Standard
Operating Procedures
As noted in Chapter 1, Principal Investigators are responsible for
ensuring there are written standard operating procedures (SOPs) for the
research protocols conducted in their area. The SOPs must
identify the hazards of the protocol, as well as measures to be taken
to mitigate those hazards. The references listed below may
provide enough detail to serve as the SOPs for some research
protocols. Other protocols may require more tailoring, as
described in Section 5 of this chapter.
- Chemical
Procedures
- Biohazardous
Procedures
- Radioactive
Procedures
- General
Safety
Procedures
- Laboratory-Specific
Standard Operating
Procedures
- General
Emergency
Procedures
- Planning
For
Shutdowns
1.
Chemical Procedures
A.
Prudent
Practices in the Laboratory (Appendix
D)
Laboratory
standard operating procedures found in Prudent
Practices in the Laboratory: Handling and Disposal of
Chemicals
(National Research Council, 1995) are adopted for general use at the
University of Minnesota. Departmental
Research Safety Officers have
hard copies of this text, and the entire contents are accessible on the
web. Note especially the following topics
which are
covered in Chapters 5 and 6 of Prudent Practices
B.
Controlled
Substances and Alcohol
In conducting
research with controlled substances, University authorized employees
must
comply with federal and state laws and regulations regarding their
uses,
including registration with the Drug Enforcement Administration (DEA),
storage
requirements, inventory maintenance and substance disposal. A
condensed guide to federal regulations as
well as policies and forms pertaining to controlled substances are
available on
the Controlled
Substances webpage.
Alcohol used for education,
scientific
research, or
medicinal purposes can be purchased tax-free through University Stores (www.ustores.umn.edu), which
holds the
University of Minnesota site license for alcohol purchases with the
Federal
Bureau of Alcohol, Tobacco, and Firearms (BATF). Further
information and links to the ordering
form are available by clicking on Tax Free
Alcohol
Ordering Procedures.
C.
The
American Chemical Society's "Safety in Academic Chemistry
Laboratories"
ACS’s
"Safety in Academic Chemistry Laboratories" is another useful text
which
presents information similar to that found in Prudent Practices, but in
a
considerably condensed format.
D.
Hazardous
Waste Management
Extensive and
detailed policies regarding hazardous waste management are specified in
the UMD
Hazardous "Hazardous
Chemical Waste Management, Guidebook”. Please refer to this text
for approved waste handling procedures.
E.
Emergency
Procedures for Chemical Spills
The procedures
listed below are intended as a resource for your department in
preparing for
emergencies before they happen. If you
are currently experiencing an emergency such as a chemical spill,
please follow
the procedure below, or contact the Department of Environmental Health
and
Safety at 218-726-7273.
Complete spill
response procedures are described in the UMD Emergency Response Desk
Reference
Guide (http://www.d.umn.edu/emergencies).
However, a quick
reference guide is
included below for convenience.
| Quick
Reference Guide
Evacuate
-
Leave the spill area; alert others in
the
area and direct/assist them in leaving.
-
Without endangering yourself: remove
victims to fresh air, remove contaminated clothing and flush
contaminated skin and eyes with water for 15 minutes. If anyone
has been injured or
experiencing difficulties due to exposure to toxic chemicals or
chemical vapors, call 911 and seek medical attention immediately.
Confine
- Close doors and isolate the area. Prevent
people from re-entering spill area.
Report
-
From a safe place, call Environmental
Health and Safety Office (EHSO) 218 726-7273 during working hours, 911
after hours (The 911 operators will put you in contact with the on call
UMD Police officer who will assist in directing your call to
appropriate emergency response personnel). For
more info on emergency response please consult our contingency plan at:
http://www.d.umn.edu/ehso/UMD_Contingency_Plan/.
-
Report that this is an emergency and
give
your name, phone and location; location of the spill; the name and
amount
of material spilled; extent of injuries; safest route to the spill.
