The Ministry of Education for New Zealand has an elaborate template for schools that can
be modified for other types of businesses.
Some cities will provide resources to help businesses integrate their emergency plan into
the city’s plan. Check with local government offices to see if resources are available to
help you create your emergency plan.
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Section 6
Fire Safety and Prevention
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SECTION 6
FIRE SAFETY AND PREVENTION
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In 2012, 92,800 non-residential fires occurred in the U.S., resulting in 65 deaths, 1,450
injuries and property losses nearing $2.5 billion. About 10 percent of all fires were started
through “careless” action (FEMA, August 2014). In the U.K. in 2012, a total of 22,500
non-residential fires resulted in 17 fatalities and 1,013 injuries. Over the past decade, the
incidence of fires in the workplace has dropped significantly, which clearly indicates the
success of regulations, planning and implementation.
Every employer must have a plan for fire safety and prevention. As in the overall emer-
gency plan, businesses with fewer than 10 employees may communicate the plan verbally.
These small, independent gyms might not require a written plan, but it is prudent to have
a written and practiced fire-safety plan. A written document makes it easier for employers
to comply with the regulations that require them to inform employees of the fire hazards
to which they are exposed. Businesses with 10 or more employees must have a written
fire plan. These documents don’t have to be elaborate. Keeping them simple and straight-
forward keeps composition time low and helps readers understand and implement them
more effectively in times of emergency.
A standard plan for fire safety and prevention has five parts. The nature of a business will
affect the contents of each.
Part 1—A list of all major fire hazards is required. Hazards should have been identified
as part of the gym’s analysis process. Proper handling and storage procedures for any
hazardous materials on site should also be described in this section. Manufacturers often
provide this information on labeling or shipping label inserts. It is simplest to obtain
Safety Data Sheets for every chemical at the worksite. These sheets will be included with
any purchase of chemicals, and they are also available from the manufacturer’s/vendor’s
website or in government listings. The sheets list potential ignition sources and various
methods and equipment necessary for control of spills and fire.
Part 2—This section covers any workplace procedures used to control accumulations of
flammable/combustible waste materials. Gyms generally do not produce flammable or
combustible waste materials, so this section is quite short. It should address paper waste
primarily.
Part 3—Virtually all gyms will have some type of heating. A written procedure and sched-
ule should govern regular maintenance of the heating equipment, and it should contain a
description of any safeguards to prevent accidental ignition of combustible materials.
Part 4—Responsibility and authority must be assigned to personnel who maintain equip-
ment and conduct any duties to prevent and control fire. These people should be specifi-
cally identified in the fire safety and prevention plan.
Part 5—It is rare for a gym to maintain a fuel source on site. Exceptions might be when oil
or propane is stored on site for use in heating. Any individual who is responsible for the
storage and control of fuel source hazards must be identified in this section.
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This plan organization is derived from OSHA’s guidance (CFR 1910.39); the content is
largely compliant with international regulations (see U.K.-specific information). Ensure
your plan documents comply with the regulations that apply to you.
Fire Prevention
A number of simple measures should be taken to prevent worksite fires. Though many are
common sense, it is important that the measures are communicated through employee
training.
Storage and disposal—Any hazardous goods stored on the premises should be stored
according to federal, state and local requirements. Do not allow flammable or combus-
tible materials to accumulate. Packaging materials, paper waste and similar materials
should be removed and disposed of as quickly as possible.
Power down unused equipment—Turning off unused equipment that draws electric current
saves money and reduces the risk of fire.
Ensure security—The premises should be secured (doors and windows locked) and appro-
priately illuminated when not occupied to deter trespassing, arson, theft and vandalism.
Smoke Alarms
Smoke alarms are required in small businesses by local government codes. It is imperative
that gym owners contact the appropriate local entity or fire department to determine
how many are required.
In general, no less than one smoke alarm will be required on each floor of a gym, includ-
ing the basement (if present). Alarms should be mounted, per manufacturer specifications,
high on walls (no more than 12 inches from the ceiling) or on the ceiling. They should not
be installed near windows, ventilation ducts, doors or within 10 feet of cooking appliances
in order to prevent improper function or false alarms (from cooking).
Two basic types of smoke alarms exist: ionization and photoelectric. Ionization smoke
alarms are more responsive to flames, and photoelectric smoke alarms are more respon-
sive to smoking fires. Either type is acceptable but having both provides the best cover-
age. A number of manufacturers produce “dual-sensor smoke alarms” with both types of
sensor.
