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Annual Safety Training Emergency and Safety Procedures Training VA WNY Healthcare System Why Have Safety Training Accidents can occur when chemicals are improperly transported Please read ID: 1011468

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1. 2015Research Department Annual Safety Training Emergency and SafetyProcedures TrainingVA WNY Healthcare System

2. Why Have Safety Training?Accidents can occur when chemicals are improperly transportedPlease read& learn why we have safety training2Published on 2007-02-27, Page C2Lexington Herald-Leader (KY)

3. Why Have Safety Training?Accidents can occur when chemicals are improperly combinedPlease read& learn why we have safety training3Published on 2006-11-04, Page B1Lexington Herald-Leader (KY)

4. Why Have Safety Training?Accidents can be deadly & occur when chemicals are improperlyhandledPlease read& learn why we havesafety training4Published on 2009-03-01, Page A1Los Angeles Times (CA)

5. Lab SpecificSafety TrainingThe Lab supervisor/PI is required to provide lab specific safety training to staff working in theirin their lab(s)The following training is to supplement the above mentioned training & give you an overview of emergency and safety procedures5

6. Emergency and Safety Procedures PosterFound on each research lab doorQuick reference in caseof an emergency or an issue concerning safety6Click on Documentto Open/Print

7. Fire Safety

8. Fire: Remember R.A.C.E.8R = RescueRescue people in the immediate areaA = ActivateActivate by pulling fire Alarm & call 3300C = ConfineConfine fire by Closing doorsE = EvacuateEvacuate the floor, Extinguish if a small fire

9. Fire alarm pull stations are located by each stair wellEvery VA phone has # listedto report a fire (3300) & other emergency #s (e.g., VA Police, Code Zero)Evacuation routes are posted inthe hallways.9Fire: Remember R.A.C.E.

10. In the main building, an announcement will be madeover the PA system notifying all personnel of the location of the fire: “Code Red & location of the fire”10Fire: Remember R.A.C.E.In building 20, the alarm is only an audible alarm and flashing strobes - fire location will not be heard

11. Fire ExtinguishersFire Extinguishers:Located in some labsDo not obstruct or concealfire extinguishersLocated in hallwaysthroughout ResearchKnow where your nearestfire extinguisher is11

12. Fire ExtinguishersWhen using remember P.A.S.S. P = Pull the pin A = Aim at base of fire about 8-10 ft away S = Squeeze the trigger S = Sweep side to side“How to Use” instructions can be found on thefire extinguisher labelUse only if fire is small &you have had training on its use12

13. Fire Safety and PreventionDuring a fireTurn off oxygen, gas, andelectrical equipment in the affected areaUse the stairs – Never use the elevatorsSprinkler heads should befree from obstructionsMaintain a minimum of 18" between sprinkler deflectors along a horizontal plane throughout the lab/room13

14. Bunsen BurnersBunsen Burners/open flame devices should be carefully used only when absolutely necessary.Induction heaters & micro burners are alternatives to Bunsen Burners. Biosafety Cabinets - open flames are NOT recommended. They can damage the HEPA filter & cabinet.14

15. Injury

16. InjuryMajor – Go to VA EmergencyDept (ED) if able.Supervisor or designee must accompany employee to ED or Employee Health. Employee health should be used unless it is after hours or warrants emergency services (life or limb)Minor – Notify supervisor and go to VA ED, VA Employee Health (8804)Code Zero (cardiac/respiratory arrest) – Rapid Response (2222). This would be the most common call for medical help. Code Zero is only used when individual is unresponsive/unconscious Call 2222 and start CPR16

