Changes made to USF Chemical Hygiene Plan...

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1 Changes made to USF Chemical Hygiene Plan... New information on visitors, minors, and volunteers Addition of Laboratory Review Program information New Standard Operating Procedures template

2 I affirm that I have read the laboratory s Chemical Hygiene Plan and the laboratory s Safety Operating Procedures, and received the Research Laboratory Training Principal Investigator Printed Name Signature Date 2

3 Chemical Hygiene Plan Chemical Hygiene Plan for: Building and Room Number(s): Principal Investigator: Contact Numbers: Department: Street Address: Division of Environmental Health and Safety 4202 E. Fowler Ave, CRS 104 Tampa, FL (813) July

4 Preface The University Lab and Field Safety Committee has been charged by the Provost to coordinate and monitor laboratory and field safety functions and guidelines associated with research and teaching laboratories. This includes identifying priorities for lab and field safety programs and promoting the use of safety procedures and guidelines in USF System research and teaching laboratories that are outlined in the Chemical Hygiene Plan. The Committee performs an annual review of the Chemical Hygiene Plan to ensure currency and comprehensiveness. The Occupational Safety and Health Standards: Occupational Exposure to Hazardous Chemicals in Laboratories (29CFR (e) (3) and Appendix A) was used as a resource to revise the Chemical Hygiene Plan. The Chemical Hygiene Plan presents a broad outline of chemical safety procedures. It covers such topics as personal protective equipment, waste management procedures, proper use of safety equipment, chemical storage and emergency response procedures. It also includes appendices and addendums on safety procedures that are more detailed in scope. 4

5 Table of Contents Signature Page 2 Preface 4 Introduction & Applicability.. 6 Laboratory Registration. 7 Laboratory Chemical Safety Training... 7 SOPs & Safe Lab Practices 8 Control Measures to Reduce Exposure. 11 Fume Hoods & Other Protective Equipment 12 Emergency Procedures.. 14 Laboratory/Studio & Field Incident Reporting. 14 CHP Implementation Laboratory Review Program. 16 Appendix I Teaching Lab Safety Guidelines. 17 Appendix II SOP Template 19 Appendix III Lab Review Checklist.. 25 Laboratory Studio & Field Incident Addendum 29 Chemical Spill Addendum. 32 Worker s Compensation Addendum.. 35 Laboratory Registration Addendum Hurricane Preparedness for Laboratories 43 Emergency Evacuation Addendum. 45 5

6 CHEMICAL HYGIENE PLAN Everyone that participates in laboratory activities at the University of South Florida System has a responsibility to apply safe laboratory practices. Hazardous chemicals, if used inappropriately, could cause harm to laboratory workers, custodial staff, maintenance workers, and students. The Chemical Hygiene Plan s goal is to inform laboratory workers about the dangers associated with hazardous chemicals, and how to avoid harmful incidents. Laboratory personnel should minimize their exposure to all chemicals since few chemicals are without hazard. After reading the Chemical Hygiene Plan, laboratory workers will be better prepared to work safely with hazardous chemicals. A Chemical Hygiene Plan (CHP) specifies procedures, laboratory equipment, personal protective equipment and work practices that minimize risk for employees, laboratory personnel, students, and volunteers from the health hazards associated with the use of hazardous chemicals in the workplace. Hazardous chemicals are any substance that has chemical or physical properties that can produce harm to persons or property. Hazardous chemicals include, but are not limited to toxins, carcinogens, toxicants, reproductive toxicants, irritants, sensitizers, hepatotoxicants, nephrotoxicants, neurotoxicants, embryotoxicants, agents which act on the hematopoietic systems, and agents which damage the lungs, skin, eyes, or mucous membranes. Hazardous chemicals also include flammables, corrosives, combustibles, water and air reactives, and pressurized gases. The CHP applies to all chemical laboratories, as well as the individuals working or studying in these laboratories. A chemical laboratory for the purposes of the CHP is defined as any facility designated for use in teaching, research or service activity, where chemical agents are used, or stored. Examples of such facilities would be research laboratories using or storing chemicals; art studios that use paints and solvents; ceramic studios, teaching laboratories that use or store chemicals; and photography dark rooms. If the activities in the room are not specifically named in this list, but similar activities occur, then the CHP applies. The CHP addresses chemical safety on campus including receiving, use, storage, and disposal. Not all laboratory safety concerns deal with chemicals, therefore, it is important for laboratories to adhere to established University of South Florida policies, practices, and program materials regarding biological, radioactive, physical, and electrical hazards. Contact the Division of Research Integrity and Compliance (DRIC) Biosafety Office regarding infectious agents, biological toxins, Select Agents and Toxins, and recombinant DNA work; the DRIC Radiation Safety Office for research concerning radioisotopes, and the DRIC Institutional Animal Care and Use Committee (IACUC) for research incorporating animals. Contact the Division of Environmental Health and Safety for information regarding physical and electrical hazards. The Chemical Hygiene Officer (CHO) is the individual within Environmental Health and Safety (EHS) responsible for laboratory safety. The CHO can delegate duties to 6

7 individual(s), Safety Supervisors, designated by the Dean within a University unit. The CHO then works with the Safety Supervisors to implement the provisions of the Chemical Hygiene Plan. The responsibilities of the Chemical Hygiene Officer are fully described in section VI of this document. I. Laboratory Registration All laboratories, as defined by the Chemical Hygiene Plan, must be registered with the Division of Environmental Health & Safety. The registration information includes the names and contact information of the Principal Investigator and alternate contacts, laboratory location(s), and the laboratory hazard information. New Principle Investigators (PIs) must register their laboratory(ies) with EH&S through the submittal of the Laboratory Registration Form prior to beginning their laboratory operations. See Laboratory Registration Form Addendum II. Laboratory Chemical Safety Training Minimally three types of laboratory safety training must take place. The first two types of training are to prepare research laboratory personnel to work safely in the laboratory. The third type of training prepares students to safely participate in teaching laboratories. Research & Laboratory Training will be conducted by the Division of Environmental Health and Safety on an annual basis, and provide materials and information ensuring safe laboratory practice and safe waste removal. Research Laboratory Safety Training is the responsibility of the Principal Investigator, and involves items specific to the laboratory and the chemicals used in that laboratory. Teaching Laboratory Safety Training will be given to students participating in laboratory classes by the Teaching Assistant or Instructor. Research & Laboratory Training: On an annual basis, Principal Investigators, research laboratory personnel and teaching assistants/instructors must attend a training session conducted by the Division of Environmental Health and Safety. This training session will inform them of best laboratory safety practices including personal protective equipment, mechanical control, chemical use and storage procedures, chemical waste procedures, and emergency incident procedures. EH&S will maintain a database of those individuals completing the training, and share that information with the Safety Supervisor. Principal Investigators have the option of participating in the PI Lab Safety Workshop to meet their annual training requirement. This includes chemical waste disposal and bio medical waste disposal. Research Laboratory Safety Training: This training must be conducted by the Laboratory Supervisor or Principal Investigator, or his/her designee. Each laboratory worker must receive training at the time of their initial assignment to 7

