HEALTH & SAFETY EXAMPLE OF A COMPLETED POISONS CONTROL PLAN – PART TWO This example of a completed Poisons control plan – Part two is published as an attachment to the University of Melbourne’s Chemical Management Guidelines (Section 7.4.3. Develop and Maintain a Poisons Control Plan). The original Poisons Control Plan (blank) document is published by the Department of Health and Human Services and available via http://www.health.vic.gov.au/dpcs/industrial.htm I If you are converting this example document into an actual Poisons control plan, please ensure it is the most current version on the Department of Health and Human Services website: http://www.health.vic.gov.au/dpcs/industrial.htm You will also need to remove this first page. safety.unimelb.edu.au HEALTH & SAFETY: EXAMPLE OF A COMPLETED POISONS CONTROL PLAN – PART TWO 1 Date: November 2015 Version: 1.0 Authorised by: Associated Director, Health & Safety Next Review: November 2018 © The University of Melbourne – Uncontrolled when printed. Poisons Control Plan For a Permit – Part Two Poisons Control Plan (PCP) for a Permit to Purchase or Obtain and Use Poisons or Controlled Substances for Industrial, Educational, Advisory or Research Purposes – Part Two Note: Part Two is only applicable to permits with Schedule 8 and/or Schedule 9 poisons. Note: This section is for the Department of Health, Drugs and Poisons Regulation use ONLY Permit Number of the permit to which this Poisons Control Plan relates: 7. Storage and Access Notes: The Regulations require a lockable facility for the storage of Schedule 8 and/or Schedule 9 poisons that must provide not less security than a storage facility (e.g. Drug Cabinet) that is— • constructed of mild steel plate of 10 millimetres thickness; and • constructed with continuous welding of all edges; and • fitted with a door constructed of mild steel plate of 10 millimetres thickness, swung on hinges welded to the door and body of the cabinet, the door being flush fitting with a clearance around the door of not more than 15 millimetres; and • fitted with a fixed locking bar, welded to the inside face of the door near the hinge edge, which engages in a rebate when the door is closed; and • fitted with a 6 lever lock securely affixed to the rear face of the door; and • securely attached to a wall or floor in such a manner that it will resist attack by hand tools for 30 minutes or power tools for 5 minutes. Expert advice received by the department indicates that the requirement for the cabinet to be ‘securely attached’ is satisfied by - • HARD CORE WALL: The cabinet to be secured by use of four (4) Loxin or Dyna Bolts (each 10mm by 50mm minimum). • STUD and PLASTER WALL or HOLLOW BLOCK WALL: The cabinet to be secured by use of four (4) 10mm coach bolts through the wall and through 3mm mild steel backing plate. This backing must, at minimum, be the same size as the back of the drug cabinet. The lockable storage facility must not be used for the storage of anything else other than for the storage of Schedule 8 and/or Schedule 9 poisons, and drugs of dependence. In Victoria, the term ‘drugs of dependence’ refers to those substances in Schedules 2, 3 and 4 that are also listed in Schedule 11 of The Act (e.g. pseudoephedrine, benzodiazepines, anabolic steroids) in addition to many Schedule 8 and Schedule 9 poisons. The Act may be accessed at http://www.legislation.vic.gov.au/ 7.01 Indicate how Schedule 8 and/or Schedule 9 poisons are to be stored: A Drug of Addiction Cabinet secured to a wall or floor by bolts on the inside of the cabinet. Special Considerations for Diluted Schedule 8 Items: - Any Schedule 8 Poison which has been made into a cocktail with other materials and diluted below its initial concentration may be stored as a Schedule 4 for the time that it is in use over working period. The storage facility must remain locked and secured to prevent access by any unauthorised person at all times, except when it is necessary to open it to carry out essential operations. 7.02 Indicate how unauthorised or unsupervised access to Schedule 8 and/or Schedule 9 poisons is to be prevented: The cabinet will be located in a lockable facility. The keyholder will be the permit holder or nominee. The keyholder will hold the key on their person at all times within the facility. 8. Records of Transactions Notes: The definition of a "transaction" includes the preparation, use, transfer within and between premises, administration, disposal or destruction of a substance. Details of all transactions, relating to substances in Schedule 8 and/or Schedule 9 must be kept for a minimum of 3 years and produced on demand to an Authorised Officer of the Department of Health, Drugs and Poisons Regulation. The Regulations specify the details required to be contained in records of transactions involving Schedule 8 and/or Schedule 9 poisons. Records of transactions involving Schedule 8 and/or Schedule 9 poisons must not be able to be altered, obliterated, deleted or removed without detection and must show the true and accurate balance remaining after each transaction. 8.01 Indicate the manner in which records of transactions in Schedule 8 and/or Schedule 9 poisons are to be maintained to achieve the necessary requirements: Records will be kept in a Drug of Addiction Register – a bound book with consecutively numbered pages - with the following conditions: Each transaction record will contain the following information: - name of person receiving the scheduled poison signature of person signature of supervisor amount taken date used amount remaining Page 3 9. Disposal/Destruction of Schedule 8 and/or Schedule 9 Poisons The Regulations specify that the destruction of a Schedule 8 and/or Schedule 9 poison may only be carried out by specified categories of person in the presence of a witness with the same or similar qualifications. Medical practitioners, nurse practitioners (Schedule 8 only, not Schedule 9), pharmacists, veterinary practitioners or dentists may carry out the destruction in the presence of another person who is a medical practitioner, pharmacist, veterinary practitioner, dentist, nurse or midwife. Records of the details and method of the destruction of Schedule 8 and/or Schedule 9 poisons are also specifically mandated. Notes: Some agencies are licensed or permitted to possess scheduled poisons for the purposes of destruction of those poisons (e.g. industrial incineration). Such licences or permits do NOT include Schedule 8 and/or Schedule 9 poisons. Consequently, destruction of Schedule 8 and/or Schedule 9 poisons at such premises must be in the presence of authorised persons, in combination, as detailed above. Schedule 8 and/or Schedule 9 poisons, if not incinerated, must be destroyed by being rendered unidentifiable and unrecoverable. This may be achieved in a number of ways; liquids might be adsorbed onto shredded cardboard (e.g. kitty litter) whilst solids might be rendered so by, for example, crushing and diluting with liquid and then adsorbed onto cardboard. The resultant ‘slurry’ might then be burnt or disposed of in another appropriate method, ensuring that the poisons are not identifiable or recoverable. 9.01 Indicate how Schedule 8 and/or Schedule 9 poisons are to be disposed of or destroyed: Unwanted Schedule 8 or 9 poisons are held in the Drug of Addiction Cabinet until they can be directly destroyed in the presence of two medical practitioners, two dentists or two pharmacists or a combination of the above. Records of transactions for the disposal of Schedule 8 or 9 Poisons to the waste contractor will be held by the Permit Holder. Note: Parts Two and Three of the PCP are applicable only to permits that relate to those specific activities of the permit holder (or applicant) and may otherwise be discarded. Authorised by the Victorian Government, Melbourne. To receive this publication in an accessible format phone 1300 364 545 Drugs and Poisons Regulation. Page 4