RESEARCH LAB POLICIES Written by: Maurice Riner, Chemical Safety Committee 3211 Providence Drive, Anchorage, AK 99508-4614 Chemical Safety Committee Approval Date: ______________ 1. ________________________________________ Date: ________________ Dr. John Kennish, Chair, Chemical Safety Committee 2. ________________________________________ Date: ________________ Dr. Robert G. White, Interim Vice Provost for Research and Graduate Studies 3. ________________________________________ Date: ________________ Dr. Michael A. Driscoll, Vice Provost 4. ________________________________________ Date: ________________ Fran Ulmer, Chancellor 5. ________________________________________ Date: ________________ Mark R. Hamilton, President, University of Alaska TABLE OF CONTENTS Page 1. Purpose 1 2. Scope 1 3. Principal Investigator (PI) Responsibilities 1 4. Research Proposal Reviews 1 5. Research Standard Operating Procedures (SOPs) 2 1 Identity 2 2 Purpose and Scope 2 3 Chemical Hazard and Risk Assessment 2 4 Personal Protective Equipment 2 5 Engineering / Ventilation Controls 3 6 Chemical Storage 3 6.1 Chemical Handling Procedures 3 6.2 Chemical Hazards 3 6.3 Chemical Container Labeling 3 6. 7 Material Safety Data Sheets 3 8 Chemical Exposures or Chemical Contamination 3 9 Chemical Spills and Spill Cleanup 3 10 Waste Disposal 3-4 10.1 4 Waste container labeling 11 Research Protocols 4 12 Emergency Phone Numbers 4 Modifying Standard Operating Procedures (SOPs) I 4 7. Research Training 4 8.0 Biological Agent Use 5 8.1 Biological Agents 5 8.2 Select Agents 5 9.0 Chemical Use 5 10.0 Chemical Waste 5 List of Abbreviations (in alphabetical order) 6-7 II 1. PURPOSE The Chemical Hygiene Plan (CHP) for the University of Alaska Anchorage provides general written guidelines for university, faculty, employee and student responsibilities using hazardous chemicals in teaching and research laboratories. This document augments the UAA CHP and outlines additional safety precautions and policies about the use and disposal of hazardous chemicals in all research laboratories at UAA. 2. SCOPE These policies cover all internally and externally funded research projects by faculty, employee, student, and visiting research professionals undertaken at the University of Alaska Anchorage or satellite campuses. Safe and effective research requires attention to all obligations / responsibilities that the PI /RLS have to the university, research sponsors and most importantly to employees, student researchers, visiting research professionals working in any research laboratory at UAA and all other occupants of buildings where research is conducted. Research techniques shall not violate established professional ethics pertaining to the health, safety, privacy, and other personal rights of human beings or to the infliction of pain or injury on animals. Current UAA policy is outlined in Administrative Services Manual, EHS / RMS, policies and procedures section, statement #23 at: http://ehsrms.uaa.alaska.edu/TOCPolicies.htm and http://www.alaska.edu/risksafety/complianceSurvey/. 3. PRINCIPAL INVESTIGATOR (PI) RESPONSIBILITIES Principal Investigator / Research Lab Supervisors’ responsibilities start with those given in sections 4.2 through 4.4 and 4.6 of the UAA Chemical Hygiene Plan. Additionally, all research must comply with all Federal, State, MOA, and any recognized governing body rules and regulations covering specific areas of research such as CDC, IACUC, NIH, NRC as it pertains to each research project. These responsibilities apply to general lab training and lab specific SOPs. Ultimate responsibility for SOP / training compliance rests with the PI or RLS within each research lab. 4. REASEARCH PROPOSAL REVIEWS Research proposal reviews will be undertaken as outlined in the UAA CHP sections 4.3 through 4.32. These reviews should include a laboratory specific SOP governing the research and a substance specific SOP when using acutely hazardous, extremely hazardous, radioactive, carcinogenic, mutagenic chemicals or infectious biological materials. Substance specific SOPs are required for all hazardous chemicals that fall outside of the UAA’s CHP general or hazard specific SOPs. 1 5. RESEARCH STANDARD OPERATING PROCEDURES (SOPs) Under the OSHA regulations 29 CFR Part 1910.1450 known as the ‘Laboratory Standard’, one of the primary requirements is a laboratory