17. HazardousSpills

18. Hazardous SpillsClean Up-Know the policy!-Isolate the Spill.-Call for Help!18There are many hazardous spills that can be cleaned up by lab staff. Refer to CM00-09:B. Spill, Leak, or Discharge Incidents:1) Spill Prevention – Each Department Manager that uses or stores hazardous materials is required to develop a department-specific plan for handling potential spills and leaks. All spill and leak plans must be approved by the Environmental Engineer/GEMS Coordinator. Department Managers must submit plans for review and update them when new chemicals or procedures are introduced into the workplace. Each plan must address the following points:a. The scope of the procedure or plan; b. PPE availability and storage location;c. Control, containment, decontamination and disposal procedures, including equipment requirements; andd. Documentation of staff training. 2) Minor spill, leak or discharge incident: a. Minor Spill – Less than or equal to 1 liter of solvents, acids and caustics. Minor spills do not include any volume of chemicals that require special handling procedures, including but not limited to acutely toxic chemicals, potentially explosive chemicals, carcinogens, reproductive toxins (i.e., mutagens, teratogens), and those chemicals whose toxic properties are unknown. b. Reportingi. Notify the Environmental Engineer /GEMS Coordinator of the incident. ii. Provide a description of the incident to include the chemical, amount, and procedure for clean up.c. Handling – Department staff are responsible for cleaning up MINOR spills that occur in their area of work. An employee responding to a MINOR spill must assess whether they are able to handle the situation based on years of experience, level of training, availability of Personal Protective Equipment (PPE), and Chemical Spill Prevention cleanup equipment. Upon completion of the cleanup, the individual conducting the cleanup shall:i. Contact Environmental Management Services to have a final wet mopping of the area performed. NOTE: Housekeeping personnel are not expected to cleanup a hazardous material spill and should never be asked to do so.ii. Ensure notification of the Environmental Engineer /GEMS Coordinator regarding the final clean up of the spill.3) Small spill, leak or discharge incident:a. Small Spill – Greater than 1 liter of any solvents, acids and caustics, and any volume of chemicals that require special handling procedures, including but not limited to acutely toxic chemicals, potentially explosive chemicals, carcinogens, reproductive toxins (i.e., mutagens, teratogens), and those chemicals whose toxic properties are unknown.b. Reportingi. Call the Switchboard and ask for the Safety Manager.ii. Provide Safety Manager or their representative with a description of the incident to include the chemical spilled or leaked and the estimated amount.c. Isolate – If safe to do so, isolate and contain the spill from other work areas using the following procedures: i. Immediately extinguish all smoking materials and prohibit smoking.ii. Shut down all heat-, spark-, and flame-producing equipment/ utilities within 25 feet of the spill site. iii. Shut down all air handling equipment (air conditioners, fans, etc.) iv. Close the door of the room where the spill/release occurred. v. Notify staff in the area of the situation.vi. Cover or block all sewer openings, including grates, curb boxes, and manholes with magnetic mats and/or absorbent berms or other barriers (e.g. socks). vii. Contain liquids by creating a dike around the spill.d. Clean-up – The Environmental Engineer /GEMS Coordinator and Supervisor for the affected work area will discuss the appropriate clean up steps to be taken. In most instances, the Environmental Engineer /GEMS Coordinator will clean up the spill. If trained staff are not available (i.e., evening and weekends) it may be necessary to call an outside contractor to respond. The Environmental Engineer /GEMS Coordinator will make this determination. Upon completion of the cleanup, the work area Supervisor shall:i. Contact Environmental Management Services to have a final wet mopping of the area performed. NOTE: Housekeeping personnel are not expected to perform the initial cleanup a hazardous material spill.ii. Complete an incident report and send it to the Environmental Engineer /GEMS Coordinator.4) Large spill, leak or discharge incident:a. Large Spill – Volume of a chemical (e.g., petroleum) or a chemical (e.g., formalin) or gas (e.g., ethylene oxide) that exhibits highly hazardous physical properties (e.g., ethylene oxide) and requires the assistance of an outside responder (e.g., Clean Harbors, Environmental Products and Services, or Buffalo Hazardous Material Response Team). b. Reporting i. Call extension 3300 in Buffalo, extension 71005 in Batavia, and Dial 911 for off-site facilities. Give the operator the exact location of the spill or release, and the chemical and amount, if possible. ii. The Switchboard or Police will make a 911 call to summon the local Fire Department Hazardous Materials Services. A Code Gray will be called overhead. This will activate the Emergency Operations Center. iii. The Crisis Communication Plan will be initiated. c. Isolate – If safe to do so, isolate the spill from other work areas. i. Immediately extinguish all smoking materials and prohibit smoking.ii. Shut down all heat-, spark-, and flame-producing equipment/ utilities within 25 feet of the spill site. iii. Shut down all air handling equipment (air conditioners, fans, etc.) iv. Close the door of the room where the spill/release occurred. v. Notify staff in the area of the situation.vi. Cover or block all sewer openings, including grates, curb boxes, and manholes with magnetic mats and/or absorbent berms or other barriers (e.g. socks). vii. Contain liquids by creating a dike around the spill.d. Notify – The administrator, manager, or supervisor of the department where the incident occurred. Staff should evacuate from the immediate area of the spill.e. Handling – Staff shall not attempt to clean up a large spill. The Fire Department Hazardous Materials Team will take charge of the scene upon arrival. They will be tasked in stabilizing the situation.f. Clean-up – Services will be provided by an outside Environmental Cleanup company (e.g., Clean Harbors or Environmental Products and Services). The Emergency Command Group will arrange for these services as well as determine when normal operations can resume. 5) In the event of a Radioactive spill or leak, procedures established by the Radiation Safety Officer will be followed.

