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Health and Safety Policy

SECTION A

General Statement of Policy

Communication

    The practice owner regards communication between staff at the practice as an essential part of health and safety management.

    Consultation on health and safety matters will be facilitated by means of practice meetings every month or as often as is deemed necessary.

    Co-operation between staff at all levels is essential. All staff are expected to co-operate and accept their duties under this health and safety policy.

    Disciplinary action may be taken against any employee who fails to follow safety rules or carry out duties under this policy.

Responsibilities

  • Overall and final responsibility for health and safety matters within the practice lies with Ms. Priya Singh.
  • Ms.Priya Singh is responsible for this policy being carried out at the practice at 21 Kensington High Street, London W8 5NP (U.K)

    The following are responsible for safety in particular areas

  • Ms Priya Singh: Infection control, including waste.
  • Ms Priya Singh: Radiation safety.
  • DMs. Priya Singh: Risk assessments including COSHH, manual handling, DSE

    All employees have the responsibility to co-operate with supervisors and managers to achieve a healthy and safe workplace and to take reasonable care of themselves and others.

    An employee, supervisor or manager who notices a health or safety problem, which s/he is not able to put right, must tell the appropriate person named above.

    Other people responsible for:

  • Safety training Ms Priya Singh.
  • Investigating accidents Ms Priya Singh.
  • Monitoring maintenance of equipment Ms Priya Singh.

SECTION B

General Arrangements

    Local Health and Safety Hospital:

      Kensington and Chelsea hospital / Tel:020 8846 1234

      Or Sharps line: 020 8962 7699

    Accident and Emergency

      St.Mary’s Hospital: 020 7886 6666

Accidents

    The qualified first-aider / appointed person for the practice is / are: Ms.Priya Singh.

    The first-aid box is located in sterilisation room and a list of telephone numbers of doctors and hospitals available to the practice is kept at reception on ground floor. The first-aid box will be maintained by Ms Priya Singh who will ensure that it is adequately stocked at all times.

    All accidents and hazardous incidents (such as spills of mercury) must be entered in the accident report book, which is kept in reception and reported to Ms Priya Singh who will decide whether the accident or incident should be reported to the Health and Safety .

    Executive under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995. Forms for this purpose are kept at reception on ground floor.

    All staff receives annual training in cardiopulmonary resuscitation (CPR).

Display Screen Equipment

    All users of display screen equipment (DSE) are given appropriate training on the health and safety aspects of this type of work. Ms Priya Singh conducts an assessment of all DSE workstations in the practice.

    Eye and eyesight tests are arranged on request and corrective eyewear, if required for use with DSE, is provided. A footrest and wrist pad is provided if required by the user.

Electrical Safety

    Ms Priya Singh conducts regular visual inspections on all portable electrical equipment at the practice. Records of these inspections is maintained and kept in reception. A combined inspection and test of portable electrical equipment and the fixed supply is carried out as required and periodically every two years by respective companies.

    Records of these inspections and tests are maintained and kept at reception in the maintenance log book / online.

Fire Safety

    General fire safety within the practice is the responsibility of Ms Priya Singh.

    All staff in the practice have been informed of the action to be taken in the event of a fire, the evacuation procedure and the arrangements for calling the fire brigade.

    Escape routes must be free from obstruction at all times and adequately signposted. Fire alarms and smoke detectors are tested weekly on Monday at 5 pm. Fire extinguishers are inspected annually by a company of choice.

    If a smoke detector or fire alarm sounds, members of staff should raise awareness within the practice, report the fire (dial 999) and evacuate the building. Staff are only expected to tackle a fire if it poses no threat to their personal safety to do so.

    Fire drills are conducted every six months and a record kept in maintenance log book in reception.

Manual Handling Operations

    Where there is a risk of injury, manual handling operations must be avoided. Where they cannot be avoided, an assessment of the task should be undertaken taking into account the load, the working environment and the capability of the individual involved.

    Assistance should be requested from Ms.Priya Singh or others within the practice.

Personal Protective Equipment

    Personal protective equipment is provided in those circumstances where employees are exposed to risks to their health that cannot be controlled by other means. Comprehensive training on its use, maintenance and purpose is provided as appropriate. Where appropriate, the practice owner maintains such equipment in good working order.

Training

    Ms.Priya Singh is responsible for ensuring all staff receive adequate training to ensure safe working practices and procedures. Training includes advice on the use and maintenance of personal protective equipment appropriate to the task concerned and emergency contingency plans.

    The following tasks require special training due to their hazardous nature:

  • Use of the autoclave for the sterilisation of instruments.
  • Decontamination of equipment prior to sterilisation.
  • Disposal of used local anaesthetic cartridges and needles.
  • Taking of any dental radiographs.
  • Processing of radiographs.

Visitors and Contractors

    All contractors and visitors to the practice (with the exception of patients) should be referred to the Receptionist to ensure that they are made aware of the hazards present and what precautions might be required.

