MGH Research Safety Committee Meeting #3 September 19, 2013

MGH Research Safety Committee Meeting #3 September 19, 2013 Harry W. Orf, PhD, Senior Vice President for Research Robert Castaldo, Safety Director Michael Fisher, Director, RSMG Mary Gervino, Director, MGH Research Compliance

Agenda 1. Results of Main Campus Fire Inspection Bob Castaldo 2. Research Safety Organizational Structure Harry Orf 3. Occupational Health Service Delivery Andy Gottlieb 4. Status and Updates from Task Forces Communications Task Force Harry Orf Documentation/Policy Task Force Bob Castaldo Chemical Hygiene Task Force Bob Castaldo/Harry Orf Lab Survey Task Force Michael Fisher Training Task Force Mary Gervino 1. HealthStream Interactive Module Presentation Bob Castaldo 5. Questions and Open Discussion Page 2

Agenda 1. Results of Main Campus Fire Inspection Bob Castaldo 2. Research Safety Organizational Structure Harry Orf 3. Occupational Health Service Delivery Andy Gottlieb 4. Status and Updates from Task Forces Communications Task Force Harry Orf Documentation/Policy Task Force Bob Castaldo Chemical Hygiene Task Force Bob Castaldo/Harry Orf Lab Survey Task Force Michael Fisher Training Task Force Mary Gervino 1. HealthStream Interactive Module Presentation Bob Castaldo 5. Questions and Open Discussion Page 3

Fire Inspection Boston Fire Department Lab Safety Survey Outcome Main Campus, including Simches Focus Areas signage flammable and corrosive chemical segregation gas cylinders: uncapped; unsecured eyewash station obstruction inadequate high storage clearance from fire sprinklers housekeeping doors wedged open

Fire Inspection

Fire Inspection

Agenda 1. Results of Main Campus Fire Inspection Bob Castaldo 2. Research Safety Organizational Structure Harry Orf 3. Occupational Health Service Delivery Andy Gottlieb 4. Status and Updates from Task Forces Communications Task Force Harry Orf Documentation/Policy Task Force Bob Castaldo Chemical Hygiene Task Force Bob Castaldo/Harry Orf Lab Survey Task Force Michael Fisher Training Task Force Mary Gervino 1. HealthStream Interactive Module Presentation Bob Castaldo 5. Questions and Open Discussion Page 7

Organizational Structure Floor Plan Map for Neurology Departmental Safety Coordinator Page 8

Organizational Structure MGH Safety Committee Research Management EH&S Department Research Safety Committee Departmental Safety Coordinators Research Space Management Staff Support Department Staff EH&S Site Safety Coordinators Unit Safety Coordinators Lab Safety Coordinators Radiation Safety Biosafety Compliance PI s and Individual Researchers PI s and Individual Researchers PI s and Individual Researchers Research Management Animal Welfare Occupational Health Police and Security Emergency Services Page 9

Organizational Structure Department Unit Unit Location (Site) Department Safety Coordinator Unit Safety Coordinator Site Safety Coordinator Lab Safety Coordinator Anesthesia Stuart Forman NH Cancer Center Research 149-6 Khaleda Haider Carolyn Gorka NH Cancer Center Research 149-07 Khaleda Haider Laura Libby NH Cancer Center Research 149-08 Khaleda Haider Carolyn Gorka NH Cancer Center Research Simches 4 Khaleda Haider Nicole Smith NH Cancer Center Research Jackson 9 Khaleda Haider Mary Lynch NH CCIB Chris Kelleher MC CCM Jason Fuller JK CHGR Vijaya Ramesh WH CRM David Machon NH CSB Peter Waterman WH Center for Wellman Labs Bobby Redmon MC CIMIT MF CTSA MF Dermatology John Dellorusso MC Emergency Service Blair Perry NH Medicine Cardiology MC Medicine CVRC MC Medicine CIID 149-6 (Mempel) Carol Leary E. Carrizosa WH Medicine CIID 149-6 (Elkhoury) Carol Leary Suzanne Hickman WH Medicine CIID 149-6 (Moon) Carol Leary James Moon) WH Medicine CIID 149-8 (Luster) Carol Leary Carol Leary WH Medicine CIID 149-8 (Means) Carol Leary Terry Means WH Medicine CIID 149-8 (Shreffler) Carol Leary Alex Ma WH Medicine CIID 149-8 (HMC) Carol Leary Vlad Vrbanac WH Medicine CIID 149-8 (Anthony) Carol Leary Robert Anthony WH Medicine CIID 149-8 (Hacohen) Carol Leary Alice Lan WH Medicine CIID 149-8 (Steere) Carol Leary Gail McHugh WH Medicine CIID 149-8 (Tager) Carol Leary Leaya George WH Medicine Diabetes Mary Larkin NH Medicine Diabetes Yen Yi NH Medicine Diabetes 149-3 Faustman NH RSMG Analyst Page 10

