SMD Faculty Health and Safety Management Group
(A sub-group of the QMUL Health & Safety Advisory Group)
Peer Review Health and Safety Inspection Schedule 2013/14/15
Laboratory
Room Numbers
John Vane 305
/309 / 311 /313 /
322 / 327 / 331 /
332 / 334
Abernethy 215
Type of
Laborato
ry
Centre /
Unit
Institute /
Building
Campus
Date / Time of
inspection
Safety
Coordinator
Host/s
Lab Manager / PI
Host
Inspection
Team
Volunteers
(highlighted
in yellow
where
volunteers
needed)
Lead
Safety
Adviser
GM
Lab/
s
(Y/N)
REPORT
Biological,
GM (CL1 /
CL2)
Biochemist
ry
HaematoOncology
Barts
Cancer
Institute /
John Vane
Charterhous
e Sq
07/05/2013
10 am – 12:30
pm
Debbie Buckle
/ Dr Alex
Sullivan (now
Selina Blades)
Dr Carol Jennings /
Dr Jude Fitzgibbon,
Dr David Taussig, Dr
Jeff Davies, Dr Rifca
Le Dieu
Martin Goss,
Sue Shaw
Hawkins
Dr Mark
Ariyanayag
am
Y
REPORT
ISSUED 15
May 2013
Containme
nt Level 3
(wild type
and GM)
Infectious
Diseases
Dr Jeff Maskell / Prof
Graham Foster / Joe
Davidson-Wright / Dr
Matthias Dittmar
Internal preinspection by
OHSD prior to
HSE visit
Containm
ent Level
3*
Infectious
Diseases
Blizard
Institute /
Abernethy
Blizard
Institute /
Blizard
Whitechapel
Whitechapel
21/05/2013
(note date
change)
10 – 12:30 pm
21/05/2013
(note date
change)
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015
Dr Sam
Benson (now
Michael
Schofield)
Dr Sam
Benson (now
Dr Jeff Maskell / Prof
Aine McKnight / Dr
Internal preinspection by
Dr Mark
Ariyanayag
am and
Marion
Richards
Dr Mark
Ariyanayag
am and
Y
Y
Action Plan
Received and
complete
08/01/14
COMBINED
REPORT
ISSUED 9 Aug
2013
Action Plan
received 2 Feb
2015 – some
actions still
open
COMBINED
REPORT
Blizard LG97,
LG98, LG101 and
LG102
Abernethy 215 and
Blizard LG97,
LG98, LG101 and
LG102
Heart Centre
Basement Floor
Labs
Francis Bancroft,
Turnbull Centre
Rooms
Abernethy, Rooms
R106, R134,
R114, R111,
R110, R109
14:00 – 16:00
(wild type
and GM)
Containm
ent Level
3*
(wild type
and GM)
Infectious
Diseases
Biological,
GM (CL1 /
CL2)
Biochemist
ry
Teaching pathology,
anatomy,
chemicals
Biological
CL2, GM
(CL1),
Biochemist
ry,
chemicals
Turnbull
Centre
Surgical
Skills
Centre
(NCBRSI),
Digestive
Diseases
Blizard
Institute /
Blizard
Whitechapel
11 & 12/06/2013
(note date
change)
Michael
Schofield)
Dr Sam
Benson (now
Michael
Schofield)
Eithne O’Sullivan /
Prof Tanya Parish
OHSD prior to
HSE visit
Dr Jeff Maskell / Prof
Graham Foster / Dr
Matthias Dittmar / /
Prof Aine McKnight /
Prof Tanya Parish /
Dr Eithne O’Sullivan /
Joe Davidson-Wright
HSE Inspection
(Biological
Agents Unit
Inspectors)
Marion
Richards
HSE
Inspection
ISSUED 9 Aug
2013
Y
William
Harvey /
Heart
Centre
Charterhous
e Sq
13/08/2013
10 am – 12:30
pm
Dr Steven
Coppen
Ian Joy / Steven
Coppen
Dr Jeff Maskell,
Dr John
Marshall, Chris
Evagora
Dr Mark
Ariyanayag
am
Y
IHSE /
Francis
Bancroft
Mile End
10/09/2013
10 am – 12:30
pm
Steve Moore
Rejwan Ahmed / Dr
Catherine Molyneaux
Dr Steven
Coppen, Dr
Sven (T.J.A)
Van Eijl, Marcia
Bennett Pompey
Dr Paul
Cassell
N
Blizard
Institute /
Abernethy
Whitechapel
08/10/2013
10 am – 12:30
pm
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015
Chris Pelling
(now Michael
Schofield)
Debbie Hampson /
Prof Gareth Sanger
Dr Steven
Coppen
Deborah Buckle,
Fraser Darling,
Zarah Laing
Action Plan
received
02/02/2015–
some actions
still open
COMBINED
REPORT
ISSUED 9 Aug
2013
Action Plan
received
02/02/2015–
some actions
still open
TO BE
REPEATED –
Autumn 2015
REPORT
ISSUED 17
Oct 2013
Action Plan
provided
14/03/2014
Dr Mark
Ariyanayag
am
Y
Completion
report received
REPORT
ISSUED 05
Dec 2013
Action Plan
Received and
Completed
18/12/2013
Multiple locations –
Mile End
John Vane
Basement /
Ground, Rooms
TBC
John Vane, Rooms
113 main lab
111
decommissioned
hot lab, no
histology lab?
