Check your stopwatch to measure eyewash station needs
The topic of eyewash stations comes up a lot.
In general, the OSHA medical services and first aid standard requires eyewash stations in locations in which there is a risk of accidental exposure to corrosive or caustic materials.
There are definitely specific environments—high-level disinfection and processing areas for one—where I would be looking for eyewash stations, but only after looking at the chemicals involved.
The need to have an eyewash station in close proximity can be ascertained by looking at the chemical’s first aid instructions, either on the container or on the MSDS. If the first aid information indicates that an exposure to the eyes requires flushing for 15 or more minutes, then you need to have an eyewash station.
If the first aid instructions do not indicate a 15-minute or longer flush after exposure, then you do not “need” to have an eyewash station–though nothing’s stopping you from installing one.
By the way, those lovely little wall-mounted plastic bottles do not meet the standard for emergency eyewash as would be required for conditions noted above.
So, do you have hazardous substances requiring eyewash stations? If so what are they, and what safety measures do you have in place?
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A larger question we are dealing with is when is a drench shower needed? OSHA first aid standard says
“Where the eyes or body of any person may be exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body shall be provided within the work area for immediate emergency use”
We have showers in lab areas. What about in areas with gallons of high level disinfectants? Areas were housekeeping employees mix hazardous chemicals from a dispenser? How about in chemotherapy mixing and treatment areas?
Any advice on how to determine when a drench shower is needed would be appreciated.
Hello again Bruce
The simple/complex response to your question is a function of the classic application of the risk assessment process – what is the reasonable likelihood of a release and/or exposure for which a drench shower would be an appropriate emergency response. The important thing to remember in all of this is that drench showers and eye wash stations are for when everything else (engineering controls, PPE, etc.) have failed. The first example you gave of gallons of high-level disinfectants – how are the materials stored? Are the stored on pallets? shelves? Are the case or containers stacked in such a way as to minimize the likelihood of someone being engulfed in material? Is there some sort of spill containment involved that would result in “better” control of a release? These are all practices, etc. that would need to be considered in determining the need for drench shower and other emergency equipment (also check the MSDS for guidance). Hope this helps.
Are drench showers required/advocated on all clinical laboratories? What about small off site laboratories that process minimal blood tests ?
Steve MacArthur, blog post author and safety consultant at The Greeley Company responds:
Ah, drench hoses! The terse answer to your question would be “no”, which is based more on your using “all” as the descriptor. Drench hoses have a very specific application when it comes to emergency response – an exposure for which you would need lots of water, and not a great deal of accuracy as far as specific body parts, etc. that you’d be drenching (and my inclination would be to look at a full-body emergency shower if you have an exposure risk that might require a lot of water to mitigate – I find that drench hoses are more useful when “applied” by someone else). Ultimately, the type of emergency equipment you want to have is specifically dictated by the exposure risks; generally speaking, the reasons we have eyewash stations, showers, and the like in clinical laboratories is not so much a function of the potential for exposure to blood or OPIM, but because of the types of chemicals that are used in that laboratories, that’s where you start to work towards eyewashes, etc. And so to the second question, if the only splash risk would be that of small amounts of blood or OPIM, then you probably wouldn’t need a plumbed eyewash station, shower, or drench hose, but you might want to provide folks in the area with some of those personal eyewash bottles (I’m not a big fan of those, but for every small exposures of blood, etc. they’d probably be OK). When it comes to what you might need because of the chemicals involved, check the MSDS for the materials being used – if the First Aid instructions for exposure response indicate flushing with water for 15, 15-20, minutes (basically anything that indicates a specific amount of time), that’s when you need to start looking at equipment with the capacity to provide that level of protection. By the way, in my practice, if you need to actually use an eyewash station, etc., then you’ve had a process breakdown somewhere – folks should be using PPE appropriate to the exposure risks – gloves, gowns, face shields, etc. This comes under the “ounce of prevention is worth a pound of cure” doctrine – you need to start this discussion by focusing on prevention.
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