CHS-EVS (Certified In Healthcare Safety - Environmental Services)

The International Board for Certification of Safety Managers, also known as BCHCM, was established in 1976 as a not-for-profit independent credentialing organization. The Board establishes certification and re-certification requirements for the Certified in Healthcare Safety - Environmental Services (CHS-EVS). The Board operates as an independent professional credentialing organization that is not affiliated with any other membership group, association, or lobbying body. The Board exists solely for the purpose of issuing individual certifications to qualified candidates. Our mission is to 'Upgrade the Profession' by offering real world and practical certifications.


CHS-EVS Background

The CHS-EVS credential was established in 2014 to focus on the importance of using management principles to improve the safety performance of hospitals, nursing care facilities, and other healthcare locations. The CHS-EVS credential would be appropriate for Candidates desiring to improve their safety contributions during their professional practice of cleaning and maintaining built environments. Earning the CHS-EVS credential provides recognition and documents commitment to cleaning for safety and health. Hospitals, long term care and other nursing care facilities need certified personnel that understand how proactive safety practice supports operational effectiveness, improves resident care processes, and reduces organizational costs. The textbook: Healthcare Hazard Control and Safety Management, can help CHS-EVS Candidates prepare for the CHS-EVS Exam. The book is available for purchase from the Board. Contact IBFCSM for information about other self-study materials.


CHS-EVS Examination Outline 

1. Environmental Services and Safety Management Principles (30%)

  1. Accident, Injury, and Illness Prevention
  2. Safety Inspections, Surveys, and Investigations  
  3. Safety Policies, Plans, and Reporting
  4. Understanding Safety Cultures
  5. Management Principles and Human Relations
  6. Environmental Services: A True Profession
  7. Cleaning for Safety and Health by Sanitizing and Disinfecting
  8. Sick Building Causes
  9. Elements of the Cleaning Process
  10. Slip, Trip, & Fall Prevention

2. Government Agencies and Standards (20%)

A. Occupational Safety and Health Administration (OSHA)

  1. Hazard Communication (29 CFR 1910.1200)
  2. Respiratory Standard (29 CFR 1910.134)
  3. Controlling Hazardous Energy (29 CFR 1910.147)
  4. Permit Confined Spaces (29 CFR 1910.146)
  5. Air Contaminants (29 CFR 1910, Subpart Z)            
  6. Electrical Standards (29 CFR 1910.303)
  7. Bloodborne Pathogens (29 CFR 1910.1030)
  8. Nursing Home and Healthcare E-Tools (OSHA Website)

B. Resource Conservation & Recovery Act (RCRA) and Universal Waste Act (UWA)

C. Federal Insecticide, Fungicide, and Rodentcide Act (FIFRA)

D. Food and Drug Administration (21 CFR)

E. Department of Health and Human Services (42 CFR) NIOSH, AHRQ, etc.


3. Hazard Identification, Evaluation, and Control (20%)

  1. Physical Hazards (Electrical, machine, equipment, tools, noise, radiation, etc.)
  2. Chemical Hazards (Disinfectants, pesticides, solvents, dangerous drugs, gases, etc.)
  3. Ergonomic/Environmental Hazards (Repetitive tasks, falls, musculoskeletal disorders, etc.)
  4. Biohazards (Legionella, waste handling, sharps exposures, construction risks, etc.)
  5. Psycho-Social Hazards (Workplace violence, security, substance abuse, stress, shift work, etc.)
  6. Departmental Safety Hazards

4. Voluntary and Standards Organizations (15%)

  1. National Fire Protection Association (NFPA)
  2. American National Standards Institute (ANSI)
  3. American Society of Testing Materials (ASTM)
  4. American Society of Heating, Refrigerating, & Air Conditioning Engineers (ASHRAE)
  5. Underwriters Laboratory (UL) and Factory Mutual (FM)
  6. American Conference of Government Industrial Hygienists (ACGIH)

5. Fire Safety, Emergency Management, & Infection Control (15%)

  1. Fire Safety
  2. Emergency Management
  3. CMS Standards
  4. CDC Infection Control Guidelines
  5. Facility Acquired Infections and H. Opportunistic Infections (Aspergillus and Pseudomonas)

Example Questions

1. Which of the following would be the best reason to conduct trending analysis?

a. Determining accident costs

b. Determining training needs

c. Identifying problem areas*

d. Analyzing work standards


2. A supervisor can best help safety efforts by doing which of the following?

a. Purchasing safe equipment and tools

b. Training employees on safe work procedures*

c. Meeting with the hospital safety manager

d. Cooperating other department on safety matters


3. According to Hazard Communication Standard, who has the responsibility for having hazardous material information available to the employees, upon request?

a. The manufacturer

b. The employer*

c. The hospital safety officer

d. The selling company


4. What is the first action that should be taken when a fire is discovered at the facility?

a. Find the closest fire extinguisher

b. Activate the fire alarm*

c. Notify security

d. Close all of the doors and windows