8 the laboratory, or prior to assignments involving new exposure situations. All laboratory personnel must be informed of the hazards presented by the chemicals used in the laboratory. Research Laboratory Safety Training will inform laboratory personnel of the physical and health hazards associated with chemicals in the laboratory, as well as signs and symptoms associated with exposure to these chemicals. Additionally, this training will provide laboratory personnel with measures to protect themselves from these hazards, including appropriate work practices, emergency procedures, and personal protective equipment. At this time the PI must also inform the laboratory personal of building evacuation procedures. Research Laboratory Safety Training requires that laboratory personnel read the Chemical Hygiene Plan and Safety Operating Procedures for their respective laboratory. Upon completion of the Research Laboratory Safety training the laboratory worker must sign and date the Training page located at the front of the Chemical Hygiene Plan. Teaching Laboratory Safety Training: The Teaching Assistants or Instructors of laboratory classes must provide a training session to their students during the first class meeting. They should use the guidelines located in Appendix I as the basis for their presentation. Students must sign the guidelines for each class in which they are enrolled. The signed guidelines are to be kept for one year within the Department, and be provided to EH&S upon request. III. Safety Operating Procedures and Safe Laboratory Practices Each Principal Investigator (PI)/ Laboratory Manager holds the responsibility of preparing written Safety Operating Procedures (SOP) for laboratory activities involving hazardous chemicals. SOPs can be procedure or process specific (ex. distillations, reactions, synthesis); or hazardous chemical specific (ex. Hydrofluoric acid, formaldehyde, benzene); or hazard class specific (ex. acids, bases, flammables, reactives, oxidizers). The Chemical Hygiene Officer (CHO) will work with the PI/ Laboratory Manager and the Safety Supervisor in determining if a SOP is needed. One tool that will be used for this determination will be the Hazardous Inventory Tracking System. In the event of a new procedure or a change in procedure involving chemical use, a new SOP must be written or the previous SOP must be revised. Instructors must provide teaching assistants with SOPs regarding experiments conducted in class, and this information must be passed on to the students. This is particularly important in the event that a student may have particular health issues that need addressing. Examples of SOPs are available for use on the EHS web site, and a SOP form is provided in Appendix II. Specific items in the SOP may include, but are not limited to: 8

9 Names of the chemicals used in the procedure Research procedures when using hazardous chemicals Hazards associated with exposure to chemical Personal hygiene procedures to reduce exposure Engineering controls to include ventilation requirements and the presence of eyewash and emergency shower stations Use of personal protective equipment Hazardous waste handling and disposal procedures Laboratory personnel training List of all emergency equipment, their locations, and emergency contacts Decontamination procedures in case of a spill or exposure Extremely hazardous chemicals are to have access restrictions and special training for those with access. SOPs must be made available to laboratory personnel. New laboratory personnel must read the SOPs specific to the activities they will be conducting. New laboratory personnel must be informed of hazards that exist in the laboratory, and participate in both annual Safe Laboratory Practices training and Research Laboratory Safety training. Extremely Hazardous Chemicals In some instances, the CHO may determine that a particular chemical is extremely hazardous. These chemicals include but are not limited to select carcinogens, reproductive toxicants and substances which have a high degree of acute toxicity. such instances the SOP must: In Restrict access to extremely hazardous chemicals to a designated area. Require notices be posted on laboratory entrances when extremely hazardous chemicals are in use. Require other individuals in the laboratory be warned that an extremely hazardous chemical is in use. Require individuals using extremely hazardous chemicals have special training in use of the chemical. List the appropriate engineering control devices and personal protective equipment. List waste removal procedures. List decontamination procedures in the event of a spill. Consider limiting use of extremely hazardous chemicals to peak working hours. In the event of an accident, others are available to help. Safe Laboratory Practices In addition to the SOPs, these safe laboratory practices must be followed. 9

10 Environmental Health and Safety must be informed if the Laboratory owns any chemicals that have the potential to become unstable or explosive over time. EH&S can be contacted at (813) Lab workers must wear appropriate Personal Protective Equipment such as lab coat, goggles, face shield, and gloves when working with chemicals. No eating or drinking will be allowed in the laboratory. Also food and drinks are not to be stored in the laboratory. No mouth pipetting allowed. A chemical inventory must be kept for each laboratory, and reviewed on an annual basis by lab personnel that has access to HITS. The Hazardous Inventory Tracking System (HITS) provides an online inventory of the chemicals contained within the laboratory. HITS is available for all laboratories in the USF System. If your laboratory does not have access to the HITS system, please contact Environmental Health & Safety. Laboratory personnel must have access to Material Safety Data Sheets (MSDS) for each chemical used in a procedure. Assume that any mixture will be more toxic than the most toxic component. MSDS are available from the manufacturer. MSDS in electronic format are also available through HITS. Laboratory personnel must know where the safety equipment is located and how to use the safety equipment. Safety equipment includes, but is not limited to fume hoods, eyewash stations, first aid kits, spill kits, gloves, lab coats, goggles, and fire extinguishers (See sections III and IV). Locations of safety equipment, if not visible must be posted. Any hazardous equipment or unusual hazardous areas must be posted. Emergency telephone numbers for Principal Investigators and supervisors must be prominently posted. All containers, including chemical waste receptacles must be labeled describing the contents of the container. Chemical spills and accidents must be reported to the supervisor (see Chemical Spill Addendum, Worker s Compensation Addendum, and Laboratory/Studio and Field Incident Reporting Addendum). All accidents must be reported by the supervisor to Worker s Compensation and Environmental Health & Safety within 24 hours, and the appropriate forms filled out. Forms are located on the Environmental Health and Safety website. Visitors, Volunteers and Minors Due to the potential hazards and risks (e.g., theft, injury, property damage) associated with allowing access to laboratories, all minors, visitors, and volunteers shall comply with the University of South Florida s policies. If authorization is granted, the organizer of the activity shall consult with Environmental Health and Safety regarding any training requirements, USF Human Resources for any volunteer services forms, and their Department for any liability waivers concerning minors. 10