Each alarm should be tested for function (as described in manufacturer’s instructions)
each month. If the alarm begins to chirp, replace the batteries. When chirping, the battery
and alarm are still functional but the battery must be replaced before failure. Annual bat-
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It is recommended that smoke alarms are replaced every 10 years to ensure continued reli-
able function and to benefit from any new technology.
The U.S. Environmental Protection Agency maintains the page “Buying a Smoke Detector,”
and consumer review sites can also offer guidance.
Fire Extinguishers
Businesses must have readily available fire-extinguishing equipment. Most gyms satisfy
this requirement by keeping portable fire extinguishers on site. Although evacuation is
the primary consideration in case of fire, these extinguishers can be used to prevent small
fires from spreading or to control larger fires until the fire department arrives.
All employees should be properly trained in the use of a fire extinguisher. Extinguishers
should only be used if the a willing employee has an unobstructed route of escape from
the fire and workplace. During operation of the fire extinguisher, the employee should
maintain a distance of 6-8 feet from the leading edge of the fire.
In general, fire extinguishers are operated according to a sequence that can be presented
as a simple acronym—“PASS”:
The most common fire extinguishers are “multi-purpose dry chemical extinguishers,”
which suppress and extinguish fires by delivering a thin layer of fire-retardant powder that
coats the materials fueling the fire, thus separating the fuel from the oxygen needed to
propagate the fire.
Building size determines the required number fire extinguishers. The OSHA requirement
states that the employer shall distribute portable fire extinguishers for use by employees
on Class A fires so that the travel distance for employees to any extinguisher is 75 feet
(22.9 m) or less. Additionally, a fire extinguisher must be present on every floor of a build-
ing and adjacent to the stairway.
Employers are responsible for maintaining the fire extinguishers and completing a visual
inspection monthly. The employer is also responsible for ensuring annual maintenance
checks are done. Stored pressure extinguishers do not require an internal examination.
The employer must record the annual maintenance date and retain the record for one year
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after the last entry or the life of the shell, whichever comes sooner.
Sprinkler Systems
Automatic sprinkler systems to combat industrial fires were first patented in 1872 and
have become a mainstay in construction of commercial buildings. Many commercial struc-
tures have sprinkler systems installed. In general, the owner of the building is responsible
for maintenance and testing of the system.
Sprinkler systems are installed per national and local regulation by authorized and
approved installer. They must also be maintained in a similar manner. Records of the
company contracted to supply these services and records of the dates of service should
be maintained at the worksite.
A sprinkler system generally delivers water to a fire. The individual heads of the system
are designed to activate when the heat is high enough to melt a fusible link in the head.
This triggers the flow of water or suppressant to the active fire. A variety of fusible links
are available and typically melt within a range of 100-625 F (38-329 C). The installation
technician will select the fusible link that is compliant with regulations and appropriate for
your gym.
When the system activates it is not an all-or-nothing response. One head might activate
near a small fire; many will activate near a large fire. The sprinkler system is designed to
extinguish or contain a fire until the fire department arrives, but, unlike fire extinguishers,
a sprinkler system works independently and allows evacuation by all occupants.
Planning Resources
You can modify this fire safety plan template for use in your business.
The current comprehensive U.S. Fire Prevention Code can be obtained from the
National Fire Protection Agency. Previous editions can also be found on the internet.
U.S. fire statistics can be found on the Federal Emergency Management Agency’s website.
Also see Title 29 of the Code of Federal Regulations, Part 1910 Subparts E and L; and
Part 1926, Subparts C and F.
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Section 7
Chemical Safety
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SECTION 7
CHEMICAL SAFETY
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7—CHEMICAL SAFETY
Thousands of different chemicals are used in all workplaces. Whether cleaning the gym
restroom, cleaning equipment, using a laser printer or using a can of bug spray, we fre-
quently deal with chemicals that carry exposure risk.
Many chemicals that we use frequently and consider harmless can cause injury or illness if
not handled properly. Read labels carefully. For example, laundry bleach can cause injury
or irritation to eyes and skin. Its vapors can also be a trigger for an asthmatic episode.
As an employer, you must recognize and manage exposures. As an employee, you have a
right to know about any hazardous chemicals you will be required to work with and how
to use them safely.
When an employer provides information on chemical use as part of your job, it is import-
ant to follow all standards and guidelines. These steps aren’t inconvenient or unnecessary;
they are safeguards set up to protect you from exposure to potentially harmful chemicals.
A hazardous chemical is defined as any chemical that can do harm to your body. Most
chemicals found in a workplace can harm you at some level of exposure. Exposure refers
to and depends on how much of the chemical gets into or onto the body and length of
exposure.
EXPOSURE ROUTES
The way a chemical enters the body is generally called the “route of entry.” The route of
entry is important because chemicals might have serious effects through one route of
entry but minimal or no effects through a different route of entry.
