DHCC OHSE Policies Regulations & Guidelines EP-07 v6.0

Occupational HSE Policies, Regulations and Guidelines
Occupational Health, Safety and Environmental Policies, Regulations and Guidelines
EP-07
1 of 64
Nov 2008 V7.0

Table of Contents
Section 1 Introduction .............................................................................................................5 Section 2 Abbreviations & Glossary..............................................................................................6 Section 3 Health, Safety and Environmental Compliance Roles & Responsibilities ...................................9
2.1 Abbreviations ................................................................................................................................. 6 2.2 Glossary ....................................................................................................................................... 6 3.1 Enforcement of HSE Policies & Guidelines ............................................................................................... 9 3.2 Responsibilities of Tenant .................................................................................................................. 9 3.3 HSE Committee .............................................................................................................................11 3.4 HSE Disciplinary Action ....................................................................................................................12
Section 4 Occupational Health & Safety ...................................................................................... 13

4.1 Pre-Employment Assessment ..............................................................................................................13 4.2 Immunization ................................................................................................................................13 4.3 Employee Training ..........................................................................................................................13 4.4 Pregnant Employees ........................................................................................................................13 4.5 Infectious Disease Exposures ..............................................................................................................13 4.6 Occupational Hazards ......................................................................................................................14 4.7 Needle stick / Sharp Injuries ..............................................................................................................14 4.8 Personal Protective Clothing and Equipment ...........................................................................................14 4.9 Warning Signs ...............................................................................................................................14 4.10 Housekeeping ..............................................................................................................................14 4.11 Chemical Data Sheets .....................................................................................................................15 4.12 Ventilation & Lighting ....................................................................................................................15 4.13 Radioactive Isotope .......................................................................................................................15 4.14 Electrical Equipment......................................................................................................................15 4.15 Alcohol and Non-Prescription Drugs.....................................................................................................15 5.1 No Smoking Policy ..........................................................................................................................16 5.2 Littering ......................................................................................................................................16 5.3 Cleanliness...................................................................................................................................16 5.4 Display of Goods ............................................................................................................................16 5.6 Sanitary Facilities ...........................................................................................................................16 5.7. Facilities for Rest/ Waiting area .........................................................................................................16 5.8 Eating Area at Place of Work..............................................................................................................17 5.9 Drinking Water ..............................................................................................................................17 5.10 Water Tanks ................................................................................................................................17 5.11 Water Taps .................................................................................................................................17 5.12 Pet Animals ................................................................................................................................17 5.13 Infections ...................................................................................................................................17 6.1 Facility Layout ..............................................................................................................................18 6.2 Emergency Coordinator ....................................................................................................................18 6.3 Emergency Action Plan .....................................................................................................................18 6.4 Emergency Response Team .............................................................................................................. 198 6.5 Emergency Communications ..............................................................................................................19 6.6 Emergency Services ........................................................................................................................19 6.7 Ambulance Services ........................................................................................................................19 6.8 Security ......................................................................................................................................20 6.9 Salvage and Recovery ......................................................................................................................20 6.10 Emergency Training .......................................................................................................................20 6.11 Emergency Drills ...........................................................................................................................20 6.12 Visitors ......................................................................................................................................20 7.1 General.......................................................................................................................................21 7.2 First Aid Training ...........................................................................................................................21 7.3 First Aid Facility ............................................................................................................................21
Section 5 Public Health .......................................................................................................... 16
Section 6 Emergency Preparedness & Response ............................................................................ 18
Section 7 First Aid ................................................................................................................ 21
Section 8 Incidents & Accidents .............................................................................................. 222

8.1 Incident Reporting ........................................................................................................................ 222 8.2 Duty to Notify ............................................................................................................................. 222 8.3 Penalties ................................................................................................................................... 233 8.4 Reportable Accidents, Dangerous Occurrences, Occupational Diseases ........................................................... 233 8.5 Incident Report Register ................................................................................................................. 233
Section 9 Fire Regulations .................................................................................................... 234

9.1 General..................................................................................................................................... 234 EP-07 2 of 64 Nov 2008 V7.0

9.2 Fire Protection ............................................................................................................................ 244 9.3 Fire Prevention..............................................................................................................................24 9.4 Fire Control ..................................................................................................................................25 9.5 Fire Action ...................................................................................................................................26
Section 10 Environmental Protection ......................................................................................... 27

10.1 Reduce, Reuse, and Recycle .............................................................................................................27 10.2 Ozone Depleting Substances .............................................................................................................27 10.3 Prohibited Discharge ......................................................................................................................27 10.4 Hazardous Chemicals .....................................................................................................................27 10.5 Disposal of Light Waste ...................................................................................................................27 10.6 Skip Service ................................................................................................................................27 10.7 A/C Condensed Water ....................................................................................................................29 10.8 Septic Tanks................................................................................................................................29 10.9 Collection of Waste .......................................................................................................................29 10.10 Indoor Air Quality Standards............................................................................................................30 10.11 Air Pollutants Emissions Limits .........................................................................................................31 10.12 Noise .......................................................................................................................................33 10.13 Hazardous Materials Storage ...........................................................................................................33 10.14 Asbestos products ........................................................................................................................34 10.15 Wastewater disposal .....................................................................................................................35 10.16 Shipment and Disposal of Hazardous and Radioactive Waste ......................................................................36 11.1 Medical Waste Coordinator ..............................................................................................................37 11.2 Medical Waste Bags .......................................................................................................................37 11.3 Medical Waste Segregation...............................................................................................................38 11.4 Waste Storage and Handling .............................................................................................................39 11.5 Medical Waste Training ...................................................................................................................40 11.6 Medical Waste Transportation ...........................................................................................................40 11.7 Assessment of Waste Generation ........................................................................................................40
Section 11 Medical Waste ....................................................................................................... 37
Section 12 Pest Control .......................................................................................................... 41

12.1 Pest control program .....................................................................................................................41 12.2 Prevention of Rodents ....................................................................................................................41 12.3 Pest Infestations ...........................................................................................................................41 12.4 Aerosol Agents .............................................................................................................................41 12.5 Commercial Pest Control .................................................................................................................41 13.1 General .....................................................................................................................................42 13.2 Compressed Gas Cylinder Identification................................................................................................41 13.3 Compressed Gas Cylinder Storage .......................................................................................................41 13.4 Compressed Gas Cylinder Handling and Use ...........................................................................................43 13.5 Oxygen Use .................................................................................................................................44 13.6 Ethylene Oxide (ETO) Use ................................................................................................................44
Section 13 Compressed Gas Cylinders ........................................................................................ 42
Section 14 Building Utilities .................................................................................................... 45

14.1 General .....................................................................................................................................45 14.2 Electrical Distribution ....................................................................................................................45 14.3 Emergency Power Systems ...............................................................................................................45 14.4 Heating, Ventilating and Air Conditioning Systems (HVAC) ..........................................................................45 14.5 Plumbing Systems .........................................................................................................................46 14.6 Steam and Hot Water Generation Systems.............................................................................................45 14.7 Medical Gas and Vacuum System ........................................................................................................45 14.8 Facility Communication Systems ........................................................................................................45 14.9 Conservation of energy and utilities ....................................................................................................45
Section 15 Food Safety .......................................................................................................... 46

15.1 General .....................................................................................................................................46 15.2 Layout and design .........................................................................................................................46 15.3 Unauthorized Personnel and Visitors ...................................................................................................47 15.4 Food Handlers..............................................................................................................................47 15.5 Employee Training ........................................................................................................................47 15.6 Food Products Purchase ..................................................................................................................48 15.7 Food Storage ...............................................................................................................................48 15.8 Food Preparation ..........................................................................................................................48 15.9 Food Transport, Display and Serving ....................................................................................................48 15.10 Washing and Cleaning ...................................................................................................................48 15.11 Water ......................................................................................................................................49 15.12 Ice Machine ...............................................................................................................................49 15.13 Waste Management at Food Facility...................................................................................................49 EP-07 3 of 64 Nov 2008 V7.0

15.14 Pest Control at Food Facility ......................................................................................................... 490 15.15 Maintenance ............................................................................................................................ 490
Section 16 Guidelines .......................................................................................................... 501

16.1 General Evacuation Procedure ........................................................................................................ 501 16.2 First Aid Training ........................................................................................................................ 544
Appendix A First Aid Box Contents ........................................................................................ 566 Appendix B First Aid Room Contents ........................................................................................ 57 Appendix C Health, Safety and Environment Incident Form ............................................................ 58 Appendix D Quality Policy (version 5.0) .................................................................................... 58 Appendix E Health, Safety and Environmental Policy (5.0) ........................................................... 581 References ....................................................................................................................... 612
EP-07
4 of 64
Nov 2008 V7.0

