SECTION 3 LABELS


BIOHAZARD LABELS

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The Bloodborne Standard makes it mandatory that containers which hold or store biohazardous materials must be properly labeled. Biohazardous mate rials include blood and any potent ially infectious body fluid. Recepta cles that hold contamina ted needle s, gloves, masks, gauze, wipes, garments , etc., must be display a bio-hazard lab el. Labels shall be used to ide ntify the presence of an actual or potential bio logica l hazard. OSHA's gu idelin es for biohaza rd labeling follows this page.

CONSIDERATIONS:

Labels shall be fluoresce nt orange or orange-red, with lettering or symbols in a contrasting color.

Labels will be affixed on to or as close as feasible to the container by adhesive, string, wire or other method.

All infectio us was te containers will be labeled with a biohazard label. Red bags or red containers may be substituted for labels if staff has be trained on this system.

If blood or control serum is stored in refii gerator or freezer, the refrigera tor/freezer shall be marked with a biohazard label.

If blood is stored in refrigerator for transport it will be put in containment bags marked biohazard.

If blood is placed in a pick-up container supplied by the reference la boratory - the container will be marked with a bioha zard label.

If body fluids are transported to another location by facility or courier, the specimens will be double bagged, the outer bag marked biohazard, and the transport containe r will be marked with a biohazard label. Cooling packs wil1 be used to maximi ze specimen in tegrity while being transported.


CHEMICAL- WARNING LABEL DETERMINATION

The Global Hazard Communication Standard mandates specific chemical la beling requirements. Labe ls must be on all haza rdo us c he micals that are shipped to and use d in the work place. Labels must not be removed. Safety Data Sheets (SDS) for all chemicals will be available to employees .

Manufacturer Requirements: Chemical manu fa c turers are requir e d co evaluate chemicals, determine status as hazards, provide Safety Data Sheets* and properly label all shipped chemicals. Ma nufa c ture r labels must neve r be removed. The best way to determine the hazard of the chemical is to read the SOS or obtain an OSHA designated list o r Hazardous Substance list. The term danger is use d fo r ext reme hazards andwarning is used for less severe hazards. Label must conta in a precautionary statement. Pictograms (picture warnings) may be used to ale rt the user on the label. For most "mixed" chemic als it is necessary to contact the manufacturer or supp lier for the S OS.

Safety Data Sheets (SOS): Safety Data Sheets (SDS) are manufacturer info rmation forms with extens ive infor matio n on the contents of the product and safety precautions to take when using that product. Addit ional information o n SDS's can be found in the "Hazard Communication" chapter of Lhis manual. The employer will co mp ile an SDS file or note book. This notebook or file will contain a chem ica l inventory of all SDS ' s. The notebook or file will be reviewed and upda ted annually or as needed. The SDS notebook or file will be lo ca ted in a place where it is accessible to all employees. Informatio n o n SDS ' s and chemical labeling will be provided during the Safety Training Program.

Facility Chemicals: Search through your facility and write down all chemicals you have in facility. Most pharmaceutical, cosmetic and "com mo n" household products are exempt from this standard unles s they are used in a way or in a quantity that would not be considered "every day'' no rm al use. Ingred ients can then be compared to a list of regula ted substances published by OSHA or the SOS will provide necessary information.

* Under the revised standard manufacturers have until ,June 1, 2015 to change the material safety data sheet (MSDS) format to the new SOS format.


E mplo yers R es p o n s ibili ty : Any hazardo us c hemica l used in the work place that is no t in its otiginal co ntainer or missing a la bel mus t be labeled with ident ity of the chemical and hazards. There are different types of chemica l lab els ava ilable; NF P A, NFPA with target organ, and co mmercially made labels . A facility may also co py a manufact ure r label and att ac h it to the unm arked conta iner. The labels m us t include the chem.ic al and/or common nam e a nd warn.ings about ph ysica l, fire and hea lth hazards.

Exceptions to labeling requirements:

If a che mica l is removed from the original co ntainer and pur into a seco nd ary container fo r imm edi ate use - tJ1e seco nd ary co ntai ner does not nee d to be labeled.

IQ' Jf a c hem.ic al is removed from the origi nal c ont ain er a nd put into a secondary containe r a nd use d durin g the work shift and disc arded at the e nd of the day - it does no t need to be labeled.

Exceptions to SDS's:

Most pharmace uti ca l do not requir e an SDS. An exception wo uld be pharmaceuti ca ls with a potentia l danger to the e mpl oyee working with them. Examples would be chemotherapy drugs, acids use d for procedures suc h as wart removal a nd live vaccines .

M ost house hold produc ts do not req uir e SDS ' s. An exceptio n would be house hold produc t no t use d as in te nded or a produ ct used more freque ntly than intended. Examples would be bleac h being use d as a disinfec ta nt or a clean.ing product b ein g use d continually durin g the work day.

If in doubt, ask the manufacturer. It is better to do more than you need to do than to do Jess !