110 Autoclave
room
110a dark room
112 equipment
room
107 prep/ liquid
nitrogen
106 & 108 cell
culture rooms CL2
105 cold room
109 confocal
microscope.
Enclosed labs
(north end)
Blizard, Rooms
LG112/113/114/11
5/116/117
Hazardous
Waste
Collection
Areas /
Stores
Note - fourth
Monday:
27/01/2014
1:30 – 3:30 pm
Hazardous
waste
collection /
storage
areas –
back of
Francis
Bancroft,
Physics,
Fogg, Eng,
Joseph
Priestley
BSU Ch
Sq
Various Combined
Sc & Eng
and SMD
Peer
Review
Inspection
Mile End
BSU / John
Vane
Charterhous
e Sq
POSTPONED
until Autumn
2015
Biological,
GM (CL1,
2),
Biochemist
ry
chemicals
Endocrinol
ogy
William
Harvey
Ch Sq
11/02/2014
10 am – 12:30
pm
Biological,
GM (CL1,
2)
Biochemist
ry,
chemicals
Immunolog
y&
Infectious
Diseases
and
Digestive
Diseases
Biological,
GM
(CL1,2) In
vivo work
Sc & Eng:
Sam Court /
Jalal Hamdan /
Chris Mole /
John Dennis
Jalal Hamdan /
Sarah Cowls /
Richard Rountree
(SMD - BSU) /
Erskine Greenidge
(SMD - Dentistry),
Rejwan Ahmed
(SMD – Turnbull
Centre)
Kerry Horvath,
Tim Kay; Dr
Ruth Rose;
Sam Court
Dr Mark
Ariyanayag
am / Dr
Paul
Cassell
Y
(GM
Wast
e)
REPORT
DRAFT
COMPLETED
– RE-CHECK
VISIT
27/02/2015 TO
COMPLETE
Geraldine
Hansen
Fraser Darling
TBC
Dr Mark
Ariyanayag
am
Y
POSTPONED
Dr Steven
Coppen
Tom Milligan / Paul
Chapple (now
Leonardo Guasti)
Jason Chattoo
Chris Evagora
Steve Cannon
Dr Mark
Ariyanayag
am
Y
REPORT
ISSUED – 12
SEP 2014
SMD:
Geraldine
Hansen (BSU),
Steve Moore
(IHSE)
Action Plan
Awaited
Blizard
Institute /
Blizard
Whitechapel
11/03/2014
10 am – 12:30
pm
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015
Dr Jeff Maskell
(now Michael
Schofield)
Dr Jeff Maskell
Gill Adams
Chris Evagora
Dr Mark
Ariyanayag
am
Y
REPORT IN
DRAFT
Francis Bancroft,
Rooms 2nd floor.
