OSHA and Lab Animal Care By Vince McLeod July/August 2003
OSHA tells employers that we
must provide a workplace “free from recognized hazards.” There are many specific
OSHA standards that may apply to animal care facilities. Some examples are
hazard communication, respiratory protection, electrical safety, and fire
safety. Section 5(a)(1) of the Occupational Safety and Health Act, known as the
“general duty clause” (29USC651), covers all other recognized hazards for which
specific standards may not exist. Examples include ergonomics and exposure to
anesthetic gases and experimental drugs. Enforcement of the general duty
provisions may rely on guidance documents published by the National Institute of
Occupational Safety and Health (NIOSH), Centers for Disease Control (CDC),
National Institute of Health (NIH), and others.
Different Types of Hazards
An important first step in protecting worker
health and safety is to recognize workplace hazards. Most hazards encountered
fall into three main categories: chemical, biological, or physical. Cleaning
agents and disinfectants, drugs, anesthetic gases, solvents, paints, and
compressed gases are examples of chemical hazards. Potential exposures to
chemical hazards can occur both during use and with poor storage.
Biological hazards include potential exposures to allergens, infectious
zoonotics (animal diseases transmissible to humans), and experimental agents
such as viral vectors. Allergens, ubiquitous in animal care facilities, are one
of the most important health hazards yet frequently overlooked. More on these
later.
Finally there are the physical hazards associated with animal research
facilities. The most obvious are slips and falls from working in wet locations
and the ergonomic hazards of lifting, pushing, pulling, and repetitive tasks.
Other physical hazards often unnoticed are electrical, mechanical, acoustic, or
thermal in nature. Ignoring these can have potentially serious consequences.
Chemical Hazards
Use of chemicals in research laboratories is
inevitable and the potential for harm or injury could be significant if they are
misused or mishandled. OSHA has developed the Hazard Communication standard
(29CFR1910.1200) to help mitigate these potential problems. Formerly known as
the “Right-to-Know,” it deals with employers’ requirements to inform and train
employees on chemicals present in their workplace. It is one of the most
frequently cited OSHA violations, which attests to both the importance given to
its implementation and, paradoxically, a failure of employers to fully comply
with its requirements.
A written program is the first step and describes how the Hazard
Communication Standard (HCS) will be implemented in the facility. The other
basic tenants of the Hazard Communication Program (HCP) include maintaining a
chemical inventory and associated material safety data sheets (MSDS), ensuring
proper labeling of all chemical containers and fully training employees prior to
work assignments and whenever the hazard changes. MSDS must be immediately
available and employees must know where and how to find them. They are vitally
important in emergencies and should be carried to the emergency room with the
patient in the event of an exposure. Inadequate or incorrect labeling is a
source of many accidents and exposures and a common OSHA citation. Clearly label
all chemical containers with the contents and appropriate hazard warnings.
Sterilents and Preservatives
Sterilents and preservatives are frequently used in animal research
facilities. Ethylene oxide, formaldehyde, and chlorine dioxide are a few of the
most common. OSHA has specific standards for ethylene oxide (29CFR1910.1047) and
formaldehyde (29CFR1910.1048) that stipulate requirements for initial and
periodic monitoring, protective equipment and clothing, training, and
designating regulated areas among others. A qualified industrial hygienist
should conduct hazard evaluations and exposure assessments if these chemicals
are used. Monitoring can be done with a portable infrared spectrophotometer or
sorbent tubes and pumps.
Anesthetic Gases
Where animal surgeries are performed, anesthetic gases pose another
potential exposure concern. Examples are isoflurane, enflurane, and halothane.
Halogenated anesthetic agents have been linked to reproductive effects in women
and neurological effects in exposed workers. OSHA recommends conducting air
sampling for anesthetic gases every six months to evaluate worker exposures and
to check the effectiveness of control measures. Sampling that provides direct,
immediate, and continuous (real-time) readout of anesthetic gas concentrations
in ambient air utilizes a portable infrared spectrophotometer. Since this method
provides continuous sampling and instantaneous feedback, sources of anesthetic
gas leakage and effectiveness of control measures can be immediately
determined.
Although OSHA has not established permissible exposure limits (PEL) for the
anesthetic gases, other agencies and organizations have set recommended exposure
limits. ACGIH set Threshold Limit Values (TLV) of 75 ppm for enflurane and 50
ppm for halothane as 8-hour time-weighted averages (TWA). NIOSH recommends 2 ppm
as an upper limit or “ceiling” value for a period not to exceed one hour for all
halogenated anesthetic gases. Prudence dictates minimizing exposures to
anesthetic agents. Peak exposures occur during induction and also the
post-operative recovery phase. Take care to avoid patient exhaled air at these
critical times. Containment of vapors is paramount. Use of scavenging canisters
or direct exhaust systems such as fume hoods are excellent ways to do this.
