Slide1: At the end of training, the learner will be able: 1. To define the duties of employers, supervisors and workers. 2. To define the role of the Ministry of Labour. 3. To define and apply the internal responsibility system. 4. To define and apply due diligence. 5. To discuss and apply the elements of the OHSA regulations that apply to the HRLMP. 6. To locate the required Safety SOPs in Paradigm ActiveNet. 7. To maintain compliance with all applicable OHSA safety regulations as defined. 8. To recognize personal accountability for non-compliance with the OSHA regulations.


Slide4: Everyone must be familiar with: 1. The OSHA regulations for their work/area. 2. The HRLMP safety policy and SOPs. 3. The risks and hazards in your area or the area(s) that you supervise. 4. The frequency and how to report on health and safety to your manager.


Slide5: Everyone will take a leadership role in exemplifying compliance with all safety regulations.


Slide6: Powers: 1. Enter at any time (Sweeping Powers) with or without a reason. 2. Use, barricade or seize any piece of equipment (if unsafe activity). 3. Ask for any document etc. 4. Be assisted by the content expert. 5. Give orders (at the expense of the employer.


Slide7: Orders by inspectors where non-compliance The Inspector will give a written order to the employer, person in charge of the workplace or the person whom the inspector believes to be the contravener to comply within a defined time period.


Slide8: Compliance plan An order may require the above named person to submit to the Ministry a compliance plan prepared in the required manner and including such items as required by the order.


Slide10: Occupational Health & Safety Emergency Preparedness Biological Hazards Chemical Safety Equipment Safety/Compressed Gas First Aid Personal Laboratory Safety Radiation Safety Safety Inspections Transportation of Dangerous Goods Waste Disposal WHMIS


Slide11: Responsibilities Employers Manager/Supervisor Workers Reporting Critical Injuries Reporting Injuries/Illnesses Accidents Orientation & Training Roles HRLMP OH&S Committee Chief Safety Officer/Site Discipline Fire Safety Captain Discipline Safety Officer


OH&S -Employers08-390-100: OH&S -Employers 08-390-100 Duties of Employers: The Internal Responsibility System (IRS) was set up to ensure the employer and workers share the responsibility for identifying hazards and solving safety problems within the workplace to avoid injury and illness. They both have legal duties and rights, as prescribed in the OHSA. The employer shall: Provide information, instruction and supervision to a worker to protect the health and safety of the worker. Take every precaution reasonable in the circumstances for the protection of a worker.


OH&S -Manager/Supervisor 08-390-101: OH&S -Manager/Supervisor 08-390-101 A Manager/Supervisor shall ensure that a worker: Works with the protective devices, measures and procedures required by the OHSA. Uses or wears the equipment, protective devices or clothing that the worker’s employer requires to be used or worn.


OH&S -Workers08-390-102: OH&S -Workers 08-390-102 A worker shall: Work in compliance with the provisions of OHSA and all relevant regulations. Use or wear the equipment, protective devices or clothing required to be worn by the employer or supervisor. Report any contravention of OHSA or the existence of any hazard to the employer or supervisor. No worker shall: Remove or make ineffective any protective device. Use or operate any equipment that may endanger themselves or others. Engage in any prank, contest, feat of strength, unnecessary running or rough and boisterous conduct.


OH&S -Reporting Injuries/ Illnesses & Accidents 08-390-103: OH&S -Reporting Injuries/ Illnesses & Accidents 08-390-103 A worker shall: fill out an OH&S incident form if an occupational injury, accident or hazardous situation occurs. follow corporate OH&S injury reporting policy follow corporate OH&S critical injury procedures An employer shall: keep incident records for 5 years


OH&S -HRLMP OH&S Committee 08-390-104: OH&S -HRLMP OH&S Committee 08-390-104 Includes the laboratory Chief Safety Officers from the Henderson, Hamilton General, Chedoke, McMaster, St. Joseph’s (incl. Urgent Care) hospitals, the Transportation Coordinator and the Education Manager Role of the HRLMP OH&S Committee: Develop, implement and maintain HRLMP standardized operating procedures (SOP) for a safe and healthy working environment. Coordinate and promote all aspects of OH&S across the HRLMP Encourage interest and awareness in safety Provide safety training for all staff, students & new employees


OH&S -Chief Safety Officer/Site 08-390-105: OH&S -Chief Safety Officer/Site 08-390-105 Role of the Chief Safety Officer/Site: Provide information and instruction to workers to protect the health and safety of the workers.


OH&S -Discipline Safety Officer 08-390-107: OH&S -Discipline Safety Officer 08-390-107 Role of the Discipline Safety Officer: A resource to the manager/supervisor and workers in the discipline/area on health and safety matters. Implement the required Emergency Preparedness Code drills in the designated time frames. Participate with the manager/supervisor to implement and maintain the WHMIS program. Perform independent monthly safety inspections of the workplace. Communicate any issues to the discipline/area manager.


OH&S -Discipline Fire Safety Captain 08-390-106: OH&S -Discipline Fire Safety Captain 08-390-106 Role of the Discipline Fire Safety Captain: A resource to the manager/supervisor for implementing and maintaining the standardized HRLMP discipline/area Emergency Preparedness program. Implement the required code drills in the designated time. Communicate any issues to the discipline/area manager. Facilitate communication of staff at code drills to increase awareness Attend Safety Officer meetings as set up by the Chief Safety Officer - by site.


OH&S -Orientation and Training 08-390-108: OH&S -Orientation and Training 08-390-108 Responsibilities of the Laboratory Manager: To ensure orientation of the transferred worker to the discipline/area safety program. To ensure proper training of the new employees. To ensure on-going training of all staff, by the Chief or Discipline Safety Officer.


Slide21: Managers to order for each of their areas: Pocket Ontario OH&S 2002 Act and Regulations Consolidated Edition Carswell www.carswell.com E-mail: orders@carswell.com Phone: 1-800-387-5164


Slide22: Green - Evacuation Grey - Ext. Air Excl/Loss of Essential Services Orange - External Disaster Orange - Forensic Pathology Red - Fire Emergency White - Violent Situation Blue - Cardiopulmonary Arrest Purple - Hostage Situation Yellow - Missing Patient; A, B, C. Black - Bomb Threat Contingency Plan - Staff Fan Outs Brown - (A) International Biological Threat, (B) Biohazard Waste Spill, (C) Chemical Spill


