08 March 2012 MEMORANDUM From: To: Lee Wilson, Senior Safety Manager Mr. Paul Lim, Executive Manager, Goodman Environmental PTE LTD Subj: STANDARD OPERATING PROCEDURES FOR HANDLING BIO/INFECTIOUS WASTE Ref: Ministry of Manpower Guidelines Encl: Goodman Environmental PTE LTD Standard Operating Procedures for dealing with handling infectious waste and sharps to control infectious diseases 1. Reference (a) provides specific guidelines to be followed when dealing with these types of materials. Enclosure (1), contains company guidelines and policies that are followed by Goodman Environmental with regards to infectious waste. 2. Please address any questions or concerns you might have to me at 8205 8249 or lee_wilson@pnhgrp.com. T.L. Wilson //Signed// STANDARD OPERATING PROCEURES FOR DEALING WITH INFECTIOUSS WASTES 1. Background: Exposure to human blood and body fluids place workers at risk of several types of infections. Definitions: a. Blood – Blood means human blood, human blood components such as red and white blood cells, plasma and platelets. b. Blood Borne Pathogens – means pathogenic micro organisms that are present in human blood and can cause disease in humans. These pathogens include but are not limited to hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). c. Contaminated or Contamination - means the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface. d. Contaminated Sharps - Generally thought of as used needles but can also be other objects that can penetrate the skin including, but not limited to scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires. e. Occupational Exposure - means reasonably anticipated skin, eye, mucous membrane, or parenteral contact (i.e. needle sticks) with blood or other potentially infectious materials that may result from the performance of an employee's duties. f. Other Potentially Infectious Materials - semen, vaginal fluids, cerebrospinal fluid, pleural fluid, peritoneal fluid, pericardial fluid, amniotic fluid, saliva in dental procedures, any unfixed tissue or organ of human origin (living or dead). 2. Goodman custodial workers and any others with the possibility to handle potentially hazardous/infectious waste shall: a. Receive training on the hazards of working with infectious waste including considering all contaminated waste to be infectious. Training should also emphasize handling all contaminated wastes very carefully to prevent body contact and accidental injury. Custodial staff must be particularly aware of the potential for exposure as they are dealing with potentially infectious materials that have not been fully processed for disposal and the risk of inadvertent contact is high. They shall be provided with hand protection to prevent skin contact with infectious materials. They shall also receive training with regards to the importance of observing universal precautions in the performance of their duties. All needle sticks, contact with blood, blood products or potentially infectious body fluids shall be reported immediately. b. All custodial workers who may have the potential to come in contact with infectious materials and workers who are assigned to handle infectious waste that has been packaged for disposal shall receive immunizations for hepatitis B and tetanus. c. Workers assigned to handle packaged infectious waste shall be provided with puncture-resistant gloves and safety boots. 3. Our expectations from our partners (customers) include all materials received by Goodman Environmental shall be properly packaged to include: a. Sharps – Sharps shall be properly packaged and secured in appropriate sharps containers including sealing the opening to the container. b. Other infectious materials – Shall be double bagged in labeled bio-hazardous bags at least one mil in thickness. c. Once the materials personnel and have properly the chain assumed by Goodman have been inspected by Goodman been determined to be packaged of custody and responsibility is Environmental. However, the disposal of non-infectious materials in bio-hazardous bags is prohibited. 4. Procedures Goodman encourages employees and customers alike to avoid include: a. Do not load an infectious waste container beyond its capacity. b. Do not compact infectious waste. This process may disperse the contamination into the air. Also, even puncture resistant gloves could be punctured by a used syringe needle, for example if you try compacting contents with your hands. c. Do not mix infectious waste with regular trash. d. Do not reach into any waste container or receptacle which may contain hazardous waste.