health & safety · 2015-01-08 · coshh assessment number 1 coshh assessment form about the...

Health & Safety

Jo Russell RDN Cert PM Cert Ed MIfL LCGI

Oracle – Practice Business Solutions Ltd

© Jo Russell Oracle – Practice Business Solutions

To appreciate and apply health and safety law as it applies to us in dentistry

Learning outcomes


Be aware of the laws and main principles of Health & Safety

Be able to confidently carry out risk assessments including COSHH

Apply fire and electricity at work regs Discuss L8 for legionella and waterlines

Objectives


On the 21 October 1966, 144 people, 116 of them children, were killed when a tip of coal waste slid onto the village of Aberfan in South Wales.

Encompassed all the other acts such as Railways & Premises Act – aimed at people

Act is passed by Parliament

Legislation comes under an Act – also law

Regulations are secondary legislation to enforce an act e.g. by-laws

Protocols and Guidance Notes are best practice

Health & Safety at Work etc Act 1974


The Health & Safety Policy

The Policy Statement – looks at all areas covered by the main policy but in a general form

Sets out names, responsibility and references of where to find detail


Definitions

What does ‘Health’ mean?

The protection of bodies and minds from illness resulting from materials, processes or procedures in the workplace.

What does ‘Safety’ mean?

The protection of people from physical injury.

What does ‘Welfare’ mean?

The provision of facilities to maintain well-being of individuals at work.


Laws

What Acts/Laws/Regulations cover the place of work and influence the work we carry out?

In your groups, think of as many as you can in 5 minutes

© Jo Russell Oracle – Practice Business Solutions Ltd 2012

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations1995 (RIDDOR)

Control of Substances Hazardous to Health 1999 (COSHH)

Electricity at Work Regulations 1989

Fire Precautions (workplace) Regulations1997

Health and Safety (first aid) Regulations 1981

Nursing Homes (Laser) Regulations 1984

Manual Handling Operations Regulations 1992

Misuse of Drugs (safe custody) Regulations 1973

Management of Health and Safety at Work Regulations 1999 (pregnancy and working mothers, risk

assessment, Young people)

Pressure Equipment Regulations 1999/Pressure Systems safety Regulations 2000

Personal Protective Equipment at Work Regulations1992

Ionising Radiation Regulations 1999 IR(ME)R 2000

Health and Safety (Safety Signs and Signals) Regulations 1996

Workplace (Health and Safety and Welfare) Regulations 1992 Welfare arrangements included here.

Health and Safety (Display Screen Equipment) Regulations 1992.

Environmental Protection Act 1990/Environmental Protection (Duty of Care) Regulations 1991

Water Supply (Water Fittings Regulations) 1999

Management of Health & Safety Regulations

Provision and Use of Work Equipment Regulations

Manual Handling

Workplace Health, Safety & Welfare Regulations

Personal Protective Equipment

Display Screen Equipment

The ‘Six Pack’


What is the definition of a risk assessment?

Significant hazard causing significant harm

What is a hazard?

Something with the potential to cause harm

What is a risk?

The likelihood it will happen

How do we decide if it is significant?

Risk Assessments


A simple formula of:

severity v likelihood

Severity – how bad would the outcome be at worst case scenario?

Likelihood – how likely is this to happen?

Mark each one out of 5 and then times them together

This formula will give you Low, Medium or High risk

1 - 9 = Low Risk

10 - 17 = Medium Risk

18 – 25 = High Risk – work should stop until controls are put in place

How to assess the level of risk

Can you spot the hazards here…

Et le piece de resistance

Step 1 Identify the hazards

Step 2 Decide who might be harmed and how

Step 3 Evaluate the risks and decide on precautions

Step 4 Record your findings and implement them

Step 5 Review your assessment and update if necessary

5 Steps to Risk Assessment

Risk Assessment For Serial Number: Date assessment carried out Review date for assessment List significant hazard here Level

of risk List the groups of people who are at risk from the significant hazards you have identified

List existing controls or if new control measures are necessary. Include remedial action needed

New level of risk

Risk assessment is significant risk posing significant harm. So is calculated as likelihood x level of harm posed. Scored 1 (not likely) to 5 (very likely) x 1 (minimal harm) to 5 (significant/serious injury)

Signed: Name:


In your groups:

Think of a scenario

Look at the risks

Who does it involve?