Slide23: Alert - Critical areas informed of a pending code Standby - All areas be prepared to respond to code being called In Effect - All areas to begin following their departmental code plans All Clear - All areas to resume normal duties Perimeter Controlled Security Zone - set up by security to contain area(s) affected by code called Assembly Area - designated area where staff are to gather for instructions during emergency Buddy Area - partnered adjacent area to alert in case of emergencies, ensures safety across all areas Fan out Lists - phone numbers and names of all departmental staff, used strictly for the purpose of contacting staff in an Emergency Green - Evacuation Grey - External Air Exclusion/Loss of Essential Services (+ Contingency Plans) Orange - Disaster - External (+ Fan out) Orange - Disaster - Forensic Pathology (+Fan out) Red - Fire Emergency White - Violent Situation Blue - Cardiopulmonary Arrest Purple - Hostage Situation Brown - A - International Biological Threat Brown - B - Biohazard Waste Spill Brown - C - Chemical Spill 08-390-005 to 08-390-016


Slide26: Requirements: Monthly code red drill Use unscheduled code reds as a learning experience Use the code red drill cards to refresh staff


Slide27: Call: 5555 - Chedoke 5555 - Henderson 5555 - HGH 5555 - MUMC 3000 - SJH 8000 - CAHS 911 - CLS Identify that you smell smoke, but see no fire. Give name and exact location


Slide28: Remove endangered room occupants Ensure all room doors and windows are shut Activate the fire alarm Call 5555 (Chedoke), (Henderson), (HGH), (MUMC), 3000 (SJH), 8000 (CAHS), 911 (CLS) and report exact location of the fire. Try to confine, contain or extinguish the fire, if possible. If smoke or fire threaten you safety, close the fire area to confine the spread of all doors to smoke and fire.


Slide29: Return to work area Secure the immediate area Close all other windows and doors, including perimeter doors Clear all exits for ease of access within your specific area Implement program specific Code Red - Emergency Response Procedure


Slide30: Standby: Prepare for fan-out In Effect: Implement specific program procedure Use code green cards. In Effect - Total Evacuation: Indicated by continuous ringing of bells. Listen for designated deployment location Requirements: Quarterly code green drill Use the code green cards practice taping the doors replenish masking tape


Slide31: Essential Services Electrical power Domestic water supply Heating, cooling Ventilation Medical gas supply Elevator service Food cooking


Slide32: Equipment may include: Flashlights Batteries, battery packs or chargers Emergency power outlets Extension cords


Slide33: Staff are responsible to: Return to their work area Remain in the laboratory if it is a change of shift until given directions otherwise or the code is clear


Slide34: Most Senior Employee will: Assume responsibility and assign code cards. Assess impact of loss on the laboratory. Access appropriate contingency plans Assign staff Complete a Code Grey Worksheet Communicate with staff


Slide35: Contains discipline and site specific contingency plans prioritized by task for the following: External Air Exclusion Loss of Electrical Power Loss of Domestic Water Supply Loss of Telephone HIS/LIS Downtime


Slide36: Standby: Core lab notifies HRLMP Administration Prepare for staff fan out Review discipline specific disaster plan In Effect: HRLMP administration sets up Laboratory Control Centre Initiate staff fan-out as required Use appropriate code orange cards


Slide37: Print from Paradigm ActiveNet OR Refer to Yellow hardcopy (document controlled)


Slide38: Implement a search of the immediate area and adjacent corridors. Review the description of the missing patient if available on the network printer. Use the search and sweep procedure. Document. Call the emergency number to advise patient is found. Security will escort the patient back.


Slide39: Program Responsibilities: Develop/maintain staff fan out list name and home telephone number of every staff member organization of teams Confidential information Use only in an emergency situation Each staff member is required to maintain a copy of their fan out list at home.


Slide40: Most responsible person/delegate for each discipline/area begins to call staff not on duty. First person reached becomes the key external contact. Call staff until one person from each team, team fan out leader is reached. Each team fan out leader contacts the remaining staff on their team and documents time to call name and category of staff member availability of staff to report to the hospital in 1/2, 1 or more than 2h, on the Staff Fan out Worksheet. Remind them to bring their ID badge. Keep trying if line is busy, answering machine reached or no answer. Do not leave message. Team fan out leader reports back to the Key External contact with the above data. The Key External Contact reports back to the most responsible person in their department/area. The most responsible person collates and sends a copy to the Laboratory Control Centre every 2 h or as determined.


Slide41: Also called for pre-arrest support (eg. oxygen) Currently certified in CPR: Initiate basic life support measures. Untrained/trained in CPR: Dial emergency code number. 5555 (Henderson), 5555 (HGH), 5555 (MUMC), 3000 (SJH), 8000 (CAHS), 911 (CLS), 911 then 5555 to inform of 911 call (Chedoke). State Code Blue, site, building, location, room number Request help from adjacent area by phone or by calling out for help. Clear the area and access route. Assist in crowd control to ensure access and privacy to patient Remain at scene to provide information Notify HRLMP Administration and Manager Document events prior to arrival of Code Blue Team Conduct Mock Arrests Quarterly Complete Code Blue Audit Form


Slide42: Maintain visual contact with the person Contain individual but do not endanger yourself Direct a co-worker to call the emergency number Direct co-worker to notify Buddy Area for possible assistance Await Code White Team or Police Update, Code White Team leader upon arrival Remain until situation is under control Discipline Manager Responsibilities: Review incident with involved staff members Initiate plans for critical incident debriefing Notify HRLMP Administration


Slide43: Guidelines: If a Staff Member Is Taken Hostage Remain calm, maintain perspective Concentrate on lowering the stress level of the hostage taker Cooperate, do not be aggressive Do not use threatening stances or demeanors Establish eye contact but do not stare Speak when spoken to, avoid voicing opinions or making suggestions to the hostage taker. Evaluate possible escape Avoid food or drink provided Position yourself away from doors/windows Be observant, gather information


Slide44: Code Captain Instruct staff to assemble (Assembly Area) Secure the area Prepare for evacuation Code Purple in Laboratory HRLMP Administration to set up Lab Control Centre Prepare for fan-out Assign code cards Critical Incident Debriefing Following the emergency situation Documentation by staff involved in incident


Slide45: Telephone Threat  Remain calm and listen Try to sound interested Use the Bomb Threat Telephone Checklist (Appendix “B”) Encourage caller to keep talking to obtain as much information as possible. Ask caller to repeat the information. Advise manager Call to notify Telecommunications of threat or suspicious object/package, name and location: 5555 (Chedoke) 5555 (HCH) 5555 (MUMC) 3000 (SJH) 8000 (CAHS) 911(CLS)


Slide46: Mail/Written Threat  Avoid handling document If received by hand, write a detailed description of person delivering document. Advise management Call to notify Telecommunications of threat or suspicious object/package, name and location: 5555 (Chedoke) 5555 (HCH) 5555 (MUMC) 3000 (SJH) 8000 (CAHS) 911(CLS)