Dental
materials,
Biological
(CL1),
Chemicals
Dental
Physics
Dentistry /
Francis
Bancroft
Mile End
08/04/2014
10 am – 12:30
pm
Erskine
Greenidge
Erskine Greenidge /
Prof Robert Hill
Gwen Robinson
Ian Joy
Dr Matthew
Golding
Dr Mark
Ariyanayag
am
N
REPORT
DRAFT
ISSUED 2 Feb
2015
Action Plan
Awaited
Blizard, Rooms
LG176/179 (flow
cytometry);
LG180/183/182/18
5/LG01/LG02/LG0
3/LG04
(microscopy)
New Dental
Teaching
Laboratories
Heart Centre – 1st
floor
Biological,
GM, (CL1)
Lasers,
microscopy
, flow
cytometry
Blizard
Core
Facility
Labs
Blizard
Institute /
Blizard
Whitechapel
Note Date
Change
13/05/2014
10 am – 12:30
pm
(Re-scheduled
from Dec 2013)
Michael
Schofield
Dr Jeff Maskell / Dr
Anne Wheeler / Dr
Gary Warnes
Chemical /
biological
Dental
Institute
Whitechapel
18/11/2014
Kerry Newbury
Dr Mike Cattell / Mrs
Jayshree Brahmbhatt
/ Ronn Thomas
Chemical /
biological
Wolfson
Institute
Heart
Centre
Ch Sq
09/12/2014
Cheryl Mason
Prof Attila Lorincz
Ellie Stewart
Paul Carter
Dr Steven
Coppen,
Dr Guglielmo
Rosignoli
Michael
Schofield
Jason Chattoo
Robin Kerrigan
Dr Matthias
Dittmar
Dr Paul
Cassell
and/or
Marion
Richards
Y
Mark
Ariyanayag
am
N
Zarah
Laing
N
REPORT
ISSUED 29
SEP 2014
Action Plan
received and
completed 22
Oct 2014
REPORT IN
DRAFT
REPORT
ISSUED 15
JAN 2015
Action Plan
received, most
actions
completed
23/2/2015
Cancer
Inflammation
Laboratories –
John Vane
Science centre
Path Pharm
Laboratories –
QMUL embedded
Barts Cancer –
Drosophila
Laboratories
Chemical /
Biological /
GM (up to
Class 2)
Cancer
Inflammati
on
Barts
Cancer
Institute
Ch Sq
13/01/2015
Deborah
Buckle / Selina
Blades
Dr Gavin Craig
Chemicals
/ Biological
Pathology
Blizard
Institute
Whitechapel
10/02/2015
Chris Evagora
Chemicals
/ Biological
Haemato
Onc /
Tumour
Biology
Barts
Cancer
Charterhous
e Square
(Wed)
11/03/2015
Chris Evagora /
Michael
Schofield
Deborah
Buckle / Selina
Blades
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015
Dr Pedro Cutillas /
Dr Paulo Ribeiro
Dr Tyson Sharp
(GMSC)
Dr Steven
Coppen
Robin Kerrigan
Gill Adams
Robin Kerrigan
Dr Sven (TGA)
van Eijl
Dr Dong Sheng
Wu
Robin Kerrigan
Mark
Ariyanayag
am
Y
REPORT IN
DRAFT
Mark
Ariyanayag
am
Mark
Ariyanayag
am
N
REPORT IN
DRAFT
Y
REPORT IN
DRAFT
Heart Centre
Basement 1st floor
Labs - WHRI
Chemicals
/ Biological
Various
Centres
William
Harvey
Charterhous
e Square
POSTPONED
UNTIL AUTUMN
2015 (originally
scheduled for
14/04/2015)
Steven Coppen
Ian Joy / Steven
Coppen
Blizard courtyard
areas and related
Storage /
gas
cylinders /
LN2 / post
room /
clinical
waste
Communal
facilities
Blizard
Whitechapel
POSTPONED
UNTIL AUTUMN
2015 (originally
scheduled for
12/05/2015)
Michael
Schofield
Michael Schofield
Original
volunteers Cheryl Mason
Andrew
Palfreeman
Dr James
Whiteford, Dr
Gavin Craig
Original
Volunteers Cheryl Mason
Andrew
Palfreeman
Fraser Darling
Mark
Ariyanayag
am
Y
POSTPONED
Mark
Ariyanayag
am
Y
(GM
waste
only)
POSTPONED
H&S Peer Review Inspection - Introduction
1. The SMD ‘higher risk’ areas (laboratories, workshops, ‘communal’ areas where hazardous substances are handled – e.g.
hazardous waste collection areas) are covered by H&S Peer Review inspections (Note - Lower risk areas (e.g. office rooms)
are covered by each Institute’s H&S self-inspection schedule. Institute H&S self-inspection reports may be requested during
peer review inspections).
2. These H&S Peer Review Inspections fit into the QMUL’s overall H&S Audit & Inspection programme (see pp 9 & 10 of the
QMUL H&S Audit and Inspection Standard at http://www.ohsd.qmul.ac.uk/documents/standard/64341.pdf )
3. To keep to a consistent timetable, SMD H&S Peer Review Inspections are scheduled for the second Tuesday of each
month, for an am (10 am - 12:30 pm) slot. If the date / time are not suitable, then every effort will be made to find a suitable
slot in that week close to the second Tuesday of the month. Hosts - please contact Mark Ariyanayagam
m.r.ariyanayagam@qmul.ac.uk if a change is needed.
4. All inspections are to a maximum of 2.5 hours, inspections to be approximately of 2 hours duration.
5. A Minimum of 3 persons in the inspection team, maximum of 5 persons.
6. At least one member of the inspection team to be a (Lead) Safety Adviser, knowledgeable on the safety requirements of the
laboratory / area.
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015
7. Volunteers for the Peer Review Inspection are sought from Safety Coordinators, Lab / Technical Managers / staff,
Academic and Research staff with an interest in Laboratory Health and Safety (e.g. members of an Institute H&S Committee,
laboratory safety grouping). A volunteer can join the inspection team for a laboratory / area that are not under their Institute’s
control (‘exemptions’ will be made for ‘shared / communal’ (e.g. hazardous waste areas) areas). If you can volunteer,
please email Mark Ariyanayagam m.r.ariyanayagam@qmul.ac.uk, noting which inspection/s you can join.