11 It is the responsibility of the Department s Chairperson, Principal Investigators, and laboratory safety contacts to restrict access of visitors, minors, and volunteers to areas under their supervision when potential health and physical hazards exits. Under no circumstances shall infants, toddlers, or children too young to understand safety training be permitted in University of South Florida System laboratories. IV. Control Measures to Reduce Exposure An important aspect to providing a safe laboratory environment requires the recognition of hazardous chemicals before accidents and injuries occur. This includes knowing what hazardous chemicals are in the lab as well as what precautions to take in using, storing and disposing of them. The first step is the maintenance of a chemical inventory. The Chemical Hygiene Officer will then work with the Principal Investigator or the Safety Supervisor to recognize what substances are hazardous, and make decisions for appropriate use, storage and waste procedures. An SOP must exist for these situations. The Hazardous Inventory Tracking System (HITS) can be used to assist in the recognition of hazardous chemicals. Laboratories must provide immediate access to Material Safety Data Sheets (MSDS), Chemical Hygiene Plan, and Safety Operating Procedures. MSDS can either be in a print or electronic format as long as everyone in the laboratory can access them. MSDS are available electronically through HITS. The Chemical Hygiene Officer will assist the Principal Investigator in determining the safety needs such as choosing personal protective equipment, waste disposal, and decontamination procedures. Additional documentation that further clarifies the above conditions and requirements can be obtained from the Division of Environmental Health and Safety. V. Laboratory and Chemical Security Laboratories contain hazardous chemicals harmful individuals working with them and other occupants in the building if handled inappropriately. Therefore, security measures must be taken to minimize theft or improper use of these hazardous chemicals. Guidelines should be followed to reduce the potential for intentional removal of hazardous chemicals within your laboratories include: Close and lock laboratory doors when no one is present. This also includes laboratory equipment that may store hazardous chemicals such as freezers, refrigerators, cabinets, etc. Restrict access to authorized personnel only. Do not leave hazardous materials unattended for long periods of time. 11

12 Create Safety Operating Procedures (SOPs) for extremely hazardous chemicals requiring restricted access. Access to your laboratory s chemical inventory via HITS should be restricted to only designated personnel. To gain access you must fill out the HITS Access Request Form found on the EHS website and signed by your PI. See HITS Access Request Form Addendum Principle Investigators and Laboratory managers should also be familiar with signs that indicate acute behavioral distress in lab personnel. These signs can include disturbed speech, mood or disposition changes, disturbed thought content, and behavior changes. For more information on the signs and symptoms of acute behavioral distress, you can go to the USF Counseling Center website, How to respond: If you perceive an immediate danger to yourself, the person or others, call If not an immediate threat, contact the University Counseling Center Consult Team at (813) If the person is a student, you can also contact the Office of Student Rights & Responsibilities (813) If the person is a USF employee, you can also contact the Employee Assistance Program. Suggestions for approaching the person: Avoid physical contact or getting too close Avoid direct confrontation or challenging statements Express your concern for the person and your willingness to help Help the student to explore options and alternatives Offer to assist the person in getting appropriate help. Keep USF a safe work environment. Respect your coworkers, and learn the signs of difficulty. VI. Fume Hoods and Other Protective Equipment Fume hoods and other protective equipment are referred to as engineering controls. They are utilized by laboratory personnel to minimize or eliminate potential hazards when working with chemicals. Fume Hoods Fume hoods will be inspected annually by Environmental Health and Safety to ensure that the average face velocity is greater than minimum standard of 80 feet per minute. Test results are posted on the fume hood along with the last test date. If it is suspected that there is inadequate face velocity, then work in the hood must stop and 12

13 EH&S must be contacted immediately. Likewise, if the low flow alarm is sounding or the continuous monitoring device is showing low flow, Physical Plant or EH&S must be contacted. The following apply to the use of fume hoods. The fan must be kept on whenever a chemical is inside the hood, whether or not any work is being done inside the hood. The hood sash should be kept closed at all times, unless manipulations of chemicals are being done within the hood. Work should be performed a minimum of 6 inches from front edge of fume hood. When working in a fume hood with a vertical opening sash, the sash should be kept no higher than 17 from the closed position. Any operations that generate hazardous vapors, dusts, or fumes should only be conducted under the fume hood to prevent exposure. Chemicals, equipment and other materials should not be stored in hoods. This can cause blocked vents or alter airflow patterns which will affect the hood s overall performance. Fume Hoods must not be restricted or blocked by temporary storage of objects or in any other way Do not modify safety equipment. Safety Showers and Eye Wash Stations Eye Wash stations and safety showers should be accessible in 10 seconds or less. For strong acids or caustics, eyewash fountains should be adjacent to or within 10 feet (3 meters) of the hazard. Access to eyewash fountains and safety showers must not be restricted or blocked by temporary storage of objects or in any other way. If eyewashes and safety showers are not readily available, difficult to access, or inoperable Physical Plant should be contacted. Eyewash units should be flushed weekly by lab personnel to test functionality and clear contaminants from the water lines. Safety showers are activated periodically by Physical Plant personnel to ensure adequate performance. Documents posted by the eyewash stations and showers must be dated and initialed upon testing. These documents can be obtained from EH&S. Additional Safety Equipment In addition to fume hoods, eye wash stations, and safety showers, the laboratory should have available the following items: 13

