KINGDOM OF SAUDI ARABIA

MINISTRY OF HEALTH

GENERAL DIRECTORATE OF HEALTH AFFAIRS IN RIYADH

KING KHALID GENERAL HOSPITAL ALMAJMAAH

KKGH ALMAJMAAH

Department: Title: Effective Date: Applies To: Review Due:

Laboratory

Chemical Spill Control &spill kits

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No. Of Page: Policy number: Approved By: Replaces Number

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1. STATEMENT OF PURPOSE: 1.1. In the event of a spill, competent, prompt action is necessary for immediate clean-up to reduce and eliminate hazards present 2. DEFINITION(S): 3. EQUIPMENT/MATERIAL/FORM(S): 3.1. Spill Kit Microbiology: 3.1.1. 12 pads, 16" x 20" 3.1.2. 3 SOCs, 3" x 12' 3.1.3. 2 Pillows, 18" x 18" 3.1.4. Forceps 3.1.5. 2 Flammable Solvent Pure-Paks 3.1.6. Goggles 3.1.7. Nitrile Gloves 3.1.8. 3 Disposal bags 3.1.9. Emergency Response Handbook 3.2. Spill Kits -Chemistry Lab: 3.2.1. Caustic (Alkaline) Spill Kit 3.2.1.1. 1 Alkali Neutralizer Unit Spill Pacs 3.2.1.2. 3 Absorbent Unit Spill Pacs 3.2.1.3. 5 Plastic Disposal Bags & ties 3.2.1.4. 1 Goggles 3.2.1.5. 1 Pair Gloves 3.2.1.6. 1 Sponge 3.2.1.7. 2 Scoops 3.2.1.8. Product Insert (Instruction Sheet) 3.2.2. Acid Spill Kit 3.2.2.1. 1 Acid Neutralizer Unit Spill Pacs 3.2.2.2. 3 Absorbent Unit Spill Pacs 3.2.2.3. 5 Plastic Disposal Bags & ties 3.2.2.4. 1 Goggles 3.2.2.5. 1 Pair Gloves 3.2.2.6. 1 Sponge 3.2.2.7. 2 Scoops 3.2.2.8. Product Insert (Instruction Sheet) 3.2.3. Flammable Solvent Spill Kit 3.2.3.1. 1 Flammable Solvent Pure-Pak 3.2.3.2. 3 Absorbent Unit Spill Pacs 3.2.3.3. 5 Plastic Disposal Bags & ties 3.2.3.4. 1 Goggles 3.2.3.5. 1 Pair Gloves

KINGDOM OF SAUDI ARABIA

MINISTRY OF HEALTH

GENERAL DIRECTORATE OF HEALTH AFFAIRS IN RIYADH

KING KHALID GENERAL HOSPITAL ALMAJMAAH

KKGH ALMAJMAAH

Department: Title: Effective Date: Applies To: Review Due:

Laboratory

Chemical Spill Control &spill kits

1 / 2 / 1432

No. Of Page: Policy number: Approved By: Replaces Number

Page 2 of4 DPP-SFT-003 Hospital Director

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3.2.3.6. 1 Sponge 3.2.3.7. 2 Scoops 3.2.3.8. Product Insert (Instruction 3.2.3.9. Sheet) 3.3. Spill Cart: 3.3.1.1. 3 x 4 spill socks 10 3.3.1.2. 2 lb dry bottle of NeutraAcid Jumbo pH paper Tyvek QC Overalls 4. POLICY STATEMENT(S):

1 L spill pillows 1 qt non-sparking scoop

5. PROCEDURES: 5.1. Small Spill: A small spill will be defined as less than 1 liter and no toxic fumes/vapours. 5.1.1. A manageable spillis a situation in which an individual who is competent and has beentrained, can safely contain, clean up and dispose of the spill without risk to themselves orothers.If the spill is in a public area such as a corridor, warn others to leave the area.2. found inSpill Kits, in accordance with the specific guidelines of the material or MSDS (material safetydata sheet) and inform his supervisor/manager. 5.1.2. Use appropriate personal protective equipment (laboratory coat, gloves, face shield orGoggles, etc.). 5.1.3. Use forceps or heavy gloves to pick up any broken glass and discard into sharpscontainer. 5.1.4. Environmental services are called to provide further clean-up of the spill. 5.2. Large spill: A large spill will be defined as more than 1 litre and/or toxic fumes/vapors. Anunmanageable spillis a situation in which an individual is not competent, untrained orsimply unable to safely contain, clean up and dispose of the spill without risk to themselves orothers. 5.2.1. IN THIS CASE, OR, IF THE NATURE OF THE SUBSTANCE CANNOT BE DETERMINED, THE LAB. STAFF ACTIVATE THE FIRE ALARM/PULL STATION AND CALL THE LAB/HOSPITAL SAFETY OFFICERS XX IN ORDER TO OBTAIN THE ASSISTANCE OF THE EMERGENCY RESPONSE TEAM OR THE FIRE DEPARTMENT. THE MANAGEMENT PROCEDURE INCLUDE: 5.2.1.1. Barricade the spill area with floor signs or yellow barrier tape to notify people to keep away from the hazard. If necessary, they should move a safe distance away from the spill location. 5.2.1.2. Identify the spilled material, if necessary by checking labels, shipping papers and/orMaterial Safety Data Sheets. Identify any