Slide47: Personal Threat Try to remain calm Be as co-operative as possible Speak when spoken to but avoid voicing opinions or making suggestions. Determine whatever information is possible about the individual and nature of the bomb. Do not probe. Make a careful evaluation of any possible escape attempt. Do not attempt an escape unless certain of success. Call to notify Telecommunications of threat or suspicious object/package, name and location: 5555 (Chedoke) 5555 (HCH) 5555 (MUMC) 3000 (SJH) 8000 (CAHS) 911(CLS)


Slide48: Suspicious Package or Object In Effect: Return to you area Search and sweep using area checklist listen for odd sounds, unusual objects/odours look for disturbed equipment floor to ceiling search in pairs Avoid handling Seal off area Advise most responsible person Call to notify Telecommunications of threat or suspicious object/package, name and location: 5555 (Chedoke) 5555 (HCH) 5555 (MUMC) 3000 (SJH) 8000 (CAHS) 911(CLS)


Slide49: Progression to Code Green can happen with: Code Red Code Grey Code Black Code Purple Code Brown


Slide50: Reinforce main points Use humour Actions Names/Characters Exaggeration Props Use the Operative Phrase as many times as possible Prep time: 3 minutes Role Play: 5 minutes maximum Have Fun!!


Biological Hazard: any material known or presumed to contain an etiologic agent (infectious substance).: Biological Hazard: any material known or presumed to contain an etiologic agent (infectious substance). Etiological Agent: microorganism or its toxin which causes, or may cause, human disease. Decontamination: Usually defined as the destruction or removal of microorganisms to some lower level, but not necessarily total destruction, by the application of sterilization, disinfection, or antisepsis treatments as the situation dictates. Standard Precautions: An approach to infection control using the assumption that all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other blood-borne pathogens.


Biological Safety Cabinet08-390-151: Containment Level 2 An autoclave must be available in or near the laboratory. Laboratory doors should be self-closing. Full personal protective equipment (PPE) is to be worn. Laboratory personnel have the responsibility for rendering the facility safe for routine cleaning. Operation: Turn off UV lamp, turn on fluorescent lamp. Check air grilles for obstructions, switch on blower and leave on at all times. UV irradiation is primarily for decontamination of physically “cleaned” surfaces after work use. Care should be taken to ensure that the operator and others in the room are adequately protected against the UV illumination that can cause painful skin and eye burns. Air purging allows for equilibration of unit. Assemble Material: Introduce only material required to perform procedure. Place material such that clean and contaminated items do not meet. In Class II cabinets, the operator should work well within the cabinet and not out close to the front. Ensure front view window is properly located and secured. Minimize in-and-out motions. Substantial leakage from the cabinet can occur when work is performed within 10 cm of the cabinet opening. Biological Safety Cabinet 08-390-151


Biological Safety Cabinet: Continued Post-use: Remove protective clothing. Wash hands Turn on UV lamp at end of work day. Preventative Maintenance: Must be tested and certified within the previous 12 months according to accepted standards. The HRLMP maintains 3rd party contracts for yearly maintenance. Biological Safety Cabinet


Decontamination 08-390-154: Considerations when choosing chemical disinfectant: Types of organisms suspected or known to be contaminants. Items or surfaces to be decontaminated. Hazards posed to the worker by the disinfectant. Corrosiveness of disinfectant. Shelf life and required dilution of disinfectant. Material which inactivates the disinfectant. Current staff allergies to compounds. Phenolic compounds: 2 to 5% considered bactericidal, tuberculocidal, fungicidal and virucidal. Dissolves proteins, clean and disinfect in one step. Can be used in water baths. Hypochlorites: Household bleach can be used and must be made fresh daily - every 24 hrs. Household bleach commonly contains 5.25% sodium hypochlorite or 52,500 ppm available chlorine Environmental surfaces - 1:100 dilution (5,000 ppm) with a 10 minute contact time. Gross spill - 1:10, 20-30 minutes contact time (CDC recommendation). Rationale: Chlorine compounds have broad antimicrobial spectra that include bacterial spores and M. tuberculosis. Limitations: corrosive effects, inactivated by organic matter (i.e. blood), unstable. Decontamination 08-390-154


Decontamination (continued): Alcohols: The advantages are broad antimicrobial activity, fast acting, hardly toxic, non-staining, non-allergenic, readily evaporates. Limitations: alcohols cannot penetrate protein-rich materials, drying and irritation of the skin. Alcohols may damage rubber and certain plastic items and are flammable. Formaldehyde: Not recommended for routine use. Disadvantages are irritating vapors and pungent odor. Glutaraldehyde: Not recommended for routine use. Carcinogenic. Quaternary Ammonium Compounds - Superphen, Omega:. The advantages are non-staining, odorless, non-corrosive, relatively nontoxic, and excellent cleaning agents. Decontamination (continued)


Regular Cleaning/Decontamination of Bench Tops08-390-156: Use a quaternary ammonium compound, diluted according to manufacturer’s instructions. Decontaminate bench surfaces before starting work, before restarting work, after a break and at the end of the work day. Flood the bench top and let dry. Using paper towels wash down the bench surface with water. Discard the paper towels and containers into the general waste stream. Regular Cleaning/Decontamination of Bench Tops 08-390-156


Decontamination - Control and Cleanup of Small and  Large Biological Spills 08-390-157: Decontamination of spills of blood, body fluids or other infectious materials, including culture material, in the clinical laboratory: If the spill contains broken glass, remove and discard without contact with the hands (i.e. use rigid sheets of cardboard, disposable plastic scoops, or forceps). Discard into sharps containers. Do not contaminate shoe bottoms. Absorb the spill by placing absorbent material (paper towels) on top of the spill prior to decontamination. Decontaminate by flooding the spill site with 10% bleach (1 in 10 dilution), saturating the absorbent material. Leave the spill site to soak, undisturbed, for 20-30 minutes. Remove and discard paper towels. Decontamination - Control and Cleanup of Small and Large Biological Spills 08-390-157


Biological Hazards - Routes and Barriers of Infection08-390-163 : Prevention of transmission by direct and indirect contact: Keep potentially contaminated materials (pencils) and hands away from mouth and non-intact skin. Bandage non-intact/abraded skin and wear gloves when handling all patient specimens (infectious agents) or contaminated materials. Select and wear appropriate personal protective equipment (PPE). Hand protection Eye protection Body protection Respiratory protection Remove contamination from hands by vigorous handwashing with a mild soap for 10 full seconds. Prevention of exposure by ingestion: DO NOT MOUTH PIPETTE Smoking, eating, drinking, and applying cosmetics is prohibited in the laboratory. Keep hands and contaminated items away from the mouth. Use a bench top shield or a face shield. Biological Hazards - Routes and Barriers of Infection 08-390-163