14 First aid kit Appropriate Spill Kit Appropriate personal protective equipment such as gloves, goggles, face shields, lab coats. Further information is available on the Environmental Health and Safety website and through EH&S training programs. Under ordinary conditions, respirators should not be necessary in the laboratory. Consult with Environmental Health and Safety before using respirators, including dust masks. For some respirators the wearer may need to enroll and complete the USF Respirator Program which includes a, mandated physical exam, fit testing and training. If a respirator is thought to be needed, call Environmental Health and Safety to request a hazard assessment. VII. Emergency Procedures, Medical Consultation, and Medical Examination If there is a serious incident such as injury, fire, or chemical spill, call 911 immediately. If the incident is not considered serious, contact your Laboratory Manger or Principal Investigator. If they are not available, then contact your Departmental or College Safety Person, and also call Environmental Health and Safety. For further clarification on emergency procedures please see the following addendums: Worker s Compensation Addendum (employee injury) Laboratory/Studio and Field Incident Report Addendum Chemical Spill Addendum Hurricane Preparedness Addendum Emergency Evacuation Addendum All employees who work with hazardous chemicals have the opportunity to receive medical attention, including follow-up exams, under the following circumstances: When an employee develops signs or symptoms associated with a hazardous chemical that they may have been exposed to, they should receive an appropriate medical exam. When an event such as a spill, leak, or explosion occurs resulting in the likelihood of a hazardous exposure, medical consultation should be provided to determine the need for a medical examination. VIII. Laboratory/Studio and Field Incident Reporting A Laboratory Incident report form must be completed by the PI/Lab Manager/Teaching Assistant/Instructor for any incident that occurs in any University of South Florida 14

15 System affiliated teaching or research laboratory/studio or field research project. Incidents include near misses, serious injuries or emergencies such as fires and chemical spills. These reports must be submitted to EH&S and will be used to evaluate safety policies and procedures and help prevent reoccurrences of similar incidents throughout the USF System. See the Laboratory Incident Reporting Addendum for more information. IX. Implementation of Chemical Hygiene Plan Environmental Health and Safety (EH&S) has the responsibility to monitor compliance and implementation of all safety and environmental regulations. This will include, but is not limited to regulation interpretation, implementation of programs, planning reviews, facility surveys, and training and educational services. The Chemical Hygiene Officer (CHO), an individual within EH&S, is a key component in ensuring the adoption of the Chemical Hygiene Plan throughout the University. The Chemical Hygiene Officer (CHO) is qualified by training or experience, to provide technical guidance in the development and implementation of the provisions of the University of South Florida s Chemical Hygiene Plan. The CHO advises laboratory supervisors and Principal Investigators on safety matters, and in general serves as a focus for the safety concerns of the laboratory staff and students. The CHO also has the capacity to delegate duties to the Safety Supervisor to maintain laboratory safety within the campus units. Duties of the Chemical Hygiene Officer are: Provide technical guidance to administrators and other employees to implement the CHP. Monitor procurement, use, and disposal of chemicals used in the laboratories (Oversee HITS implementation, training, and maintenance). Ensure that safety audits are performed periodically, safety equipment is present and in working condition, chemicals are stored appropriately, and waste maintenance is occurring appropriately. Ensure safety training courses are provided on a regular basis. Examine circumstances surrounding accidents and work with the Laboratory Supervisor/Principal Investigator to prevent recurrence. The CHO works closely with the campus units Safety Supervisor in fulfilling the above responsibilities, and to provide a safe laboratory environment. The Laboratory Supervisor/Principal Investigator has the overall responsibility to maintain and provide a safe laboratory with respect to hazardous and extremely hazardous chemicals. Duties include: Complete Safety Operating Procedures (SOPs). Instruct laboratory personnel on potential hazards. Provide laboratory personnel with Research Laboratory Safety Training (section I). Correct work errors and dangerous conditions. 15

16 Provide proper personal protective equipment, and ensure this equipment is used appropriately. Keep a record of safety training attendance. The Laboratory Supervisor/Principal Investigator has a responsibility to mentor laboratory workers and students in safe laboratory practices. University laboratories not only serve as areas of research, but also training grounds of future researchers. Laboratory workers have the responsibility of following safe laboratory practices as presented to them by the Chemical Hygiene Plan, the Chemical Hygiene Officer, and their Laboratory Supervisor/Principal Investigator. They have the responsibility to attend training sessions and read the Material Safety Data Sheets for the chemicals they are using. Any conditions deemed unsafe must be reported to the Laboratory Supervisor/Principal Investigator, Safety Supervisor, or Chemical Hygiene Officer. Such reports, suggestions, complaints, or compliments are made with protection of the reporting individual. The Division of Environmental Health and Safety will be available to assist in the development and implementation of all aspects of the Chemical Hygiene Plan. X. Laboratory Review Program The purpose of the laboratory review program is to assist research and teaching laboratories in maintaining compliance with safety regulations from regulatory agencies such as FDEP, EPA, NFPA, FDOH, and safety procedures from the USF Chemical Hygiene Plan. Per the USF System Policy 6-016, Environmental Compliance, Environmental Health & Safety (EH&S) Laboratory Safety program conducts routine laboratory reviews of research and teaching laboratories at USF that handle or store hazardous materials. More frequent inspections are established for laboratories working with higher risk materials. These reviews evaluate employee exposures, the maintenance of safety equipment, safe handling and storage practices of chemicals, use of personnel protective equipment, waste disposal, employee training, and compliance with federal, state, local regulations and University policies (Appendix III Laboratory Review Checklist). Principal Investigators receive a written summary of the review s results and must provide corrective actions to EH&S within 30 days of receiving the summary. Department chairs, College deans, Division directors receive summary reports on the performance metrics of the laboratory reviews for their designated areas. 16