How do we minimise the risk?

Now record your findings

That is a risk assessment

What does COSHH cover?

Do we have to COSHH everything?

COSHH


COSHH Substances Acid etch Alginate Amalgam Bleach Biological aerosol Bond Disinfectants Ethyl chloride Fix adhesive Hydrogen peroxide Latex Xray developer and fixer

COSHH Assessment Number 1

COSHH Assessment Form

About the substance Name of substance

Hazardous ingredient

What is it used for

Who uses it/exposed to it

How often is it used

How should it be stored

How should it be disposed of

Nature of the Risk Chemical Flammable Poisonous Biological Carcinogen

Health Effects What will happen if exposed Eyes

Skin

Inhalation

Ingestion

First aid measures Eyes

Skin

Inhalation

Ingestion

Control measures Eyewear Gloves Facemask

Other

Ventilation General Local

Health monitoring

Staff Training

Emergency Action


Fire Regulations

Complete a fire risk assessment

Fire safety and evacuation policy

Regular fire drills – and recorded

Fire protocols by all telephones

Maintained fire fighting equipment

Fire safety notices

Use as best practice


Accident Reporting

What is RIDDOR?

What should be recorded in the accident book?

What should happen after an entry in the accident book?


Electrical Testing

What needs testing?

How often should it be done?

What about new equipment?


Ionising Radiation

Local Rules on each x-

ray machine

RPS & RPA appointed

Dosemeters as required

QA for radiographs

taken

QA for automatic developer

Equipment tested and maintained


Legionnaires’ Disease

First identified in 1976 following pneumonia outbreak at an American Legion Convention in Philadelphia

Normally contracted by inhaling Legionella Bacteria in aerosol form

No person to person spread has been documented

Treated with appropriate antibiotics

12% fatalities

Favours temperatures of 20-40°C

Biofilm feeds the bacteria


Your duty?

Under the HASWA you need to identify the risks and under the management regs you need to assess the risks

COSHH provides a framework of actions to control the risks

If you have >5 employees you need to write it down

RIDDOR to report it (CQC)


How do I know if I’m at risk?

Cooling towers are an obvious answer

Air conditioning units


How to assess the risk

You want to avoid the proliferation or spread of the legionella bacteria by:

Controlling the release of water spray

Checking the temperatures of the taps

Avoid water stagnation

Use of water treatment


Checks we need to carry out

Monitoring & recording the temperatures monthly –

Below 20°C after 2 minutes

Above 50°C after 1 minute all recorded

Microbiological monitoring?

Section 183 of L8 states (para) “Routine microbiological monitoring using dip slides is not necessary as water is fit to drink. Also the system is fully enclosed and not open to external contamination.”

Section 184 states “microbiological testing should be carried out if taste or colour of water changes”


How do we look after our waterlines?

In your groups discuss how you look after your units and waterlines – what routines do you follow?


Waste Management

What 2 different types of waste do we have?

Hazardous

Sharps – yellow lid

Orange bag

Amalgam waste

Developer and fixer

Non hazardous

Lead foils

Domestic waste

Sanitary bins

Documentation needed

Contracts

Consignment notes

Tracks movement s and safe disposal of hazardous waste

Kept in a register for 3 years

Waste transfer notes

Legal responsibility for describing the waste is that of the practice

Kept for 2 years


Any Questions?

Think of at least one thing you have learned today

Think of at least one thing you will go away

and change in your practice

health & safety · 2015-01-08 · coshh assessment number 1 coshh assessment form about the...

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