KINGDOM OF SAUDI ARABIA

MINISTRY OF HEALTH

GENERAL DIRECTORATE OF HEALTH AFFAIRS IN RIYADH

KING KHALID GENERAL HOSPITAL ALMAJMAAH

KKGH ALMAJMAAH

Department: Title: Effective Date: Applies To: Review Due:

Laboratory

Chemical Spill Control &spill kits

1 / 2 / 1432

No. Of Page: Policy number: Approved By: Replaces Number

Page 3 of4 DPP-SFT-003 Hospital Director

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immediate hazards, including: flammability,toxicity and any surrounding or contributing hazards. 5.2.1.3. For flammable or combustible liquids, eliminate all potential sources of ignitionimmediately. 5.2.1.4. Obtain the spill control materials. Each laboratory should have basic spill control materials,as a minimum, spill control pillows, plastic bags and nitrile gloves (UNDER REQUEST). 5.2.1.5. Wear appropriate personal protective equipment (protective clothing, goggles or faceshield, gloves, footwear [and respirator if indicated]). Note: Ventilate the spill area if possible. Vapors will be emitted from the spill, regardlessof the size. Open doors, and if possible windows, to an outdoor fresh air environment. 5.2.1.6. Estimate the volume of the spill and place an appropriate number of spill control pillows onthe spill or encircle large spills with spill control socks to prevent their spread. Place thepillow on the spill and allow the absorptive action of the spill control pillow to absorb thespill. 5.2.1.7. Use forceps or heavy gloves to pick up any broken glass. Discard the glass into the brokenglass bucket. 5.2.1.8. Place pillows in yellow polyethylene bags. Seal and label contents. Note: Spill control pillows DO NOT contain any chemicals designed to make liquids lesstoxic, hazardous or flammable. Liquids, when contained in any absorbent material, willcontinue to be unsafe. Therefore, exercise extreme care when handling, storing ordisposing of spill control pillows containing such liquids. 5.2.1.9. For a spill of liquid acid or alkali, use the appropriate neutralizer to finish the cleanup. Seeinstructions on neutralizer bottle. 5.2.1.10. For a spill of a dry chemical, sweep up the chemical with a dustpan and broom and disposeof into a yellow polyethylene bag. Label 5.2.1.11. For a spill of a dry chemical or after the use of neutralizers, wash the surface with detergentand water and clean by ordinary means. 5.2.1.12. Double bag the yellow polyethylene bag with a second yellow polyethylene bag. Label itand transfer it to the appropriate room of the chemical storage area (bunker). 5.2.1.13. Inform the supervisor or designate. Document the spill on the Employee Incident Reportand give it to the safety officer.

KINGDOM OF SAUDI ARABIA

MINISTRY OF HEALTH

GENERAL DIRECTORATE OF HEALTH AFFAIRS IN RIYADH

KING KHALID GENERAL HOSPITAL ALMAJMAAH

KKGH ALMAJMAAH

Department: Title: Effective Date: Applies To: Review Due:

Laboratory

Chemical Spill Control &spill kits

1 / 2 / 1432

No. Of Page: Policy number: Approved By: Replaces Number

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6. RESPONSIBILITY: 6.1. It is the responsibility of the Laboratory Head of Department in coordination with medical and nursing department to review the policy after two years or as needed, as well as the implementation of this policy. 7. REFERENCES: 7.1. WHO lab safety manual 7.2. 2-Hopkins hospital safety manual

8. APPROVALS:
NAME
Prepared By

TITLE
Lab Q.C.C

SIGNTURE

DATE

HESHAM AL-ABDULL AL-GABBAR

3-1-2341

Reviewed By

DR. OSAMA SHARAF

Medical Lab. Director

3-1-2341

Agreed by

DR. MONAA.ELATREBY

Lab. Director

3-1-2341

Reviewed By

A'RAHMAN ALYAESH

TQM Director

3-1-2341

Reviewed By

Dr. MOHAMMED FAHMY

Medical Director

3-1-2341

Approved By

Hospital Director

5-1-2341

KINGDOM OF SAUDI ARABIA

MINISTRY OF HEALTH

GENERAL DIRECTORATE OF HEALTH AFFAIRS IN RIYADH

KING KHALID GENERAL HOSPITAL ALMAJMAAH

KKGH ALMAJMAAH

Department: Title: Effective Date: Applies To: Review Due:

Laboratory

Chemical Spill Control &spill kits

1 / 2 / 1432

No. Of Page: Policy number: Approved By: Replaces Number

Page 5 of4 DPP-SFT-003 Hospital Director

All Laboratory staffs

1 / 2 / 1432