19. Hazardous Spill ResponsePlease remember:Minor spills are the responsibility of the user!Do not attempt to clean up small to large hazardous spills yourself Notify staff in the immediate area and the appropriate safety staffContain spill if possibleBiological or Chemical: Evacuate lab Radioactive: Stay at lab doorwayWait for instructions19

20. Biological or Chemical SpillRemove any contaminatedclothing or personal protective equipment (PPE)Use emergency shower or eyewashContain spill if possibleEvacuate lab, close and lock doorCall Safety Office (x8826) - can assist with small spillsCall Research Office (x6528)or VA Police (x2600) after hoursRemain near lab for instructions20Until Emergency showers are installed: "Rinse eyes for 15 minutes using an emergency eyewash if chemicals splash into the eyes. Rinse affected parts of the body for 15 minutes under running water.”

21. Biological or Chemical SpillEyewash stations located in every labRemember to test them weeklyDocument each testReport problemsto ResearchOffice (x6528)21

22. Biological or Chemical SpillContain spill if it can be done safelySpill kits located in hallways on each floor, at each end of the building. Various spill kits for biologicals,acids, caustic (bases),formaldehyde & solvents(flammables) plus general sorbents (pads, socks)22

23. Radioactive SpillRemove any contaminated clothing & PPE. Wash any contaminated skin with warm soapy water.Contain and/or shield spill if possible. Stay at lab door until monitored for contamination.Notify staff in the area and the Radiation Safety Officer (RSO)x5226 or #s posted on door below radioactive sign.23

24. Radioactive SpillFollow RSO’s instructionsRadioactive spill kits located in hot labs B101-1 and B103-4 along with sorbentsSpare survey meter located in hot lab, B101-1.24

25. Hazardous Spill ResponsePlease remember (one more time):Do not attempt to clean up any small to large hazardous spills yourself!Minor spills are cleaned by lab staffNotify staff in the immediate area and the appropriate safety staffContain spill if possibleBiological or Chemical: Evacuate lab Radioactive: Stay at lab doorwayWait for instructions25

26. Security

27. Lab SecurityReport any suspicious individuals immediately to the VA Police (2600)Report any lost, stolen, or found VA Research keys, or any failures of the Research security doors immediately to the Research Office (6528)27

28. Lab SecurityReport any lost, missing,potentially dangerous, or concerns about hazardous materials or radioactive materials immediately to the Research Office (x6528), Lab Safety Officer (LSO) (x6538) or the RSO (x5226)28Picric acid

29. Lab SecurityNo tailgating(one swipe card = one person in)29

30. Lab SecurityUnauthorized visitorsor service personnelrequesting entrance to Research areas must be sent to the Research Office (Building 20, room 129) on the 1st floor for assistanceAuthorized lab visitors must sign in & out on log sheet just inside security door & must be escorted by lab staff30