Section 1 Introduction
The HSE Policies and Guidelines for the Dubai Healthcare City (DHCC) have been developed to ensure compliance to international best practices standards, UAE Federal laws and Dubai municipality HSE code of practices. It is binding on all tenant, stakeholders, visitors, employees, contractors and consultants. Full compliance with this document will ensure that statutory and regulatory obligations are met whilst non compliance may result in breach of legal and statutory requirements. DHCC tenants cannot be operational until a pre operational HSE assessment has been conducted by DHCC HSE department and approval has been granted by issuance of a HSE Operational Readiness Certificate. The DHCC HSE Department shall make periodic inspections and/or audits to DHCC tenant facilities to ensure compliance with UAE federal laws, Dubai government laws, Dubai municipality and DHCC Regulation, Rules and Guidelines. Identified nonconformities will be reported to DHCC and the tenant for corrective actions. It is the responsibility of each Tenant to fully cooperate with DHCC HSE Department.
Saeed Al Muntafiq Chairman of the Board Dubai Healthcare City
EP-07
5 of 64
Nov 2008 V7.0

Section 2 Abbreviations & Glossary
2.1 Abbreviations
2.1.1 2.1.2 DHCC HSE Dubai Healthcare City Health, Safety & Environment
2.2 Glossary
2.2.1. 2.2.2. Accident Appointed Person Undesired event giving rise to death, ill health, injury, damage or other loss. Appointed person is a person appointed to take action when someone is injured or falls ill, including calling ambulance if required. He shall look after the first-aid equipment and restocking the first-aid box. Appointed persons SHALL NOT attempt to give first aid for which they have not been trained through short emergency first aid training courses. 2.2.3. Audit Systematic examination to determine whether activities and related results conform to planned arrangements and whether these arrangements are
implemented effectively and are suitable for achieving the organizations policy and objectives. 2.2.4. 2.2.5. Auditor Autoclave Person with the competence to conduct an audit A piece of equipment that uses steam at high pressure to sterilize (clean) objects used in medical operations. 2.2.6. Continual improvement Process of enhancing the HSE management system, to achieve improvements in overall HSE performances, in line with the organizations HSE policy. 2.2.7. 2.2.8. Corrective Action Disaster A action to eliminate the cause of a detected nonconformity. A sudden event that results in death, incapacitation, or injury to a relatively large number of persons, creating a usual stress on organizational resources. 2.2.9. Document Information and its supporting medium. The medium can be paper, magnetic, electronic or optical computer disc, photograph or master sample, or a combination thereof. 2.2.10. Emergency A sudden and usually unforeseen event that must be countered immediately to minimize the consequences. 2.2.11. Environment Surroundings in which an organization operates, including air, water, land, natural resources, flora, fauna, humans, and their interrelation. 2.2.12. EP-07 Environmental Aspect Element of an organization's activities or products or services that can interact with 6 of 64 Nov 2008 V7.0

the environment. A significant environmental aspect has or can have a significant environmental impact. 2.2.13. Environmental Impact Any change to the environment, whether adverse or beneficial, wholly or partially resulting from an organization's environmental aspects. 2.2.14. First Aider A first aider is a person who has received training and who holds a current first aid certificate from an organization or employer whose training and qualification for first aiders are approved by the HSE Department. 2.2.15. Hazard Source or situation with a potential for harm in terms of injury or ill health, damage to property, damage to the workplace environment, or a combination thereof. 2.2.16. 2.2.17. Hazard Identification Hazardous Materials Process of recognizing that a hazard exists and defining its characteristics. Hazardous materials appear in various forms than can cause death, serious injury, long-lasting heath effects, or cause damage to property. They come in the form of explosives, flammable and combustible substances, poisons, acid or alkali chemicals, and radioactive materials. 2.2.18. HSE Management System A HSE management system is a set of interrelated elements used to establish HSE policy and objectives and to achieve those objectives. A HSE management system includes organizational structure, planning activities, responsibilities, practices, procedures, processes and resources. 2.2.19. HSE Objective Overall HSE goal, consistent with the HSE policy, that an organization sets itself to achieve. 2.2.20. HSE Performance Measurable results against the organization's HSE policy, HSE objectives, HSE targets and HSE performance requirements. 2.2.21. HSE Policy Overall intentions and direction of an organization related to its HSE performance as formally expressed by top management. The HSE policy provides a framework for action and for the setting of HSE objectives and HSE targets. 2.2.22. HSE Target A detailed performance requirement applicable to the organization or parts thereof, that arises from the HSE objectives. 2.2.23. Incident Events that give rise to an accident or has the potential to lead to an accident. An accident where no ill health, injury, damage, or other loss occurs is also referred to as a near-miss. The term incident includes near-miss. 2.2.24. Interested party Individual or group concerned with or affected by the HSE performance of an organization. 2.2.25. Occupational Health and Conditions and factors that affect the well-being of employees, contractor
EP-07
7 of 64
Nov 2008 V7.0

Safety 2.2.26. Organization personnel, visitors and any other person in the workplace. Company, corporation, firm, enterprise, authority or institution, or part or combination thereof, whether incorporated or not, public or private, that has its own functions and administration within the DHCC. 2.2.27. Prevention of Pollution Use of processes, practices, techniques, materials, products, services or energy to avoid, reduce or control (separately or in combination) the creation, emission or discharge of any type of pollutant or waste. Examples include; efficient use of resources, material and energy substitution, reuse, recovery, recycling, reclamation and treatment. 2.2.28. 2.2.29. Preventive Action Procedure Identification and actions to eliminate the cause of a potential nonconformity. Specified way to carry out an activity or a process. Procedures can be documented or not. 2.2.30. Record A document stating results achieved or providing evidence of activities performed.
2.2.31.
Risk
Combination of the likelihood and consequence(s) of a specified hazardous event occurring.
2.2.32.
Risk Assessment
Overall process of estimating the magnitude of risk and deciding whether or not the risk is tolerable
2.2.33. 2.2.34.
Safety Tenant
Freedom from unacceptable risk of harm. Leadership of hospital, clinic, firm, enterprise, or institution licensed to operate within DHCC.
2.2.35.
Tolerable Risk
Risk that has been reduced to a level that can be endured by the organization having regard to its legal obligation and its own HSE policy.
EP-07
8 of 64
Nov 2008 V7.0

Section 3 HSE Compliance Roles & Responsibilities
3.1 Enforcement of the Quality and Health, Safety and Environmental Policies & Guidelines
The HSE Department shall be responsible for the enforcement and implementation of the HSE Policies and Guidelines. Appendix D outlines the Quality Policy (version 5.0). Appendix E outlines the Health, Safety and Environmental Policy (version 5.0.) 3.1.1 Authority of HSE Department For the protection of Occupational Health & Safety of the people and the environment, the HSE Department is empowered to amend necessary guidelines and codes of practice for the safe conduct of work and protection of environment inspect and audit work places, take samples or photographs, issue directions, instructions and orders Issue improvement and Prohibition notices for non compliances fine violators amount determined by DM set code of practice prepare and execute education training programs
3.2 Responsibilities of Tenant / Contractors

3.2.1 HSE Compliance DHCC tenants are responsible for complying with UAE Federal Laws, Dubai Government Laws, Dubai Municipality Guidelines, Codes of Practices and DHCC Regulations and Rules. The DHCC Legal and Other Requirements Register contains the list of applicable Dubai Government Laws, Ministerial and Local Orders, Dubai Municipality Guidelines, Codes of Practices and International Best Practices in which the DHCC employees, tenants and contractors must abide by. The Legal Procedure (SP-08) supports the register in ensuring compliance is achieved by all DHCC Tenants and Contractors. The DHCC contractors will be monitored for compliance against the contents of the TATWEER HSE manual.
EP-07
9 of 64
Nov 2008 V7.0
3.2.2 HSE Policy DHCC tenants shall develop a HSE policy in accordance with the Federal & local HSE Regulation and code of practise. The HSE policy shall be communicated to and accessible to all personnel in the workforce.
3.2.3 HSE Management System The tenants shall document and implement a HSE Management System. For the protection, health and safety of the people and the environment the DHCC HSE department may introduce additional codes of practices, standards, policies and procedures which must be documented and implemented into the tenants HSE management system. 3.2.4 HSE Representative The tenant shall appoint one HSE representative for each workplace. The duties of the HSE Representative shall include the following: Inspection of all work places and the promotion of the safe conduct of work Health and Safety Hazard identification and implementation of control measures Environmental Aspect and Impact identification and implementation of control measures Maintaining first aid facilities and personal protective equipment as demanded by the nature of the work Reporting on incidents and accidents, investigating and maintaining records Training of staff and ensuring that they are issued with adequate instructions Ensuring that the provisions of this HSE Policies and Guidelines are complied with Maintain a register of chemical materials used at the premises, their Material Safety Data Sheets and advise management on their safe handling Providing regular reports and advice to management and liaising with the DHCC HSE Department to ensure compliance to the regulations Reviewing the emergency preparedness of the department.
Where a tenant employs in excess of 50 persons, a full time HSE representative shall be employed. The qualifications of the full time HSE Representative shall include: Possesses a degree in any branch of Science, Engineering or Technology Training in HSE Management Systems Practical experience of working with HSE Management Systems for not less than 3 Years Possesses an adequate knowledge of English
EP-07
10 of 64
Nov 2008 V7.0