17 Appendix I Teaching Laboratory Safety Guidelines 17

18 University of South Florida Teaching Laboratory Safety Guidelines The following Safety Guidelines are to be strictly adhered to in all teaching laboratories. These rules apply to students, teaching assistants, and instructors. No food, drinks, or smoking in labs. Goggles are to be worn when any chemical, in any amount, is used including preservatives and stains. Goggles must be worn when there is the possibility of an object impacting or a splash into the eye. Appropriate footwear must be worn at all times. The feet must be adequately covered (the foot must be totally covered up to the ankle). Therefore sandals, backless and open-toed shoes are not acceptable. Clothing appropriate for laboratory safety must be worn. Clothing (pants or skirt) must be worn which completely covers the entire leg from the waist to the ankle. Clothing (shirt, blouse, etc.) must be worn which completely covers the torso from the waist to the neck. Shoulders must be completely covered and sleeves must be worn that cover the arm from the shoulder to at least halfway to the elbow. Therefore, tank tops, halters, shorts, cutoffs, etc. are not acceptable. Some labs may require the use of a lab coat and/or gloves. No children under the age of 18 should be in the lab, unless they are a volunteer and filled out paperwork with the department. No pets are allowed in the lab, excluding service animals. Long hair should be tied back when using a Bunsen burner. Jewelry, particularly dangling necklaces or earrings with the potential to interfere with or be contaminated by an experiment should not be worn. Backpacks should be placed in the designated area provided. Safety Guidelines for Instructors Materials are to be disposed of immediately after use and in the proper containers. All bottles, flasks etc. are to be labeled completely with full chemical names. Never leave an experiment unattended. Never leave a solution on a hot plate unattended. Hotplates that have been turned off, but are still hot, should have a warning note in front of them. IF THERE IS A SERIOUS INCIDENT, CALL 911 IMMEDIATELY. OTHERWISE CONTACT THE TEACHING LAB MANAGER. I have read the safety guidelines listed above and understand that non-compliance will result in my dismissal from the laboratory until I do comply, and I will not be allowed to make-up missed work resulting from that dismissal. Sign Print Name Course # Section # 18

19 Appendix II Safety Operating Procedure Template 19

20 SAFETY OPERATING PROCEDURE TEMPLATE By signing and dating here the Principal Investigator/ or a designee certifies that the Safety Operating Procedure (SOP) for insert chemical name is accurate and effectively provides safe operating procedures for employees and students in this lab who will handle this hazardous chemical. Signature Printed Name Date I affirm that I have read and understand the Safety Operating Procedure for insert chemical name and have undergone the EH&S Laboratory & Research training and any lab specific training regarding this SOP. Printed Name Signature Date 20

21 CONTACT INFORMATION: Chemical Name: Building/Room Number: Date of Creation/Revision Principal Investigator: (The PI, Lab Supervisor, Instructor, or Autonomous Researcher) Emergency Phone number: HAZARD SUMMARY List all physical and health hazards associated with the chemical in this SOP. Examples of potential hazards include: toxicity, reactivity, flammability, corrosivity, pressure, etc. Potential physical and health hazards associated with the use of this chemical include: SPECIAL HANDLING AND STORAGE REQUIREMENTS Describe special handling and storage requirements for this hazardous chemical in your laboratory, i.e. restricted access to chemical, inclusion of designated areas to limit and minimize possible sources of exposure to these materials. The entire laboratory, a portion of the laboratory, or a laboratory fume hood or bench may be considered a designated area. Special handling and storage requirements for this chemical include: ENGINEERING AND VENTILATION CONTROLS Include requirements for specific engineering/ventilation controls for this specific chemical, i.e. fume hood. If the process does not permit the handling of such materials in a fume hood, the lab personnel should contact Environmental Health and Safety at x for review the adequacy of ventilation measures. 21

22 Handling processes should be designed to minimize the potential for splash, splatter, or other likely scenarios for accidental contact. The handling of this chemical must be conducted in a fume hood. Additional engineering/ventilation controls for the handling of this chemical include: PERSONAL PROTECTIVE EQUIPMENT Include specific personal protective equipment required for the handling of this chemical. See the following references: 1. The USF Hazardous Inventory Tracking System (HITS) provides access to MSDS. 2. A glove compatibility chart provides specific information on the type of safety gloves that should be used based on the hazards of specific chemicals. 3. The following EH&S webpage provides links to glove manufacturers as well as other PPE selection resources, At minimum, safety glasses, lab coat, and gloves are to be worn when using this hazardous chemical. Additional PPE Requirements for the handling of this chemical include: appropriate clothing (long pants, close-toed shoes) gloves; indicate type: safety goggles face shield flame-resistant lab coats other: If the use of an N95, half mask, or full face respirator is requested, the individual and/or their supervisor must first contact Environmental Health & Safety for a consultation to determine if respirator use is necessary. If EH&S determines the use of a respirator is necessary, the individual must participate in the University s respirator program. This includes a medical evaluation; respirator fit test, and training. EMERGENCY PROCEDURES If a there is a spill involving an extremely hazardous chemical, emergency responders should be contacted immediately. Dial 911 during and after normal business hours to contact the local emergency responders for your area and provide detail information to the emergency responders including chemical name, volume, hazards, spill location, and any injuries incurred. Building occupants can be notified of a building evacuation through the activation of a fire alarm pull station. 22

23 Personnel: If lab personnel are exposed to an extremely hazardous chemical, call 911 immediately. Remove any contaminated clothing, and IMMEDIATELY flush contaminated skin with water for at least 15 minutes following any skin contact. For eye exposures, IMMEDIATELY flush eyes with water for at least 15 minutes. Consult MSDS for guidance on appropriate first aid. Where medical attention is required, ensure to bring along MSDS(s) of chemical(s) to aid medical staff in proper diagnosis and treatment. Fire and Emergency Evacuation Procedures: In case of fire or emergency situation, call 911 and or use emergency blue phone immediately to notify the fire emergency services and campus police. Immediately evacuate the building via the nearest exit when the fire alarm is activated. If unable to evacuate due to a disability, shelter in the area of rescue / refuge, typically a stairwell landing, and wait for assistance from drill volunteers or emergency responders. Instruct visitors and students to evacuate and assist them in locating the nearest exit. Do not use elevators to exit the building during an evacuation as they may become inoperable. Carry only those personal belongings that are within the immediate vicinity. Close doors to limit the potential spread of smoke and fire. Terminate all hazardous operations and power off equipment. Close all hazardous materials containers. Remain outside of the building until the building is released for reentry. Do not restrict or impede the evacuation. Convene in the designated grassy gathering area and await instruction from emergency responders or drill volunteers. Avoid parking lots. Report fire alarm deficiencies, (e.g., trouble hearing the alarm) to facilities personnel for repair. Notify evacuation drill volunteers or emergency responders of persons sheltering in the areas of rescue/ refuge. Never assume that an alarm is a false alarm. Treat all fire alarm activations as emergencies. Get out of the building! The Laboratory/Studio and Field Incident Report form is to be completed by the Lab Manager/Teaching Assistant/Instructor for any incident that occurs in any University of South Florida affiliated teaching or research laboratory/studio or field research project. An incident means any unplanned event within the scope of a procedure that causes, or has the potential to cause, an injury or illness and/or damage to equipment, buildings, or the natural environment. Please fill out the online Laboratory/Studio and Field Incident Report form below and submit to Environmental Health & Safety within 24 hours of the incident. Due to medical privacy concerns, no personal identifying information of the person involved in the incident shall be entered or submitted with the form. WASTE DISPOSAL All chemical waste generated within USF System laboratories are considered hazardous waste and must be disposed of as hazardous waste in accordance with USF Hazardous Waste Management Procedure, the EPA, and the DEP. The USF Hazardous Waste Management Procedure can be found 23

