HS026 1. Completed by: Ken Wyse Safe work procedure Staff/Student number: z8903240 The Safe Work Procedures Guideline (HS027) should be consulted to assist in the completion of this form Faculty/Division: Medicine School/Unit: Lowy Cancer Research Building and Wallace Wurth building Document number SoMS_IIR_SWP32 Initial Issue date March 2010 Current version 3.0 Current Version Issue date: January 2014 Next review date January 2017 2.Safe work procedure title and basic description of activity Title: Biological Spills Clean Up Procedure Description: To describe the procedure how to clean up spills of potentially infectious biological materials and genetically modified organisms (GMOs) DEFINITION: Biological material can include Infectious, Biological, Clinical, GMO, human or animal blood and body fluids and unknowns biological agents . 3.List hazards and risk controls as identified during risk management Associated risk assessment number and location: N/A Hazards Lack of training Controls All lab workers inducted. All lab workers must attend Biosafety for P2 training. If the spill is major, this is handled by HAZMAT instead. Incorrect disinfectant There is evidence that disinfectant is appropriate for the agent being used Exposure to hazardous substance PPE - Always wear a long sleeve gown, double gloves (nitrile preferred), eye protection and a respiratory protection Unintentional release of GMO All spills dealt with immediately Exposure to hepatitis B Hepatitis B vaccination is strongly recommended for workers handling human blood or tissues. Hepatitis B is a potentially fatal disease and is very contagious. Infection with blood-borne pathogens occurs through a direct route of entry e.g. cuts, burns, needle sticks, eyes, and mucous membranes. Treat any blood or body fluids as infectious 4.List resources required including personal protective clothing, chemicals and equipment needed Warning Signage PPE - Always wear a rear fastening long sleeve gown, double gloves (nitrile preferred) with the cuff of the gown firmly inside the cuff of the glove, eye protection and respiratory protection (p2 mask or half or full face respiratory) Absorbent padding or paper towel Tongs or tweezers Virkon (or other appropriate decontaminant) Biohazard disposable waste bag PC2 clinismart waste bin PC2 biohazard spill kit _______________________________________________________________________________________________________________ Page 1 of 5 HS026 safe work procedure Version: 3.1, 23/01/2013 5.List step by step instructions or order for undertaking the task All biological spills should be dealt with as soon as possible Spill procedures Liquid spills generally form three fractions: 1. the bulk of the liquid forms a puddle; 2. small splashes of liquid escape; and 3. a small portion of the liquid forms airborne particles. In the event of a spill, the following procedures should be observed: Avoid breathing in aerosol and vacate the area. Warn other people to keep away from the area (verbally and with signs). When should people be evacuated from the room (considering that airconditioning will spread aerosols) Keep the area cleared for a minimum of 30 minutes to allow time for aerosols to settle or be diluted by air handling systems. In case of splashing with infective agent or GMO Remove any contaminated clothing. Wash affected area with soap and water (use eyewash if applicable). Wash exposed skin (hand, face). Notify your supervisor. Assemble a clean-up team consisting of three people: one observer, one person to clean and another to pass materials and disinfectants. All three must wear all PPEE listed below After waiting at least half an hour, the team should: Make up the Virkon according to Manufacture’s instruction Put on protective clothing and equipment.(gloves, gown, eye protection and respiratory protection) Wear double gloves (nitrile preferred) while decontaminating – make sure the gloves are over the cuffs of the gown. Assess the extent of the contaminated area. Lay paper towels impregnated with Virkon over the spill. Cover the spill working from the outside to the centre. Wait for least for 10 minute for the Virkon to be affective. Do not pour Virkon directly onto a spill as this can produce more aerosols. Use tongs to pick-up the contaminated paper towel. Also use tongs to pick-up any sharps in the spill such as broken glass or needles. Dispose of contaminated materials in an approved PC2 waste bin or sharp bin. Wet the contaminated area with Virkon waiting for 10 minutes. Re-wipe over the contaminated area with Virkon impregnated paper towel. REPEAT ABOVE as many times as necessary to clean and decontaminate the area Dry the area as wet areas attract contaminants. Decontaminate the tongs by soaking in Virkon for 10 minutes or autoclave them. Remove gloves and dispose of in PC2 waste bin. Wash and dry hands Take gown off and put it into bag for steam sterilization Remove eye protection and respiratory protection Rewash hands and dry thoroughly. Notify your supervisor. Fill in an incident report. Note: reusable eye protection and respiratory protection must be cleaned following use. Gloves and gown must be worn during this process _______________________________________________________________________________________________________________ Page 2 of 5 HS026 safe work procedure Version: 3.1, 23/01/2013 Procedure for Biological Spill in a Centrifuge · If a tube breaks during centrifugation, immediately stop the centrifuge and allow the rotor to completely stop. Do not open the lid · If a spill is identified after the centrifuge lid is opened, carefully close the lid and evacuate the laboratory and close the laboratory door. Place signage on the centrifuge warning of a spill and people are not to use. This needs to be dated, with signature (so people know it is current) · Allow 30 minutes for any aerosols that were generated to settle before cleaning up the spill. · Post a sign on the laboratory door indicating there is a biohazard spill and do not enter. · Notify your supervisor and the plant custodian. · Don the proper PPEE (double gloves, lab coat, eye protection and respiratory protection). · Locate all the equipment you will need to clean up the