3.2.5 Safe Working Conditions The responsibility of the tenant is to provide safe working conditions free from recognized health and safety hazards that may result in death or serious physical harm to the staff, patients and visitors.
3.2.6 Exposure Standard The tenant covered by a code of practice or handling any substance, for which an exposure standard is specified, shall comply with the technical and management directions and limitations so adopted. 3.2.7 Medical Examination The tenant shall arrange for a medical examination of all staff engaged in healthcare or allied activities, at the expense of the tenant within 30 days of initial recruitment and every 12 months thereafter. These results shall be kept confidential and be maintained in the employees files. Medical examinations shall be conducted at the Dubai Municipality clinic or any other clinic or hospital approved by the HSE Department.
3.3 HSE Committee

A HSE Committee, comprising of DHCC Senior Staff and representatives of the tenants shall be formed to bring awareness, analyze and resolve HSE issues, and to improve HSE conditions in the DHCC. The HSE Committee is an advisory body for reporting and ensuring continual improvement of HSE within DHCC. Representation shall include: Chairperson HSE Committee DHCC HSE Executive / Officer HSE Representative Tenants HSE Representative Service Providers / Contractors / Subcontractors
The HSE Committee shall meet on a quarterly basis. 3.3.1 Chairperson HSE Committee The Chairperson of the HSE committee shall be appointed by DHCC Senior Vice President. The Chairperson is responsible for: Providing leadership and direction to HSE committee members Chair the HSE Committee meetings Approving minutes of the HSE Committee meetings
EP-07
11 of 64
Nov 2008 V7.0
3.3.2 DHCC HSE Officer The DHCC HSE Officer shall be responsible for: Prepare HSE meeting schedule and agenda Monitor HSE action plans
3.3.3 HSE Committee Members The HSE Committee members shall be responsible for: Regularly attend and contribute to HSE meetings Carry out HSE action plans as agreed upon
3.4 HSE Disciplinary Action

3.4.1 Verbal Notification In instances where a HSE hazard is immediately correctable, the HSE Department shall inform the tenants HSE Representative of the existence of HSE hazard, impact or violation. The HSE Department shall make a note of the time, place and person informed by the Verbal Notification. If, after 48 hours, the violation has not been corrected, a Written Notification will be issued. 3.4.2 Letter of Notification In instances where a HSE hazard is not immediately correctable or when a Verbal Notification has been ignored, the HSE department shall issue a Letter of Notification. The Letter of Notification shall provide details of a Verbal Notification (when applicable), full explanation of the HSE problem, and recommendations for corrective actions. The Letter of Notification shall be distributed to DHCC Vice presidents, Senior Vice Presidents and the tenant. The Letter of Notification may include penalties or a recommendation to cease operations until the issue(s) has been resolved. 3.4.3 HSE Violation Report In instances where a HSE violation is of a serious nature and is deemed non-correctable by the tenant, the HSE Department will issue a HSE Violation Report. The HSE Violation Report shall include all details of a Letter of Notification, including details of any corrective action on inaction taken on part of the tenant. The Violation Report shall be distributed to DHCC Vice Presidents, Senior Vice Presidents and tenant. The Violation Report may include further penalties cessation of operations.
EP-07
12 of 64
Nov 2008 V7.0

Section 4 Occupational Health & Safety
4.1 Pre-Employment Assessment
The tenants shall not employ any person (male or female) under the age of 15. The tenants shall conduct a preemployment assessment of employee health and maintain pre-employment medical history along with records of all medical tests performed.
4.2 Health Surveillance &Immunization

The employee must conduct & review Health risk assessments of its employees and conduct medical checks through a Dubai municipal approved clinic. Records must be maintained and provided to DHCC as when required. The tenants shall ensure vaccination of employees to prevent transmission of diseases.
4.3 Employee Training

All employees of the tenants shall receive regular HSE education and training such as: Orientation Modes of disease transmission Disease control measures Compliance to standard precaution Immunization Emergency Preparedness Fire safety General health, safety and environmental issues
Evidence of training activities and attendees shall be documented, maintained, and available for auditing purposes.
4.4 Pregnant Employees

The tenants shall advice pregnant employees on practicing standard precautions when dealing with patients.
4.5 Infectious Disease Exposures

The tenants shall develop an Infection Control plan which will include adequate steps to prevent exposure of employees to infectious diseases such as hepatitis, chickenpox, measles, rubella, mumps, tuberculosis, etc. Where employees are infected with such diseases, DHCC HSE department must be communicated and assessing the severity and exposure risk to the public work exclusion / restrictions shall be carried out.
EP-07
13 of 64
Nov 2008 V7.0

4.6 Occupational Hazards
The tenants shall identify, minimize and control occupational hazards within the work environment. Occupational hazards shall include, but are not limited to: Biological/ Infectious hazards such as bacteria, viruses, fungi or parasites Chemical Hazards such as toxins, gases, etc Mechanical Hazards such as injuries, accidents, strains Physical Hazards such as radiation, electricity, extreme temperature, etc, that can cause trauma Psychological Hazards - associated with work environment, stress, emotional strain
4.7 Needle stick / Sharp Injuries

All tenants shall have a needle stick / sharp injuries policy and procedure. The employees of the tenants shall report all needle stick/sharp injuries (percutaneous injury). The employees of the tenants shall also report all mucutaneous exposures of a mucous membrane (eye, nose or mouth) or chapped, abraded or dermatitic skin with blood, tissue or other body fluids that are potentially infectious.
4.8 Personal Protective Clothing and Equipment

The tenants shall provide for the employees protective clothing and equipment necessary to protect them from risk or danger. All protective clothing and equipment should comply with relevant standards. Protective clothing and equipment of a personal nature, such as footwear, hairnets etc. should be provided on an individual basis. All employees must use the protective equipment and clothing provided to prevent health and safety hazards.
4.9 Warning Signs

The tenants must provide suitable warning signs in front of dangerous positions, such as gas cylinders storage areas, radiation, chemical hazards, high voltage etc. The signs should be displayed in such position to be clearly visible to persons working in or visiting the area. Other signs shall also be provided to indicate designated areas or access such as emergency exits, access for persons with disabilities, etc.
4.10 Housekeeping
Proper housekeeping, including a system for the separation of waste segregation shall be maintained. Refer to Section 11.2 for waste segregation identification.
EP-07
14 of 64
Nov 2008 V7.0

4.11 Chemical Data Sheets
The tenants shall ensure the following: Material Data Safety Sheets (MSDS) shall be kept for all chemicals All storage areas must be approved by the HSE Department Chemicals shall be handled and stored according to the MSDS. All the hazardous chemicals should be stored in a manner to protect from weather conditions with adequate spill collection, ventilation, separation and fire protection Highly flammable products shall be maintained in a controlled environment
4.12 Ventilation & Lighting

The tenants shall provide adequate ventilation and illumination in the work place to ensure the safe conduct of work.
4.13 Radioactive Isotope

The tenants shall undertake approval from the CPQ / HSE Department for importing, handling and storage of radioactive isotopes within DHCC. The current IAEA, local rules and regulations shall apply.
4.14 Electrical Equipment

The tenants shall ensure the following: Electrical equipment shall be routinely checked by an authorized person. Evidence of last checked date shall be kept, either using a date sticker adhered to the equipment and/or recording in a safety check logbook. Defective electric cables, apparatus, motors, fans, etc. must be rectified before work commences. Use of 2 pin plugs is not approved within DHCC. It is forbidden to replace burnt-out fuses, or fit fuses which have a higher rating than the specified rating. Electric heaters, motors, fans, transformers, etc. must not be covered, but are to be protected so that they are not subjected to moisture, water, oil or steam. During break in the work and also when work is finished for the day, lighting, electric motors, are to be switched off. Isolation, where necessary, must be carried out before undertaking any repair/maintenance work on electrical installations.
4.15 Alcohol and Non-Prescription Drugs

Alcohol and illicit drugs shall not be permitted within DHCC. Persons suspected to be under the influence of alcohol or illicit drugs should not be permitted onto the tenants premises.
EP-07
15 of 64
Nov 2008 V7.0

Section 5 Public Health
5.1 No Smoking Policy
It is prohibited for any tenant or their visitors or contractors to smoke in the DHCC premises other than in designated areas. Non compliance will result in disciplinary action as per Dubai legal guidelines and subsequent amendments.
5.2 Littering
Littering is not permitted in DHCC. Violators will face disciplinary action as per Dubai Municipality legal guide lines and codes of practice.
5.3 Cleanliness
It is the responsibility of the tenant to maintain a clean and tidy facility.
5.4 Display of Goods

