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BULLETIN OSHBULLETIN OSHBULLETIN OSHBULLETIN OSH Keluaran 1/2011Keluaran 1/2011Keluaran 1/2011Keluaran 1/2011
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OSH BULLETINOSH BULLETINOSH BULLETINOSH BULLETIN Keluaran 1/2011 Jan-Apr 2011
Edaran Dalaman Sahaja
THIS ISSUE FEATURES:
• Autoclave
• Accident Investigation (Part 2)
• Aktiviti OSH
• Brain Tweezer • Safety Quotes
DID U KNOW...
KIMIA MALAYSIA
KEMENTERIAN SAINS,
TEKNOLOGI DAN
INOVASI (MOSTI)
Penaung:
Ahmad Ridzuan Ibrahim
Ketua Pengarah
Penasihat: Chang Hon Fong
Timb. Ketua Pengarah (O)
Tn. Hj. Ismail Talib Timb. Ketua Pengarah (D)
Editor: Dr. Kamarruddin Asri
Rusnah Rohani
Shaliza Ramli
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An autoclave is a specialized piece of equipment designed to submit material to high
levels of moist heat for a determined period of time. It is a pressurized vessel that
allows the steam saturated environment to reach temperatures higher than the
boiling point of water (100°C). This exposure to high levels of thermal energy results
in the decontamination or sterilization of the contents of the chamber.
Decontamination is the reduction of contamination to a level where it is no longer a
hazard to people or the environment. Meanwhile sterilization is the total destruction
of microorganisms present. This is achieved because heat damages the cell’s essential
structures, including the cytoplasmic membrane, rendering the cell no longer viable.
This will only occur if the material is heated to a specific temperature for a given
period of time. These parameters will vary depending upon the nature of the
microorganisms present and the characteristics of the load itself.
AUTOCLAVE
WEAR PERSONAL PROTECTIVE EQUIPMENT
Eye and Face Protection, Glove (including heat resistant gloves), and Lab coat (long sleeve
apron)
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THE 1, 2 AND 3'S OF AUTOCLAVING
1. Packaging and Loading
• use approved autoclave bags
• prepare and load material to ensure steam penetration
• ensure all containers including bags are vented
• do not overfill containers (prevent spill and boil over)
• ensure sufficient water in load to allow steam
penetration or add 250mL water to bags containing
solids to ensure steam penetration
• use secondary containers
• label all material
• ensure material is permitted to be autoclave
• do not mix clean and contaminated material in the same
load
• complete “Daily Autoclave Log”
• do not allow bags to touch or strap sides of autoclave
2. Operating an Autoclave
• ensure the autoclave is operating properly before commencing
• determine the appropriate exposure time for the load,
consider the many factors effecting exposure time
• ensure the autoclave attains the desired temperature
(normally 121°C) and pressure (minimum 15psi) for the desired
time (minimum 30 min.)
• record information in “Daily Autoclave Use Log”
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• undertake weekly/monthly testing using a
biological indicator(B.stearothermophilus). Record
results on “Biological Indicator Test Results” form.
3. Unloading the Autoclave
• wait until the chamber pressure gauge reads zero
before opening
• open slightly to allow steam to escape (protect
yourself from the steam)
• wait 10 minutes for the contents of the autoclave to cool
• remove the waste in manner reduce the risk of spillage, use a trolley
ITEMS FOR AUTOCLAVING (THE CAN AND CAN’T)
Although autoclaving provides an economical way of sterilizing and decontaminating
items, not all material can be autoclaved. Some materials present specific hazards
when they are autoclaved; such as the generation of toxic /noxious gas.
Items that CAN be autoclaved are:
• cultures and stocks of infectious material
• culture dishes and related devices
• discarded live and attenuated vaccines
• contaminated solid items such as: Petri dishes, Eppendorf tips, pipettes, gloves,
paper towel
• items for sterilizations such as; glassware, media, aqueous solutions, equipment
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Items that CANNOT be autoclaved are:
• materials containing: solvents, volatile, chlorinated compounds (HCL, bleach) or
corrosive chemicals (such as: phenol, trichloroacetic acid, ether, chloroform)
etc.