24 using the following link, TRAINING REQUIREMENTS All individuals working with chemicals in USF laboratories must take EH&S s Laboratory & Research Safety Training. To register for Laboratory & Research Training, please use the following link, However, the use of this chemical may warrant additional safety training per the PI, EH&S, or an authorizing unit such as the Biosafety or Radiation Safety programs. Additional training requirements are listed below. Training Requirements: Laboratory & Research Safety Training (EH&S) Research-specific Training (PI) Other PRIOR APPROVALS The handling of this chemical requires prior approval from the PI/Instructor/designee. The handling of this chemical does not require prior approval from the PI/Instructor/designee. Approval Signature (if required by PI/Instructor) 24

25 Appendix III Laboratory Review Checklist 25

26 1. Documentation Yes No N/A Comments 1.1 Emergency telephone numbers posted 1.2 Emergency information current in lab 1.3 Updated chemical inventory available 1.4 Copy of Chemical Hygiene Plan (CHP) available 1.5 MSDS access to all personnel in lab 1.6 All accidents and spills reported to supervisor and EH&S 1.7 Document status of training records of PI s and lab personnel 1.8 List past deficiencies 1.9 Identify chemicals in inventories that may raise concerns (e.g. nitric acid, mercury, ethyl ether) 2. Training Yes No N/A 2.1 All faculty, staff, and students have read and signed CHP 2.2 EH&S Lab Safety/Hazardous Waste training documentation available 2.3 Personnel have received lab-specific safety Training 2.4 Copy of Safety Operating Procedures available to lab personnel 3. Chemical Storage Yes No N/A 3.1 Chemical containers labeled to identify contents 3.2 Stock solutions and wash bottles labeled 3.3 Non-flammable refrigerators and flammable cabinets labeled 3.4 Flammables stored in flammable cabinets/refrigerators 3.5 Quantity of flammable liquids does not exceed storage limits 3.6 Chemicals are segregated by hazard class (acids, bases, etc.) 3.7 Chemicals not stored on floor, in fume hoods, on bench tops 4. Housekeeping Yes No N/A 4.1 Emergency exits unobstructed 4.2 Work areas free of clutter 4.3 Broken glassware disposed in container labeled Broken Glass 4.6 Razor blades, scalpels and other sharps are not left unattended when not in use 4.7Personal protective equipment (PPE) available to lab personnel 26

27 4.8 PPE worn by personnel while working in lab 4.9 Food, drinks, and applying cosmetics prohibited in lab 5. Compressed Gas Cylinders Yes No N/A Comments 5.1 Properly labeled & stored upright 5.2 Attached to a permanent fixture 5.3 Empty cylinders are marked Empty and not stored in the lab. 5.4 Regulators are not obstructed 5.5 Capped when not in use 6. Safety and Emergency Yes No N/A 6.1 Fume hoods have current inspection/certification 6.2 Sashes kept closed when not in use 6.3 Air flow monitor operates appropriately 6.4 Emergency eyewash/safety shower accessible 6.5 Eyewashes are flushed weekly 6.6 Location of first aid & spill kits, fire extinguishers posted (check for expired items in emergency kits, check fire ext. log card for inspection date) 7. Hazardous Waste Yes No N/A 7.1 Containers labeled Hazardous Waste & include contents 7.2 Hazardous Waste stored in a designated Satellite Accumulation Area (SAA) 7.3 Hazardous wastes are being stored in compatible containers 7.4 Hazardous wastes are segregated by hazard class within the SAA 7.5 Hazardous waste labels and tags are used to identify wastes 7.6 All hazardous waste containers are closed 7.7 All solder and scrap metal are collected for recycling or disposal as hazardous waste. 7.8 Hazardous waste-contaminated rags are managed as hazardous waste. 7.9 Used mercury containing lamps are being managed appropriately Spent lead-acid and recyclable batteries are being recycled Hazardous pharmaceutical waste is collected for disposal by EH&S. 27

28 7.12 All chemical spills have been appropriately decontaminated and surfaces cleaned regularly. 8. Fire Safety Yes No N/A 8.1 Exit signs illuminated and emergency lights operational 8.2 No permanent use of extension cords 8.3 Breaker panels are accessible 8.4 Electrical cords in good condition 8.5 All storage kept at least 18 below fire sprinklers 9. Biomedical Waste (BMW) Yes No N/A 9.1 Copy of BMW plan available 9.2 BMW Training documentation available 9.3 BMW contained at point of generation 9.4 Sharps disposed in sharps container 9.5 No recapped needles in sharps container 9.6 Non-sharp biomedical waste disposed in red bags 9.7 Red bags and sharps containers sealed and labeled properly prior to disposal 9.8 Copy of red bag certification available 9.9 BMW spill kit available 9.10 All BMW spills have been properly decontaminated 28