Perform small animal surgeries using nose cups and in exhaust hoods whenever
possible. (Photo 1)
Experimental Drugs and Materials
Animal research often involves use of experimental drugs and
materials. Here is a simple rule to keep in mind - “what goes in will come out.”
Depending on the metabolism, the materials exhaled or excreted can be more,
less, or equally as hazardous as the parent material. Often with experimental
materials the toxicology is not known. Ensure animal care staff are well trained
and involve the principle investigator to discuss hazards and answer questions.
Metabolic cages can help control aerosolization and releases. Pay attention to
the proper choice of personal protective equipment (PPE) especially when
applying topicals such as promoters and inhibitors. Select bedding material to
provide maximum absorption with minimal chance of release.
Improper Storage
Other frequently encountered chemical hazards include improper storage
(e.g. mixing incompatible materials in the same area; incorrect labeling of
containers), use of unapproved containers for flammable storage (Photo 2), and
blocked and untested safety showers and eyewash stations. Pay attention to
chemical storage. Keep acids and bases isolated and keep corrosives and organic
solvents in separate areas. Use only UL approved containers that have
self-closing lids and flame arrestors for storing flammable liquids. Make sure
safety showers and eyewash stations can be accessed immediately and that they
are tested routinely.
Biological Hazards
Animal-related allergy is one of the most
important health hazards encountered by laboratory animal workers. Health
surveys of persons working with laboratory animals show that up to 56% are
affected by animal-related allergies. In a survey of 5,641 workers from 137
animal facilities, 23% had allergic symptoms related to laboratory animals. Of
the workers with symptoms, 82% had nasal or eye symptoms, 46% had skin
complaints, and 33% had asthma. These figures do not include former workers who
became ill and could not continue to work1.
Sources of exposure to animal allergens vary with animal species. The most
important allergens are found in the urine of rats and in the urine, saliva, and
pelts of guinea pigs. Rat urine contains significant amounts of a protein also
found in dust samples from ventilation systems of animal facilities. Exposures
to rats, mice, and rabbits are frequently associated with the development of
occupational asthma. Exposures to birds are associated with other respiratory
diseases, including hypersensitivity pneumonitis. A person who becomes allergic
to one animal species may react to other species as well. Even a low exposure to
these common sources of animal allergens can result in allergies and the risk
increases as the worker’s exposure increases.
The best control method for potential exposures to animal allergens is with
ventilation. Evaluate the total ventilation system. Ensure the ventilation for
animal housing and handling areas are separated from the rest of the facility.
The ventilation rate and humidity can be increased in the animal housing areas
for better dilution. Install ventilated racks or filter-top animal cages and
decrease animal density (number of animals per room volume) to further reduce
potential allergens.
The following are some steps workers should take in order to protect
themselves from animals and animal products. Perform animal manipulations within
ventilated hoods or safety cabinets when possible. Avoid wearing street clothes
while working with animals and leave work clothes at the workplace. Make sure
cages and animal areas are kept clean. Use absorbent pads or corncob bedding
instead of sawdust to minimize dust and particulates. Finally, reduce skin
contact with animal products such as dander, serum, and urine by using gloves,
lab coats, and approved particulate respirators with face shields.
Primates
Primates pose some special problems for
animal research facilities. In dealing with primates the best advice is to plan
ahead. Carefully consider cage location, cage design, and handling protocols.
Pay particular attention to the “hazard zone,” the area around the cage within
the primate’s reach. Do a thorough job hazard assessment for each task to
determine appropriate PPE needed. Finally, prepare and implement a prevention
and control plan for monkey B virus.
Primate handling is one of the most difficult tasks for animal research
facilities and proper equipment is paramount to safe handling. Use chutes and
tunnels to separate animals and squeeze-back cages to restrain them when
necessary. Train handlers to avoid fluids and secretions at all costs. Stress
the use of proper PPE. Long-sleeved labwear, face shield or mask with goggles,
and arm-length reinforced leather gloves should be considered the minimum
protection.
Primate cages should receive particular attention. Only trained handlers
should have access to cage areas. Cages should be designed with no sharp edges
or corners that could cut and infect workers. Take care to avoid placing cages
near entry or exit routes. Arrange cages to prevent potential grabbing or
scratching, remember the “hazard zone.”
Monkey B virus is one of the most insidious diseases primate handlers must
avoid. Training is key. Handlers must understand that viral shedding is
intermittent and can occur in the absence of visible lesions. Most important is
that “negative today does not mean negative tomorrow.” Handlers must recognize
the early symptoms of B virus infection, which are a persistant skin sore or
conjunctivitis of the eyes. Report any injury or symptoms of Monkey B virus
immediately.
Physical Hazards
Animal research facilities inherently have
significant physical hazards present. Included here are electrical safety
hazards, ergonomic hazards associated with material and equipment use and
lifting, handling sharps, and basic housekeeping issues.
Housekeeping
Many injuries stem from poor housekeeping. Slips, trips, and falls are
very common yet easily avoided. Start with safe and organized storage areas.