Hazardous chemicals enter the body by three basic processes: (1) inhalation, (2) absorp-
tion and (3) ingestion.
Inhalation
Inhalation is the most common and fastest entry route. When a chemical vapor is inhaled,
it can affect both the bronchi (the tree of respiratory tubes) and the lungs. The lungs are
intimately associated with circulation (the lungs have a dedicated network of vessels
called the pulmonary circulation), so any chemical vapors entering the lungs can directly
enter the bloodstream.
Absorption
Chemicals can be absorbed through the skin to enter into body fluids and potentially
the blood. This is the second most common entry route. Nearly all chemicals absorbed
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through the skin are in liquid form, although solid chemicals and gases can dissolve into
moisture on the skin, such as sweat, and get absorbed. The eyes are included in this expo-
sure route. Although the eyes do not represent a very effective avenue of entry, they are
very sensitive and irritable. It is always important to protect the eyes. Note that an open
cut or rash can also mediate entry into the blood.
Ingestion
Just like food and drink, worksite chemicals can enter the gastrointestinal system via the
mouth. Anything that goes in the mouth can carry contamination or present a chemi-
cal hazard itself. A common example: consumption of food and drink contaminated by
unwashed hands, contact with contaminated gloves or clothing, or exposure to worksite
chemicals. The gastrointestinal system is generally a slower and less effective route of
chemical entry. Symptoms might not immediately manifest, but some acids, caustic
agents and organic chemicals can cause immediate chemical burns following ingestion.
Health hazards from chemical exposure fall into five basic categories:
1. Toxic.
2. Corrosive.
3. Carcinogenic.
4. Reproductive.
5. Sensitizers.
The effects of a toxic chemical will often be seen away from the chemical’s entry point into
the body. Workplace solvents (paints, thinners and solvents) provide a common exam-
ple. The exposure route for these chemicals is generally through inhalation or absorption
through the skin. Once in the body, these chemicals can affect the central nervous system,
the liver and the kidneys. (For a list of highly toxic chemicals, follow this link.)
The effect and time course of injury from toxic chemical exposure might develop immedi-
ately or manifest over months to years. Toxic effects are “dose dependent” – this refers to
a change in effect (increased severity or increased number of symptoms) that is directly
related to increasing levels of exposure to a chemical hazard (the “dose”). As the amount
of chemical exposure increases either in a single exposure or through repeated exposure,
the severity of injury increases.
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Gym owners and managers should be progressive in dealing with toxic chemicals because
failure to take exposure seriously can be quite expensive (see the outcome of a court case
involving a gym here).
Corrosive chemicals—Corrosives are highly reactive chemicals that can cause obvious
damage to living tissues with which they come into contact (see a list of corrosives here).
Corrosive chemicals cause irritation and damage to the biological structure through
oxidation of biological chemicals in the tissues (oxidation is the loss of electrons from an
atom, molecule or compound). Usually the effect is immediate. Acids and bases are exam-
ples (remember high-school chemistry: An acid has a pH below 7 and a base has a pH
above 7). Corrosive chemicals pose serious and immediate risks to the skin, tissues, eyes
and any other exposed parts of the body.
Carcinogens—Any chemical or substance that has been shown to directly cause cancer is
a carcinogen. Chemical carcinogens act to damage the genome (your DNA) or to disrupt
cellular metabolic processes. Carcinogens can be relatively insidious, as their effects are
generally not immediately apparent. Many substances have been identified as carcino-
genic. Among the more common carcinogens are asbestos, some pesticides, arsenic,
radon and components of tobacco smoke. The list of known and probable carcinogens
is quite large (see a fairly comprehensive list here), but please note that in most instances
there is a critical dose above which risk becomes significant.
Reproductive Hazards—These are substances or agents that can affect the health and
function of the reproductive system in men and women. Their effects include infertility,
impotence, miscarriage and birth defects. The effects on fetal health are particularly pro-
found in the first trimester of pregnancy. Common examples of reproductive hazards are
lead, insecticides and diesel exhaust fumes (find a larger list of reproductive hazards here).
Sensitizers—These chemicals induce no immediate effects upon initial exposure but will
cause an immune-system-mediated allergic-type reaction after repeated exposures. An
easy way to think of this: Exposure to sensitizers causes hypersensitivity to chemicals. The
most commonly seen reactions are skin disorders such as hives, eczema and respiratory
disorders such as asthma. Formaldehyde and latex are two very common sensitizers (for a
more complete list visit this searchable site).
