Department of Microbiology Laboratory Policy & Procedure Manual Section: Quality Manual – Facilities and Safety Prepared by: QA Committee Issued by: Laboratory Manager Approved by: Laboratory Director Policy QDFSI02001.12 Page 1 of 4 Subject Title: Monitoring Laboratory Room Humidity Procedure Original Date: November 29, 2004 Revision Date: Annual Review Date: May 9, 2014 Purpose To describe the procedure for the monitoring of laboratory room relative humidity. In addition to workplace comfort, relative humidity is also monitored to alert staff to the occurrence of humidity values that may affect test procedures or instrument operation. Responsibility Management and personnel Key Elements Workplace comfort humidity guidelines Procedure for daily monitoring of laboratory room humidity Related Documents Ontario OHS Act Workplace comfort humidity guidelines Workplace comfort guidelines for humidity are 40-60%. Humidity values of <25% can cause respiratory and skin problems due to drying of skin tissue and mucous membranes. High humidity values can promote the growth of mold on damp surfaces. Procedure 1. Using the LIS, record the room humidity once per day. Do not record the humidity on days that the laboratory is not in use. 2. See the manufacturer’s instrument operation manual to determine if humidity can affect operation. If humidity levels occur that may affect test procedures or instrument operation, take precautions to minimize the affect on patient test results, such as: a. delaying instrument operation until the humidity problem is resolved b. move the instrument to an area of the laboratory not experiencing the problem c. install a portable fan to improve ventilation 3. When the humidity is affecting instrument operation or staff comfort, notify the charge or designate who will then contact Engineering. Indicate the current humidity, and from the humidity chart, indicate the usual lab temperature. 4. Document the corrective action taken in the table at the bottom of the chart. LABORATORY MANUAL UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document for internal use only. Any documents appearing in paper form are not controlled and should be checked against the document (titled as above) on the server prior to use. T:\Microbiology\New Manual\Live Manual\Quality Manual\Facilities and Safety\Monitoring Laboratory Room Humidity QFSMI02001.doc Department of Microbiology Laboratory Policy & Procedure Manual Section: Quality Manual – Facilities and Safety Policy QDFSI02001.12 Page 2 of 4 Subject Title: Monitoring Laboratory Room Humidity Procedure LABORATORY MANUAL UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document for internal use only. Any documents appearing in paper form are not controlled and should be checked against the document (titled as above) on the server prior to use T:\Microbiology\New Manual\Live Manual\Quality Manual\Facilities and Safety\Monitoring Laboratory Room Humidity QFSMI02001.doc Department of Microbiology Laboratory Policy & Procedure Manual Section: Quality Manual – Facilities and Safety Laboratory Room Relative Humidity Log Month/Year: Month/Year: Date TempoC Initials Date TempoC 1 1 2 2 3 3 4 4 5 5 6 6 7 7 8 8 9 9 10 10 11 11 12 12 13 13 14 14 15 15 16 16 17 17 18 18 19 19 20 20 21 21 22 22 23 23 24 24 25 25 26 26 27 27 28 28 29 29 30 30 31 31 Initials Page 3 of 4 Policy QDFSI02001.12 Subject Title: Monitoring Laboratory Room Humidity Procedure Month/Year: Date TempoC 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Initials Corrective Action Log Date Comment Initials LABORATORY MANUAL UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document for internal use only. Any documents appearing in paper form are not controlled and should be checked against the document (titled as above) on the server prior to use T:\Microbiology\New Manual\Live Manual\Quality Manual\Facilities and Safety\Monitoring Laboratory Room Humidity QFSMI02001.doc Department of Microbiology Laboratory Policy & Procedure Manual Section: Quality Manual – Facilities and Safety Page 4 of 4 Policy QDFSI02001.12 Subject Title: Monitoring Laboratory Room Humidity Procedure Record of Edited Revisions Manual Section Name: Facilities and Safety Page Number / Item Date of Revision Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review Annual Review November 30, 2004 May 30, 2005 July 23, 2006 August 9, 2007 August 9, 2008 September 30, 2009 May 31, 2010 May 31, 2011 May 31, 2012 May 31, 2013 May 9, 2014 Signature of Approval Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli Dr. T. Mazzulli LABORATORY MANUAL UNIVERSITY HEALTH NETWORK/MOUNT SINAI HOSPITAL, DEPARTMENT OF MICROBIOLOGY NOTE: This is a CONTROLLED document for internal use only. Any documents appearing in paper form are not controlled and should be checked against the document (titled as above) on the server prior to use T:\Microbiology\New Manual\Live Manual\Quality Manual\Facilities and Safety\Monitoring Laboratory Room Humidity QFSMI02001.doc