-
Stay by the phone, EHSO staff will
advise
you as soon as possible.
-
EHSO with assistance from the Fire
Department will clean up or stabilize spills, which are considered high
hazard (fire, health or reactivity hazard). In
the case of a small spill and low hazard situation, EHS will advise you
on what precautions and protective equipment to use.
Secure
- Until emergency response personnel
arrive:
block off the areas leading to the spill, lock doors, post signs and
warning tape, and alert others of the spill.
- Post staff by commonly used entrances to
the area to direct people to use other routes.
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After an
accident, supervisor(s) must complete and fax in reporting forms within
8 business
hours. Workers' Compensation policy and reporting forms are available
on the
web (Appendix
J).
2. Biohazardous Procedures
All
UMD researchers
working with human blood or body fluids, or other
pathogens must follow the university’s Exposure
Control Plan, and complete the Boodborne
Pathogens Training, available on the
web at http://www.d.umn.edu/ehso/bloodborne_pathogens/bbp.html. All researchers working with infectious
material including attenuated lab & vaccine strains (bacteria,
viruses,
parasites, fungi, prions), biologically-derived toxins, rDNA, and
artificial
gene transfer must follow requirements of the University’s Biosafety
Program
detailed in the Biosafety Manual
and
on the Institutional
Biosafety Committee’s website.
A. Biosafety
Manual
The
University’s Biosafety Manual is made up of three components;
researchers must implement all three components in their lab safety
manual.
- Individual
lab-specific Standard Operating Procedures (SOPs) that:
- specify
the
biohazards being used
- identify
the
material handling steps that may pose a risk of exposure (sharps,
injecting
animals, centrifugation, aerosol production, transport, etc.)
- describe
equipment and techniques used to reduce the above risk of exposure
- give
instructions for what to do in case of an accidental exposure/spill
- list wastes
that will be generated and how to properly dispose of wastes
B.
Institutional
Biosafety Committee (IBC)
The
IBC is charged under Federal
Regulations (NIH) and University of Minnesota Regents
Policy with the oversight of all teaching and research activities
involving:
Recombinant DNA
Artificial gene transfer
Infectious agents including
attenuated lab & vaccine strains
Biologically derived toxins
See the IBC web site for
procedures to
apply for approval for the above work.
C.
Select Agents
Labs in possession of
organisms or toxins
that are federally
designated as select agents are required to be registered with the
Centers For
Disease Control if quantities exceed the exemption amounts. See the
Biosafety
Section of the DEHS web site for a list of select
agents,
exemption quantities, and procedures for their use.
D.
Additional Biosafety
References
World Health Organization
(WHO) Laboratory Safety Manual, available on the web
at,
http://www.who.int/csr/resources/publications/biosafety/WHO_CDS_CSR_LYO_2004_11/en/
National Research Council’s
text Biosafety in the Laboratory: Prudent
Practices for Handling and Disposal of Infectious Materials (1989),
available
on
the web at
http://books.nap.edu/books/0309039754/html/R1.html#pagetop.
Biological Material Safety
Data Sheets
(MSDS)
available at http://www.phac-aspc.gc.ca/msds-ftss/index.html.
3.
Radioactive
Procedure
All
researchers using radioactive materials at the University of Minnesota
Duluth must
- contact the Radiation Protection Division;
- obtain a permit for the possession and use
of radioactive
materials;
- complete required training modules
- comply with the radiation policies and
procedures of the
university (contained in the UMD Radiation Protection
website).
The UMD Radiation
Protection Website contains information on a number of
topics
including license committees, the permitting process, purchasing
procedures,
transfer procedures, general safety, personnel dosimetry, waste
management,
emergency management (spill control), record keeping, and regulatory
guides
such as declared pregnancy workers and risks from ionizing radiation
exposure.br>
Initial
training is required for all personnel who are authorized to access
radiation
areas. Training material/modules can be viewed through the UMD EHSO
website
http://www.d.umn.edu/safety/lsptrain.html. After
viewing the training modules, users must
fill out a questionnaire
and then receive specific, on-site training required by permit holder
(trainer).
