Reorganization-Operational Memo Impacting All Policies
	Web References
	North Carolina Administrative Code
	DJJDP Program Records Retention and Disposition Schedule
	The General Schedule for State Agency Records

1. Use of Force

DJJDP 1, Use of Force   Use of Force Implementation Memorandum   Form DJJDP6 001, Incident Report   Form DJJDP6 001, Incident Report   Form DJJDP 1.1 003, OC Spray Report   DJJDP Authorized Mechanical Restraint Equipment   Instructions for Applying Department Authorized Mechanical Restraints (How to Apply Mechanical Restraints)   Form MD4 002, Statement Form   Form MD4 002, Statement Form   Form YD/M 002, Medical Alert DJJDP 1.1, OC Spray Utilization Protocol   Use of Force Implementation Memorandum   Staff Medical Alerts Operational Memorandum   Form DJJDP6 001, Incident Report   Form DJJDP6 001, Incident Report   Form DJJDP 1.1 001, Security Inventory   Form DJJDP 1.1 002, Facility OC Spray Implementation Plan Template   Form DJJDP 1.1 003, OC Spray Report   Form DJJDP 1.1 004, Indirect Exposure Training (Accept/Decline)   Form DJJDP 1.1 005, Readiness Report   Form MD 4 002, Statement Form   Form MD 4 002, Statement Form   Form YD/M 002, Medical Alert Form   Form YD/M 002a, Staff Medical Alert   Appendix D to Sec. 1910.134 - Information for Employees Using Respirators When Not Required Under Standard   Form YC/M 001, Admission History and Physical Exam (Youth development centers)   Form DC/M 008, Admission History and Physical Exam (Detention centers)

2. Transportation

Transportation Policy (Amended 03/03/04) Implementation Memo Authorized Mechanical Restraint Equipment Youth Development Division: Transportation of Juveniles to Treatment-Oriented Activities

3. Media

Media Communications Policy Implementation Memo   Media Signature Form   Media Release Consent Form

4. Grants

Grants Management Directive Policy   Grants Forms

5. Computer Usage

DJJDP 5, IT Resource Usage   Statement of Understanding Use of IT Resources DJJDP 5.1, IT Help Desk Glossary for Information Technology Policies

6. Reporting Abuse and/or Neglect

Implementation Memo   Reporting Abuse and/or Neglect Policy   Training Plan   Form DJJDP6 001 —Incident Report (Form DJJDP6 001)   Form DJJDP6 001 —Incident Report (Form DJJDP6 001)   Form YD/M 019 — Body Check/ Injury Verification Verification of Notification of DSS Letter Template   Form DJJDP7 005 — Policy Training Record   Frequently Asked Questions About the Reporting Abuse and/or Neglect Policy   Abuse/Neglect Training Presentation   Abuse/Neglect Refresher Training   Abuse/Neglect Reporting Flowchart

7. Written Policy System

Written Policy System Implementation Memo   Form DJJDP7 001 — Statement of Understanding Policy   Form DJJDP7 002 — Propose, Amend, Revise, or Repeal a Policy   Form DJJDP7 003 — Model Policy Format   Form DJJDP7 004 — Division, Section, Unit Abbreviations/Prefixes for Policy Numbering Form DJJDP7 005 — Policy Training Record   Flowchart A: Proposing Policy   Flowchart B: Policy Designation   Flowchart C: Developing Departmental Policy   Flowchart D: Developing Multi-division Policy   Flowchart E: Developing Division Policy   Flowchart F: Distributing Policy

8. Misuse and/or Theft of State Property

Misuse and/or Theft of State Property Policy Implementation Memo State Property Incident Report

9. Telephone

Telephone Policy Implementation Memo   Form DJJDP9 001 — Mobile Telephone Usage Agreement   Form DJJDP9 002 — Mobile Telephone/Accessorty Request Form   Information Technology Services Cellular Service Request

10. Bloodborne Pathogens Policies

Bloodborne Pathogens Policies Implementation Memo Hepatitis B Declination Statement Post Exposure Examination Form Request for Hepatitis B Vaccination Training Presentation Required Bloodborne Pathogen Training Quiz