In many countries, hazard classification and communication laws were similar in purpose
but different enough to result in inconsistent hazard classifications for similar and iden-
tical products. The methods of labeling and provision of safety information were also
dissimilar. International sales of products were affected because manufacturers needed
multiple document sets to meet requirements in different countries.
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The worldwide system revises and standardizes the criteria used to classify and label
chemical hazards. It creates a uniform format for Safety Data Sheets and establishes
employee training requirements relative to labels and data sheets. The system also uses
pictograms to more easily communicate the hazards associated with chemicals.
Businesses in which employees are exposed to hazardous chemicals as part of their duties
must develop a hazard-communication training program that includes information on:
1. Labeling.
2. Safety Data Sheets (accessing and interpreting).
3. Training on hazardous chemicals in the workplace.
Labeling
Formal and clear labeling ensures – to the greatest degree possible – that chemicals are
not mistakenly used for the wrong purpose. It is important to use the right chemicals for
the right job. The wrong chemicals can cause damage to equipment or buildings, and,
more importantly, incorrect use can sicken or injure workers and customers.
Standards of labeling are important on both the primary containers provided by the man-
ufacturer and secondary containers used on the worksite. For example, cleaning solution
prepared in a larger container will generally be poured into a handheld spray bottle for
easy use. This bottle, the secondary container, must be labeled to indicate its contents
any convey appropriate warnings. The labeling should be intuitive. If several spray bottles
contain clear liquid, which one contains bleach solution for cleaning and which one is full
of water for misting plants?
1. Product/chemical name.
2. Chemical hazard category.
3. Other hazard statements.
4. Supplier name.
5. Supplier contact information.
More formal labeling according to ANSI Z129.1 (compliant with Globally Harmonized Stan-
dards) is common for commercially supplied chemicals and products. These labels have
six basic elements and are illustrated in the following figure (7-1).
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Figure 7-1.
Chemical labeling will include six pieces of information that enable appropriate use and storage of a chemical.
Note: Sodium hypochlorite is the chemical name for the active ingredient in household bleach. Acetone is the
active ingredient in nail polish remover. Gasoline is known as petrol outside the U.S.
The symbols or pictograms used in labeling are shorthand indications for the hazard
within the labeled container. Nine pictograms are currently proposed for use in the Glob-
ally Harmonized System.
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Figure 7-2.
The nine GHS hazard pictograms.
You can find a more elaborate description of the hazards associate with each pictogram
by visiting the OSHA website specific to globally harmonized labeling (see section 4.3 of
“A Guide to the Globally Harmonized System of Classification and Labeling of Chemicals
(GHS)” or review the U.K. Health and Safety Executive’s guidance on the topic; see the
section “Labelling and Packaging” on its website).
A Safety Data Sheet (SDS), formerly known as a Material Safety Data Sheet (MSDS), is a
document provided by a chemical manufacturer to describe the hazards of that chemical
and the precautions that allow safe use. An SDS is not intended for use by the general
public; it is intended for those who work with the chemical in an occupational setting.
These documents must be kept for each chemical used at a gym no matter how frequent
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the use. Cleaners, lubricants, disinfectants and other chemicals commonly found in gyms
all have SDS documents that are available from the manufacturer or vendor. The docu-
ments typically arrive packed with the chemical but can also be found on manufacturer
websites. Periodically check your file of Safety Data Sheets against your physical chemical
inventory. If necessary, add the sheet for any new workplace chemical or product.
1. Is a Safety Data Sheet for each chemical in the inventory present in the file?
2. Have any non-inventory Safety Data Sheets or duplicate/obsolete documents been
removed from the file?
3. Are the Safety Data Sheets available and easily accessible to workers?
Every Safety Data Sheet for a chemical or product, regardless of manufacturer, will consist
of 16 descriptive sections. These sections and their basic content are:
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Training
Any new employee should have chemical-hazard training upon hire and prior to assuming
gym duties. Every worker should know which chemicals he or she will be using and how
to control their hazards. There should be an annual review of any new chemical intro-
duced to the gym. If work duties are such that workers are required to wear personal pro-
tective equipment (PPE), training on use should occur prior to commencement of duties,
and refresher training should be provided annually. All training documentation should be
retained in personnel files.
The individual chemicals present will dictate which protective items should be supplied. In
general, gym workers will require only gloves and safety glasses.
Storage
Chemicals should be stored on shelves, off the floor and no higher than eye level for the
average individual. Larger and heavier containers should be on lower shelves. These safe-
guards minimize the danger of falls or drops if workers lose control of unwieldy containers.
Labels should be legible and oriented for easy reading. All containers should be tightly
closed, and the containers should be free of any damage.
If a container leaks, make sure the leak is contained using appropriate and safe methods.