It is prohibited for any tenant to display goods, abandon goods, deposit waste, or carry out any sort of activity outside of their premises.
5.5 Advertisements
It is prohibited to place advertisements upon any building other than the places designated by DHCC.
5.6 Sanitary Facilities

The tenants shall ensure the following: Each facility must provide sufficient water closets, wash hand basins with running hot and cold water, liquid soap dispensers and hand dryers. Toilet rooms should be well lit ventilated to the external air and should have self-closing and tight-fitting doors. All toilet rooms and fixtures should be kept in good repair and in a sanitary condition. The use of common toilets, in case both sexes are employed, is strictly prohibited.
5.7. Facilities for Rest/ Waiting area

The tenants shall ensure the following: Proper seating(s) shall be provided for use of the visitors and staff. When selecting seating, ergonomic principles should be considered, such as height, weight and stability of seating.
EP-07 16 of 64 Nov 2008 V7.0

Suitable rest areas shall be provided. The areas shall be well-ventilated, free from distractions (noise, smell, etc) and equipped with comfortable furniture. Areas must be identified for wheelchair access.
5.8 Eating Area at Place of Work

The tenants shall ensure the following: A room or suitable place should be identified for employee eating / rest by the tenant. This designated area should be furnished with tables and chairs. This designated area should be well ventilated, equipped with a microwave, refrigerator and sink with hot and cold running water.
5.9 Drinking Water

The tenants shall ensure the following: Adequate filtered cold drinking water facilities should be provided. Water should be available near the work area and easily accessible for disabled persons. Drinking points should not be located in sanitary accommodation. Any appliance used to cool drinking water should be regularly inspected and well maintained as to prevent contamination.
5.10 Water Tanks

The tenants shall ensure the following: All fresh water tanks must be kept in good condition and maintained properly. Water tanks should be cleaned on regular bases by approved cleaning company. Records of tank maintenance shall be maintained.
5.11 Water Taps

The tenants shall ensure that all external water taps should be fitted with a proper drainage system.
5.12 Pet Animals

The tenants shall ensure that no pet animals, birds or live stock are allowed to be kept or fed in the area without prior permission.
5.13 Infections
EP-07
17 of 64
Nov 2008 V7.0

The tenants must inform the HSE Department in case of outbreak of any infectious disease and food poisoning case.
Section 6 Emergency Preparedness & Response

6.1 Facility Layout
The tenants shall ensure display of facility layout map that shows sufficient detail to enable rescue services, utility workers and the employees to find power shutoffs, fire protection devices and emergency exits. Maps shall be reviewed and updated on a regular basis.
6.2 Emergency Coordinator

An Emergency Coordinator and deputy coordinator shall be designated for each facility. The Emergency Coordinator, and in his absence the deputy coordinator, is in charge of the Emergency Action Plan. The Emergency Action Plan shall include contact information of the Emergency Coordinator, deputy coordinator and all employees.
6.3 Emergency Action Plan

The tenants shall ensure an effective Emergency Action Plan to prevent personal injury or death avoid damage to environment minimize property damage
The Emergency Action Plan shall take into account: Serious or life-threatening injury Entrapment Fire Explosion Radiation Chemical release or spill Flammable liquid and gas leaks Structural failure Natural disaster Power failure Bomb threat Civil disorder Security Risks
18 of 64 Nov 2008 V7.0
EP-07
6.4 Emergency Response Team

The tenants shall ensure that an Emergency Response Team is assigned with specific responsibilities in the event of an emergency. The responsibilities of the Emergency Response Team shall include, but not limited to: Procedures for shutting of utilities First Aid Contacting emergency services Control of traffic, onlookers, security
The Emergency Coordinator shall direct the Emergency Response Team and coordinate activities of Emergency Plan. The contact details of Emergency Response Team shall be indicated in the Emergency Plan.
6.5 Emergency Communications

The tenant shall ensure that employees are able to respond and report emergencies. Basic information for such reporting shall include: Callers name and facilities name Location of emergency, as specifically as possible Details of the emergency (fire, spill, etc) Urgency of the emergency (out of control, nearby, explosive materials, etc)
6.6 Emergency Services

The tenants shall ensure Emergency Services contact details shall be displayed in waiting/reception areas. Phone numbers shall include, but not be limited to, Tatweer Emergency Incident line (8007005) DHCC Control Room (04-3752193) Civil Defense Police Emergency Ambulance Service Utility Companies Regulatory Agencies (Municipality) Contact Hospital
6.7 Ambulance Services
EP-07
19 of 64
Nov 2008 V7.0

The tenants shall ensure arrangements with other healthcare entities to provide ambulance services in case of emergency and non-emergency transfer of their patients.
6.8 Security
The tenants shall ensure that during or after an emergency, only authorized personnel are permitted to enter the tenants facility.
6.9 Salvage and Recovery

The tenants shall ensure provisions for cleanup, salvage and recovery after an emergency. The tenants shall ensure a backup plan in case of emergencies to minimize damage and to enable immediate resumption of operations including, but not limited to, Protection of undamaged property Customer notification Information and records protection Backup communications Emergency supplies
6.10 Emergency Training

The tenants shall ensure all employees are provided with orientation and training in terms of their responsibilities during an emergency, the locations of exit routes, alarm signals, fire extinguisher locations as well as hazardous material information.
6.11 Emergency Drills

The tenants shall ensure conduct of periodic emergency drills to allow employees to practice emergency procedures under simulated conditions. In addition tenant must ensure that they are familiar with DHCC Emergency procedures and must coordinate and participate in all planned / unplanned EXERCISES organized by DHCC HSE dept.
6.12 Visitors
The tenants shall ensure Visitors and Contractors are informed on potential emergencies and exit / evacuation routes.
EP-07
20 of 64
Nov 2008 V7.0
Section 7 First Aid

7.1 General
The tenants shall ensure that All premises are provided with adequate first aid boxes Equipment and facilities are adequate and appropriate to the facility The number of appointed and/or first aiders in different workplaces are in accordance with the following requirements: No. of Employees Fewer than 50 employed Between 50 & 100employed More than 100 employed First-aid Personnel At least one trained first aider One trained first-aider One more first-aider to every 100
7.2 First Aid Training

The tenants shall ensure that the First Aid training is given by a licensed health care professional who is trained to deliver first aid. Qualified trainers must have first aid certificates from the HSE Department approved organization.
7.3 First Aid Facility

All work places must have a first-aid facility established in accordance with the following table of requirements:
Number of Employees First-Aid Facility 1 50 First-aid box First-aid room Trained certified first-aid staff Nurse or Doctor 1 50 - 150 2 150 - 250 2 Yes 250 1000 > 1000
In each work area Yes Yes Yes Yes Yes
EP-07
21 of 64
Nov 2008 V7.0
Section 8 Incidents & Accidents

8.1 Incident Reporting
The tenant shall establish and maintain an accident and dangerous incident record system at the workplace and shall make this record available to the HSE Department. This system shall contain the following information: Nature of incident Description and cause Name of worker affected Treatment given Days of absence Corrective and preventive action(s) taken
Any accident resulting in death of a worker or admission/attendance at a hospital, or any other dangerous incident must be reported by the tenant to the HSE Department and QID within 24 hours on format approved by the HSE department. See Appendix 3. In addition, the tenant must keep, for a minimum of three years, a record that contain the following: reportable deaths/injuries arising out of or in connection with work reportable occupational diseases reportable dangerous occurrences
8.2 Duty to Notify

The tenant shall notify the HSE Department by using the standard form within 24 hours of the incidents such as Death of a person as a result of an accident arising out of or in connection with work A major injury suffered as a result of an accident arising out of or in connection with work A major injury suffered by a person not at work (e.g. a visitor, customer, client, passenger, and by-stander) as a result of an accident arising out of or in connection with work and where that person is taken from the accident site to hospital for treatment A dangerous occurrence
The tenant is under duty to disclose accident data to the HSE Department. The tenant shall be responsible for ensuring the health and safety of the Contract Workers employed at their respective premises. DHCC tenants shall be held liable/responsible for any accident/incident that may involve the external company workers within their respective facility.
EP-07
22 of 64
Nov 2008 V7.0
8.3 Penalties
Contravention of any of the provisions above is an offence. The maximum penalty is a fine of up to Dirhams Fifty Thousand (Dhs. 50,000) as per current DHCC rules.
8.4 Reportable Accidents, Dangerous Occurrences, Occupational Diseases

Accidents The tenants shall ensure reporting to HSE Department of the following: Accidents that lead to employee absence from work for more than three consecutive days (i.e. excluding the day of the accident but including any days which would not have been working days). Accidents that include non-consensual physical acts of violence done to a person at work, suicide in/out of work. Occupational Diseases The tenants shall report all occupational diseases. Dangerous Occurrences The tenants shall ensure reporting to HSE Department of the following: The death of an employee, where the employees death occurred within a year of suffering an injury Any death or major injury, which has arisen out of or in connection with gas
In respect of deceased person, the death certificate must include particulars as to whether death might have been due to or contributed to by the employment
8.5 Incident Report Register