Agenda 1. Results of Main Campus Fire Inspection Bob Castaldo 2. Research Safety Organizational Structure Harry Orf 3. Occupational Health Service Delivery Andy Gottlieb 4. Status and Updates from Task Forces Communications Task Force Harry Orf Documentation/Policy Task Force Bob Castaldo Chemical Hygiene Task Force Bob Castaldo/Harry Orf Lab Survey Task Force Michael Fisher Training Task Force Mary Gervino 1. HealthStream Interactive Module Presentation Bob Castaldo 5. Questions and Open Discussion Page 11

Occupational Health Services Populations Served MGH Paid Employees Pre-Employment Injury/Illness evaluations (Workers Comp) TB/Vaccines/BBP Exposures POI s (non-paid workers) Pre-employment screening Some Medical Surveillance BSL-3 Lab/animal contact/lab exposures to infectious diseases Flu Vaccines Challenges/Concerns Cost of providing full-services to POI s Mechanism to pay (Workers Comp Regulation only covers paid employees) Page 12

Agenda 1. Results of Main Campus Fire Inspection Bob Castaldo 2. Research Safety Organizational Structure Harry Orf 3. Occupational Health Service Delivery Andy Gottlieb 4. Status and Updates from Task Forces Communications Task Force Harry Orf Documentation/Policy Task Force Bob Castaldo Chemical Hygiene Task Force Bob Castaldo/Harry Orf Lab Survey Task Force Michael Fisher Training Task Force Mary Gervino 1. HealthStream Interactive Module Presentation Bob Castaldo 5. Questions and Open Discussion Page 13

Status and Updates from Task Forces MGH Research Safety Committee Communications Task Force Update Harry W. Orf, PhD, Senior Vice President for Research

Communications Task Force Update Action Items from 2 nd and 3rd Meetings Physical (Lab) Signage Moved to Lab Survey Task Force Emergency Communication During Mass Casualty/Major Incidents Research Operations Chief will be added to Command Center Structure Develop a Research Safety Web Site Will Start from EH&S Website and Link to Research Intranet Web Content Manager Hired Brian Burns! Initial focus on Internet Documenting and Tracking Safety Training Central Database for all Research Personnel w/reqd Training now under development (Research Personnel Database RPD) Can use HealthStream, CITI, or LCS system for on-line training. Explore Use of Lab Scanners (developed by MGH LCS) Demonstrated at today s meeting Autolog Attendance at In-Person Training

Status and Updates from Task Forces MGH Research Safety Committee Chemical Hygiene Task Force Update Robert Castaldo, Safety Director

Chemical Hygiene Task Force Update SOP Review Subgroup Identify Chemical Categories by Hazard (OSHA HAZCOM Convention) Develop SOPs by Hazard Category (General Information Unit-Specific) Institution Level: (Provide OSHA HAZCOM SOP Information) Department Level: (Add as necessary) PI Level: (Add as necessary) Provide templates per category with room for unit specific information Link SOPs to Chemical Purchases

MGH Environmental Health & Safety Hazard Communication Chemical Hazard Classifications The HAZCOM standard recognizes the following hazard classes. Each class also includes categories and sub-categories that indicate relative hazard severity for chemicals within the class. Health Hazard Classes (ref: HAZCOM Standard Appendix A) Acute toxicity Skin corrosion / irritation Serious eye damage/eye irritation Respiratory or skin sensitization Germ cell mutagenicity Carcinogenicity Reproductive toxicity Specific target organ toxicity single exposure Specific target organ toxicity repeated or prolonged exposure Aspiration hazard Physical Hazard Classes (ref: HAZCOM Standard Appendix B) Explosives Flammable gases Flammable aerosols Oxidizing gases Gases under pressure Flammable liquids Flammable solids Self-reactive chemicals Pyrophoric Liquids Pyrophoric solids Self-Heating Chemicals Emit flammable gases on contact with water Oxidizing liquids Oxidizing solids Organic peroxides Corrosive to metals OSHA Defined Hazards: Pyrophoric gas, Simple Asphyxiant, Combustible Dust

