CHSP (Certified Healthcare Safety Professional) Certification

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 Healthcare Safety Professional (CHSP).


 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.


CHSP Background

The CHSP credential was established to focus on the importance of using management principles to improve the safety performance of healthcare organizations. Since 1978, the Board has issued more than 3,200 CHSP credentials. The broad scope of the CHSP Exam attracts applicants from various healthcare backgrounds including, but not limited to, safety, security, infection prevention, employee health, nursing, quality improvement, administration, risk management, facility management, plant operations, hazardous materials management, emergency management, life safety, biomedical services, environmental services, laboratory operations, nursing homes, surgery centers, insurance loss control, and safety consulting. The CHSP credential continues to attract applicants desiring to improve their professional practice in healthcare safety and related functions. Earning the CHSP credential provides recognition and documents achievement. The CHSP designation is one of more than 30 acceptable academic/professional designations for applicants to hold when seeking the Distinguished Fellow -DFASHRM or Fellow - FASHRM recognition of the American Society for Healthcare Risk Management (ASHRM). Source: ASHRM Website, "Academic/Professional Designations" Page, Accessed: July 31, 2014. Go to www. for more information about the ASHRM. The CHSP is also recognized by the state of Pennsylvania. Healthcare organizations need certified professionals that understand how proactive safety practice supports operational effectiveness, improves care processes, and reduces organizational costs.

Exam Content

The exam is comprehensive in scope and contains from 100-125 multiple choice questions. The exam is challenging but does not contain questions requiring math or engineering calculations. The exam content has been developed with the assistance of practicing professionals and subject matter experts. The Board statistically analyzes each exam to ensure the validity of all questions. The Board also uses analytical techniques to ensure the reliability of each exam version to access the competency of each candidate. Each exam may contain 5 to 15 “trial questions” that are being validated for use on future exam forms. The exam will contain questions from the following competency areas:


1. Safety Management (25% of Questions)

    1. Hazard Control Techniques and Safety Management Principles

    2. Accident Definitions, Accident Myths, Accident Costs, and Accident Generation Cycle

    3. Accident, Injury, and Illness Prevention and Accident Costing

    4. Inspections, Audits, Surveys, Investigations, and Root Cause Analysis

    5. Safety Policies, Safety Plans, Work Rules, and Reporting Procedures

    6. Safety Cultures, Safety Committees, Safety Slogans, and Safety Perceptions

    7. Industrial Hygiene and Occupational Health

    8. System Safety Methods and High Reliability Organizations

    9. Safety Responsibilities (Leaders, Managers, and Supervisors)

    10. Hazard Controls and Personal Protective Equipment (PPE)

    11. Hazard Categories (Physical, Biological, Chemical, Ergonomics, Psychosocial)

    12. General Management

    13. Management and Leadership Concepts, and Principles

    14. Human Relations and Understanding Organizational Cultures

    15. Written and Oral Communications

    16. Managerial Techniques (Management by Exception, Migrating Decision Making, etc.)


2.Government Agencies and Standards (22% of Questions)

    1. Occupational Safety and Health Administration (OSHA)

      1. OSH Act and General Duty Clause (Dangerous Drugs, TB, Lasers, Workplace Violence)

    2. General Industry Standards (29 CFR 1910) and Construction Standards (29 CFR 1926)

      1. Injury/Illness Reporting and Recording (29 CFR 1904)

      2. Healthcare Related Standards

        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. HazWoper (29 CFR 1910.120)

        6. Air Contaminants (29 CFR 1910, Subpart Z)

        7. Electrical Standards (29 CFR 1910.303)

      3. Healthcare E-Tools (OSHA Website)B. Environmental Protection Agency (40 CFR)

      4. Resource Conservation and Recovery Act (RCRA)

      5. Clean Water Act (CWA)

      6. Clean Air Act (CAA)

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

      8. Universal Waste

    3. Nuclear Regulatory Commission (10 CFR)

      1. Nuclear Waste Management

      2. License/Isotope Management

    4. Food and Drug Administration (21 CFR)

      1. Recalls, Drugs Alerts, and Medical Equipment Error Reporting (SMDA)

      2. Food Safety Act (FSA)

    5. Department of Transportation (49 CFR)

      1. Federal Motor Carrier Safety Administration (FMCSA)

      2. Hazardous and Infectious Substance Regulations

    6. Department of Health and Human Services (42 CFR)

      1. National Institute for Occupational Safety and Health (NIOSH)

      2. Centers for Disease Control and Prevention (CDC)

      3. Agency for Toxic Substances and Disease Registry (ATSDR)

      4. Centers for Medicare and Medicaid Services (CMS)

      5. Agency for Healthcare Research and Quality (AHRQ)

      6. Institute of Medicine (IOM) and National Institutes of Health (NIH)

      7. Federal Emergency Management Agency (FEMA)

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

    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. Healthcare Clinical and Support Department Safety

4.Voluntary and Standards Organizations (13% of Questions)

    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)

    7. American Industrial Hygiene Association (AIHA)

5.Accrediting Organizations (8% of Questions)

    1. Joint Commission (EOC, Life Safety, and Emergency Standards)

    2. American Osteopathic Association (AOA), Det Norske Veritas (DNV), and CMS (Nursing Homes and Hospitals)

6.Fire Safety (6% of Questions)

    1. Life Safety (NFPA 101) and Healthcare Facilities (NFPA 99)

    2. Fire Safety Management and Other Relevant NFPA Publications

    3. Fire Prevention and Flammable Materials

7.Infection Control and Prevention (6% of Questions)

    1. CDC Infection Control Guidelines and OSHA Bloodborne Pathogens Standard

    2. CDC Standard and Isolation Precautions

    3. Pandemic Planning and Infection Related Medical Surge Issues

    4. Healthcare Acquired Infections and Opportunistic Infections (Aspergillus and Pseudomonas)

Example Questions

  1. Which of the following would be the key benefit realized by a long term care facility that recently implemented a formal “resident safe lifting” program?
    1. Improved resident quality of care*
    2. Reduced workers' compensation costs
    3. Greater resident satisfaction
    4. Increased morale for employees
  2. Which NFPA publication exclusively addresses healthcare facility topics?
    1. NFPA 13
    2. NFPA 72
    3. NFPA 99*
    4. NFPA 101
  3. Which control measure should be considered first when attempting to protect workers being exposed to chemical airborne contaminants?
    1. Isolating the hazard far from most workers
    2. Providing proper local and general ventilation*
    3. Requiring use of supplied air respirators immediately
    4. Conducting periodic monitoring in all exposure areas
  4. Which dietary hazard control would be least effective in preventing potential food-borne illnesses?
    1. Requiring food preparation workers to wash hands frequently
    2. Maintaining hot foods on the serving line at 140F or higher
    3. Providing a supply of cloth towels to wipe food prep surfaces frequently*
    4. Maintaining coolers and refrigerators at 40F or lower
  5. Which human health condition can be linked by analytical evidence to hazardous exposures found in built structures?
    1. Occupational disease syndrome
    2. Multiple chemical sensitivity syndromes
    3. Sick building syndrome
    4. Building-related illness*