Preparation for the H&S Peer Review Inspection
8. The local safety rules document as an electronic document (or web link to the document) and 2 sample risk
assessments as electronic documents (or web link / database reference ID if available online) from the lab / area to be
inspected must be sent to Mark Ariyanayagam m.r.ariyanayagam@qmul.ac.uk at least a week in advance by the host
Safety Coordinator (please note normally there won’t be a reminder for this action, other than this document).
9. Required information on entry restrictions, health surveillance / monitoring required for the area, PPE that cannot be
provided by the host or other significant safety measures required for the area should be noted to Mark Ariyanayagam
m.r.ariyanayagam@qmul.ac.uk at least a week in advance by the host Safety Coordinator.
10. Mark Ariyanayagam will distribute the above documents (or weblinks) and any other required information to the inspection
team as preparatory information.
11. The Inspection team should also print out the H&S Peer Review Inspection checklist/s at
http://www.ohsd.qmul.ac.uk/documents/Checklists/101434.docx
H&S Peer Review Inspection
12. The Inspection Team to meet at the Nucleus Cafe (for Whitechapel) or The Shield (for Charterhouse Sq) or The Ground
Café (for Mile End) at 9.30 am on the inspection day (or 30 mins before the inspection if the start time is not 10 am) for a
coffee and briefing by the Lead Safety Adviser.
13. The H&S Peer Review Inspection checklist to be used is on the OHSD website at
http://www.ohsd.qmul.ac.uk/documents/Checklists/101434.docx
14. Where required, additional checklists (e.g. GM / CL3) are also available on the OHSD web page
http://www.ohsd.qmul.ac.uk/services/Inspection%20and%20Monitoring/Inspections%20-%20Checklists/index.html .
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015
15. The Inspection team will follow instructions from the host on safety (incl PPE) / entry requirements for the inspection.
Standard PPE (e.g. lab coat, eye protection) will be provided by the host.
16. In addition to the above requested H&S documents, it would be expected that H&S documents for the lab / area (e.g. risk
assessments, safety rules & arrangements, safety data sheets, inventories of hazardous substances, local exhaust
ventilation (e.g. fume cupboards, microbiological safety cabinets) test certificates) are easily accessible / available in the
lab for viewing by the Inspection Team.
17. At the end of the inspection time slot, ‘key points’ will be noted verbally to the host/s by the Inspection Team.
H&S Peer Review Inspection Report
18. The Inspection Report is to be drafted by a volunteer from the inspection team using the template at the above webpage,
with input from the rest of the inspection team. Guidance to draft the Inspection Report is also found on the same web page.
19. The Inspection report will normally be submitted to the relevant Institute Director and copied to the Faculty Vice Principal,
within 20 working days from the Inspection date. If there are delays to this schedule, the Institute Director will be informed.
20. Where recommendations to improve safety are identified in the report, an action plan will be requested from the Institute
Director to ensure remedial actions are implemented. The Inspection Report, Action Plan and subsequent Completion
of Actions should be included in the Institute’s reports to the Faculty Safety Group.
●
Containment Level 3 (CL3) / Genetic Modification (GM) work
21. The Containment Level 3 Peer Review inspections will be primarily based on the laboratory infrastructure requirements. The
Biological Safety Adviser (Mark Ariyanayagam) will also conduct a separate document / safety management audit of the CL3
facility / work (to be arranged separately with the relevant Principal Investigator/s and Institute Lab Management) and will
write the final report/s for this inspection. The specific CL3 inspection checklist is at the web page noted above.
22. For the Blizard Containment Level 3 suite (LG97, LG98, LG101 and LG102), individuals may need health clearance from QMUL
Occupational Health (contact Mark Ariyanayagam to ascertain requirements).
23. Where there is a GM element to any lab’s work, at least one member of the QMUL GMSC will be in the inspection team. The
GM Inspection checklists are at the web page noted above.
24. The GM part of the inspection report will be submitted to QMUL GM Safety Committee for review.
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015
Ionising Radiation
25. Designated Ionising Radiation laboratories (Supervised / Controlled Areas) will NOT be inspected under this Inspection
Schedule (these will be inspected separately under specialist Ionising Radiation inspections arranged by the QMUL
Radiation Protection Manager and Radiation Protection Adviser). It is noted that there may be Ionising Radiation sources
present (e.g. within equipment, as teaching aids) in some non-designated laboratories.
SMD H&S Peer Review Inspection Schedule –UPDATED 11 May 2015