2012 Annual Review - UCLA - Environment, Health & Safety

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Laboratory Safety The Laboratory Safety Program continues to focus on laboratory inspections, allowing EH&S to: • Better assess levels of safety and regulatory compliance • Provide information and services to the UCLA research community Lab Groups Inspected LAB GROUPS INSPECTED 5000 4000 3000 2000 1000 0 102 555 365 On-Time Reporting Initial Inspection Reports 165 545 451 418 627 954 255 320 784 2123 Critical 48-Hour Re-Inspection Reports Non-Critical 30-Day Re-Inspection Reports 100% 99% 97% SOP Template Library* 19,195 total visits 7,668 unique visitors 114 countries of origin 63 languages spoken 2 www.ehs.ucla.edu 220 493 695 2424 898 338 723 2458 2007 2008 2009 2010 2011 2012 Laboratory Radiation Biosafety PPE 757 Lab Groups on campus * cumulative through 2012 Unannounced PPE Inspection Findings PPE Inspection Findings Lab Safety Training INDIVIDUALS TRAINED Compliant 94% of 898 Lab Coats Eye Protection Food/Drink Gloves 216 (23%) 25000 20000 15000 10000 5000 0 682 (76%) 2011 2576 3112 751 2959 5708 6621 9497 8642 Accomplishments • Conducted 2458 general laboratory safety inspections, which included every lab group on campus • Issued >99% of all laboratory inspection reports by the next business day • Increased unannounced PPE inspections roughly 4-fold. Of the campus lab groups inspected, only 6% were found to have PPE-related deficiencies, compared to 24% in 2011 New Resources Non-compliant 6% BSC NFPA Door Card Open Toed Shoes 7034 54 (6%) 2012 11817 • Expanded Chemical Hygiene Plan to clarify existing regulations and include new information • PPE, SOP and Chemical Fume Hood Fact Sheets 34% 844 (94%) 13% 16% 8% 4% 11813 13147 2007 2008 2009 2010 2011 2012 Completed Online Completed Classroom Fact Sheet ENVIRONMENT, HEALTH & SAFETY Be Safe, Stay Informed 8% 18% 5% increase in compliance 1% 6% Compliant Non-compliant EH&S Facts How to Write an SOP Protocol SOP Protocol or Procedure Templates from the EH&S SOP Template Library (http://sop.ehs.ucla.edu) must be customized by lab groups using chemicals to include lab-specific information. In particular, the lab must complete the protocol/procedure section of the SOP detailing the use of a chemical so that it can be followed safely and consistently. It is important that this section is written by the most experienced and knowledgable lab personnel for the various uses of the chemical and reviewed by the PI. SOPs are required in order to work with hazardous chemicals listed as per Cal-OSHA. Steps for Writing Protocols/Procedures STEP1 STEP2 STEP3 STEP4 STEP5 Give a general range of quantities that can be used in a safe and consistent manner. If necessary, provide two procedures to cover a wider range of quantities. Outline the conditions under which the procedure applies. Provide a step-by-step explanation of a general experimental process covered within the range of quantities. Provide details on engineering controls and hazards associated with the process. Include a specific example procedure describing in detail the experiment. This could be an experimental procedure from your lab notebook. If quantities or conditions significantly deviate from the SOP be sure to obtain approval from the PI, and include any changes to an updated SOP. Shorts/Skirts ES/EW Facility Control Protocols/Procedures must include the following components, as illustrated in the example below: Quantities and conditions that the SOP covers, a summary covering each type of use, and an example of the actual use. Protocol /Procedure Quantities covered by this SOP: 0 - 40 g Conditions covered by this SOP: 0 oC – 50 oC General: Sodium hydroxide pellets are used to make aqueous solutions that range in concentration from 0.01M to 1M and volume of 10mL to 1L. The sodium hydroxide pellets are weighed and then slowly added to a beaker of water that is cooled in an ice bath. Caution: Dissolution of sodium hydroxide is exothermic! The solution is then stirred until all the sodium hydroxide is dissolved. It is then allowed to warm to room temperature. The final concentration is determined by titration with potassium hydrogen phthalate. (See SOP on Titrations). Example: To make 1L of a 1M sodium hydroxide solution: 40g of NaOH pellets was weighed out in a plastic weigh boat. Slowly, only a few pellets at a time was added to 1L of water in a 2L beaker equipped with a magnetic stir bar in an ice bath. After the last of the sodium hydroxide was added and dissolved, the 2L beaker was removed from the ice bath and allowed to warm to room temperature before being titrated with potassium hydrogen phthalate. The plastic weigh boat was triple rinsed with water (the first wash being disposed as hazardous waste) before being disposed of in the trash. NOTE Any deviation from this SOP requires approval from PI. Sodium Hydroxide (pellets) 5 Date: 10/18/2012 SOP Template Library EH&S has developed an SOP Template Library (http://sop.ehs.ucla.edu) that includes templates for several hundred chemicals. These templates can easily be customized for your specific operations. Contact EH&S: Tel: 310-825-9797 Fax: 310-825-7076 www.ehs.ucla.edu Rev 01/13