Refer to the Safety Data Sheet for the leaking chemical to determine the correct course of
action for containment and decontamination.
Keep in mind that not all chemicals are compatible. If some chemicals at the worksite are
combined, a chemical reaction can create hazardous or toxic products. For example, if the
common cleaning products bleach and ammonia are combined, a dangerous reaction
produces chloramine vapor, a toxic chemical that can rapidly render a person unconscious.
In an open container, the mixture will simply evolve toxic gas into room air. If the container is
closed, it becomes a pressure vessel, and the evolving gases can cause it to explode.
It should be apparent that some chemicals should not be stored in proximity to each
other. Safety Data Sheets provide limited information on reactivity and compatibility.
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Resources
http://www.unece.org/fileadmin/DAM/trans/danger/publi/ghs/ghs_rev02/English/01e_
part1.pdf
http://www.unece.org/fileadmin/DAM/trans/danger/publi/ghs/ghs_rev02/English/02e_
part2.pdf
http://www.unece.org/fileadmin/DAM/trans/danger/publi/ghs/ghs_rev02/English/03e_
part3.pdf
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Section 8
Precautions for Biological Fluids
Health & Safety
A Primer for CrossFit Trainers |
SECTION 8
PRECAUTIONS FOR BIOLOGICAL FLUIDS
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Precautions for Biological Fluids
Health & Safety
A Primer for CrossFit Trainers |
Occasional exposure to blood is not uncommon when working or training in a gym. Occa-
sionally, shin scrapes or badly torn calluses can contaminate equipment. What you do
with that blood determines the possibility of transmission of infectious agents.
You can reduce risk through simple precautions, such as teaching proper exercise tech-
nique, encouraging clients to wear sweats to reduce shin scrapes or recommending
clients properly manage their calluses.
However, there are other ways to control the risk of disease transmission from blood expo-
sure. Regulations can be put in place to prepare for and deal with blood in the workplace.
Also consider the risks of other body fluids, such as sweat and vomit.
U.S. regulations on protection from blood-borne pathogens (CFR 1901.1030) are tar-
geted specifically to protect workers who are exposed to blood, other bodily fluids or
materials that might pose an infection hazard as part of their employment. Such workers
include medical laboratory personnel, nurses, physicians, emergency medical personnel,
researchers, police officers and others. Although not specifically targeted by the regu-
lation, blood exposure and exposure to other bodily fluids and materials can happen in
the gym, albeit on a rather infrequent basis. The regulation covers all employees who
could be “reasonably anticipated,” as the result of their work, to be exposed to contact
with blood and other potentially infectious materials. The regulation, as written, does
not attempt to specify all occupations in which exposures could occur, so it is up to the
employer to make an informed and conscientious determination. Providing first aid after
simple accidents in a gym setting would be considered a “Good Samaritan” act and not
occupational exposure. Simple accidental exposures – such as helping someone with a
bloody nose or similar – are not considered occupational exposure. So in general, a gym
is not subject to these regulations unless the gym, for example, offers boxing, wrestling,
mixed martial arts or other contact sports or activities in which bleeding can be reason-
ably expected to occur as a matter of course. Even if a gym is not specifically bound by
regulation, parts of these regulations are easily emplaced to make the worksite safer.
Blood is the primary target of safety regulations because it poses the greatest risk. In
general, universal precautions do not apply to feces, nasal secretions, sputum, sweat,
tears, urine and vomit unless they contain visible blood. The risk of transmission of HIV
and hepatitis viruses from exposure to these other fluids and materials is extremely low
to the point of approaching zero. However, some of these materials can present a risk for
infections with other pathogens and require some precautions.
Sweat—When humans exercise, body temperature rises and the natural response is
sweat. This response is compounded by higher environmental temperature and humidity.
Luckily, sweat does not generally act as a carrier of pathogens. The primary concern is that
sweat can transmit methicillin resistant staphylococcus aureus (MRSA) from the skin of
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Precautions for Biological Fluids
Health & Safety
A Primer for CrossFit Trainers |
In any gym used by multiple people, especially where there is contact of skin to shared
surfaces, clothing choice is important. For group health, a barrier between the skin and
contact surfaces, whether machine or floor, is needed to diminish the risk of the spread
of bacterial infection (read this article by Green, et al.). Staphylococcus can easily spread
from one person to another if both come into contact with the same surface. This spread
can be prevented with regular cleaning of contact surfaces and by recommending clients
wear clothes that stop skin-to-surface contact. The gym’s proposed method of risk control
should be included in documentation.
Blood—Although relatively infrequent, minor scrapes are likely the most common source
of blood in the gym. Blood can carry a number of diseases. These include but are not
limited to hepatitis B, hepatitis C and human immunodeficiency virus (HIV, the apparent
causative agent for AIDS).