31. BiosecurityReport any missing biological materialAnimal workers are required to complete CITI Biosecurity training.All new lab employees are required to complete VA ORD Biosecurity TrainingIt’s available on CITI website : https://www.citiprogram.org/default.asp. 31

32. Hazardous Waste Disposal

33. Waste Disposal ProceduresBiological Waste:Pathological (tissue):Red bag wastePut in red incineration barrel in RM 203Non-Tissue:Red bag wastePut in red bags in lab for EMS disposalVMU: Use red sharps containers in procedure roomsAll tissue disposal in B114/B117 cold room33

34. Waste Disposal ProceduresChemical Waste:Collect waste in appropriatelylabeled containerCoordinate waste disposal with GEMS Coordinator at 862-6018 or donald.johnson@va.gov for pickupQuestions can be directedto Laboratory Safety Officer (x6538)34

35. Waste Disposal ProceduresRadioactive Waste:Collect in appropriate labeled & shielded(i.e., if needed) containerSeparate containers for:Type (e.g., dry, liquid, scintillation fluid)Nuclide (e.g., H-3, I-125, P-32)Call RSO (x5226) for instructions35

36. Waste Disposal ProceduresSharps:Needles, scalpels, etc.Do not cap needlesPut in sharps container in lab.Uncontaminated GlasswarePut in sharps container in lab for bi-weekly pickup36

37. GEMSGreen EnvironmentalManagement SystemsWNY GEMS Coordinator:716-862-6018

38. GEMSWhat is GEMS?The VHA GEMS (Green Environmental Management Systems) is a formal system for integrating the environmental footprint into the overall management of the organization. Required by presidential Executive Order 13148, thegoal of GEMS is to achieve continual improvement in environmental protection.WNY GEMS Coordinator:716-862-601838

39. GEMSIn Research:Properly collect and dispose of chemicalsRecycle (e.g., paper, batteries, cardboard)Replace mercury containing items if possible(e.g., thermometers) withnon-mercury based items39Hg

40. LaboratorySafety

41. General Safety RulesNo children in the Research labsNo eating, drinking, or storing of food/drinks in labsNo smoking in labs or the hospitalNo applying cosmetics in labs41

42. General Safety RulesWhile working in the lab:Do not wear sandalsDo not wear shortsDo not wear short skirtsDo not wear other similar clothes42

43. General Safety RulesAs appropriate, wear:Lab CoatGlovesAny other personal protective equipment (PPE):Safety glasses/gogglesFace shield43

44. General Safety RulesRemove gloves:Before using phone or computerRemove lab coat & glovesand wash hands:Before leaving the lab,unless transporting itemsthat require themAs posted on the inside of lab door44

45. Transporting:Use secondary containment when transporting biologicals, chemicals and/or radioactive materialsEye Wash Station:As noted earlier, test weeklyDocument testing & report any problems (x6538)General Safety Rules45

46. ChemicalSafety

47. Chemical SafetyChemical Inventory:All chemicals brought into the VA (VA ordered as well as those coming over from UB) must be delivered to/ checked in by the Research Office Available in the web-based MAXCOM system from any computer Verify inventory is updated at least semi-annually and submit it to the Research Office47

48. Chemical SafetyEach lab(s) must have access to the MAXCOM computer programUse the New Hazard Communication Program Safety Data Sheets (SDS)48Note: An MSDS binder is no longer required.Hard copies of MSDSs are not required or suggested. The MAXCOM program maintains these for us as long as it is updated by lab staff.

