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RAS LAFFAN POWER COMPANY RL-HSE-0001/SP0026 HOUSE KEEPING AND INFECTIOUS DISEASES PREVENTION PROGRAM Revision 03 AES ROC SAFETY MANAGEMENT SYSTEM AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 Rev # 03 Issue Date 09/08 Amendment Description Modified as per the new AES Global Standard Revision 03 Date effective 10/08 September 2008 Prepared By Review By Approved by Harish HSE Committee K. Venkatachalam RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 2 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 Revision 03 September 2008 1 PURPOSE: This safety standard is established to protect AES Ras Laffan employees from hazards created by inadequate housekeeping. Good safety housekeeping reduces the risk of incidents involving slip, trip, fall, fire, sickness due to unsanitary conditions and promotes a safe work culture. 2 SCOPE: The housekeeping program is applicable to all AES people and contractor working at AES premises. 3 INTRODUCTION: Effective housekeeping can eliminate some workplace hazards and helps to get a job done safely and properly. Poor housekeeping can frequently contribute to accidents by hidden hazards that cause injuries. If the sight of paper, debris, clutter and spills is accepted as normal, then more serious health and safety hazards may be taken for granted. Housekeeping is not just cleanliness. It includes keeping work areas neat and orderly; maintaining halls and floors free from slipping and tripping hazards; and removing of waste materials (e.g., paper, cardboard) and other fire hazards from work areas. It also requires paying attention to important details such as the layout of the whole workplace, aisle marking, the adequacy of storage facilities, and maintenance. Good housekeeping is also a basic part of accident and fire prevention. 3.1 HAZARDS ASSOCIATED WITH POOR HOUSEKEEPING Poor housekeeping can be a cause of accidents, such as a. Tripping over loose objects on floors, stairs and platforms b. Being hit by falling objects c. Slipping on greasy, wet or dirty surfaces d. Striking against projecting, poorly stacked items or misplaced material e. Cutting, puncturing, or tearing the skin of hands or other parts of the body on projecting nails, wire or steel strapping 3.2 GOOD HOUSEKEEPING BENEFITS Effective housekeeping results in: a. Reduced handling to ease the flow of materials b. Fewer tripping and slipping accidents in clutter-free and spill-free work areas c. Decreased fire hazards d. Lower worker exposures to hazardous substances e. Better control of tools and materials f. More efficient equipment cleanup and maintenance g. Better hygienic conditions leading to improved health h. More effective use of space i. Reduced property damage by improving preventive maintenance RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 3 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 j. 4 5 Revision 03 September 2008 Less janitorial work DEFINITIONS 1. Bloodborne Pathogens - pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include hepatitis B virus (HBV) and human immunodeficiency virus (HIV). 2. Decontamination - the use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use, or disposal 3. Potable Water - water which meets the quality standards prescribed in the U.S. Public Health Service Drinking Water Standards, published in 42 CFR Part 72, or water which is approved for drinking purposes by the local authority having jurisdiction 4. Other Potentially Infectious Materials - (1) The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids; (2) Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and (3) HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV. 5. Regulated Waste - liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious materials. 6. Universal precautions (or body substance isolation) - an approach to infection control. According to the concept of Universal Precautions, all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other bloodborne pathogens. RESPONSIBILITIES 5.1 PLANT MANAGER Plant is ultimately responsible to ensure that AES Ras Laffan has developed, implemented and maintain this House Keeping program 5.2 HSE TL/ COORDINATOR HSE Coordinator/ TL is responsible maintain this procedure by Communicating to Ras Laffan people and collecting feed back. Review the procedure as per the requirement Coordinate and Monitor the House keeping activities in the plant 5.3 TEAM LEADERS Team leader are responsible to ensure that all their team members complying with this procedure RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 4 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 7. Revision 03 September 2008 EFFECTIVE HOUSEKEEPING PROGRAM A good housekeeping program plans and manages the orderly storage and movement of materials from point of entry to exit. Often, ineffective or insufficient storage planning results in materials being handled and stored in hazardous ways. Knowing the plant layout and the