spill .If the sealed rotor or buckets can withstand high temperature. Thermally decontaminate intact at 121C for a minimum of 15 minutes If not: · If possible, take the centrifuge into the biological safety cabinet. · If the spill is contained in the rotor, take the rotor into the biological safety cabinet. · Alternatively, transfer the buckets to a biological safety cabinet. · Use a mechanical device (eg. tweezers, tongs) to remove the tube top and any tube pieces into a biohazard sharps container. · Remove the tube adapter from the rotor, being careful not to spill the contents. · Add Virkon to the adapter and let sit for 10 minutes. · Pour the solution in the tube adapter onto absorbent material sufficient to absorb the fluid located within the tube adapter. · Place all contaminated absorbent material in the biohazard waste container. · Wash the tube adapter with Virkon. · Intact tubes may be wiped down and placed into a new container. · If the centrifuge bowl has been contaminated, carefully wipe the inside of the centrifuge with Virkon · Rewipe the centrifuge bowl. · If there are areas of the centrifuge that are contaminated but can’t be disinfected without disassembly, get the custodian to directly contact the company · Remove gloves and dispose of in the PC2 bin . Wash and dry hands. · Take gown off and put it into bag for steam sterilization · Remove eye protection and respiratory protection. . Clean any reusable PPEE (must re-gown and glove for this procedure) · Rewash hands and dry thoroughly. · Fill in an incident report. Procedure for Biological Spills inside Biological Safety Cabinets · Leave the biological safety cabinet blower on and begin cleanup immediately. · While wearing PPE cover the spill area with paper towels or Virkon soaked paper towels. · Do not place your head in the cabinet to clean the spill, keep your face behind the viewscreen. · If necessary, flood the work surface as well as the drain pans and catch basins below the work surface, with Virkon. Be sure the drain valve is closed before flooding the area under the work surface. · Wipe cabinet walls, work surfaces, and inside the viewscreen with Virkon. · Lift the front exhaust grill and work surface; wipe all surfaces with Virkon. Be sure no paper towels or soiled debris are blown into the area under the spill tray · If the work surface, as well as drain pans and catch basins under the work surface, have been flooded with Virkon, soak up the Virkon in the work surface after 10 minutes time. Repeat the flooding step · Place a container under the drain valve and drain the Virkon under the work surface into the container. · Wipe the areas under the work surface to remove residual decontaminant. .Turn on the UV light for 20 minutes .Dispose of all paper towel used in the cleanup in the PC2 waste bins · Remove gloves and dispose of them in the PC2 bin . Wash and dry hands. · Take gown off and put it into bag for steam sterilization · Remove eye protection and respiratory protection _______________________________________________________________________________________________________________ Page 3 of 5 HS026 safe work procedure Version: 3.1, 23/01/2013 · Rewash hands and dry thoroughly. · Fill in an incident report. · Notify your supervisor and the plant custodian. Fill in an incident report. Depending on the nature of the spilt material, it might be appropriate to arrange for the BSC to be fumigated Clean any reusable PPEE (must re-gown and glove for this procedure) 6.List emergency shutdown procedures For major spills, vacate the area and warn other people to keep away from the area (verbally and with signs). Notify your supervisor and the plant custodians. Dial x56666 if required 7.List emergency procedures for how to deal with fires, spills or exposure to hazardous substances The basic principles of biological material spills management are: Standard precautions apply, including use of personal protective equipment (PPE) as applicable Spills should be cleared up before the area is cleaned (adding cleaning liquids to spills increases the size of the spill and should be avoided) Generation of aerosols from spilled material should be avoided 8.List clean up and waste disposal requirements All laboratory gowns that are or may have been contaminated by the spill must go immediately into the laundry bag to be decontaminated by pressure steam sterilization (autoclaving) before being sent to the cleaning contractor. All biological or GMO waste that has been chemically treated must be disposed as chemical waste. All other waste, including gloves, respiratory protection (if disposable), biological or GMO waste must be place in the PC2 waste bins. Reusable PPE such as safety glasses and respirators must be appropriately cleaned before going back to storage. NOTE: where non-disposable respirators are used, people must be fitted with the respirator and trained in their use. 9.List legislation, codes of practice, manufacturers manual, industry standards etc used in the development of this SWP WHS Act and Regulation 2012 Australian/New Zealand Standards 2243.3:2010. Safety in laboratories - Microbiological safety and containment UNSW HS Policy: HS321 - Laboratory Hazardous Waste Disposal guideline 10a.List competency required – qualifications, certificates, licensing, training - e.g. course or instruction: UNSW UNSW UNSW UNSW Laboratory Safety Awareness training Health & Safety Awareness training PC2 training course Hazardous Substances training 10b. List competency of assessor 11.Supervisory approval, and review Supervisor: Signature: Responsibility for SWP review: Date of review: _______________________________________________________________________________________________________________ Page 4 of 5 HS026 safe work procedure Version: 3.1, 23/01/2013 12.SWP Sign off sheet SWP name and version: In signing this section the assessor/ authorisor agrees that the following persons are competent in following this SWP Name Signature Date Competent Name of Assessor/Authoriser Assessor/Authoriser signature _______________________________________________________________________________________________________________ Page 5 of 5 HS026 safe work procedure Version: 3.1, 23/01/2013