Material storage should not create hazards. Bags, containers, bundles, etc.,
stored in tiers should be stacked, blocked, interlocked, and limited in height
so that they are stable and secure against sliding or collapse. Keep storage
areas free from accumulation of materials that could cause tripping, fire,
explosion, or pest harborage.
Material Handling
Animal research facilities necessitate lots of material handling. Feeding,
watering, and cage cleaning are daily activities. Evaluate each of these tasks
to eliminate poor ergonomics. Factors that affect the likelihood of injury are
repetition, poor lifting angles, and awkward posture. Train workers to recognize
these factors and to avoid changing elevation and twisting while lifting. Take
time to observe workers occasionally and try to spot poor techniques or methods
of material handling. Consider contracting with a qualified professional to
perform an ergonomic survey if necessary. Use mechanical lifting and carrying
devices such as pallet jacks and hand trucks whenever possible. Make sure floors
are smooth and free of cracks or lips that could catch or trip. Inspect cage
racks, hand trucks, and other equipment routinely to ensure good mechanical
condition. Pay special notice to the castors.
Electrical Hazards
Electrical hazards are potentially life threatening yet are found much too
frequently. First, equip all electrical power outlets in wet locations with
ground fault circuit interrupters, or GFCI, to prevent accidental
electrocutions. GFCIs are designed to “trip” and break the circuit when a small
amount of current begins flowing to ground. Wet locations usually include
outlets within six feet of a sink, faucet, or other water source, and outlets
located outdoors or in areas that get washed down routinely. Specific GFCI
outlets can be used individually or install GFCI in the electrical panel to
protect entire circuits.
Another very common electrical hazard is improper use of flexible extension
cords. Do not use these as a substitute for permanent wiring. The cord
insulation should be in good condition and continue into the plug ends. Never
repair cracks, breaks, cuts, or tears with tape (Photo 3). Either discard the
extension cord or shorten by installing a new plug end. Take care not to run
extension cords through doors or windows where they can become pinched or cut.
And always be aware of potential tripping hazards when using them. Use only
grounded equipment and tools, and never remove the grounding pin from the plug
ends. Also, do not use extension cords in series, just get the right length cord
for the job.
Use of hanging pendants or electrical outlets are widespread in animal care
facilities to help keep cords off floors and out of the way. Check electrical
pendants for proper strain relief and type of box used. The box should be
totally closed and without any holes. If it contains knockouts or holes for
mounting it is not the right type for a hanging pendant.
As a final check for possible electrical hazards, look over your lighting.
Protect all lights within seven feet of the floor to guard against accidental
breakage. Slip plastic protective tubes over florescent bulbs prior to mounting
or install screens onto the fixtures.
Compressed Gas
Use of compressed gas cylinders present many unique hazards and could be a
topic for another whole article. Here are a few quick pointers. Store cylinders
safely. As with chemicals segregate them according to compatibility. In
addition, secure cylinders from tipping or being knocked over. Generally, this
means fastening them to stands or against a wall or cabinet. Remember to turn
them off at the cylinder valve when not in use. Finally, remove the regulators
and install protective valve caps before moving.
Sharps
Sharps containers are ubiquitous in animal research labs and following a few
safety rules can help prevent getting stuck with accident reports. Use only
puncture-proof and leak-proof containers that are clearly labeled. Train
employees never to remove the covers or attempt to transfer the contents. Make
sure they are only used for “sharps” and they get replaced when three-fourths
full to prevent overfilling.
Lockout/Tagout
With all the specialized equipment such as incinerators, cage racks
and tunnel washers there will come a time when something breaks and requires
fixing. Furthermore, a good operation and maintenance plan will minimize
equipment down-time. Therefore, lockout/tagout, known as LOTO, will be one of
your most important programs (Photo 4).
During the period 1992-1996 accidents from being caught in machinery killed
almost 750 workers and nearly another 5,000 lost limbs from
amputation2. Sadly, every one of these could have been easily
prevented. LOTO is a process that will prevent these accidents when followed
correctly.
First, employees are trained to recognize and isolate all the energy sources
for the equipment to be worked on. The employee(s) doing the work then lockout
or tagout the energy sources by placing locks on the appropriate switches,
valves, circuit breakers, etc. Each lock is identified as to its owner and has
only one key that stays in the possession of the lock owner. When work is
complete owners collect their energy source locks and the equipment is brought
back online only after all locks have been removed. If an energy source cannot
be locked out then it should be braced, blocked, or blanked off to prevent
release. Your LOTO program should also detail steps to follow if the task will
span more than one work shift.
Conclusion
Animal research facilities present many
challenges. In the day-to-day bustle of animal care, worker health and safety
can be easily overlooked. However, with proper guidance, a trained eye, and
practice in noticing the mundane, we can find and correct many common mistakes
and prevent illness or injury. The Internet provides a vast amount of valuable
information easily researched. Begin with the OSHA website (www.osha.gov) and
chances are you will find what you need. Be diligent and remember “Safety
First!”