29 Laboratory/Studio and Field Incident Report Addendum 29

30 University of South Florida Laboratory/Studio and Field Incident Report This report is to be completed by the Lab Manager/Teaching Assistant/Instructor for any incident that occurs in any University of South Florida affiliated teaching or research laboratory/studio or field research project. An incident means any unplanned event within the scope of a procedure that causes, or has the potential to cause, an injury or illness and/or damage to equipment, buildings, or the natural environment. All incidents need to be reported whether they are near misses, serious injuries, or emergencies such as fires and chemical spills. A near miss is an event or situation that could have resulted in an accident, injury or illness, but did not, either by chance or through timely intervention. The completed form must be submitted to Environmental Health & Safety within 24 hours of the incident. These reports will provide the University Laboratory & Field Safety Committee and Environmental Health and Safety (EH&S) with information needed to evaluate laboratory procedures and help prevent reoccurrences of similar incidents. As part of this report, EH&S will complete an incident investigation. Due to medical privacy concerns, no personal identifying information of the person involved in the incident shall be entered or submitted with the form. All work-related injuries and illnesses must also be reported to Worker s Compensation. If an injury or illness is work-related, please contact Worker s Compensation at (813) or proceed to the Worker s Compensation website for more information on the appropriate reporting procedures. 30

31 University of South Florida Laboratory/Studio and Field Incident Report Completed form must be submitted within 24 hours to EH&S; address CRS 104; phone (813) ; fax (813) Due to medical privacy concerns, no personal identifying information of the person involved in the incident shall be entered or submitted with the form Circle one: Teaching Lab/Studio Research Lab Field Activity Other Date of Incident: Time of Incident: Location of Incident: Preparer s name: Phone: (1) Incident Description Describe the circumstances of the incident. (2) Injury/Illness/Damage to Equipment, Building, Environment Describe the extent of injuries and/or damage. Exactly where on the body did the injury occur? (3) Actions Taken: Response/Treatment/Cleanup a. Describe the nature of the emergency action taken. b. Did the person seek medical treatment? Yes or no, explain. c. Were emergency personnel contacted? Yes or No, EH&S, Fire, Hazmat, Police, Medical (Circle one or more choices) (4) Corrective Action Taken a. By Preparer. b. By EH&S. Date Reviewed by EH&S Name of Reviewer 31

32 Chemical Spill Addendum 32

33 Hazardous Material Spills/Releases For the purpose of this protocol the following definitions are provided: Incidental Release(s): these are small isolated chemical spills that generally do not present the immediate potential to cause injury/illness or require evacuation other than from the immediate release area and can be contained and cleaned up by staff (Category I) or EH&S (Category II). Emergency Release: an incident that involves a large quantity of one or more chemicals that have the potential to cause personnel injury/illness, and/or have the potential to cause environment damage. Category I: is any incidental spill that is contained and of minimal amount and/or low hazard (according to NIOSH pocket guide and/or MSDS, additional valid documentation, etc.) normally to be cleaned up by the work center. Workers are familiar with the material. A Category I Spill is a chemical release in which: Material presents no harm to occupants of room and/or work area (building, campus, etc.) Lab/work area is equipped with fully stocked spill kit. Employee(s) have the appropriate PPE available. Employee(s) have been instructed on proper spill cleanup (clean up procedures provided in a formal, documented setting either in the lab or work site or provided by EH&S.) Ventilation in the area is maintained. Note: EH&S will respond to site if doubt exists about severity of the incident and evaluate. Category II: is a large quantity and/or high hazard chemical release that EH&S staff can safely and effectively remediate. Category II Spills are chemical released in which: Material requires that special protective measures must be taken in order to abate. Ventilation may be compromised. Work area employees are unfamiliar with material. Work area is not equipped with necessary clean up tools (absorbent, neutralizer, etc.) Work area employees are unfamiliar with clean up procedures. Material is able to be detected by available instrumentation and EH&S staff member has been fully trained in its use. EH&S staff members are trained on spill cleanup procedures and are currently certified with 40-hr HAZWOPER and/or other necessary instruction as defined by department. Upon arrival EH&S may recommend or execute the following: o Activate the fire alarm for immediate evacuation of the building. o Call 911 for public emergency response services. o Recommend University Police notify neighboring buildings of chemical release. o Take other appropriate measures necessary to remediate the situation. 33

34 Note: EH&S will respond to site, evaluate, advise, cleanup and/or advise and contact other campus department if necessary (when appropriate, staff members will don appropriate PPE). Category III: is any chemical spill or release beyond the ability of EH&S to handle and will be cleaned up by an outside public agency -- Tampa Fire Rescue- Hazardous Materials Response Team. Category III Spills are chemical releases in which: Material requires specialized equipment and/or instrumentation. EH&S staff member is unfamiliar or uncertain of material and/or is not fully trained and/or instructed to handle situation. Large quantity and/or high hazard (according to NIOSH pocket guide and/or MSDS, additional valid documentation, etc.) EH&S staff does not have access to appropriate PPE. Ventilation is compromised. Situation requires additional assistance from emergency response agencies. EH&S will request the following: o Activation of the fire alarm for immediate evacuation of the building. o Call 911 for public emergency response services. o Recommend University Police notify neighboring buildings of chemical release. o Take any other appropriate measure necessary to remediate the situation. 34

35 Worker s Comp Addendum 35

36 University of South Florida Worker s Compensation Contact Information WC Specialist Phone: (813) All employees who work with hazardous chemicals have the opportunity to receive medical attention, including follow-up exams, under the following circumstances: When an employee develops signs or symptoms associated with a hazardous chemical that they may have been exposed to, they should receive an appropriate medical exam. When an event such as a spill, leak, or explosion occurs resulting in the likelihood of a hazardous exposure, medical consultation should be provided to determine the need for a medical examination. How to Report a Work Related Injury or Illness Effective January 1, 2009, all work related injuries or illnesses are to be reported by the supervisor or department designee by telephone to: OptaComp 1(877) (toll free) The injured or ill employee should be present for the call so the employee s injuries or illness may be triaged and the appropriate medical care provided. In case of emergency, call 911 for immediate medical care for the injured or ill employee. Then, the supervisor or department designee must call OptaComp at 1 (877) Employee s Responsibility When an incident occurs, the employee must report all injuries or illnesses to his/her supervisor or department designee immediately (no exceptions). Supervisor s (or Department Designee s) Responsibility What to Do 1. Call OptaComp at 1(877) to report the injury or illness. Except in cases of emergency, the injured or ill employee must be present with the supervisor when the injury or illness is reported. 36