Biological Hazards - Standard Precautions and  Blood Borne Pathogens 08-390-165 : Standard Precautions (CDC): HAND CARE Hands should be washed immediately: When coming on duty. On leaving the lab - for whatever reason. When hands are obviously soiled/contaminated with blood or other bodily fluids. Before and after completion of a task in a biological safety cabinet. Before contact around one’s face or mouth. On completion of duty. After removing gloves. Health care workers who have exudative lesions or weeping dermatitis should refrain from all direct patient care and from handling patient-care equipment. Gloves should be replaced between patient contacts. Change gloves when visibly contaminated. Replace gloves if they become torn, punctured, or lose their ability to function as a barrier; i.e. when hands become sweaty. Remove gloves when touching non-contaminated items such as telephones and computer terminal keyboards. Surgical or examination gloves should not be washed or disinfected for reuse - they are rendered porous. Biological Hazards - Standard Precautions and Blood Borne Pathogens 08-390-165


Biological Hazards - Standard Precautions and  Blood Borne Pathogens : Standard Precautions (CDC): HAND CARE continued General-purpose utility gloves should be used for housekeeping, instrument cleaning, and decontamination procedures and can be decontaminated and reused as long as they remain intact. Mask and protective eyewear or face shields should be worn if mucous membrane contact with blood or bodily fluids is anticipated (i.e. removing tops from vacutainer tubes) if not processed in biological safety cabinet. Gowns, laboratory coats, or aprons should be worn during procedures that are likely to generate splashes of blood and bodily fluids and should be removed before leaving the laboratory. All personal protective equipment should be removed before leaving the laboratory and hung on hooks separate from lab coats. Eliminate procedures which generate aerosols and find means to reduce exposure to aerosols. When open tube testing is done place a clear plastic shield between the sampling probe and yourself. Keep specimens capped for centrifugation. Use sealed centrifuge cups. Area posting of warning signs must be in place to remind employees and visitors of continuing hazards of infectious disease transmission in the laboratory. Biological Hazards - Standard Precautions and Blood Borne Pathogens


Biological Hazards - Decontamination and Cleaning of  Water Baths 08-390-167 : Regular Cleaning Water baths should be cleaned and disinfected periodically (quarterly) and when gross contamination occurs. The addition of a disinfectant to a water bath resolves contamination of the water during the incubation of pathogenic agents. Unplug water baths from the wall outlet before filling or emptying. Wear domestic utility gloves, gown and facial protection. Empty water from bath into the routine septic system (i.e. lab sink). Decontaminate with Omega, Superphen or 1% bleach. Rinse with water to remove any noxious chemicals or odours. Fill the water bath with distilled water. Biological Hazards - Decontamination and Cleaning of Water Baths 08-390-167


Household Bleach (Quiz): Household Bleach (Quiz) Original Concentration of Available Chlorine _______% or ________ppm For Spills, use a 1/10 dilution (For example ____mL bleach + _____mL water = 1/10 1/10 = _______ppm available chlorine = 10% household bleach For floor drains, use a 1/100 dilution 1/100 = _____ppm available chlorine = 1% household bleach Expiry: ___day(s) Fresh bleach dilutions must be made daily as exposed chlorine is ________.


Household Bleach (Answers): Household Bleach (Answers) Original Concentration of Available Chlorine 5.25 % or 52,500 ppm For Spills, use a 1/10 dilution (For example 1.0 mL bleach + 9.0 mL water = 1/10 1/10 = 5,250 ppm available chlorine = 10% household bleach For floor drains, use a 1/100 dilution 1/100 = 525 ppm available chlorine = 1% household bleach Expiry: 1 day(s) Fresh bleach dilutions must be made daily as exposed chlorine is unstable.


Slide64: Specific Hazards Antineoplastics Carcinogens Fume Hoods Toxic Route of Entry Storage Chemicals, General Guidelines Corrosives Dangerously Reactive Ether Flammables Mercury Oxidizers Perchloric Picric Acid


Slide65: Antineoplastics (Cytotoxic Drugs - CD) 08-390-170 Wear long sleeved gown with gloves pulled over gown cuffs. Work in bio.safety cabinet or use powered, air purifying respirator with HEPA filter. USE STANDARD PRECAUTIONS to administer CD Handle patient waste and linens cautiously. Before opening, tap ampoule to ensure CD has drained from neck. Expel air from syringes through a gauze pad. Observe recommended hand washing procedure. If exposure occurs, fill out OH&S incident form. Only trained personnel wearing proper PPE to clean spills. Waste disposal of CD as per corporate Biohazard Waste Disposal procedure. Periodic re-training to occur for handling, labelling, use of PPE & spill control.


Slide66: Carcinogenic Chemical Handling 08-390-171 Wear appropriate clothing. Wash hands and forearms on completion of the procedure. Fill out an OH & S incident form if exposure occurs. Handle carcinogens in a chemical fume hood only.


Slide67: Fume Hoods and their Operation 08-390-172 All HRLMP hoods are checked annually by a contracted 3rd party Fume Hood: Verify the hood is functioning properly. Keep equipment in fume hood to a minimum. Work with hood door/window at smallest opening as is practical. Work with hands at least 15cm. Into the fume hood. Canopy Hood: Ensure exhaust is adequate (e.g. Atomic Absorption).


Slide68: Toxic Chemicals - WHMIS Class D, Division 1 & 2 08-390-173 Division 1 - Acute single event or short term exposure can result in death or permanent damage; i.e. sodium cyanide Division 2 - Chronic on repeated exposure, will cause chronic or long term conditions; i.e. benzene Comply with safety policies to minimize hazards Report unsafe working conditions to prevent overexposure If exposure occurs, fill out OH&S form


Slide69: Routes of Entry and Prevention 08-390-174 1. Inhalation of gases, vapours, aerosols, mists, dusts, smoke, fumes. 2. Absorption through the skin and eyes of liquids, solids, gases and vapours. 3. Ingestion of gases, vapours, aerosols, solids and liquids. 4. Injection via mishandling of needles and other sharps, usually involving liquids.


Slide70: Storage of Chemicals, General Guidelines 08-390-175 Hazardous Chemicals: Store in a secure location, keeping minimal volumes in lab. Store away from heat and sunlight, off the floor and protected. Acid Bottle Carriers: Do not store incompatible chemicals nearby, consult MSDS. Wear apron & gloves and other Personal Protective Equipment (PPE). Storage of Dangerously Reactive Materials: Determine any incompatible substances and store and handle appropriately as per MSDS.


Slide71: Storage of Ether (Diethyl Ether) , Flammables and Mercury 08-390-178 to 180 Storage of Ether (Diethyl Ether): Store in explosion - proof refrigerators, flammable storage cabinet vented to the outside or working chemical fume hood. Store away from any ignition source. Explosive Peroxides and Ether: Examine for white deposits/crystals around cap lining. Discard unopened containers after 1 year. Discard opened containers after 6 months. Mercury : Use substitutes for mercury wherever possible. No mercury thermometers are to be used or purchase. Follow correct waste disposal.


