Southern Health and Social Care Trust COSHHASSESSFORM Pathology and Laboratory Service Page 1 of 7 Trust Form Date of issue 19/10/2015

COSHH RISK ASSESSMENT

Directorate: Acute Division: Cancer & Clinical Services- Laboratory Services- Point of Care Testing

Date of Risk 19/10/2015 Assessment: Location of process Various units in CAH and DHH being carried out? Before completing the COSHH Risk Assessment, please ensure you have a copy of the latest Material Safety Data Sheet (MSDS) for the substance(s). These are available from suppliers and manufacturers of products. The MSDS must be retained as supporting evidence for the COSHH Risk Assessment.

Brief Description of process/activity Analysis of blood gas samples throughout the Southern Trust. These analyses are carried out 15-50 times a day within 10 separate units. (Include details of Two models of instruments are currently used, Radiometer ABL 90 Flex and ABL 825. One blood gas takes approximately 2-3 minutes to equipment used, how perform with very small amounts of reagent used each time. Reagents are contained within the analyser. long and how often this is carried out)

Identify the Staff  Contractors  Patients/Clients Visitors persons at risk: Please enter the number of substances used in the process or Multiple reagents activity If you use more than one substance, please complete Section 2 – Activity Based Assessment (more than one substance used) & Section 3

COSHH Risk Assessment Form Controlled Document at: 26/04/2018 Southern Health and Social Care Trust COSHHASSESSFORM Pathology and Laboratory Service Page 2 of 7 Trust Form Date of issue 19/10/2015

SECTION 1 – ASSESSMENT OF ONE SUBSTANCE 1A. SUBSTANCE INVOLVED IN THE PROCESS/ACTIVITY Substance: Nitrogen, Carbon Dioxide, Oxygen, 4-Morpholinopropanesulphonic acid, 2-Methyl-2H-isothiazol-3-one, Sodium hypochlorite, Imidazole.

Quantity Used: Small amounts per blood gas sample. Manufacturer: Radiometer Medical

1B. HAZARD CLASSIFICATION (SYMBOL AND ABBREVIATION WHICH CAN BE FOUND ON PACKAGING AND MATERIAL SAFETY DATA SHEET)

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Explosive Flammable Corrosive Oxidising Compressed Gas

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Toxic Environmentally Irritant Health hazard Damaging

1C. WARNING AND PRECAUTIONARY STATEMENTS (RISKS TO HEALTH FROM IDENTIFIED HAZARDS) Hazard Statement e.g. H240 Precautionary Statement e.g. P233 (replaces Risk Phrases e.g. R31) (replaces Safety Phrases e.g. S1) H280, R31, R34, R50, H314, H315, H318, H400, EUH031, R22, P410/403, P220B, S17. R23/24/25, R43, R50/53, R61, H301, H30, H311, H317, H331, H360D, H400, H410, R8, H270, H280, R36/37/38, R43, H319, H335.

1D. HAZARD TYPE (TICK ALL THAT APPLY)

COSHH Risk Assessment Form Controlled Document at: 26/04/2018 Southern Health and Social Care Trust COSHHASSESSFORM Pathology and Laboratory Service Page 3 of 7 Trust Form Date of issue 19/10/2015

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Gas Vapour Mist Fume Dust Liquid Solid Other (State)

1E. ROUTE OF EXPOSURE (TICK ALL THAT APPLY)     Inhalation Skin Eyes Ingestion Other (State)

1F. WORKPLACE EXPOSURE LIMITS (WELS) PLEASE INDICATE N/A WHERE NOT APPLICABLE Ingredient Long-term exposure level (8hrTWA): Short-term exposure level (15 mins):

Carbon Dioxide 15 mins

Chlorine 15 mins

FOR USE OF SINGLE SUBSTANCE, PLEASE NOW COMPLETE SECTION 3 AND SECTION 4 (IF EXPOSURE IS NOT ADEQUATELY CONTROLLED)

SECTION 2 – ACTIVTY BASED ASSESSMENT (more than one substance used)

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INGREDIENTS WITH WORKPLACE HAZARD PRECAUTIONARY EXPOSURE LIMITS (WELs) SUBSTANCES USED HAZARD STATEMENT STATEMENTS ROUTE OF (If Not applicable state N/A) HAZARD TYPE CLASSIFICATION e.g. H240 e.g. P233 EXPOSURE Long-term Short-term (replaces Risk (replaces Safety exposure exposure Ingredient Phrases e.g. R31) Phrases e.g. S1) level level (8hr TWA) (15 mins) Blood samples in Infection Risk Bio-hazard Bio-hazard Skin, eyes, syringes. mouth ect