Most gyms, unless they offer combative-type exercise training, will not see significant
blood in the workplace. Small accidents can be dealt with through simple first-aid proce-
dures. Despite the low frequency of exposure, it is prudent to adopt standards similar to
those recommended for occupations with higher exposure rates.
Vomit—Trainees might occasionally vomit during or after training, though this is relatively
uncommon. Higher-intensity repeated intervals seem to be the most common stimulus.
Vomit is a biological fluid and might or might not be hazardous. The best course of action
is to treat it as hazardous and take steps to protect the cleaner and anyone else in the
vicinity.
Vomit is simply the ejection of stomach matter. It occurs for a variety of reasons, such as
illness, motion sickness and exercise. Vomit poses the highest risk to trainers and other
clients if induced by infection or disease, where an infectious agent is present or blood is
present in the vomit. Infectious agents are invisible to the naked eye (you can’t see germs),
while the latter is quite visible.
If vomiting occurs in the gym, ensure hazards are identified and unintended contact is
prevented. Regardless of the amount of vomit or the absence or presence of blood, it’s
important that no one comes into contact with it other than the individual charged with
clean-up.
The next step is removal. Equip yourself with proper personal protective gear, including
gloves, clothing, a face mask and eyewear, as appropriate. Use absorbent and disposable
materials to manage the viscosity of the materials for easier removal.
Next, disinfect and sanitize using detergent and disinfectant solutions or sprays.
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Section 8
Precautions for Biological Fluids
Health & Safety
A Primer for CrossFit Trainers |
Exposure-Control Planning
U.S. regulation requires that employers identify, within a written plan, any tasks and pro-
cedures in which exposure to blood, body fluids or other biological materials might occur
as part of employment. The document is required to provide a schedule for implemen-
tation of regulatory standards, and it should specify procedures for evaluating circum-
stances surrounding exposure. Employers must review the plan and update it on at least
an annual basis. It must also be updated if job duties or potential exposure circumstances
change. The document must be readily accessible to all employees.
The major part of a gym’s exposure-control plan should be a mandate that all employees
follow universal precautions when they encounter situations in which blood, body fluids
or other such materials are present. The easiest way to implement a plan is to recommend
employees treat all body fluids/materials as if they are infectious. The written policy must
address the elements of how the employees will engage with the basic elements of uni-
versal precautions:
Sanitation—The plan should include the methods used to clean areas of exposure. The
regulation mandates that equipment be decontaminated before further use. Use gener-
al-purpose vinyl gloves for equipment decontamination and preventative sanitation.
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Precautions for Biological Fluids
Health & Safety
A Primer for CrossFit Trainers |
Figure 8-1.
A simple schematic of universal precautions.
Employers carry the equipment burden. They must provide, at no cost to the employee,
any needed personal protective equipment, to include gloves, gowns, masks, mouth-
pieces and resuscitation equipment. Further, it is the employer’s duty to require employ-
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Health & Safety
A Primer for CrossFit Trainers |
The plan should also include a written schedule for cleaning of equipment and surfaces.
The method of cleaning should be specified as well. Further, a documented process
should detail disposal of contaminated materials to minimize subsequent exposure.
Finally, a plan cannot be implemented without training. Within the document, provide a
description of how the blood-borne-pathogen plan will be disseminated to employees.
Employee training materials should include a copy of or access to the regulatory text and
an explanation of how the standard affects the employee. Training should also include
information on blood-borne disease and transmission, how the employer’s exposure-con-
trol plan functions, personal protective equipment, proper response to emergencies
involving blood, and how to handle other exposure types. Records of training should be
maintained for three years. The regulation also specifies other aspects of training that are
not relevant to the fitness industry (which is not subject to this regulation).
Resources
An informational poster for first responders from the Centers for Disease Control and
Prevention contains much relevant information.
Review the U.S. Environmental Protection Agency’s fluid hazards effective against HIV and
Hepatitis.
Review the U.S. Environmental Protection Agency’s fluid hazards effective against methi-
cillin-resistant staphylococcus aureus.
Review the HSE’s checklist on recommended precautions and clean-up of biological fluid
hazards.
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Section 9
Gym-Specific Safety
Health & Safety
A Primer for CrossFit Trainers |
SECTION 9
GYM-SPECIFIC SAFETY
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Section 9
Gym-Specific Safety
Health & Safety
A Primer for CrossFit Trainers |
9—GYM-SPECIFIC SAFETY
In 2014, a total of 62,700 injuries were associated with exercise equipment, as reported by
the U.S. Consumer Product Safety Commission. About 24,400 of those injuries were from
treadmills, the single highest source of injury in gyms.