WARNING PICTURES/SIGNS/LABELS

Warning signs and symbols for potential dangers are lo ca ted in many areas of the clinical facility. Employees may see these signs on doors, refrigera tors, s to rage cabi nets, reagent bottles, and Safety Data Sheets (SDS). Employees will be able to recognize each one for irs s pecific danger and the necess ary precaution s. Under the revise d Hazard Communication Standard of 2012 these "pictograms" symbolize the following hazards:

PICTOGRAMS AND HAZARD CLASSES UNDER THE REVISED STANDARD


Oxidizers


• Flammables

Self Reoctives

• Pyrophorics

• Self-Healing

• Emits Flammable Gos

• Organic Peroxides


• Explosives

Self Reoctives

• Organic Peroxides


• Acule loxicily (severe) • Carcinogen

Respiratory Sensitizer

• Reproductive Toxicity

• Target Orgon Toxicity

• Muragenicily

• Aspiration Toxicity


Corrosives • Environmental Toxicity


Gases Under Pressure • Irritant

• Dermol Sensitizer

• Acute loxicity (harmful)

• Narcotic Effects

• RespiratoryTrorl

• Irritation



NFPA CHEMICAL HAZARD SIGN


T his special label warns emergency, rescue, and fire personne.l of potential hazards within a specified area and allows them to take necessary precautions. The num erals used (0-4) are from the Nationa l Fire Protection Association (NFPA) hazard rating system. This labeling system can be used to label chemicals that have been removed from manufacturers containers in the facili ty.

The numb ers, which indicate levels of risk for each product, are assigned by the manufacturer or can be assigned by the facility using this rating system afte r review ing the SDS. The NFPA hazard sign is often seen on commerc ial product labe ls, however, it is not requ ired if the manufacturer has provided verbal or picture warnings. 1f this facilit y uses this labeling system, a poster explaining the colors and codes will be displayed for em ployees. A poster to display is found in the front cover of the manual - post if NFPA labe ls are used in fa cility.

HOW TO READ A NFPA LABEL

The blue area warns of a health hazard according to the following numb er code:

4 Dange r: Extreme. Deadly. Highly toxic. May be fatal o n s hort expos ure . Specia lized protective equip ment required.

3 Warning: Se rious . Corrosive or tox ic. Avoid inhalation and/or skin contact or inhalation.

2 Warning: Dangerous. Moderately toxic. May be haimful if inhaled or absorbed. Caution: Slightly toxic. May cause irritat ion.

0 No unus ual haza rd.

(continued on next page)


The red area warns of a fire hazard according to the following number codes:

4 Danger: Severe. Extreme. Very flammable. FJa mmable gas or extremely flammable liquid. Flash point <73°F.

3 Warning: Seriou s. Extreme Caution. Flammable liquid. Flash point 73-l0 0°F.

2 Caution: Moderate. Caution. Co mb ustible liquid. Flash point of I 00 ° F to 200°F.

L Slight: Combustible if heated.

0 Not combustible. Will not burn.

The yelJow area warns of a reactivity or instability hazard according to the following number code:

4 Danger: Extreme. Severe. Explosive material at room temperature.

3 Danger: Serious. Explosive . May be explosive is spar k occurs, if heated und er confinement, or mixed with wate r.

2 Warning: Unstable, or may react if mixed wilh water.

1 Caution: S light. Normally stable. May react if hea ted, or mixed with water.

0 Stable: Not reactive when mixed with water.

The white area is for personal protective equipment or mjsce llaneous information. This equipment can be written in, or a letter code may be use d. Letter codes may vary - make sure employees know codes used by work pJac e. Example l:

A Goggles/safety glasses

B. Goggles, Gloves

C. Goggles, Gloves, Ap ron

D. Face Sh ie ld, Gloves, Apron

E. Goggles, Glov es, Mask

F. Goggles, Gloves, Apron, Mask

X. Glov es


Example 2:

SG Safety Glasses

RP Respi ratory Protection GL Gloves

FS Face Shield

VA Vinyl Apron

LC Lab coat

NOTE: Additional cod ing options are available, but are usually not relevant to a physic ian office. These options can be found on the Hazard Material Identification Guide Sticker found in the front sleeve of this manual.

If NFPA labels are used, a poster with instruction s on how to read a NFPA label will be posted in facility. Safety training will include how to read a NFPA label.

TARGET ORGAN LABELS

Target organ la bels should be used if an exposure to a chemical product can result in damage to an organ. Target organ labels are available from safety supply compa nies and are easy to use . They contain a list of organs than can be damaged and you simp ly check the ones that apply. The information needed is found on the SOS.


Lab Safety Supply Inc.


SUMMARY

• The EMPLOYER is responsible to ensure that any container containing a hazardous chemical is labeled with the chemical identity and hazard warni ngs.

• The name on the label must match the name of the inventory sheets and SOS.

• Labels must be in English, legib le, and prominently displayed .

• S taff training is required to ensure comp rehensio n of labels and SDS's for hazardous chemica ls.

• Outdated chemicals will be disposed of properly.

• Chemica l inventory will be reviewed and updated annually.

• Any con tainers which hold or s tore blood will be marked with a Biohazard Label.

• Any containe rs that store potentially contaminate d/infectious mater ia l s will be marked with a Biohazard Label.

LAB E LS C AN BE ORDERED FROM:

(1) POC CONSULTANTS 1- 856-82 4-0800 - 10 labels for $1 plus shippi ng charge

(2) "LAB SAFETY S UPPLY" 1-800-356-0722 - call to get catalog