SECTION 3 – ADDITIONAL INFORMATION (i.e. Existing Control Measure, Health Surveillance, Environmental Air Monitoring, LEV, Action Plan) 3A. EXISTING CONTROL MEASURES: (for example : local exhaust ventilation, fume cupboard, total enclosure,training, supervision). Include special measures for vulnerable groups, such as disabled people and pregnant workers. Take account of those substances that are produced from activities undertaken by another employer’s employees. Work Activity Likelihood Consequence Risk Existing Control Measures of Exposure of Exposure rating

COSHH Risk Assessment Form Controlled Document at: 26/04/2018 Southern Health and Social Care Trust COSHHASSESSFORM Pathology and Laboratory Service Page 5 of 7 Trust Form Date of issue 19/10/2015

Performing routine testing of blood Carbon dioxide: Provide adequate ventilation. Observe occupational exposure 1 5 5 gas samples. limits and minimise the risk of inhalation. Respiratory equipment: In case of inadequate ventilation, use air-supplied full-mask.

Chloride: Provide adequate ventilation. Observe Occupational Exposure Limits and minimise the risk of inhalation of vapours. Personal protection: Personal protection equipment should be chosen according to the CEN standards and in discussion with the supplier of the personal protective equipment (local PPE policy appropriate). Respiratory equipment: No specific recommendation made, but respiratory protection may still be required under exceptional circumstances when excessive air contamination exists.

Membrane boxes: Provide adequate ventilation. Minimise the risk of formation of aerosols. Personal protection: Personal protection equipment should be chosen according to the CEN standards and in discussion with the supplier of the personal protective equipment. Hand protection: Wear protective gloves. Nitrile gloves are recommended. Other types of gloves can be recommended by the glove supplier. Eye protection: Wear goggles/face shield. Skin protection: Wear apron or protective clothing. Hygiene measures: Wash hands after handling. Wash contaminated clothing before reuse. Personal protection may not be worn during meal breaks.

Cartridge based methods: Provide adequate ventilation. Bag 1: Observe occupational exposure limits and minimise the risk of inhalation. NOTE: Due to the small packaging the risk of inhalation is minimal. Personal protection: Contact with the product is not likely when used according to directions. Respiratory equipment: No special precautions. Due to the small packaging the risk of inhalation is minimal. Hand protection: In case of contact with spilled product: Wear protective gloves. Nitrile gloves are recommended. Eye protection: Risk of splashes: Wear goggles/face shield. Hygiene measures: Wash hands after contact.

COSHH Risk Assessment Form Controlled Document at: 26/04/2018 Southern Health and Social Care Trust COSHHASSESSFORM Pathology and Laboratory Service Page 6 of 7 Trust Form Date of issue 19/10/2015

3B. HEALTH SURVEILLANCE Is health surveillance required? Yes No 

3C. ENVIRONMENTAL/AIR Is environmental/air monitoring required? Yes No  MONITORING (If yes, refer to Flow Chart for Air Monitoring) 3D. LEV TESTING Is LEV testing required? Yes No  (If yes, refer to Flow Chart for LEV) Method of Disposal: Gas: make sure containers are empty before discarding. 3E. CURRENT DISPOSAL Hypochlorite solution/membrane boxes/ solution pack: dispose of contaminated ARRANGEMENTS packings as residue. Frequency: Variable 3F. EXPOSURE CONTROL Is exposure adequately controlled? Yes No (If No, please complete Sectio 4 – Action Plan) 

SECTION 4 - ACTION PLAN Action Required Target Date Action by whom Completion date

COSHH Risk Assessment Form Controlled Document at: 26/04/2018 Southern Health and Social Care Trust COSHHASSESSFORM Pathology and Laboratory Service Page 7 of 7 Trust Form Date of issue 19/10/2015

SECTION 5 – COSHH RISK ASSESSOR/PERSON IN CHARGE COSHH RISK ASSESSOR I hereby declare that a suitable and sufficient COSHH assessment has been carried out whereby hazards have been identified, actions suggested and risks prioritised Name: Dorinda O’Neill Signature: Date: 19/10/2015

PERSON IN CHARGE/MANAGER I acknowledge the risks identified by the assessment and will ensure that the risks are reduced as far as is reasonably practicable.

Name: Signature: Date:

SECTION 6 – RISK ASSESSMENT REVIEW (annually) Review Date Amendments Made New Assessment issued Reviewed by (annually) (YES/NO) (YESNO) Q-Pulse Name: Designation: Signature: Name: Designation: Signature Name: Designation: Signature

COSHH Risk Assessment Form Controlled Document at: 26/04/2018