About three people die while using treadmills each year and about 10 people die each
year from bench-press accidents. The bench-press deaths generally occur in homes, but
this statistic urges vigilance in the commercial gym.
The inherent injury risks of exercise are outweighed by its benefits to function and health.
About 54 million Americans have gym memberships, and if you factor in the Consumer
Product Safety Commission injury data above, you can expect one injury per 861 trainees
per year – a low risk. A gym is a safe environment as long as we are conscientious about
making it so.
Each of the many training activities seen in gyms has unique risks associated with it, but
the risk of injury is low (read these articles):
How you attend to gym-specific risk is crucial. The first consideration is making your gym
safe and working to manage any risks. Risk can never completely be eliminated, so the
second consideration is managing your legal safety. Screen customers prior to partici-
pation, obtain informed-consent and waiver-of-liability forms from each customer, and
ensure liability insurance is in place. Make sure your records and forms for each client are
complete and accurate.
As previously mentioned, no health and safety laws apply specifically to gyms, but gym
owners, managers and staff still must comply with the general provisions under the
Health and Safety at Work Act of 1974 (U.K.) or the Occupational Safety and Health Act of
1970 (U.S.) and any associated amendments. Beyond this legal responsibility to employees,
gyms must implement sufficient health and safety measures to control risks for customers.
Supervision and instruction of customers is imperative. Even if your gym business model
is pay-for-access and the customers use the equipment and facilities on their own, it is
sound practice to actively survey the exercise floor. People will do strange things with
your equipment if left to their own devices.
To control risk and ensure a safer work and training environment, customers must be
educated about how to use the premises and equipment. At signup, each customer
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How important is supervision? Of all the court cases reviewed, 80 percent referred to supervi-
sion—generally lack or inadequacy of supervision—as a factor that contributed to injury. Very
limited objective information exists with regard to supervisory ratios and space require-
ments. Most recommendations are for strength-and-conditioning operations that prepare
athletes for sport, but a similar intent to improve fitness means these recommendations
can serve as rough guidelines to be modified to fit individual commercial gyms as well.
As noted above, weightlifting, powerlifting and weight training are safe activities, accord-
ing to the injury data. That said, free weights and weight machines can cause catastrophic
accidental injury to participants or bystanders.
For safety, spacing must allow people to easily pass between free-weight stations or
weight machines with no risk of being hit by moving barbells or dumbbells or being
entangled by the moving parts of a weight machine (see below).
Barbells and weight machines should be maintained in good working order at all times. If
it doesn’t work, customers should not be able to use it.
Although they reduce the need for trained staff, machines do not absolve gym manage-
ment from instructional responsibility. For weight machines, users should be educated
about individual adjustments for body dimensions, the weight-changing process and how
to perform movements as intended by the manufacturer.
Free weights provide a larger safety issue. In general, free-weight exercises require in-per-
son instruction and these instructions should be made available in the gym. Fundamen-
tally sound technique provides the best results in terms of fitness and safety.
Spotting free-weight exercises is often considered essential – if you don’t have spotters,
don’t lift. This is largely false. Untrained spotters can be a hazard to the trainee and to
themselves. The large loads of compound lifts, the movement patterns of ballistic lifts and
the anatomical strains caused by incorrectly supporting joints or body segments makes
spotting dangerous if performed incorrectly. If spotters are to be required, they must be
trained and competent. It is often safer to teach trainees how to properly “dump” “miss”
or “bail out” of a repetition with a weight (as is taught by USA Weightlifting). Trainees
must learn how to move their bodies in relation to implements in order to avoid being hit,
pinned or injured by the weight.
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Gym-Specific Safety
Health & Safety
A Primer for CrossFit Trainers |
Exercise-Machine Safety
Machines are a mainstay of many gyms. Rowing machines were among the earliest of
exercise machines, and they continue to be a popular (read this brief history) .
The most popular endurance exercise machine in the gym is the treadmill, a device
originally devised as a punitive and corrective device for problem inmates in U.K. and U.S.
penitentiaries during the 19th century. Prisoners would be required to do eight hours on
the non-motorized treadmill each day; in fact, the prisoners were forced to be motors, and
their enforced walking-against-resistance efforts powered grain mills (hence the name
treadmill) or other machines. By the end of the 19th century, treadmills in prison were
outlawed as cruel and unusual punishment.
The recreational running boom of the 1960s led to the reintroduction of a tamer, motor-
ized treadmill for use in gyms. Treadmills offered convenience and air-conditioned
comfort, as well as risk because injury is always possible when working with machines.