Slide72: Storage of Oxidizers/Perchloric Acid, Picric Acid (Crystalline) 08-390-181 to 183 Oxidizers/Perchloric Acid: Oxidizers used by HRLMP - hydrogen peroxide, perchloric acid. Check MSDS for storage incompatibilities. Picric Acid (Crystalline): Keep picric acid visibly moist with water as it is impact sensitive and extremely explosive in a dry state. Use personal protective equipment. Contact chemical waste specialist to remove picric acid that has become dry - use extreme caution.


Slide73: Centrifuges Electrophoresis Apparatus Flame Photometers Microscopes Microtomes & Cryostats Mixers, Blenders, Sonicators, Grinders, Lyophilizers Pipettes & Pipettors Water Baths Atomic Absorp. Spectrometer Compressed Gas Tanks Cryogenic & Cryogens Electrical Lasers Latex Microwaves Thermal Ultraviolet Automated Specimen Testing Equipment


Slide74: Atomic Absorption: Uses compressed gases, flames and corrosive and flammable fluids. Compressed Gases & Cylinders: Must be stored in accordance with the regulations. Must be chained to a wall and away from heat sources. Acetylene: Test the supply “plumbing” for leaks with brush and soapy water. Burners: When handling, use protective gloves. Nebulizer: Never remove the nebulizer from the spray chamber while the flame is on. Liquid Trap: Never interfere with the liquid trap interlock or operate with an empty trap. Fill trap with water after weekly maintenance. Gas Hoses and Connections: Use only approved regulators, fittings and connectors and ensure correct assembly. UV Radiation: Wear approved safety glasses. Operate the spectrometer with the shield closed and the sample compartment front panel in place. Heat Hazards: Operate your spectrometer with the flame shield closed and sample compartment front panel in place. Atomic Absorption Spectrometer 08-390-251


Slide75: Handling: Check regulator and connector, tighten if required. Close diaphragm valve before opening main valve. Open valves slowly, standing to the side and check for leaks using soapy solution only. Close off valve when cylinder not in use. Storage: Fasten upright to wall with straps/chains, separating oxygen from flammable gases Cap off when not in use. Store extra tanks in specific tank storage room outside of lab (i.e. Receiving). Keep tanks away from open flames or heat sources. Transport: Always use four-wheeled dolly with straps. Leave safety cap on until regulator is attached. Maintenance/Purchasing: Tag empties, replace safety cap, never lubricate valve or fitting Order minimum volumes. Compressed Gases: Handling, Storage, Transport and Maintenance 08-390-186


Slide76: Cryogen: A liquefied gas at a very low temperature (<-73.3 °C) used for freezing and storage of biological material; e.g. liquid nitrogen and dry ice (solid CO2) General Safety & Knowledge: Avoid contact with skin and eyes. Wear loose fitting, insulated or heavy leather gloves. Transfer cryogen carefully, using special funnels. NEVER OVERFILL A CONTAINER. Always use/transfer cryogen in a well-ventilated area. WEAR FULL FACE PROTECTION (PPE). First Aid: If skin contact occurs, restore the affected area to normal body temperature using 37°C water. Avoid rubbing the affected area. If there is dizziness, difficulty breathing or loss of consciousness, move victim to a well-ventilated area and call a Code Blue. Follow proper procedure for reporting incidents, accidents or injuries. Cryogenic and Cryogens 08-390-252


Slide77: General Safety & Knowledge: Electricity is a potential ignition source which can cause burns to human tissue, muscle contractions, ventricular fibrillation and even death. Can be fatal even at low voltage and low current. Precautions: Laboratory circuits to have ground fault interrupters where there is a risk of human contact with live components or where moisture could be problematic. Use only electrical equipment displaying CSA or equivalent approval labels. Avoid using extension cords and multiple adapters, ensure the laboratory is equipped with sufficient outlets. If electrical equipment emits smoke or a burning smell, cut off the power immediately and have the equipment checked and/or repaired before resuming operation. Electrical 08-390-253


Slide78: General Safety & Knowledge: Eye injury is the major danger of lasers to workers. Injury Risk: Lasers are classified according to the risk of injury. Precautions: Avoid direct viewing of the laser and reflections from objects such as mirrors, walls etc. in the beam’s path. Ensure that training is provided to all staff using lasers and that it is related to precautions and proper usage. Wear eye protection commensurate with the laser type and energy. Limit access to the laboratory, particularly when the laser of class IIB and above are used in posted laser-controlled areas. Lasers 08-390-254


Slide79: Latex Allergy: Allergy caused by exposure to proteins found in products made out of natural rubber latex. The allergic effects can range form mild to life-threatening. General Information: Non-latex gloves are to be used as the only general duty glove in the HRLMP. Many areas are designated latex-free. No products containing latex are to be brought into the Hospital. Identify any latex-containing item in your area. If possible, eliminate or substitute these with non-latex items. If you suspect you have a latex allergy or are developing a sensitization to latex, notify your manager and go to the Health Office for medical testing. Latex 08-390-255


Slide80: General Safety Knowledge: The exposure hazard is the heating of tissue. Precautions: Provide regular maintenance for the oven. Keep the oven clean. Do not use metal in the oven. High Powered Oven Precautions: Ensure shields and protective covers are in place during operation. Post warning signs for pacemakers. Microwaves 08-390-256


Slide81: General Safety Knowledge: Be attentive when working with hot equipment. Wear heat-resistant gloves. When working in hot environments, take frequent breaks and drink plenty of water. Autoclaves: Allow sufficient time for the autoclave to exhaust steam before opening the door. Ensure that autoclaved items are cool before attempting removal. Hot Plates: Place a warning “hot” sign in front of the hot plate until it has cooled. Thermal 08-390-257


Slide82: General Safety Knowledge: Overexposure may result in pain and injury. Unless exposure is extreme, most occupational injuries are transitory. Precautions: Use goggles or full face shield with lens filters to reduce exposure to U.V. Cover exposed body parts to ensure adequate protection from high concentrations of U.V. U.V. radiation may be reflected by some surfaces, i.e. stainless steel. Never sit in front of the safety cabinet when the U.V. lamp is on. Ultraviolet 08-390-258


Slide83: Precautions: Store all reagents are stored as required. Check that all tubing and connections are in place before operating equipment. Use a bench mounted safety shield in front of sample probes or wear a face shild. ONLY authorized and knowledgeable workers are to service the equipment. All waste line discharges and receptacles must meet municipal regulations. Use closed sampling instruments whenever possible. Keep all drip trays clean. Review and ensure proper set up of equipment as per manufacturer’s instructions. All operators are to be properly trained. Automated Specimen Testing Equipment 08-390-259