movement of materials throughout the workplace can help plan work procedures. Attitude is an essential part of any good housekeeping program. Workers need to know how to work safely with the products they use. Removing the inevitable messes that occur from time to time and not waiting until the end of the shift to reorganize and clean up. Integrating housekeeping into jobs can help ensure this is done. A good housekeeping program identifies and assigns responsibilities for the following: a. Clean up during the shift b. Day-to-day cleanup c. Waste disposal d. Removal of unused materials e. Inspection to ensure cleanup is complete Do not forget out-of-the-way places such as shelves, basements, sheds, and rooms that would otherwise be overlooked. The orderly arrangement of operations, tools, equipment and supplies is an important part of a good housekeeping program. The final addition to any housekeeping program is inspection. It is the only way to check for deficiencies in the program so that changes can be made. 6 SLIP, TRIP AND FALL PROTECTION Poor floor conditions are a leading cause of accidents so cleaning up spilled oil and other liquids at once is important. Allowing chips, shavings and dust to accumulate can also cause accidents. Trapping chips, shavings and dust before they reach the floor or cleaning them up regularly can prevent their accumulation. Areas that cannot be cleaned continuously, such as entrance ways, should have anti-slip flooring. Keeping floors in good order also means replacing any worn, ripped, or damaged flooring that poses a tripping hazard. AES Ras Laffan ensures the following points to prevention of slips, trips and falls: a. b. c. d. e. f. Work surfaces and walking surfaces will be kept dry and clean as practicable. Spills of grease, oil, liquids or other materials must be cleaned up as soon as feasible or measures taken to ensure employee safety; Evacuation routes, aisles, hallways, stair ways and exit doors shall remain clear of obstructions; Stairs shall be kept clear of any stored material or debris; Oil and grease shall must be wiped away from ladders or stairs; Extension cords, welding leads, hoses and shall not be placed so as to not obstruct walkways or exits; Work and walking areas shall be maintained free as practicable of environmental hazards. RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 5 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 7 September 2008 SANITATION a. b. c. d. e. f. 8 Revision 03 Areas designated for eating and drinking shall be maintained clean and sanitary. Appropriate containers shall be provided for waste and trash. Toilets, showers and washing facilities shall be maintained clean and sanitary. Shower and change rooms shall be clean and free of mold growth or other biological hazards and without accumulated dirty clothes and trash. Washing areas with soap and water shall be readily available. When hand washing facilities are not feasible, ensure an appropriate antiseptic hand cleanser, cloth/paper towels or antiseptic towelettes are available; An adequate supply of potable water shall be available and dispensed. All pipes and containers for non-potable water must be labeled. Appropriate personal protective equipment will be made available in the areas where there is chance of contact with blood and other potentially infectious materials to ensure employee protection from blood and other potentially infectious materials such as through the practice of universal precautions or body substance isolation. Any spilled hazardous materials or liquids, including blood and other potentially infectious materials shall be cleaned up immediately and appropriate decontamination method will be used where blood or other potentially infectious materials have contaminated a work surface or equipment. Regulated wastes and other defined hazardous materials must be discarded according jurisdictional regulations. STORAGE Good organization of stored materials is essential for overcoming material storage problems whether on a temporary or permanent basis. There will also be fewer strain injuries if the amount of handling is reduced, especially if less manual materials handling is required. The location of the stockpiles should not interfere with work but they should still be readily available when required. a. b. c. d. e. f. g. All piled or stacked material to be stable with allowing adequate space to move material off a pile or stack. Materials are to be piled on surfaces that will hold its weight; Materials on elevated surfaces are piled, stacked or racked in a manner to prevent it from tipping, falling, collapsing, rolling or spreading; Specify that leftover hazardous products and waste are properly stored, labeled, and disposed; Where mechanical handling equipment is used, aisles shall be sufficiently wide; and Storage shall not obstruct or adversely affect means of exit or access to emergency equipment. Aisles and passageways shall be kept clear and in good repair with no obstruction across or in aisles that could create a hazard; Keeping Aisles and Stairways clean and clear: 1. Do not use corridors or aisles for storage of materials. 