Work Equipment

    All equipment used in the practice is maintained in good working order and repair.

    Where appropriate, equipment is clearly marked with health and safety warnings and staff provided with adequate protection. Equipment maintenance is undertaken as recommended by the manufacturer.

Workplace Inspections

    Ms.Priya Singh conducts regular inspections of the practice. A record of these inspections is kept in maintenance log book in reception.

    Staff are informed of the significant findings as soon as is reasonably practicable or at the monthly staff meetings, whichever is appropriate.

SECTION C

Hazards

    Anaesthetic gases: PRACTICE IS NOT USING ANY GASES AT THE MOMENT
    The section will apply only if anaesthetic gases are used.

    The practice owner ensures that the levels and concentration of anaesthetic gases used in the dental surgery are kept below the Workplace Exposure Level set by the Health and Safety Executive.

    Anaesthetic equipment is fitted with an active scavenging system and the surgery well ventilated.

    When not in use, anaesthetic gases are securely stored [where]. The practice owner ensures that all anaesthetic equipment and appliances are regularly checked. Records of these inspections are kept [where].

Autoclaves and Air-Receivers

    All clinical staff will be trained in the safe use of autoclaves. Staffs who have not received training must not attempt to use any autoclave within the practice. At no time should any member of staff mishandle, tamper with or attempt to repair an autoclave. If an autoclave requires attention, it should be reported to Ms. P Singh who will arrange for its repair.

    Autoclaves in the practice are serviced annually by the relevant company according to the written scheme of examination. Staff are required to monitor the autoclave to ensure that the right conditions for sterilisation are being achieved routinely. The results of monitoring should be recorded in Steralization room by Ms Priya Singh

Hazardous Substances

    A number of hazardous substances are used in the day to day activities of the practice. These must be handled with care to avoid skin and eye contact, inhalation or ingestion. Assessments of the hazardous substances used are kept in maintenance log book.

    Staff should familiarise themselves with the hazards associated with each substance and the recommended means of control.

Infection Control

    The practice infection control policy is displayed in each surgery it must be adhered to at all times. If any aspect is not clear, please ask Ms Priya Singh who is responsible for infection control within the practice.

    Training in the following areas will be provided for all staff:

  • Personal protection.
  • Procedures for the cleaning, sterilisation and storage of instruments.
  • Segregation and safe disposal of clinical waste.
  • Cleaning and decontamination of work surfaces and equipment.
  • Decontamination of laboratory items prior to dispatch.
  • Decontamination of instruments and equipment prior to service or repair.

Medicines

    Medicines are stored in storage room in the lower ground floor.
    The store room should be kept locked at all times.

    When a medicine is dispensed to a patient as part of his/her treatment, details of the patient, medicine (including batch number) and prescribing dentist should be entered in the medicines record book, which is kept in reception-petit cash book. Details of the medicine, dose and batch number should also be entered in the patients records.

Mercury Hygiene

    THE PRACTICE DOES NOT USE MERCURY- REMOVED AMALGAM IS DISPOSED OFF DURING SUCTION.

    Mercury vaporises at room temperature and can be absorbed into the body through inhalation or contact with the skin. The surgery must be well ventilated to prevent the Workplace Exposure Level being exceeded and protective gloves worn to reduce skin contact. Any mercury spills must be cleaned up immediately. The mercury spillage kit is kept [where]. In the event of a mercury spill, [name] should be informed and will decide what further action is required.

    Clinical staff using will undergo biological monitoring to ensure exposure to mercury vapour is within accepted safe limits. This is arranged through [company name].

Radiation

    A Radiation Protection Adviser has been appointed for advice in complying with the requirements of IRR99. The Radiation Protection Supervisor (RPS) at the practice is responsible for ensuring that the practice complies with the regulations relating to radiation protection.

    All staff are given general training about the radiation equipment used at the practice.

    Only staff who have received appropriate training and possess the relevant knowledge may take radiographs. Such training is arranged as required. A member of staff who has not undertaken formal approved training must not use radiographic equipment at the practice.

    Relevant companies carry out a radiation safety survey annually on all radiographic equipment according to the manufacturers instruction. Local rules are displayed near each machine.

    Where individual workloads exceed 100 intra-oral or 50 pan-oral films per week, monitoring badges are provided by the practice owner.Additional monitoring may also take place.

    In the event of radiographic equipment malfunctioning, the member of staff involved must immediately switch off the machine (without entering the controlled zone) and report the incident to the RPS.

Waste Disposal

    All waste generated at the practice is segregated into hazardous, offensive and non-hazardous (trade) waste for appropriate disposal.

    Waste is collected in appropriate containers and stored in lower ground floor to await collection for disposal.

    Particular attention is given to the safe disposal of sharps waste and designated containers are provided for this purpose.

    Records of disposal are kept in maintenance log book. A waste collection register and an audit trail is maintained with Initial Medical Services.