RL&CBB- GENERAL DIRECTORATE OF HEALTH AFFAIRS - NAJRAN - KSA - EMAIL : LABSNJ@ MOH.GOV.

SA
Title: Applies to:
Reporting of infection & safety All staff
incidents

Index Number ISSUE DATE

RL&CBB-SF -IPP-017-r3- Y GENERAL IPP 2017-02-17
EFFECTIVE DATE
2017-03-01
Approved by Medical director NEXT REVISION DATE
2019-02-17

1. PURPOSE:
2.1 Establishment system and setting responsibilities for documentation of laboratory accidents and
identification of corrective actions so similar occurrences prevented.
2. DEFINITION:
3. RESPONSIBILITY:
3.1 Safety officer
3.2 Section supervisor
3.3 Infection Control Coordinator
3.4 Technicians.
4. POLICY:
4.1 Documentation of laboratory accidents, determining the direct, contributing, root and causes, so
corrective actions can be identified and similar occurrences prevented.
5. PROCEDURE:
5.1 Laboratory infection control coordinator shall document employee concerns utilizing the Incident
5.2 These forms may also be filled out by employees upon request.
5.3 Instructions for filling out the forms are as follows:
5.3.1 Date: Date of occurrence/concern.
5.3.2 Time: Time of concern or when report is filed.
5.3.3 Name: Fill in your name.
5.3.4 Bldg./Room: Fill in building and room where concern is located.
5.3.5 Phone: - Fill in your phone number.
5.3.6 Point-of-Contact: Name of person who has to be received information or was assigned to follow up
on issue.
5.3.7 Any actions taken upon learning of the concerns and previous reporting.
5.3.8 Classification: Laboratory infection control coordinator will classify Incident/concern in accordance
with the definitions in Table :

Class Accident Notification Investigatio Management

n

RL&CBB-SF-IPP-017-r3- Br Page 1 of 3
 RL&CBB- GENERAL DIRECTORATE OF HEALTH AFFAIRS - NAJRAN - KSA - EMAIL : LABSNJ@ MOH.GOV.SA
Title: Applies to:
Reporting of infection & safety All staff
incidents

Index Number ISSUE DATE

RL&CBB-SF -IPP-017-r3- Y GENERAL IPP 2017-02-17
EFFECTIVE DATE
2017-03-01
Approved by Medical director NEXT REVISION DATE
2019-02-17

I Fatality: RL&CBB (Type A) LAB.

Incident involving hospitalization of three or more individuals; director manager
Permanent total disability: Property damage > 2.5M; Medical
Release of hazardous material > 5x reportable quantities with director
serious environmental damage. Lab Safety
officer
II Incident with hospitalization of 1 to 3 individuals for more than 5 Lab director (Type B) Lab manager
continuous days; Lab Safety
Property damage > 1M and < 2.5M. officer
Release of hazardous material > 2 times but < 5 times the
reportable quantities, that results in serious environmental damage

III Recordable injury with lost/restricted work days; Section Supervisor Supervisor of
Recordable injury without lost/restricted work days; Supervisor Department
Occupational illness; Lab Safety
Property damage <1M officer

5.3.9 Root Causal Determination: Upon completion of the investigation, a root causal determination will be
defined for each concern.
5.3.10 Comments: Additional comments pertinent to the concern will be added.
5.3.11 Each concern will be thoroughly evaluated by laboratory manager.
5.3.12 The form shall serve as the mechanism by which documentation of events shall occur. Any supporting
documentation will be attached to the form for future reference.
5.3.13 All new employees receive introductory information describing the safety program
6. ATTACHMENT:
OVR form
Incidence form
7. REFERENCES.

7.1 Medical laboratory safety and infection control policies 2014, 2015.

RL&CBB-SF-IPP-017-r3- Br Page 2 of 3
 RL&CBB- GENERAL DIRECTORATE OF HEALTH AFFAIRS - NAJRAN - KSA - EMAIL : LABSNJ@ MOH.GOV.SA
Title: Applies to:
Reporting of infection & safety All staff
incidents

Index Number ISSUE DATE

RL&CBB-SF -IPP-017-r3- Y GENERAL IPP 2017-02-17
EFFECTIVE DATE
2017-03-01
Approved by Medical director NEXT REVISION DATE
2019-02-17

RL&CBB-SF-IPP-017-r3- Br Page 3 of 3