The tenants shall ensure the following: An incident report register shall be maintained by the tenant All minor or major incidents shall be registered All major accidents shall be reported to the HSE Department for further investigation
Section 9 Fire Regulations

9.1 General
EP-07
23 of 64
Nov 2008 V7.0

The objective of these regulations is to safeguard the lives and property within the premises of DHCC against possible fire hazards. The scope of these regulations covers three elements: Fire Protection Fire Prevention Fire Control
9.2 Fire Protection

Every building or structure shall be designed, constructed, arranged, equipped, maintained, operated and provided with fire protection facilities in order to avoid undue danger to the occupants from fire, smoke, fumes or resulting panics as per the recommendations / approval of the DHCC HSE Department. No alterations or installation of fire systems must be carried out with securing a permit from DHCC facility management. The tenant shall be held liable for any damage or malfunction arising due to acts by any if its employees, visitors and contractors on the installed fire systems for the building and damages shall be claimed from the tenant.
9.2.1 Fire extinguishing system

The type of fire extinguishing system within a facility should include: Automatic fire extinguishers/ sprinklers/ smoke detectors Portable fire extinguishes Special extinguisher system in cooking areas, laboratories etc. This includes: o o o Carbon dioxide system Dry chemical system Foam/Water or Wet chemical system
9.3 Fire Prevention

All tenants shall be responsible for implementation of appropriate / necessary fire preventive measures, including housekeeping, at work places to prevent the outbreak of fires or explosions that could result in loss of valuable lives and property. The fire preventive measures shall include, but not limited to precautions against (i) sources of ignition including heat transfer (ii) lightning (iii) spontaneous combustion (iv) explosions (v) flammable / combustible dusts, gases or other special requirement applications (storage areas, and vapours and wastes (vi) hazardous processes. (vii) Naked lights and flames and (viii) hazardous chemicals posing flammability risks.
EP-07
24 of 64
Nov 2008 V7.0

Incident of fire / explosion taking place in the premises of tenants shall be reported in the prescribed format to the HSE Department. Investigation into the cause thereof shall be carried out by the HSE Department with the sole objective of implementing appropriate / necessary corrective measures to prevent recurrence. Fire Prevention at your place of work is your responsibility and your co-operation is essential to prevent outbreak of fires which could destroy valuable lives and property. The tenants shall ensure the following: No smoking in forbidden areas Avoid careless disposal of burning cigarette butts Check ashtrays for smoldering cigarettes or other combustibles before closing down Do not let papers, rags or other rubbish accumulate at your place of work Use proper containers for flammable liquids, and not open tins or buckets Handle flammable liquids at a safe distance from possible sources of ignition Do not overload electrical circuits Switch off from mains any electrical equipment when not in use Check electrical cables, plug sockets, for damage/fraying Wipe out spilled oil, grease or liquids Store your tools safely when not in use Use metal containers for and waste Do not leave rubbish lying out Do not hang clothing over or near heating element Keep compressed gas cylinders away from sun, artificial heating, flammable materials, corrosive chemicals and fumes Do not obstruct access to fire extinguishers Make sure that you know the escape routes in case of fire Keep fire escapes exits unobstructed Ensure that all fire protection facilities are inspected / maintained / serviced Hose Reels (monthly), Fire Extinguishers (quarterly) and Fire Detector/Alarm System (six monthly) Ensure that employees are trained in the use of Fire fighting equipment, Fire Action and Evacuation yearly basis See that you know what to do in case of a fire
9.4 Fire Control

Fire Emergency / Evacuation plan shall be in place and it shall be rehearsed / drilled at least annually. The plan shall be coordinated with the DHCC Emergency Management Procedures and updated suitably as may be necessitated by the changed requirements.
EP-07
25 of 64
Nov 2008 V7.0

It shall be ensured that employees are trained in the use of fire fighting equipment, fire actions and evacuation annually. The employees should know the location and the correct use of: Fire extinguishers Alarm call points Emergency telephones Escape routs and fire exists Assembly points
9.5 Fire Action

Action to be taken in case of fire: a) b) c) d) e) Raise Alarm By actuating Fire Alarm System or by shouting FIREFIRE.FIRE.. Attack the fire By using available and right Fire Extinguishers, if possible Inform the DHCC Emergency Control Room Evacuate the building and assemble outside if you think the fire is going out of control Do not re-enter the building until declared safe by the Emergency responders. (DHCC Security or Fire brigade)
Actions a to c must be taken simultaneously to avoid delays. Also refer to Emergency Preparedness and Response (Section 6).
EP-07
26 of 64
Nov 2008 V7.0

Section 10 Environmental Protection
10.1 Reduce, Reuse, and Recycle
The tenants shall practice the principle of Three Rs - Reduce, Reuse & Recycle - to produce less waste: Reduce the amount and toxicity of the waste, including waste prevention through source reduction Reuse containers and products Recycle as much as possible, which includes buying products with recycled content
10.2 Ozone Depleting Substances

The tenants shall adhere to the requirements of Montreal Protocol of Ozone Depleting Substances whereby use of chemicals such as Chlorofluorocarbons (CFC), Halons, Carbon Tetrachloride and Trichloroethane used in airconditioning, refrigeration, fire protection systems and aerosol sprays are controlled. The DHCC actively promotes the goal of controlling ozone depleting substances to achieve timely phase out of ozone depleting substances.
10.3 Prohibited Discharge

It is prohibited to throw down, place, abandon or discharge any of the following materials listed below in any road, path, passage, open land, roof, wall, fence or any other such public place whether communal or private: All kinds of waste and unwanted discarded materials such as garbage, waste paper, waste packing materials, waste equipment, medical waste, and waste water Anything which may hinder the free passage of vehicles and pedestrians or adversely the environment of DHCC areas or cause contamination or any other breach or threat to public health and environmental safety
10.4 Hazardous Chemicals

It is prohibited to dispose of chemicals or other hazardous chemicals like toxic waste; corrosive chemical waste or their empty cans into ordinary skips. Prior approval must be taken from the DHCC before disposing of such waste.
10.5 Disposal of Light Waste

Light waste such as papers, polybags or light packing materials which may move or fly easily by the wind must not be disposed of untidily into skips or in any uncovered bins.
10.6 Skip Service

The tenants shall provide permanent skip service for the segregation and the disposal of waste types.
EP-07 27 of 64 Nov 2008 V7.0

10.7 A/C Condensed Water
The tenants shall ensure the following: Air conditioning condensed water drainage is connected to a central drainage system Connections include a designed air gap to prevent system backflow Drainage is maintained and routinely inspected for blockages and air gapes. Maintenance records are retained
10.8 Septic Tanks

The tenants shall ensure maintenance of septic tank and soak away in proper condition. The maintenance record shall be retained.
10.9 Collection of Waste

The tenants shall ensure all refuse are collected in plastic dust bins with inner bags and covering lids before being disposed of in the collection bins appropriate for waste stream separation.
EP-07
28 of 64
Nov 2008 V7.0

10.10 Indoor Air Quality Standards
Indoor air quality parameters and element exposure limits are displayed below. The tenants shall ensure periodic monitoring of the important parameters to ensure control measures are appropriate.
Substance Symbol Max. allowable limits (g/m 3) 350 Sulphur Dioxide SO2 150 60 Carbon Monoxide CO 30 (mg/m3) 10 (mg/m3) Nitrogen Dioxide NO2 400 150 200 120 230 90 50 25 0.50 Average time 1 hour 24 hours 1 year 1 hour 8 hours 1 1 hour 24 hours 1 hour 8 hours 2 24 hours 1 year 24 hours 3 24 hours 4 1 year
Ozone
O3
Total Suspended Particles Particulate Matter (10 microns in diameter) Particular Matter (2.5 microns in diameter) Lead
TSP
PM10 PM2.5 Pb
The units of measure for the standard are milligrams per cubic meter (mg/m3) and micrograms per cubic meter (g/m3) of air. Notes:
1
Not to be exceeded more than once per year To attain this standard, the 3-year average of the fourth-highest daily maximum 8-hour average ozone concentrations measured at each monitor within an area over each year must not exceed 120 g/m3 To attain this standard, the 3-year average of the weighted annual mean PM10 concentration at each monitor within an area must not exceed 50 g/m3 To attain this standard, the 3-year average of the 98th percentile of 24-hour concentrations at each population-oriented monitor within an area must not exceed 25 g/m3
EP-07
29 of 64
Nov 2008 V7.0
10.11 Air Pollutants Emissions Limits

10.11.1 Air pollutants emissions limits for hazardous and medical waste incinerators SUBSTANCE
Total Suspended Particles (TSP) Carbon Monoxide (CO) Nitrogen Oxides (NOx) Sulphur Dioxide (SO2) Hydrogen Chloride (HCI) Hydrogen Fluoride (HF) Total Volatile Organic Compounds (VOC) Cadmium Thallium Mercury (Hg) Antimony (Sb) Arsenic (As) Chrome (Cr) Cobalt (Co) Copper (Cu) Lead (Pb) Manganese (Mn) Nickel (Ni) Tin (Sn) Vanadium (V)
EMISSION LIMITS (mg/Nm3)