Radiation Safety The Radiation Safety Program: • Ensures the safe use of radioactive materials, radiation-producing machines and lasers • Oversees academic and clinical compliance with regulatory requirements governing radioactive materials Radiation Safety Inspections INSPECTIONS COMPLETED 800 700 600 500 400 300 200 100 0 555 545 On-Time Reporting Initial Inspection Reports Accomplishments • Second consecutive inspection from the California Department of Public Health – Radiologic Health with no items of noncompliance noted • Oversight of radiation safety at off-site facilities for non-research, out-patient only clinical diagnostic scans • Technical advisors to Ronald Reagan Medical Center for mass-casualty radiologic emergency drill New Resources 627 Critical 48-Hour Re-Inspection Reports 784 • Revised EH&S Radiation Safety Manual • Generally-Licensed Radioactive Material Fact Sheet • Developed e-training module: Dosimetry 695 Non-Critical 30-Day Re-Inspection Reports 97% 90% 97% 723 2007 2008 2009 2010 2011 2012 Fact Sheet ENVIRONMENT, EH&S Facts HEALTH & SAFETY Generally Licensed Radioative Materials What are classified as “generally licensed” radioactive devices or materials? The United States Nuclear Regulatory Commission (NRC) defines these as “usually consisting of radioactive material contained in a sealed source within a shielded device.” Some chemical compounds may also meet this criteria, such as those containing naturally occurring uranium and thorium. Examples of generally licensed devices and materials include: • Electron capture detectors (gas chromatograph units) • Static eliminators DO’s and DON’Ts • Calibration standards installed in liquid scintillation counters DO’s • Uranyl acetate 33Review labeling and SDS thoroughly • Uranyl nitrate before use • Thorium nitrate 33Ensure laboratory personnel are trained on the labeling and SDS Are they safe? requirements They are produced to be safely used by individuals with no radiation 33Keep device or material secure at all training or experience. Safety precautions should still be taken since times these devices or materials are not without hazards. 33Complete the LHAT annually to ensure EH&S is aware of your inventory What are my responsibilities as the “general licensee”? 33Contact EH&S if your device requires leak testing An individual or organization possessing generally licensed devices 33Notify EH&S of unwanted generally or materials is termed the “general licensee” and must follow certain licensed devices/materials use and disposal requirements. Every generally licensed item will DON’Ts arrive with labeled instructions affixed prominently on the equipment or container. For unsealed generally licensed material, a Safety Data 23Handle unsealed material without wearing proper PPE Sheet (SDS) will be provided. The instructions and SDS must be read thoroughly to ensure proper use and disposal. Some of these requirements may include but are not limited to: • Security of the device/material • Proper handling and use and appropriate personal protective equipment (PPE) • Routine maintenance of the device/material • Semi-annual leak testing • Return to vendor, or disposal of as radioactive waste, after the source is no longer useful nitrate, or thorium nitrate compounds How can EH&S help me stay compliant? in the regular trash To ensure compliance, EH&S should be notified if generally licensed material was purchased directly from a vendor and not received through the EH&S Radiation Safety Office. The most efficient way to do this is to complete the Laboratory Hazard Assessment Tool (LHAT) on an annual basis, or whenever inventory changes occur. Certain generally licensed devices (e.g. static eliminators, electron capture detectors) require semi-annual leak testing to ensure no radioactive contamination is present. EH&S will test these devices and maintain the required records for you. Disposal Guidelines Contact EH&S: NEVER dispose of generally licensed material or devices as regular trash. EH&S is able to Tel: 310-825-9797 assist with the shipment of unwanted sources to the original manufacturer or may be able Fax: 310-825-7076 to collect the device for proper disposal through an approved disposal facility. www.ehs.ucla.edu Keep your workplace safe 23Remove the source from any generally licensed device without prior authorization from EH&S 23Abandon or improperly dispose the material 23Operate damaged devices 23Dispose of any equipment containing generally licensed devices without contacting EH&S 23Discard of any uranyl acetate, uranyl Rev 10/12 www.ehs.ucla.edu The Biosafety Program: Biosafety Inspections Accomplishments Biosafety • Minimizes the risks of research involving biohazardous materials • Coordinates activities of the Institutional Biosafety Committee, which reviews and approves use of biohazardous materials in research INSPECTIONS COMPLETED 600 500 400 300 200 100 0 102 165 On-Time Reporting 2011 Critical 48-Hour Re-Inspection Reports 50% 2012 Critical 48-Hour Re-Inspection Reports 80% • Successful annual inspection of medical wastegenerating laboratories and accumulation sites by the California Department of Public Health, requiring only minor corrective actions • Surprise inspection of medical wastes generated from high containment laboratory operations by U.S. Department of Transportation with no violations cited • Successful inspection of UCLA Select Agent Program by U.S. Centers for Disease Control (CDC) Policy and Document Development 418 320 493 • Registration of Genetically Modified Animals Policy (specifies experiments requiring IBC review/approval and exemptions) • Post-Exposure SOP templates 338 2007 2008 2009 2010 2011 2012* *Decrease due to a shift in focus to more critical issue response and 48-hour re-inspections during 2012 3
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2012 Annual Review - UCLA - Environment, Health & Safety

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