Monitoring of performance regarding actual or potential risks related to the following areas are conducted on an ongoing basis in different ways.

1. Staff knowledge and skills
The monitoring of staff knowledge and skills is conducted through regular observation of performance by supervisors, through formal supervision meetings, through annual performance evaluations, and through training and refresher training conducted each year.

2. Level of staff participation
The monitoring of staff participation is accomplished through means described above. Hazmat training for staff who use potentially hazardous substances is conducted at least annually, and prior to a new substance or material being introduced into the workplace.

3. Monitoring and inspection activities
Hazard surveillance inspections are conducted on each campus at least quarterly. Hazard surveillance inspection reports, hazmat release/exposure reports and investigation findings are reviewed by campus Environment of Care Committees, as they occur.

4. Emergency and incident reporting
All incident reports, including reports related to hazardous substances, are reviewed by supervisors, nursing staff, clinical staff, and program administrators. Hazmat reports are also reviewed by the campus Environment of Care Committee and by program and agency administration.
Incidents that are not documented require follow up by supervisors, and incident reports that are not completed correctly or according to procedure, are returned for follow up by the supervisor.

Data on Hazmat incident and emergency reports is maintained and is reviewed on a regular basis by program and agency administration and by the campus Environment of Care Committee.