MGH Environmental Health & Safety Hazard Communication Information by Hazard Class Respiratory or Skin Sensitization A respiratory sensitizer leads to hypersensitivity of the airways following inhalation of the substance. Skin sensitizers lead to allergic response following skin contact. Hazard Category 1A &1B Respiratory 1A & 1B Skin Signal Word Danger Warning Hazard Statement Pictogram May cause allergy or asthma symptoms or breathing difficulties if inhaled May cause an allergic skin reaction General Precautions Respiratory Avoid breathing Use hoods; respiratory protection as last resort On exposure, move to fresh air if breathing difficult Seek medical follow up if symptomatic Follow all disposal rules for waste materials Always check specific substance s Safety Date Sheet for additional information General Precautions Skin Avoid breathing Protect work clothing; if contaminated, wash at workplace before reuse if possible or discard as hazardous waste Use protective gloves Wash skin on exposure per recommendations Seek medical follow up for rashes Follow all disposal rules for waste materials Always check specific substance s Safety Data Sheet for additional information

Status and Updates from Task Forces MGH Research Safety Committee Safety Documentation Task Force Update Robert Castaldo, Safety Director

Safety Documentation Task Force Update Outline My Network Places / RSHSAFE / Documentation Workgroup / Research Safety Manual / Manual Versions / MGH Research Safety Manual Final Draft 120512.doc Organization? Content? Searchable Administrative Section Technical Section Feedback is welcomed.

Safety Documentation Task Force Update Administrative Section Policy Statement Safety Training Safety (Incident) Reporting Research Safety Organization General Administrative Policies and Procedures Occupational Health Services Hazard Management amd Loss Control Process Human Subject Research Safety Police and Security Emergency Management Helpful Resources Forms and Templates Technical Safety Section Fire Electrical Chemical Biosafety Radiation Animals Lasers Hazardous Wastes Lab Equipment

Status and Updates from Task Forces MGH Research Safety Committee Lab Survey Task Force Update Michael Fisher, Director, RSMG

Laboratory Safety Surveys We will conduct lab surveys to identify and assist in the mitigation of deficiencies that are not in compliance with applicable codes, standards, policies and regulations and that may present an unsafe research environment. This is a collaborative effort with the Departments and laboratory personnel.

Laboratory Safety Surveys Update At the last Survey Task Force meeting, we reviewed a selection of sample inspection checklists from other entities as well as a revision of the MGH Lab Rounds prepared by Safety. The Committee created a rough draft of a new inspection checklist, which was assigned to a small group who further modified the document and converted the questions into a uniform format. The existing group conducting lab safety rounds is testing the new survey instrument and the Task Force will discuss their comments at the next scheduled meeting.

Laboratory Safety Surveys Next Steps The next step is to develop and test a pre-survey questionnaire for the labs to prepare prior to scheduled inspections. It is also our intent to develop an online tracking and reporting system.

Remember, unless we are constantly vigilant, laboratory accidents can happen anytime, anywhere!

Status and Updates from Task Forces MGH Research Safety Committee Safety Training Task Force Update Mary Gervino, Director, Research Compliance

Progress To Date Meetings Healthstream Training Training Modules Healthstream Independent Consulting Company

Training Module Improvements Quiz at the end of the training module Separating the PIBC training & MGH specific Develop a questionnaire or checklist to assist PI s in determining what training their staff needs based on their job responsibilities. Include Federal and State regulations for the show me people

Next Steps Review the content in each training module and edit and update as necessary As each module is completed, work with Healthstream to enter it into the system.

Healthstream at its finest http://intranetstage.massgeneral.org/hipaa/safety/index.ht ml

Questions If you want to provide any input into the current or future training materials, please e-mail me at mgervino@partners.org

Agenda 1. Results of Main Campus Fire Inspection Bob Castaldo 2. Research Safety Organizational Structure Harry Orf 3. Occupational Health Service Delivery Andy Gottlieb 4. Status and Updates from Task Forces Communications Task Force Harry Orf Documentation/Policy Task Force Bob Castaldo Chemical Hygiene Task Force Bob Castaldo/Harry Orf Lab Survey Task Force Michael Fisher Training Task Force Mary Gervino 1. HealthStream Interactive Module Presentation Bob Castaldo 5. Questions and Open Discussion Page 35

Discussion! Questions? Page 36