2. A minimum clear egress width of 28 inches, or the equivalent clear width of the exit door for the space, must be maintained at all times. 3. Materials must not be stacked within 18 inches of fire sprinkler heads or Halon system discharge nozzles. RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 6 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 4. Revision 03 September 2008 Materials should not be stored so that they project into aisles or passageways in a manner that could cause occupants to trip or that could delay an emergency evaluation. 5. Materials must be stacked in stable piles. Materials that could roll must be chocked or braced to prevent rolling. h. Flammable, combustible, toxic and other hazardous materials should be stored in approved containers in designated areas that are appropriate for the different hazards that they pose. i. Stacking cartons and drums on a firm foundation and cross tying them, where necessary, reduces the chance of their movement. 9. CHEMICAL SAFETY a. Chemicals are put in the proper containers and that those containers are appropriately labeled, in good condition and closed when not in use; b. Adequate quantity spill containment materials will be made available in the plant and Chemical spills shall be cleaned up immediately as per the relevant MSDS method c. Leftover chemical products and waste shall be properly stored, labeled, and disposed of according to the instructions on the product’s Material Safety Data Sheet (MSDS). 10 VEHICLE a. b. c. d. 11. Daily and monthly vehicle inspections of vehicle critical operational and safety equipment, e.g. seat belts, lights, brakes, first aid kits, fire extinguishers; Windows and lights are kept clean, floors free of bottles or material that can interfere with vehicle operation and any unnecessary materials are removed; Loose materials on the deck and in the driving compartment are secured or removed; and Fluid leaks shall be managed and contained until repaired. DUST AND DIRT REMOVAL In some jobs, enclosures and exhaust ventilation systems may fail to collect dust, dirt and chips adequately. These dust and dirt shall be removed using vacuum cleaners with special fittings. Dampening floors or using sweeping compounds before sweeping reduces the amount of airborne dust. The dust and grime that collect in places like shelves, piping, conduits, light fixtures, reflectors, windows, cupboards and lockers may require manual cleaning. 12. SMOKING Smoking is allowed at designated areas. These areas should be kept clean and tidy. 13. SPILL CONTROL The best way to control spills is to stop them before they happen. Regularly cleaning and maintaining machines and equipment is one way. Another is to use drip pans and guards where possible spills might occur. When spills do occur, it is important to clean them up immediately. Absorbent materials are useful for wiping up greasy, oily or other liquid spills. Used absorbents must be disposed of properly and safely. RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 7 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 14. 15. 16. 17 Revision 03 September 2008 TOOLS AND EQUIPMENT 14.1 Tools shall have designated location. 14.2 Tool room, rack, yard and the work benches shall be kept tidy during after the job. 14.3 Tools require suitable fixtures with marked locations to provide orderly arrangement, both in the tool room and near the work bench. 14.4 Returning them promptly after use reduces the chance of being misplaced or lost. 14.5 Workers should regularly inspect, clean and repair all tools and take any damaged or worn tools out of service. MAINTENANCE 15.1 All buildings shall be maintained in good condition. 15.2 Maintenance involves keeping buildings, equipment and machinery in safe, efficient working order and in good repair. This also includes maintaining sanitary facilities and regularly painting and cleaning walls, repairing the broken windows, damaged doors, defective plumbing and broken floor surfaces. RUBBISH AND EXCESS MATERIALS 16.1 Combustible scrap and debris must be removed at regular intervals and not allowed to accumulate. 16.2 Wastes must be disposed of at frequent intervals. 16.3 Separate collection skips and bins shall be provided for collecting different types of waste materials. This will makes possible to separate materials that can be recycled from those going to waste disposal facilities. 16.4 Skips shall not be allowed to over flow 16.5 Placing scrap containers near where the waste is produced encourages orderly waste disposal and makes collection easier. 