specific SOP. An adequate laboratory specific research SOP should address the steps required to accomplish the research, the procedures to safely carry out all laboratory activities including emergency procedures, spill response, waste disposal, equipment failure procedures, and the occurrence of a natural disaster. A good research specific laboratory SOP will also serve as a training document for incoming research workers so that overall laboratory safety is not compromised. Typically “cook book” protocols do not address many of the safety requirements, facility equipment issues, etc. and should not be used to meet the requirements of an SOP. All laboratory research specific SOPs should include the following sections given below in addition to requirements outlined in sections 4.6, 7.2 and 9 of the UAA CHP. Research SOPs shall be reviewed and or updated annually by the PI and Safety Committee. A chemical SOP template is available at this link: http://ehsrms.uaa.alaska.edu/Chemical%20SOP%20FORM.doc . 1. Identity This section will be dated, include the name of the principal investigator, and include building and room numbers. 2. Purpose and Scope This section will describe proposed research and list necessary chemicals and specialized equipment. 3. Chemical hazard and risk assessment This section will describe the chemical hazards associated with all laboratory operations carried out by lab workers. 4. Personal Protective Equipment (PPE) section This section will describe the safety precautions needed and identify the relevant PPE that must be used to protect lab workers from exposure to hazardous chemicals or physical injury from mechanical hazards while working in the lab. 5. Engineering / Ventilation Controls section This section describes when a fume hood should be used and what to do if a fume hood malfunctions. This section would also give details about cold rooms, isolation rooms and other mechanical – ventilation safety equipment and how / when to use them safely. 2 6. Chemical Storage section This section describes all procedures for the proper storage of the chemicals used in the research laboratory. See sections 9.2, 9.3 and 9.4 of UAA CHP. This section should also include a discussion of specialized PPE required for any chemical if needed. 6.1 Chemical Handling section This section describes all of the procedures for the safe handling of the chemicals used in the research laboratory. This section will also include a discussion of specialized PPE required for any chemical if needed. 6.2 Chemical Hazards This section describes all the NFPA, WHMIS, NRC, or IARC hazards associated with all chemicals in the research lab for each specific SOP. 6.3 Chemical Container labeling This section describes container labeling for repacked chemicals and working solutions. 7. Material Safety Data Sheet(s) (MSDS) This section will describe where MSDS hard copies are posted and how to access electronic copies on the internet. 8. Chemical Exposure and Chemical Contamination The section must outline the lab procedures for using any acutely, toxic, highly toxic or radioactive substance in the lab to prevent contamination of surroundings, equipment and lab personnel based on those policies in the UAA CHP sections 5.4 through 5.5. 9. Chemical Spill and Spill Cleanup This section will give specific spill response measures for the research lab based on the type of research and the policies outlined in the UAA CHP, Section 15. 10. Waste Disposal This section will give detailed disposal procedures for the research lab based on the type of chemical, biological or radiological waste generated by the research based on policies in the UAA CHP section 10. Where necessary, the Biosafety Committee and EHS / RMS can assist a PI in the 3 development of chemical specific SOPs for the disposal of infectious, medical, pathological (animal tissue or animal carcasses), recombinant DNA, and all other types of biological agents and chemical wastes as regulations require. . 10.1 Waste container labeling The section gives waste container labeling information. All waste containers must be labeled with the chemical hazard warnings. 11. Research Protocol This section should list all lab specific protocols used in the research lab including protocols for using hazardous common equipment. 12. Emergency Contact Numbers This section will list all emergency contact numbers. 