49. Chemical SafetyChemical Hazard Identification: Most chemicals have some safety/hazard info on the labelPPE & Use/StorageNFPACode49Click on Documentto Open/Print

50. Chemical SafetyChemical HazardIdentification:Globally Harmonized System (GHS) of Classification and Labeling of Chemicals50Click on Documentto Open/Print

51. Chemical SafetyChemical Labeling:Every container withany chemical must beproperly labeled plus haveLab nameDate receivedDate opened if applicableIf a chemical is transferred into another container, this container must include the chemical name along with thelab name and date51

52. AcidBaseProper Chemical Storage:MAXCOM has chemical compatibility section to consult what can be stored togetherSeparate Flammables, Acids, Bases, Oxidizers, and Reactive ChemicalsDon’t store acids/bases above eye levelSome acids must be storedseparately from other acids:Acetic Acid – cabinet in core labPerchloric Acid – cabinet in core lab Chemical Safety52

53. Proper Chemical Storage:Acetic acidChemical Safety53WARNING: Acetic acid (ethanoic acid) when concentrated is flammable; therefore, bulk concentrated acetic acid MUST be stored in a flammable cabinet, or in (core lab) that is labeled "ACETIC ACID ONLY“.+

54. Proper Chemical Storage:Perchloric acidChemical Safety54WARNING: Perchloric acid (hydroxidotrioxidochlorine) is a strong oxidizer and when in the anhydrous and monohydrated form, it can be explosive. Store in unbreakable packaging and in a fireproof location away from combustible and reducing materials, organic materials and strong bases. Attacks many metals forming flammable/explosive gas.++

55. Proper Chemical Storage:Picric acidChemical Safety55WARNING: Picric acid (trinitrophenol) can be explosive if dry but can be stored safely when wet (e.g., water content is above 10%). DO NOT OPEN if the contents appears to be dry or deposits of crystalline solid can be seen inside the container (e.g., around the container lid) and immediately notify the VA Laboratory Safety Officer at x6538 and the VA Safety Office at x8826.+

56. Proper Chemical Storage:Hazardous peroxide forming chemicalsLimited shelf life – 3-12 monthsChemical Safety56Click on Documentto Open/PrintWARNING:

57. Chemical Usage:Know the hazardous properties of the chemicals you are using!Know the hazardous properties of the chemicals you are using!Know the hazardous properties of the chemicals you are using!Know the hazardous properties of the chemicals you are using!Chemical Safety57

58. Gas Cylinder SafetyOnly transport usingspecial transport cartsSecure cylinder to prevent it falling overRegulatorUse proper regulatorDo not pick up cylinder by the regulatorDo not lean over regulator when adjustingInstall safety cap when not in useKnow the gas’s hazardous properties58

59. Personnel Protective Equipment (PPE)

60. Personnel Protective EquipmentSpecific protection for the hazard to which you may be exposedLab coat, gloves, safety glasses while working in the labRespiratory protection mayalso be requiredFume hoodsBiosafety cabinets MINIMIZE SKIN EXPOSURE!!60

61. Gloves: Chemical ResistantNitrileLatex61Wear NITRILE gloves for most applications (exceptions: tissue culture, use of buffers and aqueous media, etc.) CM00-27 requires use of non-latex products

62. Liquid Nitrogen (LqN2) UseWear appropriate PPEFace shieldLoose-fittingCryogenic glovesCryogenic apronWear appropriate clothingLab coat, cuff-less pants & shoesmade of non-absorbent material62

63. Liquid Nitrogen (LqN2) UseBefore your first use, contact the Laboratory Safety Officer (x6538)for liquid nitrogen trainingStore & use in a well-ventilated areaNever use in small closed area/cold roomUse only LN2 designed containersCaution: glass lined containers may shatterRecommend shatterproof HDPE containersNever place in a sealed container!!63Dewar Flask

64. Fume HoodsDo not store chemicals or equipment in fume hoodsUse appropriate PPEUse with sash in proper positionCheck for properairflow before using(e.g., “tissue on sash alarm”)Report any diminishedairflow to Research Office (x6528) 64“Chemicals should not be stored in the chemical hood, on the floor, in areas of egress, on the benchtop, or in areas near heat or in direct sunlight.” OSHA 29 CFR 1910.1450

65. Biosafety

66. BiosafetyVA Research is conducted at Biosafety Level 1 (BSL-1) or BSL-2.No BSL-3 or BSL-4 studies or agents are permitted in the VA.66