Slide84: Centrifuges Precautions: All users of centrifuges are to be properly trained. BALANCE CENTRIFUGES AT ALL TIMES. Open the lid only after the rotor has come to a complete stop. Prevention of Aerosol Release: Use only tubes with tops or stoppers. Use closed buckets. Inspect tubes before placement. They must be free of cracks or chipped rims. Avoid over filling the tubes to the rim. Electrophoresis Apparatus Precautions: Ground electrophoresis equipment properly and provide with electrical interlocks. Locate apparatus away from high traffic areas. Display proper warning of high voltage. Centrifuges & Electrophoresis Apparatus 08-390-260/08-390-261


Slide85: Precautions: Follow manufacturer’s/departmental instructions on proper start-up, usage and shut down procedures. Locate instrument in well ventilated area. Ensure gas cylinder is free from any viable ignition source. Securely attach the tubing from the instrument to the gas cylinder to a solid support (wall bench, etc.). Frequently inspect all hoses, joints and connections. Use proper precautions in the handling of compressed gases. During ignition of flame, use your hearing and sight to ensure the flame lights. If not, shut off the gas, wait one minute and re-ignite. Flame Photometers 08-390-262


Slide86: General Safety and Knowledge: For electrical safety, inspect cords, plugs and connections regularly for deterioration or corrosion. Precautions for Fluorescence Microscope Usage: Ensure that proper shielding is in place during operation and alignment. To change a fluorescent high pressure mercury bulb, wear a face shield and gloves (PPE) and follow directions carefully. Electron Microscope: All electron microscope users need to be aware of the hazardous chemicals frequently used as fixatives and preparatory agents used for sample preparation. Ergonomics If hours are spent sitting at a microscope, an ergonomic assessment of the workstation should be carried out. If doing repetitive work, take a break every 15-20 minutes to move all joints and muscles. Microscopes 08-390-263


Slide89: General Safety and Knowledge: Microtomes and cryostats are potentially dangerous equipment. Microtomes are used to cut paraffin-embedded tissues, generally not considered infective. Cryostats use frozen unfixed tissue that may contain viable infectious agents. Precautions to Avoid Mechanical Injuries: Handle microtome knives carefully and never leave knives unguarded. Make sure the microtome is in the locked position when positioning paraffin blocks. If changing specimens without removing the knife, cover the knife with finger guards. Lock the hand wheel and avoid using your fingers to remove sections from the knife; use a brush or forceps instead. Infection Control Take extra care when processing Creutzfeldt-Jakob (CJ) specimens. Unless absolutely necessary, do not perform frozen sections on CJ infected tissue. Sodium hydroxide is the recommended form of decontamination, followed by ethanol to remove any sodium hydroxide. Use proper PPE including gloves, masks and eye protection. The window on the cryostat should be closed when cutting. Document decontamination procedures and the record posted and filed. Microtomes and Cryostats 08-390-264


Slide90: Mixers, Blenders, Sonicators, Grinders, Lyophilizers 08-390-265 Definitions: Sonicator - Small water bath which vibrates at high frequency, used to clean small items or dissolve certain solutes. Lyophilizer - Airtight container attached to a vacuum pump, used for evaporating solvents out of solutions. Precautions: Purchase items with safety features designed to eliminate leaks. Operate equipment in a biosafety cabinet. When blending, cover top with a disinfectant soaked towel. Wait one minute after operation when opening a safety blender bowl lid. Load lyophilizer samples in a biosafety cabinet. Filter vacuum pump exhaust. Disinfect all surfaces exposed to any infectious agent after use.


Slide91: Pipettes and Pipettors 08-390-266 Hazards BE AWARE - Using mechanical pipetting devices does not completely eliminate hazards associated with pipetting. Precautions Pipetting operations which may generate aerosols must be performed in a biological safety cabinet. Place used glass pipettes in the required disinfectant solution. Use disposable, plastic pipettes when possible. Use shorter pipettes when working in a biological safety cabinet. Use pipettes plugged with cotton when working with potentially infectious materials. Expel liquids slowly down the sides of the tube. MOUTH PIPETTING IS STRICTLY PROHIBITED Wear specific PPE including a face shield or bench top shield (full face protection) and gloves


Slide92: Precautions Regularly verify the continuity to ground by checking the plug to the case. Unplug water bath before filling or emptying. Maintenance Clean the water bath regularly. Use a detergent and rinse well. Related Policies/Procedures: Biological Hazards - Decontamination and Cleaning of Water Baths, 08-390-167. Water Baths 08-390-267


Slide93: Hazardous Material Splash to Skin, Eyes Clothing Fire Chemical Poisoning  Electrical Shock Cuts, Superficial Puncture  Needle Stick Injury  Hazardous Biological Exposure BE AWARE OF YOUR OH&S HOURS OF OPERATION


Slide94:  Flush the hazardous chemical from the skin or eyes immediately  Ask staff member to pull MSDS  Seek medical attention  Fill out OH&S incident forms Splashes 08-390-301/302


Slide95: Cuts, Superficial Puncture 08-390-306  Cleanse and apply pressure to wound if possible  Seek medical attention  Inform supervisor and fill in OH&S form


Slide96: Stop drop and roll  Proceed to shower to cool burned area  Seek medical attention Clothing Fire 08-390-303


Slide97: Chemical Poisoning/Electrical Shock 08-390-304/305  Make sure location of victim is safe to enter  Remove victim when safe  Call Code Blue if victim not breathing  If possible, attempt to find source of poisoning  Obtain MSDS  Seek medical attention


Slide98: Needlestick Injury 08-390-307  Allow wound to bleed  Cleanse with soap and water  Identify source and seek medical attention right away  Window of time for preventative measures is small  Inform supervisor and fill in OH&S form    


Slide99: Hazardous Biological Exposure 08-390-308  Cleanse area with running water  Identify source  Seek medical attention  Inform supervisor and fill in OH&S form


Slide100: General Substances Providing Potential Hand to Mouth Personal Belongings Mouth Pipetting Hair, Beards, Jewelry Clothing, Shoes Hand Washing & Care Personal Protective Equipment Lab Coats, Aprons, Gowns Gloves Eye & Face Protection Lab Environment Tourniquet Ergonomics Noise Eye Wash Use & Maintenance Emergency Shower Use Glassware Handling Good Housekeeping Practices Decorations Exit Routes, Aisles & Emergency Preparedness Equipment Ventilation Patient Care Isolation Procedures Working Alone


Slide101: Substances Providing Potential Hand to Mouth Contact 08-390-326 Do not smoke, eat or drink in the laboratory. Do not apply cosmetics in the laboratory. Hair, Beards &Jewelry 08-390-329 Do not wear jewelry that can become caught in equipment or hang into infectious or toxic materials. Tie back long hair and be careful of beards which can become caught in equipment or hang into infectious or toxic materials I.D. Badges Use “break-away” system, not chain for I.D. badges. Wear or carry on person at all times.