4.
General
Safety Procedures
Other policies
and procedures that ensure safe practices in the University of
Minnesota
laboratories are accessible in Appendix
E
Laboratory
and General
Safety
- Controlled Substances
- Emergency
Eyewash and Safety Shower Installation and Maintenance
- Emergency Procedures
- Extension Cords in University Buildings
- Eye Protection/Personal Protective
Equipment
- Flammable and Combustible Liquid
Quantities in U of M
Laboratories
- Foot Protection/Safety-Toe Shoes
- Greenhouse Policy-Fumigation/Smoke
Generation Procedure
- Decorations
- Labeling Chemicals
- Lock Out/Tag Out
- Portable Fire Extinguishers-Type and
Placement
- Public Corridors
- UMD Respiratory Protection Program
- Step Ladders-Care and Use
- Termination of Laboratory Use of Hazardous
Materials
- Temperature Standard
- UMD Campus Smoke-Free Policy
- UMD Indoor Air Quality
- Working with PCBs
Fire Safety
- Flammable and Combustible Liquid
Quantities in U of M
Laboratories
- Fire Safety at the University
- Portable Fire Extinguishers-Type and
Placement
5.
Laboratory-Specific
Standard Operating
Procedures
Each PI must have written Standard Operating
Procedures (SOPs) for the research protocols conducted in his or her
laboratory. Like the Lab Safety Plan, the SOPs must be accessible to
researchers. Keeping hard copies in the lab or having them on a
computer in the laboratory fulfills the accessibility requirement. SOPs
developed through the UMD EHSO will be posted periodically in Appendix
H
Laboratory-specific SOPs are valuable research
tools that supplement the departmental Laboratory Safety Plan. The
process of writing SOPs requires an individual to think through all
steps of a procedure and perform a risk assessment before beginning
work. The SOP provides a written means to inform and advise researchers
about hazards in their work place, allows for standardization of
materials and methods, and improves the quality of the research. A
well-written SOP can be used to comply with the federal Laboratory
Safety Standard, which states that the Laboratory Safety Plan must
include:
"standard
operating procedures relevant to safety and health considerations to be
followed when laboratory work involves the use of hazardous chemicals."
SOPs should include exposure controls and safety
precautions that address both routine and accidental chemical, physical
or biological hazards associated with the procedure. A laboratory
safety information sheet is available in Appendix F
This checklist, which prompts researchers to
identify hazards and safety measures for the protocol, can be attached
to
existing procedures which may lack safety information. A template
for writing new SOPs and guidance
for writing biologically-related
SOPs
are available in Appendix
I.
6.
General
Emergency Procedures
The procedures
listed below are intended as a resource for your department in
preparing for
emergencies before they happen. If
you are currently experiencing an emergency such as a chemical spill,
please
follow the procedures described in the Campus Emergency
Information Desk
Reference (http://www.d.umn.edu/ehso/emergencies),
and/or contact the UMD Environmental Health and Safety Office at
218-726-7273.
For University
employees, who have been exposed to blood borne or other infectious
pathogens,
please follow the procedure found in Needle
Sticks
First Aid for
Laboratory and Research Staff (http://www.d.umn.edu/ehso/safety/Lab_First_Aid.doc)
For guidance
on Workplace Violence, consult http://www1.umn.edu/ohr/eap/)
For all other
emergencies call 911.
7.
Planning
for Shutdowns
Researchers
should develop written procedures to deal with events such as loss of
electrical power (affecting fume hoods, coolers etc.) or other
utilities
(water), or temporary loss of personnel due to illnesses such as
pandemic
flu. Guidance on factors to consider
when developing shut-down plans is included in the Lab Hibernation
Checklist in Appendix P.
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