11. Safety Policies and Procedures

Implementation Memo DJJDP 11 Safety and Health Program Form SE 001 A. Facility Safety and Health Committee Report Form SE 002 B. Safety and Health Committee Meeting Minutes DJJDP 11/SE 1 Access to Staff Medical and Exposure Records DJJDP 11/SE 2 Supervisor Accident/ Incident Investigations Form SE 008 A. Supervisor's Accident Investigation Form DJJDP 11/SE 3 Housekeeping DJJDP 11/SE 4 First Aid DJJDP 11/SE 5 Office Ergonomics Form SE 049, Intial Report of Accident/Injury State-Owned, Department-Operated Facility Policy (All Staff in State-owned, Department-operated facilities must read) DJJDP 11/SE 6 Emergency Evacuation and Fire Prevention Plans Form SE 022 A. Emergency Evacuation Plan Elements Form SE 023 B. Fire Prevention Plan Elements Form SE 024 C. Emergency Evacuation Plan Template DJJDP 11/SE 7 Emergency Drills DJJDP 11/SE 8 Imminent Danger DJJDP 11/SE 9 Accident Prevention Signs and Tags and Safety Color Marking for Hazards Form SE 014 A. Accident Prevention Signs and Tags Decision Tree DJJDP 11/SE 10 Regulatory Agency Visits DJJDP 11/SE 11 Safety and Health Inspections Form SE 005 A. Exiting and Exit Door Compliance Checklist Form SE 006 B. Safety and Health Assessment Checklist Form SE 007 C. Building / Office Safety Inspection Checklist DJJDP 11/SE 12 Hazard Communication (All Supervisors in State-owned, Department-operated facilities must read) DJJDP 11/SE 13 Job Safety Analysis Form SE 027 A. Job Safety Analysis Form Form SE 028 B. Task Analysis Form DJJDP 11/SE 14 Safety and Health Training Form SE 003 A. NC OSHA Training Requirements Form SE 004 B. Safety and Health Training Matrix DJJDP 11/SE 15 Sanitation Form SE 010 A. Construction/Demolition Site Sanitation Checklist DJJDP 11/SE 16 Hazard Assessments Form SE 011 Hazard Assessment Checklist Form SE 012 Hazard Analysis Form DJJDP 11/SE 17 Respiratory Protection Form SE 029 A. Sample Respirator Inspection Record Form SE 030 B. Site Specific Required Respirator Use Form SE 048 C. (Mandatory) Information for Employees Using Respirators When Not Required Under Standard DJJDP 11/SE 18 Fire Safety Requirements (All Purchasing Staff in State-owned, Department-operated facilities must read) DJJDP 11/SE 19 Purchase Approval Requirements for Safety and Health (All Maintenance Staff in State-owned, Department-operated facilities must read) DJJDP 11/SE 20 Hearing Conservation Form SE 013 Sample Notification Letter to Employees DJJDP 11/SE 21 Pesticide Exposure Prevention DJJDP 11/SE 22 Machine Guarding Form SE 016 Machine Guarding Needs Checklist DJJDP 11/SE 23 Powered Industrial Vehicles Form SE 015 A. Powered Industrial Truck Daily Inspection Checklist DJJDP 11/SE 24 Compressed Gas Cylinders Form SE 017 A. Handling, Using, and Storing of Compressed Gas Cylinders DJJDP 11/SE 25 Asbestos Exposure Control Form SE 018 A. Work Request For Asbestos-Related Projects DJJDP 11/SE 26 Fall Protection DJJDP 11/SE 27 Ladders, Workstands, and Scaffolds Form SE 019 A. Ladder Safety Checklist DJJDP 11/SE 28 Electrical Safety Attachment A. Approach Distances for Qualified Workers, Alternating Current Attachment B. Specific Types of Work Practices Form SE 020 C. Electrical Inspection Checklist Attachment D. Classified Locations Form SE 021 E. Electrical Related Safe Work Practices Program Checklist DJJDP 11/SE 29 Welding Safety Form SE 047 Hot Work Permit DJJDP 11/SE 30 Cranes, Hoists and Slings DJJDP 11/SE 31 Non-Powered Tool Safety DJJDP 11/SE 32 Powered and Hydraulic Machines DJJDP 11/SE 33 Excavation and Trenching Safety Form SE 025 Job Reminder Checklist Form SE 026 Excavation Evaluation Attachment Competent Person Guide to an NCOSH Inspection DJJDP 11/SE 34 Grounds Maintenance DJJDP 11/SE 35 Confined Space Entry Form SE 032 A. Confined Space Classification Table Form SE 033 B. Atmospheric Testing Procedures Form SE 034 C. Confined Space Entry Permit Form SE 035 D. Confined Space Entry Definitions DJJDP 11/SE 36 Lockout/Tagout Form SE 036 A. Lockout/Tagout, Evaluation Form SE 037 B. Lockout/Tagout, Multiple Energy Sources Form SE 038 C. Lockout/Tagout, Multiple Energy Sources Form Form SE 039 D. Lockout/Tagout, Inspections Form SE 040 E. Lockout/Tagout, Group Lockout/Tagout Form SE 041 F. Lockout/Tagout, Removal Justification Form SE 042 G. Lockout/Tagout, Tagout System Justification Form SE 043 H. Lockout/Tagout, Hazardous Energy Control Procedural Posting (All Youth Development Center and Detention Center staff must read) DJJDP 11/SE 37 Personal Protective Equipment Attachment A. OSHA's Occupation Specific Suggested PPE Attachment B. Filter Lenses For Protection Against Radiant Energy Attachment C. Eye and Face Protection Selection Chart Attachment D. Glove Selection Chart Attachment E. PPE Selected Equipment (All Safety, Health, and Emergency Management Office staff must read) DJJDP 11/SE 38 Review of New Construction and Renovation