6.0 MODIFIED STANDARD OPERATING PROCEDURES (SOPs) Standard Operating Procedures are generally accepted practices for use of chemicals in particular situations. These SOPs can be modified in specific instances when appropriate or as research needs dictate. When major modifications are made to a procedure that entails additional risk, scale-up of any chemical reaction, or a change in any needed engineering controls for safety and hazardous risk control, the reasons for such modifications must be documented and signed by the (PI) or (RLS) and approved through the EHS / RMS, Chemical Safety Committee, Biosafety Committee or the Radiation Safety Committee as necessary prior to commencing with such modifications. 7.0 RESEARCH TRAINING Principal Investigator (PI) / Research Lab Supervisors (RLS) responsibilities start with those given in sections 11through 11.3 of the UAA Chemical Hygiene Plan. All training for using chemicals covered in sections 5.4 and 5.5 of the UAA CHP, and any specialty chemicals posing hazards not addressed in the lab specific or research specific SOP, must be documented. Training documents will be kept on file by the responsible PI and a copy of the trailing documents will be forwarded to EHS / RMS. 4 8.0 BIOLOGICAL AGENT USE 8.1 Biological Agents All research laboratories that use biological agents, biological toxins or recombinant materials must be registered with EHS / RMS in order to comply with federal guidelines and regulations. The PI is responsible for ensuring that his or her lab is registered with UAA Biosafety Committee and EHS / RMS and that the lab is in compliance with all federal guidelines and regulations. The PI is responsible for determining if the recombinant DNA molecules used in their research are exempt from NIH guidelines and if registration with UAA Biosafety Committee and EHS / RMS is not required. 8.2 Select Agents The federal government (USDHHS / CDC) and (USDA) have restricted certain biological agents and toxins, and have designated these as ‘select agents’. The possession, use and transfer of the restricted or select agents must be registered with UAA EHS / RMS and the appropriate federal authorities. EHS / RMS can assist PIs with this procedure. 9.0 CHEMICAL USE Chemical use includes the following actions: ordering, possession, storage, disposal and abandonment of any chemical for research purposes in any UAA laboratory. All training for using chemicals covered in sections 5.4 and 5.5 of the UAA CHP and any specialty chemicals posing hazards not addressed in the lab specific or research specific SOP must be documented. Restricted chemicals, p-listed chemicals must be reviewed by EHS/RMS to ensure compliance with any regulations are concerning possession and disposal of any resulting chemical waste. All chemical use policies will follow those guidelines given in Prudent Practices in the Laboratory, Handling and Disposal of Chemicals, Chapters1-5, 7 and 9 recommended by the Nation Research Council. 10.0 CHEMICAL WASTE Chemical waste shall be segregated according to current accepted standards and practices along with UAA’s current waste generator classification and all applicable regulations as outlined in UAA’s CHP and current hazardous waste policies document. 5 LIST OF ABBREVIATIONS American Conference of Governmental Industrial Hygienists (ACGIH) Centers for Disease Control (CDC) Chemical Hygiene Plan (CHP) Neoxyribonucleic Acid (DNA) Dept. of Environmental Conservation (DEC) Dept. of Homeland Security (DHS) Drug Enforcement Agency (DEA) Environmental Health Safety & Risk Management Support (EHS / RMS) Environmental Protection Agency (EPA) Institutional Animal Care and Use Committee (IACUC) International Agency for Research on Cancer (IARC) Material Safety Data Sheet (MSDS) Municipality of Anchorage (MOA) National Fire Protection Agency (NFPA) National Institute of Health (NIH) Nuclear Regulatory Commission (NRC) Occupational Safety and Health Administration (OSHA) Personal Protective Equipment (PPE) Potentially Hazardous Chemicals (PHC) Principal Investigators (PIs) Research Lab Supervisors (RLS) Safety First Approach (SFA) Standard Operating Procedures (SOPs) 6 University of Alaska Anchorage (UAA) U.S. Dept. of Agriculture (USDA) U.S. Dept. of Health and Human Services (USDHHS) Workplace Hazardous Materials Information System (WHMIS) 7