Slide102: Mouth Pipetting 08-390-328 Do not pipette by mouth. Wash hands frequently: ONLY in a dedicated hand washing sink after removing gloves and before leaving the laboratory before/after contact with patients and/or specimens before and after using the washroom If using soap and running water, vigorously wash for 15 seconds. If using CIDA (where sinks not available or frequent hand washing is an issue) pump a small amount, spreading fully over hands, between fingers and around wrists. Allow to evaporate as CIDA is alcohol based and is flammable until dry. Use moisturizer or protective skin barrier allowing to drop from the dispenser. Hand Washing and Care 08-390-334


Slide103: Shoes 08-390-330 Wear shoes with flexible, non-slip soles that are non-porous. Do not wear sandals or open-toed shoes Must follow relevant hospital policy to have a WSIB claim accepted. Clothing 08-390-330 Do not wear clothing that can become caught in equipment or hang into infectious or toxic material. Personal Belongings 08-390-327 Do not store purses, coats, boots, coffee mugs, sweaters, prepackaged foods or medications in the laboratory area.


Slide104: Personal Protective Equipment (PPE) 08-390-331 to 332 Working with Biological Hazards Wear protective, disposable, non-latex gloves where there is a significant probability that potentially hazardous substances will contact the hands. Gloves Replace gloves frequently, and if torn or worn, or in the event of visible or suspected contamination. Always wash your hands after removing gloves. Lab Coats Lab coats are required: Lab coats must be buttoned. If coat open, a plastic apron is to be worn over the coat. Corporate initiative to look into improved provision of lab coats. Lab coats shall not be worn outside the laboratory. Facilities should be provided for the separation of lab coats from street clothes. Coat hooks must be provided near the laboratory exit. Lab coats must not be taken home for washing. Eye and Face Protection Routine: goggles and surgical mask or bench top/face shield. SARS/Highly Infectious: goggles/face shield and N95 mask (fit tested)


Slide105: Tourniquet 08-390-335 Use only non-latex tourniquets Discard and replace any tourniquet that is visibly contaminated. Discard and replace any tourniquet that has been used on a patient with open sores/wounds or tissue damage. Discard and replace tourniquet when tension has deteriorated. Ergonomics 08-390-336 Arrange your workstation to allow comfortable (neutral) posture when working with the monitor, keyboard, mouse, documents and other items. Adjust your keyboard height to keep your wrists straight while keying, or adjust you chair’s height until you can hold your wrists straight. Ergonomic assessments are available if required.


Slide106: Noise 08-390-337 Evaluate noise levels of equipment before purchasing. Maintain equipment properly. Consider engineering controls such as surfaces where the equipment is placed, using absorptive materials or enclosures to reduce noise. Rationale: Prevents harmful physiological or psychological effects and minimizes interference with communication, necessary for safe job performance. Glassware Handling 08-390-340 Discard broken or chipped glassware. Do not remove stoppers on glass tubing by force. Decontaminate glassware before washing. Handle hot glass with heat-resistant gloves. Handle broken glassware only with mechanical devices. Discard broken pieces in a specially marked, separate, puncture-resistant container.


Slide107: Eye Wash Use & Maintenance 08-390-338 BE AWARE OF YOUR EYE WASH STATION LOCATION(S) Use immediately if chemical or bodily fluid splashed in eyes Holding eyes open, splash water repeatedly into eyes for 15 minutes. Seek medical attention. Fill out an OH&S form. Test stations weekly making sure the eye caps are in place. Emergency Shower Use 08-390-339 BE AWARE OF EMERGENCY SHOWER/DRENCH HOSE LOCATION(S) Caustic, corrosive, other hazardous substance: remove all clothing & shoes, stand under shower/drench hose for 15 minutes ensuring all substance is removed. Help other staff member if they are the victim. Seek medical attention and fill out OH&S form. Test overhead shower/drench hose weekly.


Slide108: Good Housekeeping Practices 08-390-341 GOOD HOUSEKEEPING PRACTICE IS EVERYONE’S BUSINESS Keep all areas orderly and uncluttered. Clean and decontaminate bench tops regularly using appropriate procedures, cleaning up spills immediately - MUST BE DONE AT END OF SHIFT. Regularly disinfect all sinks into which blood or other body fluids are discharged by machines or persons. Decorations 08-390-342 Do not use decorations on lights, light fixture, or instruments. Do not use electrical decorations, wax candles, dried arrangements, real Christmas trees or other decorations that may present a fire hazard. Do not stand on benches, chairs or other objects to hang decorations.


Slide109: Exit Routes, Aisles and Emergency Preparedness Equipment 08-390-343 Exit Routes Do not obstruct exits or aisles in any way. Do not place trash, supplies, equipment or furniture in exit routes or aisles. Exit Doors Do not obstruct, bolt or block exit doors in any way. Do not obstruct fire doors in any way, so as not to prevent automatic closing in case of fire. Emergency Preparedness Equipment Do not cover or block access to fire extinguishers, fire hoses, fire alarm pull stations, emergency blankets, safety showers, eye wash stations or exits at any time for any reason.


Slide110: Ventilation 08-390-344 Annual 3rd party contracts are maintained by the HRLMP Chemical Fume Hood Verify that the fume hood is functioning properly before commencing work. Ensure that only materials involved in an ongoing procedure are present in the fume hood. Work with hood door as closed as practical. Work with your hands as far into the hood as is comfortable. Six inches (15 cm) is recommended. Work with your head outside the hood. Biological Safety Cabinets When working in the cabinet, minimize the movement of arms in and out of the cabinet. Keep all air grills clear of obstacles. Work at least six inches from the front air grill. Remove gloves when leaving the hood. Wipe the work surface with 70% ethanol or 70% methanol and allow the cabinet to run for 5 minutes once work is complete. Ensure that hood is inspected and certified yearly.


Slide111: Patient Care Isolation Procedures Follow the hospital’s Standard Isolation Precautions when dealing with patients. Follow instructions posted for specific patient. If necessary consult with infection control practitioner. Working Alone If called in or are working unexpectedly, use the buddy system - notify other staff in a nearby lab of your presence or call security. Notify when leaving. When working off-shift and alone, lock all doors.