10 (daily average) 30 ( hourly average) 50 daily average 100 ( hourly average) 200 daily average 400 ( hourly average) 50 daily average 200 ( hourly average) 10 daily average 60 ( hourly average) 1 daily average 4 ( hourly average) 10 daily average 20 ( hourly average) Total 0.1 0.1
Total 1
EP-07
30 of 64
Nov 2008 V7.0

10.11.2 Air pollutants emission limits from stationary sources SUBSTANCE
Visible emissions Total Suspended Particulates (TSP) Sulphuric acid mist or sulphur trioxide (SO3) Sulphur Dioxide (SO2) Hydrogen sulphide (H2S) Hydrogen Fluoride (HF) Oxides of Nitrogen (NOx) Carbon Monoxide (CO) Chlorine (Cl2) Mercury (Hg) Heavy metals in total: Lead (Pb) Copper (Cu) Arsenic(As) Cadmium (Cd) Antimony (Sb) Nickel (Ni)
SOURCES
Combustion sources Other sources All Combustion sources Large sources All sources All fuel burning sources All sources All sources All Sources All sources All sources All sources
EMISSION LIMITS (mg/Nm3)

250 None 250 100 50 500 5 2 150 500 200 0.5
All sources All sources
5 1
EP-07
31 of 64
Nov 2008 V7.0

10.12 Noise
To protect the public from excessive noise DHCC has established noise criteria. The tenants and their contractors shall ensure that the emission of noise does not exceed the set levels. Authorized representative from DHCC may investigate a compliant of excessive noise and may issue verbal or written notification.
ALLOWABLE LIMITS FOR NOISE LEVEL (dB) AREA DAY (7 am 8 pm) 40-50 45-55 55-65 NIGHT (8 pm 7am) 30-40 35-45 45-55
Healthcare Facility Day-care Centers & Residential area Hotel, Restaurants & Commercial area
10.13 Hazardous Materials Storage

10.13.1 Hazardous Materials The tenants shall ensure the following: All the hazardous materials are stored in a manner to protect from weather conditions with adequate spill collection and fire protection equipment Hazardous materials are labeled and segregated as per the hierarchy of storage groups given below. Store two incompatible goods at least 3m apart. All highly flammable and reactive goods are to be stored in separate fire rated enclosures.
EP-07
32 of 64
Nov 2008 V7.0

Hazardous material segregation categories Hierarchy of Storage Groups
1 2 3 4 5 6 7 8 9 10
Radioactive Material A1 Explosive E1 Herbicides P1 All other Pesticides P2 Flammable Toxic Gas G1 Non Flammable Toxic Gas G3 Flammable Non Toxic Gas G2 Acetylene Gas G7 Oxygen/Oxidizer G6 Chlorine Gas G5
11 12 13 14 15 16 17 18 19
Non Flammable Non Toxic Gas G4 Flammable Liquid F1 Oxidizers R1 Pyrophoric R4 Water Reactive R3 Reducers R2 Corrosive Acid C1 Corrosive Base B1 Toxic Chemicals T1
10.13.2 Oil Storage Storage of more than 200 liters oil in tanks and containers, outside and above the ground at DHCC site shall meet the following requirements: Tanks, drums or other containers must be strong enough to hold the oil without leaking or busting A form of secondary solid containment to oil and water, such as bund or drip tray must be provided to catch any oil leaking from the container or pipe work and equipment The bund must be large enough to contain 110% of the maximum contents of the oil container. The bund must not have any outlet, valve or drain to remove rainwater or oil spilt. The bund base and walls must be resistant to water and oil. It should be checked regularly for leaks. Above ground pipe work must be adequately protected and the underground pipes should be protected from damage and have leak detection. Storage area and the environmental protection measures taken by the tenant have to be approved by the HSE Department. HSE Department or its nominated representative shall carry out periodic inspections of the hazardous material storage sites to ensure compliance to the policy.
10.14 Asbestos products

Use of asbestos products in all facilities inside DHCC is strictly prohibited.
EP-07
33 of 64
Nov 2008 V7.0

10.15 Wastewater disposal
The following substances are prohibited for discharge into water environment: Pesticides and herbicides Oil and solvent waste Radioactive waste Residues from the removal of anti-fouling paints
All sewer discharge points must be located 1 meter below the low water level and equipped with sampling point to provide access for taking representative samples. Wastewater discharge limits to Sewerage system
Indicators Physico-chemical Biochemical oxygen demand Chemical Oxygen demand Chlorine residual Cyanides Detergents Nitrogen Oil and grease pH (range) units Pesticides Chlorides Phenols Phosphorous Sulfates, total Sulfides as S Suspended solids Surfactants Temperature TDS
Maximum allowable limits (Sewerage system) mg/L 1,000 3,000 10 1 30 40 50 6-10 (units) Nil Nil 50 30 500 10 500 Nil 35-40 0C 3,000
EP-07
34 of 64
Nov 2008 V7.0

Maximum allowable limits (Sewerage system) mg/L Physico-chemical Metals Total metals Arsenic Aluminum Barium Beryllium Boron Cadmium Chromium Cobalt Copper Iron Lead Magnesium Manganese Mercury Molybdenum Nickel Selenium Silver Sodium Zinc Bacteriological Total coliforms MPN/100ml. 500 10 0.50 Nil Nil Nil 2 0.3 1 Nil 1 Nil 1 Nil 1 0.01 Nil 1 Nil 1 Nil 2
Indicators
10.16 Shipment and Disposal of Hazardous and Radioactive Waste

DHCC follows Basel Convention requirements, as Dubai Municipality is a signatory to the Montreal Protocol. Any transboundary shipment and disposal of hazardous and radioactive waste shall be carried out in accordance to applicable the local as well as international protocols such as Basel convention on control of trans-boundary movements of hazardous wastes and their disposals, IAEA regulations for safe transport of radioactive materials and the UAE Federal regulations.
EP-07
35 of 64
Nov 2008 V7.0

Section 11 Medical Waste
11.1 Medical Waste Coordinator
The tenant generating medical waste shall nominate an employee as Waste Coordinator responsible for safe and efficient collection and handling of medical waste.
11.2 Medical Waste Bags

The tenant shall ensure that medical waste are placed in approved medical storage bags or sharp containers for collection into wheeled container trolleys provided by approved medical waste transporters. The tenant shall ensure that bags are securely tied, sealed and labeled with the tenants name. The bags shall not be re-bagged except under supervision in the event of a bag failure. The following color coded bags shall be used: Waste Category General Waste Radiotherapy Waste Cytotoxic Waste Waste for Autoclaving Other Medical Waste Bag Color Black Red Purple Light Blue Yellow
EP-07
36 of 64
Nov 2008 V7.0

11.3 Medical Waste Segregation
The tenant shall ensure medical waste is not with non-hazardous general waste. The tenant shall ensure the following segregation guidelines are followed:
Treatment Room Waste
Provide with Yellow bags for collection of medical wastes Provide with Sharp boxes for collection of hypodermic needles, syringes, blades and broken glass items contaminated with medical waste. Sharp containers are to be replaced on being filled.
Laboratory Waste
Waste chemicals generated shall be segregated for disposal as hazardous waste Samples shall be autoclaved and deposited in Yellow bags or Sharp Boxes Culture dishes and other infested wastes must be autoclaved and deposited in Yellow bags
X-Ray & Radiography
Developer chemicals shall be collected and recycled with approval of Dubai Municipality Radioisotopes shall be segregated and stored safely for 4 half-lives of the isotope involved. After this time, the material shall be disposed as general waste. Irradiated liquids may be flushed down the sewage system with copious quantities of water on receipt of written approval from Dubai Municipality
EP-07
37 of 64
Nov 2008 V7.0