16.6 All waste receptacles should be clearly labeled (e.g., recyclable glass, plastic, scrap metal, etc.). BLOOD BORN PATHOGENS AND ITS PROTECTION PROGRAM The purpose of this plan is to provide all members of AES Ras Laffan with the information necessary to prevent the spread of infectious disease in the workplace. This information includes, but is not limited to, principles of infection control, the infectious disease process and the use of personal protective equipment and supplies as they relate to the prevention of occupationally acquired infectious disease. RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 8 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 Revision 03 September 2008 People determined to be at risk of exposure to infectious diseases transmitted through blood and body fluids are in the following: other Those who are involved in Firefighting and rescue operation. An increased risk of the transmission of infectious diseases exists when personnel have contact with Bleeding accident victims, Persons with open or infected wounds, Persons who state they have Hepatitis B, HIV or AIDS. Those who are using common facilities The following situations may encounter an increased risk of transmission of infectious disease. Any time body fluids are present. Homes with unsanitary conditions. Death scenes, especially those situations where body fluids may be oozing from the corpse. Trauma situations, especially where bleeding occurs. Extrication at auto accidents or other situations where sharp objects may exist. Using the common faculties with unhygienic conditions and sanitary 17.1 EXPOSURE CONTROL METHODS 17.1.1 AES Ras Laffan list out all the areas and work which can expos to blood born pathogens and there by infections. 17.1.2 Universal Precautions. Universal precautions will be observed when members are exposed to blood or other potentially infectious materials. Documented exposures to infectious diseases have not resulted from feces, nasal secretions, sputum, sweat, tears, urine or vomitus. Since any body fluid may transmit infectious diseases if it contains traces of blood, members are directed to treat all blood and body fluids as infectious substances. 17.1.3 17.1.4 Hand Washing. Hands and other skin surfaces must be washed thoroughly as soon as possible if contaminated with blood or other potentially infectious materials to which universal precautions apply. Hands should always be washed after gloves are removed even if the gloves appear intact. Hand washing should be completed using appropriate facilities such as utility or rest room sinks. Hands must not be washed in sinks where food preparation occurs. Hand washing should be done with warm soap and water. The application of hand lotion after hands are dried is advisable. Waterless antiseptic hand cleaner should be provided to members when hand washing facilities are not available. Members are advised to wash their hands at the earliest opportunity after using the waterless antiseptic cleaner. Protective Clothing. People at risk shall be provided with disposable gloves, goggles and face masks. Disposable gowns and impervious shoe coverings shall be used for unusual cases where great volumes of RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program Page 9 of 12 AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 Revision 03 September 2008 blood or other potentially infectious materials may be present, such as the scenes of major trauma accidents. Gloves and Face mask shall be made available in all first aid locations 17.1.5 Disposable Gloves must be worn when anticipate hand contact with blood or other potentially infectious materials (e.g. when involved with emergency patient care). Where multiple patients are present, the member shall change gloves, if possible, after caring for one patient and beginning care on the next. Eye wear and face masks must be worn in cases where splashing of blood or other potentially infectious materials may be anticipated and may come in contact with eyes, nose or mouth. Firefighting turnout gear (including structural firefighting gloves, boots, head and face protection) must be worn when working in areas of containing sharp glass or other debris which can puncture or lacerate the skin. Personal protective equipment shall be used except in rare and extraordinary circumstances. Such circumstances occur when, in the member's professional judgment, the use of personal protective equipment would have prevented the delivery of health care or public safety services, or would have posed an increased hazard to the safety of the member or other associates. When making judgment, the circumstances shall be investigated and documented in order to determine whether changes can be instituted to prevent such occurrences in the future. Contaminated disposable items must be discarded in a leak proof plastic bag that is marked properly. Precautions shall be taken to prevent injuries caused by sharp objects like knives, broken glass, razor blades or other sharp instruments, devices or debris which can puncture or lacerate the skin. Laundering of Clothing and Cleaning of Equipment. Contaminated uniform and non-uniform items should be handled by wearing gloves, bagged in a leak proof plastic