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HEALTH AND SAFETY POLICY


SECTION A

General statement of policy
Our policy is to provide and maintain safe and healthy working conditions, equipment and systems of work for all our employees and to provide such information, training and supervision as they need for this purpose. We also accept our responsibility for the health and safety of other people who may be affected by our work activities. This policy applies to all employees of the practice, dental associates, dental hygienists and other contractors providing services to the practice, such as anaesthetists.

The allocation of duties for safety matters and the particular arrangements that we will make to implement the policy are set out below.

This policy will be kept up to date, particularly as changes occur within the practice. To ensure this, the policy and the way in which it has operated will be reviewed every year.


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.

Cooperation between staff at all levels is essential. All staff are expected to cooperate 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
1. Overall and final responsibility for health and safety matters within the practice lies with Dr Omar Qureshi and Dr Pui Shan Lam (practice owners).

2. Dr Omar Qureshi is responsible for this policy being carried out at the practice at London Smile Studio, 16 Harben Parade, Finchley Road, Swiss Cottage, London, NW3 6JP.
Dr Shan Lam is responsible as his deputy.

3. The following are responsible for safety in particular areas:

  • Daniela Tripon infection control, including waste
  • Daniela Tripon radiation safety
  • Daniela Tripon mercury hygiene
  • Dr Pui Shan Lam risk assessments including COSHH, manual handling, DSE

4. 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.

5. 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.

6. Other people responsible for:

  • Safety training – Dr. Omar Qureshi
  • Investigating accidents – Dr. Pui Shan Lam
  • Monitoring maintenance of equipment – Daniela Tripon

 

SECTION B

General arrangements

Local Health and Safety Executive :

Rose Court
    2 Southwark Bridge
    LONDON
    SE1 9HS
    Fax: 020 7556 2102
    http://www.hse.gov.uk/contact/maps/london.htm

Westminster Office
    Caxton Houseu
    Tothill Street
    LONDON
    SW1H 9NA
    Fax: 020 7227 3802
    http://www.hse.gov.uk/contact/maps/london.htm


Accidents
The qualified first-aiders / appointed persons for the practice are Dr Omar Qureshi and Dr Shan Lam.

The first-aid box is located in the decontamination room and a list of telephone numbers of doctors and hospitals available to the practice is kept in the office. The first-aid box will be maintained by Daniela Tripon 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 the office and reported to Shan Lam 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 online at http://www.hse.gov.uk/riddor/report.htm#online.

All staff receive 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. Omar Qureshi 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
Omar Qureshi conducts regular visual inspections of all portable electrical equipment at the practice. Records of these inspections are maintained and kept in the office. A combined inspection and test of portable electrical equipment and the fixed supply is carried out every year by "SHIELD safety solutions". Records of these inspections and tests are maintained and kept in the office.


Fire safety

General fire safety within the practice is the responsibility of Omar Qureshi.

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 14:00. Fire extinguishers are inspected annually by "MTS fire protection Ltd".

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. Staffs are only expected to tackle a fire if it poses no threat to their personal safety to do so. Fire drills are conducted 2 times a year and a record kept in the office.


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 Dr Shan Lam 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
Dr Omar Qureshi is responsible for ensuring all staff receives 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 Dr Shan Lam or Dr Omar Qureshi 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
Omar Qureshi conducts regular inspections of the practice. A record of these inspections is kept in the office. 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

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 Daniela Tripon who will arrange for its repair.

Autoclaves in the practice are serviced every three months by "Eschmann Holdings Ltd". "Eschmann Holdings Ltd" carries out an annual inspection on all autoclaves according to the written scheme of examination. Staff is required to monitor individual autoclaves to ensure that the right conditions for sterilisation are being achieved routinely. The results of monitoring should be recorded in a notebook.

The air receiver for the practice is serviced every ~2000 hours by "Air Compressor Centre", as shown in the written scheme of examination.


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 the decontamination room. 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 Daniela Tripon 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 the cupboard in the kitchen. The cupboard 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 the cupboard. Details of the medicine, dose and batch number should also be entered in the patient's records.


Mercury hygiene
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 in the decontamination room. In the event of a mercury spill, Daniela should be informed and will decide what further action is required.

The risks are very limited as we only ever use encapsulated amalgam.


Radiation
A Radiation Protection Adviser Dr Omar Qureshi has been appointed for advice in complying with the requirements of IRR99.

Dr Omar Qureshi is the Radiation Protection Supervisor (RPS) at the practice and 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.

"Heath Protection Agency" carries out a radiation safety survey every three years on all radiographic equipment. Servicing is carried out by "Heath Protection Agency" according to the manufacturer's instruction. Local rules are displayed near each machine.

If the 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 the locked cupboard outside 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 the office.

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