• material contaminated with chemotherapeutic agents
• radioactive material (without prior approval)
• some plastics
QUALITY CONTROL/PERFORMANCE CHECK
A number of tools are available to assess the performance of the autoclave; these
include physical, chemical and biological indicators. It is important to note that these
indicators will only respond to time, temperature and moisture conditions, and not to
organic load.
Physical Indicators:
It is a pressure and temperature recording devices. Thermocouples can be placed inside the load to determine the temperature achieved in the bag itself.
Chemical Indicators:
These indicators change colour after being exposed to specific temperatures, for
example: heat sensitive tape. Upon exposure to the given temperature the change will
occur; it is not time related. Therefore these indicators can only attest to the
temperature attained and not to exposure time and hence success of sterilization.
heat sensitive tape biological indicator
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Biological Indicators:
Biological indicators are used in the efficacy testing of the autoclave process to
effectively sterilize the contents being treated. Bacillus stearothermophilus spores
are used, as they are the most resistant organism to steam autoclaving. To determine
the effectiveness of the autoclave process the biological indicator must be placed in
a typical test load (solid or liquid) and exposed to the typical cycle conditions. A 6 log
reduction in spores must be achieved to prove the technology is effective.
Courtesy of:
NORIZAN BINTI JAAFAR, KETUA UNIT MIKROBIOLOGI
How are the facts collected?
The steps in accident investigation are simple: the accident investigators gather
information, analyze it, draw conclusions, and make recommendations. Although the
procedures are straightforward, each step can have its pitfalls. As mentioned above,
an open mind is necessary in accident investigation: preconceived notions may result in
some wrong paths being followed while leaving some significant facts uncovered. All
possible causes should be considered. Making notes of ideas as they occur is a good
practice but conclusions should not be drawn until all the information is gathered.
Injured workers(s)
The most important immediate tasks (rescue operations, medical treatment of the
injured, and prevention of further injuries) have priority and others must not
interfere with these activities. When these matters are under control, the
investigators can start their work.
Accident Investigation (Part 2)
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Physical Evidence
Before attempting to gather information, examine the site for a quick overview, take
steps to preserve evidence, and identify all witnesses. In some jurisdictions, an
accident site must not be disturbed without prior approval from appropriate
government officials such as the Department of Occupational Safety & Health
(DOSH), Ministry of Health (MOH) or Police.
Physical evidence is probably the most non-controversial information available. It is
also subject to rapid change or obliteration. Therefore, it should be the first to be
recorded.
Based on your knowledge of the work process, you may want to check items such as:
• positions of injured workers
� equipment being used
� materials or chemicals being used
� safety devices in use
� position of appropriate guards
� position of controls of machinery
� damage to equipment
� housekeeping of area
� weather conditions
� lighting levels
� noise levels
� time of day
You may want to take photographs before anything is moved, both of the general area
and specific items. Later careful study of these may reveal conditions or observations
missed previously.
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Sketches of the accident scene based on measurements taken may also help in
subsequent analysis and will clarify any written reports. Broken equipment, debris,
and samples of materials involved may be removed for further analysis by appropriate
experts.
Even if photographs are taken, written notes about the location of these items at the
accident scene should be prepared.
Eyewitness Accounts
Although there may be occasions when you are unable to do so, every effort should
be made to interview witnesses. In some situations witnesses may be your primary
source of information because you may be called upon to investigate an accident
without being able to examine the scene immediately after the event.
Witnesses should be kept apart and interviewed as soon as possible after the
accident. If witnesses have an opportunity to discuss the event among them,
individual perceptions may be lost in the normal process of accepting a consensus view
where doubt exists about the facts.
Witnesses should be interviewed alone, rather than in a group. You may decide to
interview a witness at the scene of the accident where it is easier to establish the
positions of each person involved and to obtain a description of the events. On the
other hand, it may be preferable to carry out interviews in a quiet office where there
will be fewer distractions. The decision may depend in part on the nature of the
accident and the mental state of the witnesses.
Interviewing
Interviewing is an art that cannot be given justice in a brief document such as this,
but a few do's and don'ts can be mentioned. The purpose of the interview is to
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establish an understanding with the witness and to obtain his or her own words
describing the event:
DO...
� put the witness, who is probably upset, at ease
� emphasize the real reason for the investigation, to determine
what happened and why
� let the witness talk, listen
� confirm that you have the statement correct
� try to sense any underlying feelings of the witness
� make short notes or ask someone else on the team to take them
during the interview
� ask if it is okay to record the interview, if you are doing so
� close on a positive note
DO NOT...