bag that is marked. Soiled uniform items may be decontaminated by laundering according to the manufacturer's instructions. Boots and leather items may be scrub brushed with soap and hot water to remove contamination. If Uniform or other clothing is soiled by blood or other potentially infectious materials, shall change and clean as soon as possible. Avoid handling personal items, such as combs and pens, while wearing contaminated gloves. Contaminated gloves should be removed as soon as possible and discarded in a leak proof plastic bag that is marked. Contaminated laundry, such as blankets and towels, shall be handled as little as possible. Contaminated laundry shall be placed in a leak proof plastic bag that is marked. RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program 12 Page 10 of AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 17.1.6 17.1.7 17.1.8 Revision 03 September 2008 Resuscitation Equipment. Discouraged people from giving direct mouth to mouth resuscitation to a non-breathing victim. Pocket masks with one-way valves, disposable airways or resuscitation equipment are the preferred methods of treatment. Durable equipment, such as face masks and resuscitation equipment must be thoroughly washed and cleaned with an approved disinfectant after each use. Housekeeping. All equipment and work areas shall be cleaned and decontaminated after contact with blood or other potentially infectious materials. Wastebaskets and receptacles that are visibly contaminated shall be cleaned immediately. Eating, drinking, smoking, applying cosmetics or lip balm and handling contact lenses are prohibited in work areas where there is a reasonable likelihood of occupational exposure. Food and drink shall not be kept in refrigerators, freezers, shelves, cabinets or on countertops where blood or other potentially infectious materials may be present. Significant Exposure A significant exposure occurs when blood or other potentially infectious materials come into direct contact with eyes, nose, and mouth, into an open cut or by needle puncture injury. If a person experiences a significant exposure to blood or other potentially infectious materials, or experiences a situation where a significant exposure is likely to have occurred, the member will: 18. Report the incident to the Control Room and his Team leader. The member will make a short form describing the incident completely. The report will document specifically the method of potential transmission of infectious disease. The TL shall take necessary action to provide him the immediate medical assistance. ENFORCEMENT It is the responsibility of all AES Ras Laffan employees to comply with this procedure. HSE committee shall take appropriate corrective action against the violations after discussion with concerned team leader. 19. AUDITING AND INSPECTION 19.1 AES Ras Laffan Leader ship along with team members shall conduct a monthly safety and house keeping walk down in the plant to ensure that the requirements are being effectively implemented; RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program 12 Page 11 of AES ROC Safety Management System House keeping and Infectious Disease Program RL-HSE-0001\ SP0026 20. Revision 03 September 2008 19.2 Inspection records will be maintained that indicate the date of the inspection, the employees included in the inspection, and the person performing the inspection. The inspection records shall identify any deviations or inadequacies and the corrective actions taken. 19.3 The AES Ras Laffan will conduct an annual audit to assess the effectiveness of the Housekeeping Safety Plan. The audit must be conducted by an authorized person who is knowledgeable of Housekeeping Safety Plan. TRAINING 20.1 The AES Ras Laffan ensures that all their employees are trained and have adequate awareness about this program. 20.2 All AES Ras Laffan Employees will be trained to provide Basic Life support in a safe manner 20.3 AES Ras Laffan shall document in writing that employee training has been accomplished and updated as needed. 20.4 Retraining shall be provided when the work observation program reveals or whenever the management has reason to believe, that there are deviations from or inadequacies in an employee's knowledge on Housekeeping Safety process. References: 1. 2. 3. 4. 5. AES Global Standard AES-STD-20.0 Occupational Safety and Health Administration (OSHA): Walking-Working Surfaces, General Requirements – 29 CFR 1910.22. Occupational Safety and Health Administration (OSHA): General Environmental Controls Sanitation – Sanitation – 29 CFR 1910.141. Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens. - 1910.1030. The ANSI Standard for the Provision for the Slip Resistance on Walking/Working Surfaces (ANSI A1264.2-2001) applies to industrial and workplace situations and sets forth common and accepted practices for providing reasonably safe walking surfaces. RL-HSE-0001\SP0026: House Keeping and Infectious Disease Prevention Program 12 Page 12 of