11.4 Waste Storage and Handling
The tenant shall ensure bagged medical waste when labeled is not stored in office or patient care areas. The medical waste shall be taken to a dedicated collection point, which has an impervious hard standing and is of adequate size related to the volume of production and the frequency of collection. The storage area for the waste awaiting collection, if outside the clinic or laboratory must be secure and lockable. Access to these storage facilities should be limited to those responsible for handling, transporting or disposing of the waste. Only the approved wheeled collection container trolleys should be used when collecting, moving or transporting full bags of medical waste from the point source into the designated collection or storage area. All waste streams shall be collected from site on regular bases with no less than on week between collections. Collection log shall be retained Bags used to store medical waste must not be filled up more than 80% of its nominal capacity in order to allow effective closure by tying up its neck. The sealing of plastic bags can be carried out by tying the neck with a purpose made plastic coated metal wire. Staples must not be used as they may cause tearing-off of the bags or cause injury to the handlers. At times where manual handling is involved (for example when placing into the wheeled collection trolleys), the necks of the bags should be positioned upright to allow any subsequent handling to be easily undertaken. Heavy duty gloves should be worn and the bags held at the closure end only since there is always a risk of puncture injury as sharps or hypodermic needles may find their way into the yellow bag indiscriminately. When handling sharps container heavy duty gloves should be worn and the container picked up only by the handle provided. The other hand should not be used to support the bottom of the container since sharps have been known in some instances to pierce the sides of its containers. Bodily contact with the bags of medical waste should be avoided. If there is a slightest chance of them brushing against clothing or body when being handled, then an industrial apron or leg protectors need to be worn. Sturdy shoes or industrial Wellington boots are to be used to protect injury against bags accidentally dropped. Personal protective outfits such as overall, mask, disposable gloves or eye protector, need to be worn when engaged in clearing up body fluid especially when there is risk of the workers skin becoming contaminated. Basic cleaning tools should be readily available including among others, disinfectant, granular chlorine compound for blood spillage or suitable equipment and sand available in sealable plastic bags which can be used in the event of any liquid leakage. A full course of anti-tetanus, Hepatitis B and serum and feaces carried disease immunization must be considered for all staff carrying out medical waste handling and disposal operations. All generators of medical waste must have a contingency plan for spillage and rupturing of any container of waste, injury of personnel handling such wastes and alternative collection and transport plans should the normal transporter become unavailable.
EP-07
38 of 64
Nov 2008 V7.0

11.5 Medical Waste Training
Tenants will be responsible for ensuring that all staff who work in areas where medical waste arises understands the proper procedures for waste handling, storage and segregation. In particular staff should be trained to: Check that storage bags are securely sealed; Handle bags by neck only; Know the procedure in the case of accidental spillage and to report promptly such incident; Check the integrity of the seal of the storage bags when movement is complete; Be able to identify the bag and ensure that the origin of the waste is clearly marked on the bag; Be aware of all occupational health and safety procedures related to the handling of medical waste.
11.6 Medical Waste Transportation

Generators of medical waste shall be responsible for its proper handling and transportation to the central medical waste treatment facility in Jebel Ali. Clinics and laboratories should seek the approval of HSE Department for their medical waste collection and transport company. Only approved Transport Company having vehicles with valid permits from Dubai Municipality for medical waste collection and transportation to the treatment facility will be allowed to operate within DHCC.
11.7 Assessment of Waste Generation

The waste coordinator/ team shall make assessment of all waste generated in the hospital/ clinic. The waste should be classified as mentioned above. The survey should determine the average daily quantity of waste in each category by each hospital department. Evidence of poor waste segregation shall be rectified and outcomes recorded. Sample Weekly Assessment of Waste Generation Waste collection point (department) Waster category Total per week Kg Lit. Quantity of waste generated per day Mon. Kg Lit. Tue. Kg Lit. Wed. Kg Lit. Thurs. Kg Lit. Kg Fri. Lit. Sat. Kg Lit. Sun. Kg Lit.
EP-07
39 of 64
Nov 2008 V7.0

Section 12 Pest Control
12.1 Pest control program
The tenants shall establish effective written pest control program and maintain appropriate records. The written pest control program shall include: Name of the contact person at the facility for the pest control Name of the pest control company List of chemicals and methods used A bait location map Frequency of inspection Reports
12.2 Prevention of Rodents

At points where pipe works/ vents/ services etc. pass into buildings, maximum care should be taken to ensure that rodents cannot gain access.
12.3 Pest Infestations

It is the responsibility of the tenants to report to the HSE Department in case of any pest infestation.
12.4 Aerosol Agents

Companies may not use any form of residual pesticide but may use aerosol/flushing agents, which are properly labeled. With the exceptions of domestic aerosol products, companies are not permitted to use any pesticides in the DHCC without first consulting the HSE Department.
12.5 Commercial Pest Control

The tenants may not have the services of private pest control services without approval of the HSE Department.
EP-07
40 of 64
Nov 2008 V7.0

Section 13 Compressed Gas Cylinders
13.1 General
The tenant shall ensure appropriate mechanisms are used for safeguarding patient, staff, visitors and property by promoting safe practices in the receipts, storage, handling and use of compressed gas cylinders. The tenant shall ensure that personnel involved in use and transport of compressed gas cylinders are trained in proper handling of cylinders, supports and cylinder-valve-protective caps.
The following gases and / or combination of gases are used within a healthcare program: Carbon Dioxide / Nitrogen Carbon Dioxide / Oxygen / Nitrogen Carbon Dioxide / Air Industrial Grade Oxygen Nitrous Oxide Medical Air Liquid Nitrogen Ethylene Oxide 100% Acetylene Chlorine Freon
13.2 Compressed Gas Cylinder Identification

The tenant shall ensure cylinder contents are identified by labels or stencils in English, naming the component(s), giving their proportions and with appropriate cylinder color-coding. All cylinders stored and in-use shall display a label Empty / In-Use / Full status condition.
13.3 Compressed Gas Cylinder Storage

The tenant shall ensure the following safety conditions are observed with regard to compressed gas cylinder storage: Cylinders are stored in approved locations Storage rooms must be dry, cool and well ventilated and maintained below 350C. Storage area is secured to prevent tampering No Smoking signs are posted and clearly visible to show the presence of compressed gas cylinders Compressed gas cylinders are kept away from radiators, steam pipes, direct sunlight and other sources of heat Cylinders are not stored in operating room
41 of 64 Nov 2008 V7.0
EP-07

No flammable gases or liquids stored with oxygen and nitrous oxide Oxygen and nitrous oxide cylinders are stored at least 20 feet away from any combustible materials such as paper, cardboard, plastics and fabrics Cylinders are secured, upright and properly chained or supported by a metal strap in cylinder storage racks / stands / carts Large cylinders not stored in racks shall be stored upright (nitrous oxide excepted) and secured. Nitrous oxide cylinders shall be stored horizontally Compressed gas cylinders must be capped when not in use or when not connected to the delivery system Wrappers shall be removed from cylinders prior to storage Empty cylinders shall be segregated from full cylinders Valves shall be closed on all cylinders in storage All empty Freon cylinders must be discarded and used for no other purpose Cylinder carts must be used for transporting cylinders. No rolling or dragging of cylinders shall be permitted Use of oil / grease / lubricants on cylinder valves, regulators or fittings is prohibited Do not attempt to repair damaged cylinders or to force frozen cylinder valves Storage locations are shown on emergency evacuation plans both for the tenancy area and building
13.4 Compressed Gas Cylinder Handling and Use

The tenant shall ensure the following safety conditions are observed with regard to compressed gas cylinder handling and use: Cylinders in use must be secured in an approved manner; Equipment designed for one gas should not be utilized for another; Regulators should be Off as the cylinder is turned On and the cylinder valve is opened slowly; Regulators and hosed should never be interchanged between materials without gas suppliers approval; Before equipment is disconnected from a cylinder, the cylinder valve is closed and pressure released from the device; Trans-filling of cylinders is hazardous and shall not be done; Cylinders must not be lifted by the cap; Cylinders are not knocked or bumped together; Never lubricate valve outlets or connecting equipment; Replace cap on empty cylinders and ensure cylinder status label indicated empty; Position cylinders so that the label is clearly visible; Check the label and color code of the compressed gas cylinder before use; No source of open flame is permitted in areas where compressed gas cylinders are in use; Equipment designated for use with a specific gas must be clearly and permanently labeled accordingly;
EP-07
42 of 64
Nov 2008 V7.0

Cylinder carts must be self supporting design with appropriate casters and wheels, serviceable clamping or cylinder storage devices. The appropriate cart must be used at all times when full and empty cylinders are transported.
13.5 Oxygen Use

The tenant shall ensure the following safety conditions are observed with regard to oxygen use: When oxygen is in use, fire and safety sign / labels shall be conspicuously displayed; Ensure cylinders are secure on rack and never hang anything on cylinder; Safety relief mechanisms, non-interchangeable connections and other safety features shall not be removed or altered; Do not use wool or nylon inside the oxygen tent as they may cause sparks; Control valves on equipment must be closed before connections / disconnections are made and when cylinder is not in use; Store oxygen cylinders in well ventilated area, secured and 25 to 50 feet away from slow burning to highly combustible materials respectively.
13.6 Ethylene Oxide (ETO) Use

The tenant shall ensure the following safety conditions are observed with regard to ETO use: Cylinders should not be stored outdoors in direct sunlight; Do not use wrench or other leverage device to tighten if a leakage is discovered. Remove leaking cylinder to open air if safely practicable and notify emergency services; Storage segregation from other cylinder sources; Appropriate has its signage; Employees are trained in the safe management of cylinders and systems using ET0; Training records must be retained.
EP-07
43 of 64
Nov 2008 V7.0