Slide113: Warning Signs & Labels Shipping and Receiving Shipping & Receiving, Handling Damaged Packages Inventory, Storage & Security Handling Capsules, Liquids and Test Kits Monitoring Equipment and Personal Protective Equip. Handling Spills Disposal of Radioactive Waste Responsibility of the: Employer Manager Pregnant, Immuno. or Disabled Employees Staff who use Radioactives MUST attend mandatory corporate training. 08-390-426 to 08-390-436


Slide114: 08-390-477 to 479 Hazard Recognition - It’s Everyone’s Business to Report Hazards to Their Manager Conducting an Effective Workplace Inspection (Monthly by Safety Officer) The Report Fugitive Emissions


Slide115: Hazard Recognition 08-390-476 Inspect your area for: Physical , biological, ergonomic and electrical hazards. Workplace Inspections 08-390-477 Conducting an Effective Monthly Workplace Inspection (Safety Officer): Prepare, conduct, report and follow-up. Use the “Departmental Safety Inspection Report” (Appendix A) and “Elements of Safety Inspection” (Appendix B), attached to the end of the above listed procedure.


Slide116: Fugitive Emissions 08-390-479 Fugitive/Transient Emissions: Refers to any air pollutants released into the indoor environment which consequently affects the indoor air quality. Fugitive emissions are often identified as a mild to strong odour or by various physical symptoms such as watery eyes or a runny nose. Due to complex building heating, ventilation and air conditioning systems, fugitive emissions can be difficult to resolve. If you are experiencing fugitive emissions: Report all incidents of fugitive emissions to your immediate supervisor or manager. Complete staff incident report form. If physical symptoms are experienced, seek medical assistance. If smell is strong or physical symptoms are severe, evacuate the area. Investigate fugitive emission source, if safe to do so.


Slide117: Responsibility of the Shipper & Receiver Classification & Identification Selecting Proper Packaging Marking & Labelling Shipping With Dry Ice & Over packs Documentation Ordering Transport Supplies Misdirected/Lost Specimens Preparing & Shipping Viral Load Specimens Training & Certification Chemical Disposal, Staff Responsibility Chemical Disposal 08-390-501 to 514 Training & certification is mandatory for anyone packaging and shipping lab specimens by road, air, rail or ship. Certification card must be kept where you package the lab specimens, in case requested by Transport Canada inspector


Slide118: A person who handles, offers for transport or transports dangerous goods must (a) be adequately trained and hold a training certificate in accordance with …(TDG regulations); or (b) perform those activities in the presence and under direct supervision of a person who is adequately trained and who holds a training certificate in accordance with the Transportation of Dangerous Goods Act & Regulations Air Shipments - Advance arrangements must be made between the shipper and operator before each shipment of infectious substances takes place. The operator must ensure expeditious carriage. If an operator finds any error in labelling or documentation, he must immediately notify the shipper or consignee so that corrective measures are taken. Shipments by any mode of transport must be made by the quickest possible routing.


Slide119: CHEMICAL WASTE DISPOSAL 08-390-513/514 Staff Responsibilities: WHMIS Officer is to ensure that expired/unused or waste chemicals are disposed of on a regular basis. Transportation Coordinator is to organize and carry out the chemical waste removal. Process: Group chemicals by nature, prepare inventory list and package. Collect MSDS for hazardous chemicals/mixtures, tape to package MUMC - call OH&S Safety coordinator for removal; HGH/HEND call Transportation coordinator for removal and fax inventory list(s); SJH - inform manager of the waste chemicals. Shipping/Receiving manager sends frequent emails to lab managers to see if chemical waste disposal required; hospital pickup in department.


Slide120: Batteries Biomedical/Infectious Diethyl Ether Formaldehyde Mercury Microbiological Recyclable Materials Routine Food & Paper Garbage Sharps Solvents


Slide121: Batteries 08-390-551 Follow corporate policy/procedure - recycle where corporate procedure exists If disposal required, sort by type of battery placing in separate plastic containers until collection Biomedical/Infectious 08-390-552 All biomedical waste including sharps, blood (clots included), blood soaked items, cultures, broken glass which has come in contact with blood is to be placed in the supplied grey bins inside a yellow biohazard bag Tie off the bag - carefully - fix lid securely on top of the bin and place bar code label on the front lip of the bin lid All anatomical waste including tissue, organs and body parts (excl. teeth, hair, nails) is to be placed in the supplied pail Do not fill the bins/pails more than 2/3 full Corporate training is provided by site through OH&S (SJH) or Waste Management (HHS), or contact your Chief Safety Officer.


Slide122: Diethyl Ether 08-390-553 Evaporate small amounts (<50 mL) on paper towels in an ignition free fume hood or dispose. Follow “Transportation of Dangerous Goods - Chemical Disposal” procedure for larger amounts. Check for peroxide formation. It can be neutralized with 1-2 g of potassium iodide for every 10-15 mL of the ether. Refer to MSDS. Order small amounts and only open one can at a time. Formaldehyde 08-390-554 Store away from oxidizing agents and in a well ventilated area. Can be flushed down the drain with copious amounts of water. Mercury 08-390-555 Identify mercury sources and remove from laboratory area for disposal. Contain and label the source and approximate amount, follow the TDG - Chemical Disposal procedure. Do not purchase mercury thermometers Microbiological 08-390-556 Autoclave materials, plates and tubes from mycobacterium and dimorphic fungal cultures, follow discipline specific procedure Decontaminate instruments inside stainless steel in 1:10 sodium hypochlorite


Slide123: Recyclables 08-390-557 Recycle all newspaper, tin/glass, styrofoam and fine paper following corporate procedure. Separate by item and place into labelled bin. If required, take to waste recycling/disposal area for pickup. Routine Food and Paper Garbage 08-390-558 Keep all food and related packaging in designated non-lab area, place into the general waste stream (black bags). Follow corporate, site-specific process. Place any waste that may inflict punctures/lacerations in the Biomedical/ Infectious waste stream (yellow biohazard bags inside grey bins). Sharps 08-390-559 Follow site-specific sharps program. Discard ‘sharps’ into rigid, leak and puncture resistant containers as supplied. Solvents 08-390-560 Keep waste solvent containers out of high traffic areas, store in waste storage room separate from lab area. Segregate solvent waste by nature and follow TDG Chemical Waste Disposal procedure.


Slide124: Responsibility of the: Laboratory Manager Worker Role of the WHMIS Officer Inventory of Controlled Products MSDS Classification of Hazardous Chemicals Labels Binder (formerly the Manual) Training Maintenance


Slide125: 08-390-601 to 610 Responsibility of the Laboratory Manager: ensure that a full WHMIS program is maintained in accordance with the site specific corporate policy/procedure. provide adequate time for the WHMIS officer to carry out their duties. ensure that workers are informed of hazards and to establish safe practices. Responsibility of the Worker: report hazards. actively participate in WHMIS training programs. prepare and use WHMIS workplace labels. know location of Material Safety Data Sheets (MSDS) and familiarize yourself with hazardous chemicals in your area according to the MSDS information.