� intimidate the witness
� interrupt
� prompt
� ask leading questions
� show your own emotions
� jump to conclusions
Ask open-ended questions that cannot be answered by simply "yes"
or "no". The actual questions you ask the witness will naturally
vary with each accident, but there are some general questions that
should be asked each time:
� Where were you at the time of the accident?
� What were you doing at the time?
� What did you see, hear?
� What were the environmental conditions (weather, light, noise,
etc.) at the time?
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� What was (were) the injured worker(s) doing at the time?
� In your opinion, what caused the accident?
� How might similar accidents be prevented in the future?
If you were not at the scene at the time, asking questions is a
straightforward approach to establishing what happened. Obviously,
care must be taken to assess the credibility of any statements
made in the interviews. Answers to a first few questions will
generally show how well the witness could actually observe what
happened.
Another technique sometimes used to determine the sequence of
events is to re-enact or replay them as they happened. Obviously,
great care must be taken so that further injury or damage does not
occur. A witness (usually the injured worker) is asked to reenact
in slow motion the actions that preceded the accident.
Sub Topic in coming Issue:
� Background Information
� What should I know when making the analysis and conclusions?
� Why should recommendations be made?
� The Written Report
� What should be done if the investigation reveals "human error"?
� How should follow-up be handled?
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Berita dan Aktiviti OSH di JKM, Cawangan Johor
Januari
Taklimat &
Lawatan Sambil
Belajar
”Pengurusan
Keselamatan dan
Kesihatan
Pekerjaan”.
Kakitangan
Makmal Veterinar
Kawasan Johor
Bahru, Johor.
Lawatan rasmi JKKP Negeri Johor
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Kursus Asas Pertolongan
Cemas & Melawan Kebakaran
anjuran bersama Jabatan
Pertahanan Awam Malaysia
Daerah Johor Bahru, Johor
Februari
Pelupusan Bahan Kimia oleh Kualiti Alam Negeri
Johor dikendalikan oleh Pengurusan OSH Pn. Siti
Zubaidah dan Ahli CDERT yang diketuai oleh En.
Norhidayat Mashudi
Program Indoor Air
Quality (IAQ) dan
Chemical Monitoring
(CM) yang dijalankan
oleh JKKP Negeri
Johor
April
Mac
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Kursus Pemantapan
Pembantu Am Pejabat ke
MMHE Sdn. Bhd., Pasir
Gudang, Johor
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Cross out the words that you find in the word search.
CHEMICALS COMMITTEE MINUTES
COMPETENT CONTROLS MSDS
CUT FALL NOISE
0FIRSTAID GUARD POLICY
HAZARD ICY SAFE
U Y M N F E E Y M T I W C L D Z C O J N
J D V U L W L L N E E R T L A X R Y Z X
J D L B O J H W S M K C K I L X R I R M
W P P E L O P X S Q O R Z R G E M Z K I
U K J I F J I I U W D B X F G S X D E F
E E E J I A L S K D I S S N N B P R P Y
M B I R W N S I T M A E U Z E X G A R S
U R S H F K Q L O K T T P P E Q Z U B I
X T K N J R J E A C S U B D T A J G C M
H B S L O R T N O C R N H R T N R L N H
U Q B T N E D I C N I I Y A I C Y Y Z W
U R G R D U B L L A F M R Z M K D C M S
R E W X I N X Q B Z G Z E A M A T B J H
L C R S G U O W S S F F I H O U U F D O
I U N H I C T N E T E P M O C P S J Y R
T R U Y R R J O R Q P O S A V D D M N C
K M M T G F S I N Q P L D I B K Z R Q G
D I P E F J P S X L G I S B L T R Q I Z
G C W D J F K E H S B C T N P Z O B U I
R G T I U Z V N Q P P Y R U E J B B N N
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“Know safety, no injury, no safety, know “Know safety, no injury, no safety, know “Know safety, no injury, no safety, know “Know safety, no injury, no safety, know injury”injury”injury”injury” – Author Unknown “Don’t learn safety by accident”“Don’t learn safety by accident”“Don’t learn safety by accident”“Don’t learn safety by accident” – Author Unknown