37 2. Complete the Accident Investigation Report for Supervisors ( 3. Have the completed Accident Investigation Report for Supervisors and the following information ready when you call OptaComp to report an injury: Injured/ill employee s home address and home telephone number. Injured/ill employee s date of birth and social security number. Injured/ill employee s date of employment and salary. 4. Once OptaComp has taken the required information from you over the telephone, the intake specialist will assess the employee s medical needs and refer the injured/ill employee to a medical facility as appropriate. 5. Within 24 hours of the injury or illness occurring, send the completed Accident Investigation Report for Supervisors to Human Resources, SVC 2172, Attn: Meica Elridge by campus mail or fax (813) An OptaComp nurse case manager will obtain the results of the initial medical visit including diagnosis, treatment plan and any injury or illness related restrictions. This information will be provided to the supervisor immediately after the initial medical visit. Be prepared to speak with the nurse case manager regarding return to work restrictions. 7. Take prompt action to correct any safety hazards. For questions regarding the workers compensation reporting process, contact HR Workers Compensation Insurance Specialist at (813)

38 SUPERVISOR S ACCIDENT INVESTIGATION REPORT TO BE COMPLETED BY THE SUPERVISOR AND FORWARDED TO THE WORKERS COMPENSATION INSURANCE SPECIALIST IN HUMAN RESOURCES WITHIN 24 HOURS OF THE INCIDENT USF DEPARTMENT CAMPUS ADDRESS 1. Name of Injured: GEMSID# 2. Sex: M F Date of Birth: Work Telephone #: 3. Date of Accident: Time of Accident: AM/PM 4. Employee s Job Title: Length of Experience on Job: (yrs) (mos) 5. Location where Accident Occurred: Is it a Laboratory? Yes No 6. Injury Type: First Aid (no medical treatment) Medical (medical treatment required) 7. If applicable, where was medical treatment sought? 8. Describe the Accident and how it occurred: 9. Describe the injury and part of body affected: (sprain, cut, burn, right, left, arm/foot) 10. Cause of the accident 11. Was Personal Protective Equipment required? Yes No Was it provided? Yes No 12. Was it being used? Yes No If No explain: 13. Was it being used as trained by supervisor or designated trainer? Yes No If No explain 38

39 14. Safety Training provided to the injured? Yes No If Yes date training was completed: If No explain 15. List Witness(es): 16. Interim corrective actions taken to prevent recurrence: Report Date: Prepared by: (print) Title Supervisor Name (print) Phone # Supervisor Signature: Date TO BE COMPLETED BY SAFETY COORDINATOR Status and follow up action taken by Safety Coordinator: Permanent corrective action recommended to prevent recurrence: Safety Coordinator Signature: Date INJURIES OCCURRING AS A RESULT OF IMPROPER USE OF PERSONAL PROTECTIVE EQUIPMENT OR LACK OF TRAINING CAN RESULT IN A 25% REDUCTION IN YOUR WORKERS COMPENSATION BENEFITS. MAIL FORM TO WORKERS COMPENSATION, SVC 2172, OR FAX TO (813) Revised 1/09 39

40 Laboratory Registration Addendum 40

41 University of South Florida Laboratory Registration Procedure All laboratories, as defined within the USF Chemical Hygiene Plan, must be registered with the Division of Environmental Health & Safety. The registration information required will include the names and contact information of the Principal Investigator and alternate contacts, laboratory location(s), and the laboratory hazard information. New Principle Investigators (PI) will register their laboratory (ies) with EH&S through the submittal of the Laboratory Registration Form (Attachment 1) prior to beginning their laboratory operations. PIs with established labs prior to June 1, 2011 will be collected initially by EH&S Specialists during laboratory reviews. New PIs with established labs after June 1, 2011, including labs with changes made to their contact, location, or hazard information, must fill out the Lab Registration Form. 1. Lab Location Designation: o A PI with a single laboratory or multiple laboratories must register all lab locations on the Lab Registration Form. o Rooms that are under the supervision of more than one PI should be registered by each PI with the information applicable to their designated areas. 2. If changes are made to the laboratory contact, location and/or hazard information, the registration information must be updated by the PI within 30 days. This information must be resubmitted to EH&S on the Laboratory Registration Form. 3. Prior to vacating a registered laboratory, the PI or responsible person will notify EH&S of the intent to move or close the laboratory. This information must be resubmitted to EH&S on the Laboratory Registration Form at least 30 days prior to moving to ensure that hazardous materials not being removed can be properly identified for disposal or transfer to another laboratory. In the event that the decision to vacate or move a lab is made less than 30 days in advance or if the responsible person should leave the university without notification, it will be the responsibility of the College/Department to notify EH&S of the lab closing and for identification of all hazardous wastes. 41

42 Attachment 1 Office Use Only Registration No. Division of Environmental Health & Safety Ph.: (813) E. Fowler Ave., CRS 104 Fax:(813) Tampa, FL Laboratory Registration Form Initial Form Update Form Lab Closeout Projected Close-Out Date Instructions: Please fill out all applicable fields. Once completed, submit this form to the EH&S office through campus mail, by fax, or by visiting our office. A confirmation of the registration will be provided via campus mail, e- mail or during a scheduled laboratory set-up. Please resubmit an update form to EH&S if any changes are made. Principal Investigator: UID #: College: Department: Phone # (Office): Campus: Phone # (Emergency): Phone # (Lab): Building/Room No.(s): Address: Personnel Contact Information: Please list all laboratory personnel. If needed, please attach additional personnel contact information to this form. Primary Contact: Add Emergency Phone Number: UID#: Remove Secondary Contact: Add Emergency Phone Number: UID#: Remove Laboratory Hazard Information: Please indicate all applicable laboratory hazards present in all laboratories listed. Biological Gas Cylinders Other Chemical X-Ray Equipment Radioactive Material Laser Class 1 Class 2 Class 3 Class 4 Lab Representative Signature: Date: Office Use Only Recorded By: Date: 42

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