Although treadmills are the site of more gym injuries than any other area in the gym –
accounting for about 39 percent of injuries – think about how many people use them and
how many hours are spent on treadmills. Twenty two thousand injuries distributed across
more than 50 million users represent a small risk. However, any powered machine must be
maintained in good working order at all times. Treadmills should be on a regular preven-
tive-maintenance schedule to keep their electrical, structural and moving parts function-
ing properly (schedules and instructions are generally available from manufacturers or
vendors).
Clients should be introduced to proper usage, safety and repercussions of abuse in tutori-
als prior to use.
Spacing
Access to and clearance around exercise machines must be considered. Foot traffic around
any piece of equipment should be unencumbered by the machine or the person using it.
One of the easiest ways to accomplish this is to design the floor plan according to dis-
ability-access regulation (Americans with Disabilities Act – Disability Discrimination Act
U.K.). Other recommendations exist for equipment spacing, such as floor plans including
36-48-inch walkways between free-weight areas (such as lifting platforms) and 24-36-inch
walkways between exercise machines (weight and endurance).
Planning is essential in gym layout whether you are starting from blueprints or moving
into an existing structure. Think about emergency plans along with ease of movement
and safety before a problem exists.
However you design your gym layout, you must be able to demonstrate that it is compli-
ant with national and local health and safety regulations.
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Section 9
Gym-Specific Safety
Health & Safety
A Primer for CrossFit Trainers |
Properly maintaining gym equipment is very important when minimizing risk within the
gym. Below is a checklist of common gym equipment that should be checked and main-
tained on a daily, weekly, and monthly basis in the CrossFit gym.
DAILY:
1. Clean surfaces shared by members:
a. Pull up bars
b. Barbell grip area
c. Dumbbell grips
d. Kettlebell grips
e. Medicine balls
f. Jump rope handles
g. Rower handles
h. Ab mats
i. Grips on boxes for box jump
2. Check all floors for slippery areas inside the gym and outside dedicated areas like
stairs and entryways.
3. Scan for tripping hazards.
4. Scan the gym for items temporarily stored too close to workout space.
5. Scan for exposed sharp objects and edges.
WEEKLY:
1. Check equipment used daily for dangerous wear.
a. Jump ropes with exposed wire
b. Pads that are under pull-up bars, rings, climbing ropes, etc.
c. Check lifting mat edges for trip hazards
MONTHLY:
1. Check stretch bands for separation of joints.
2. Check climbing ropes for wear, especially at attachment points.
3. Check pull-up bars for soundness of connections.
4. Check connections of racks that are secured to floors, walls or ceilings.
5. Look under floor mats and lifting platforms where weights are routinely dropped.
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Author Biographies
Lon Kilgore, Ph.D—Very few academics can lay claim to such a varied and deep back-
ground relative to science, exercise and the fitness industry. He earned a bachelor of
science degree in biology with a minor in chemistry from Lincoln University, a master
of science degree in physical education from Kansas State University, and a doctorate
from the Department of Anatomy and Physiology in the College of Veterinary Medicine
at Kansas State University. He earned the rank of professor (full) at three universities (U.S.,
Ireland, U.K.) and has published many dozens of academic papers. During his university
student years he worked as a roofer and department-store assistant manager, provided
security services, and spent time as an autopsy assistant. Prior to his work in academia,
he was a sergeant in the U.S. Army, earning multiple commendations for his work in
chemical weapons disarmament and disposal. Athletically, he has appeared on many
national event podiums in weightlifting and powerlifting over his near half-century of
competition. He has competed, less successfully, in wrestling, rowing and golf. He has a
coaching portfolio that includes tutelage from old-guard elite coaches such as Carl Miller,
Russ Knipp, Tommy Kono, Bill Clark, Marty Cypher and even Bob Hoffman. His background
also includes provision of long-term coaching to many top U.S. weightlifters, provision of
short-term consultancy to several international-level athletes, time as an NCAA strength
coach, and more than a decade of experience teaching USA Weightlifting coach certifica-
tions on the road and at the U.S. Olympic Training Center in Colorado Springs, Colorado.
He might be best known for his industry-changing work with Mark Rippetoe, as concept
originator, co-author, illustrator and book designer for “Starting Strength” and “Practical
Programming” (first and second editions). He also co-created the Basic Barbell Training
and Exercise Science specialty courses offered through CrossFit in the mid-2000s. Lon is a
regular contributing author to the CrossFit Journal, with 40 or so articles appearing there
since 2006. He also has provided a number of volunteer services to a variety of academic
and corporate education committees. He is a small-business owner, educational content
creator and business consultant within the fitness industry.
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