67. BIOSAFETY LEVEL-2BSL-2 agents pose moderate hazards to personnel and the environment.The primary hazards to personnel working with BSL-2 agents relate to accidental percutaneous or mucus membrane exposures, or ingestion of infectious materials.67

68. BIOSAFETY LEVEL-2Follow the criteria in the 5th Edition of the BMBL (on CDC website) for working safely at BSL-2.Each lab procedure needs to undergo risk assessment and include the proper use of PPE and good microbiological techniques. 68

69. Biological Safety CabinetsFollow procedures in the 5th Edition of the BMBL (on CDC website) for the proper use of a BSC.Use proper PPE.Disinfect all biohazardousmaterial after use.Make sure the pipetters are clean and in proper working order.Use no open flames (e.g., No Bunsen Burners)69

70. Select Agents

71. Select AgentsSelect Agents are dangerous biological agents whose possession and use is highly regulatedSelect agents are NOT allowedin this VA facilityA current list of Select Agentsis on the National Select Agent Registry web site! 71

72. Radiation Safety

73. Radiation SafetyRadioactive materials can onlybe used/stored in rooms thatare labeled for radioactive useOnly staff who have completedrecent radiation safety training can use radioactive materials here at this VAContact the RSO at ext 5226to obtain this training73

74. Environment of Care

75. Environment of Care (EOC)EOC monitors the physical facilitiesin Research ServiceReport to Research Office (x6528) any:Lighting malfunctionStained ceiling tilesWater/air leaksPlumbing issuesCleaning issuesEtc.75

76. Emergencyand SafetyProcedures

77. Emergency and Safety ProceduresThe Emergency and Safety Procedures Poster and this training give you some general guidance but it does not cover every issueAlso available:Safety ManualsAdditional TrainingContacts77

78. Safety ManualsEach lab(s) should have:Research Safety Manual (on line)Medical Center Environment of Care Management Plans (red cover)Laboratory Biosafety Manual (orange cover)Radiation Safety Records binder(if authorized for radioactive materials)Posted in hallways Emergency OperationProcedures78

79. Safety ManualsThese manuals contain detailed emergency and safety procedures that were covered in this training plus other issues like:Severe weatherBomb threatsUtility failuresEtc.Please review what is contained in each of these safety manuals.79

80. Safety TrainingSupervisor (PI) will provide lab specific safety trainingAnnual training required:Lab safetyRadiation safety(if authorized to useradioactive materials)Additional training as neededSafety!Safety!Safety!80

81. Questions?If you have any questions about this training, or questions or concerns about any safety issue in your lab, please contact your supervisor or any of the following safety contacts.81

82. Safety ContactsKnow how to contact your supervisor!Lab supervisor/PI ??? Office: ???Phone: ???E-mail: ???(This will be as individual as you are!)82

83. Safety ContactsLaboratory Safety Officer (LSO)Dr. Steven J. FlieslerOffice: Room 202, Building 20Phone: 716-862-6538 or -6538Steven.Fliesler@va.gov83

84. Safety ContactsIndustrial Hygiene and Safety ManagerHeidi ReismanOffice: Safety OfficePhone: 716-862-8826Heidi.Reisman@va.gov 84

85. Safety ContactsRadiation Safety OfficerPhil Cunningham, Health Physicist Office: (4C Nuclear Medicine)Phone: 716-862-9200 x5226 Philip.Cunningham@va.gov 85

86. Safety ContactsGEMS CoordinatorDonald A. Johnson, Environmental EngineerOffice: Safety OfficePhone: 716-862-6018Fax: (716) 862-8810Donald.Johnson@va.gov 86

87. This required training should have given you:Basic information concerningemergency and safety proceduresin ResearchReferences where to get more detailed information concerning emergency and safety procedures in ResearchPlease use this to make a safer work environment in your lab. Thank you.87

88. Required Training Credit Contact the Research Training Coordinator by email at Derek.Henshaw@va.gov to receive training creditFor walk-in assistance, please call ahead to arrange an appointment @ (716) 834-9200 x583688