Section 14 Building Utilities
14.1 General
The tenant shall ensure safe and reliable operation of all building utilities and utility systems such as emergency power systems, electrical distribution, emergency power, heating, ventilation and air-conditioning, plumbing, steam and hot water generation, medical gas, medical / surgical vacuum and facility communication systems through: Maintenance Inventory that details current and accurate inventory of system and components of the utility systems that support patient care environment and require regular observation and / or maintenance; Preventive Maintenance Plans for ensuring ongoing performance and reliability of utility systems; Failure Response Plans for responding to system disruptions and failures.
14.2 Electrical Distribution

The tenant shall ensure effective management and maintenance of the electrical distribution systems to maximize safety and reliability and to guard against shocks and hazards associated with misuse and electrical interruption.
14.3 Emergency Power Systems

An emergency power system shall be provided to ensure availability of sufficient power to maintain essential functions during power failures, thereby reducing the risks associated with such failures. This shall include provision of Emergency generators; On-site fuel storage for generators; Emergency lighting system; Emergency generators shall be tested on load each month; Records of test shall be maintained.
14.4 Heating, Ventilating and Air Conditioning Systems (HVAC) Heating, cooling and proper distribution of air are of prime importance in a healthcare facility. Correct temperature, humidity and air flow shall be provided in order to ensure a comfortable environment inside the facility, regardless of the climatic conditions outside. The management and maintenance of HVAC systems shall address system performance, air balancing, smoke control, filters and servicing.
EP-07 44 of 64 Nov 2008 V7.0
14.5 Plumbing Systems

The tenant shall ensure effective management and maintenance of the plumbing systems to accommodate facility needs for Hot and cold potable water; Cold non potable water; Processes potable water for laboratory and patient treatment applications; Waste and storm water collection and disposal; Sanitary sewage disposal.
14.6 Steam and Hot Water Generation Systems

Steam and hot water services form an essential part of a healthcare facility. The management and maintenance of steam and hot water generation system shall address generation and distribution subsystems, stream and water quality, boiler water pre-treatment, smoke emission control, alarm and protection devices, and fuel supplies in the event of contingencies.
14.7 Medical Gas and Vacuum System

Medical gas and vacuum systems form an essential feature for the provision of gases and reliable piped vacuum facility, oxygen and nitrous oxide to locations in the healthcare facility. The prime objective of the medical gas system is to ensure patient safety by having the correct gas, of the right purity and pressure pipe to dedicated user outlets. The management and maintenance of medical gas and vacuum system shall address all component features, product purity controls, distribution configuration, alarms, automatic pressure switches, shut off valves, connectors and outlets, emergency shut-off controls and alternative supply methods. The tenant must ensure activities are conducted by an authorized person or organization accredited to provide such a service.
14.8 Facility Communication Systems

The tenant shall ensure effective management and maintenance of the facility communication systems to address component maintenance, system security, system configuration and alternative communication resources during system failures.
14.9 Conservation of energy and utilities
EP-07
45 of 64
Nov 2008 V7.0

The tenants shall practice good engineering and behavior principles to minimize the consumption amount of energy and water. The tenants have to take under control all their activities associated with the use of energy and utilities. The tenant shall demonstrate evidence of continual improvement by measuring and targeting improvement goals with respect to energy and utility usage within DHCC.
Section 15 Food Safety

15.1 General
This section is applicable to food outlets operating within the DHCC premises. The operators of food outlets shall ensure Safe preparation, handling and storage of food to minimize contamination by microorganism and chemicals Employee training on food safety; Complying to the Food Safety (HACCP) Standards.
15.2 Layout and design

Following minimum space shall be provided for the food outlets within DHCC: Cafeteria Area for food preparation shall be minimum 12 square meters; Restaurants Kitchen area shall be not less than 40% of the total area whichever is larger.
Restaurants and catering premises shall include the following: Raw food and vegetable preparation rooms; Raw food and vegetables storage; Cold storage for raw meat, fish and poultry; Chiller room for thawing and meat preparation; Cooked food preparation area; Cooked food storage; Dishwashing area; Cleaned pots and dish storage; Packing room.
Layouts must ensure the work process flow(s) clearly separate food preparation, storage, dishwashing and packing area.
EP-07 46 of 64 Nov 2008 V7.0
15.3 Unauthorized Personnel and Visitors

The tenants shall Restrict unauthorized personnel entering food preparation areas, and food facilities in general Restrict visitors entry into food preparation areas unless wearing a cover coat and hair restraint
15.4 Food Handlers

The tenants shall ensure food handlers carry out cleaning and sanitation procedures, including cleaning and sanitizing of trays, utensils, tableware and other surfaces follow proper and frequent hand washing and personal hygiene practices wear and maintain proper clean attire during food handling do not eat, drink or smoke while preparing and handling food undergo a medical screening process and carry a valid medical examination certificate indicating that they are free from infectious diseases and fit to work as a food handler are managed appropriately for the work related illnesses
15.5 Employee Training

The tenants shall provide employee training which shall include, but not limited to the following: Hand washing Food safety hazards Food storage, preparation, transportation and display Sanitation and disinfection Personal hygiene
15.6 Food Products Purchase

The tenants shall ensure Food products are purchased from an approve source and inspected on delivery for the expiration date and signs of spoilage. Any damaged food or containers are rejected Perishable food products are stored immediately at proper temperature
15.7 Food Storage

The tenants shall
EP-07 47 of 64 Nov 2008 V7.0

Store non-perishable food in clean, dry, properly ventilated areas, and inspect periodically for any signs of spoilage or expiration dates Store food in designated areas. Do not store in housekeeping and dishwashing areas or near any sources of potential contamination Store food at least 6 inches above floor level and away from walls to facilitate cleaning and allow pest control measures. Rotate food stocks to avoid outdated food to be used. Follow the FIFO system. Store foods in a way to avoid cross contamination between cooked and raw foods, washed and non-washed food. Store food covered and labeled at proper temperature for refrigeration (freezing storage less than -18 Degree Centigrade, refrigeration 1-4 Degree Centigrade, and hot storage above 64 Degree Centigrade) Monitor refrigerators and freezers temperature and record it daily.
15.8 Food Preparation

The tenants shall ensure the following: Instruct personnel and supervise for personal hygiene and food safety during food preparation Wash vegetables and fruits properly Thaw in a microwave (above 750 C) or refrigerator (at 40 C or below) or under running potable water (not above 210C for not more than 4 hours). Do not thaw under room temperature. Do not thaw and refreeze Cook food thoroughly to reach correct temperature for different types of food Reheat food at least 750C and serve at least 650C. Store prepared food protected at proper temperature once ready to avoid contamination. Do not allow to sit uncovered at room temperature. Avoid food handling with bare hands, use proper and clean utensils like tongs and spoons. Use separate cutting boards for raw meat, poultry, fish, raw fruits, vegetables and cooked food, unless Boards are non-absorbent (scratch, chip, crack) and can be cleaned and sanitized adequately between uses. Use clean equipment and utensils during food preparation and avoid cross contamination.
15.9 Food Transport, Display and Serving

The tenants shall ensure the following: Transport food to different areas protected in temperature controlled carts Establish safe times for food items to be stored in inpatient care areas Protect food on display from customer contamination by use of easily, cleanable counter protector devices Maintain food on display at right temperature when hot or cold
EP-07
48 of 64
Nov 2008 V7.0

15.10 Washing and Cleaning
The tenants shall ensure the following: Comprehensive cleaning schedules are established to include different areas, equipment, fixtures and physical facility structure Monitor dishwashing and rinsing temperature to achieve proper sanitation and washing of food utensils For manual washing, sanitize all utensils and equipment either by hot water minimum at 70 degree centigrade or the use or sanitizer at appropriate concentrations and exposure time Wash all working surfaces, thoroughly rinse and sanitize them after each user with the proper sanitizer, dilution, exposure time and water temperature
15.11 Water
The tenants shall ensure use of clean, potable and safe water in the food service facility. The tenants shall test water routinely for its quality and portability.
15.12 Ice Machine

The tenants shall ensure the following: Preferably use ice dispensing machine Use potable water for ice making Clean and disinfect ice machines routinely Use a clean scoop to dispense ice. Do not handle ice with bare hands
15.13 Waste Management at Food Facility

The tenants shall ensure the following: Storage of garbage in leak and pest proof containers with tight fitting covers Store all garbage containers either outdoors or above a smooth surface of non-absorbent material Wash containers and sanitize routinely in an area provided with a floor drain connected to a sanitary sewer
15.14 Pest Control at Food Facility

The tenant shall ensure appropriate pest control measures such as sanitation, screens, closure of cracks and holes, etc to prevent the access and extermination of pests.
15.15 Maintenance
EP-07
49 of 64
Nov 2008 V7.0

The tenant shall identify and follow a cleaning and sanitization procedure all equipment used in food services. All equipment such as food processing, washing, refrigerated storage rooms, shall undergo routine servicing in conjunction with a maintenance program schedule. Evidence of maintenance shall be retained.
Section 16 Guidelines
16.1 General Evacuation Procedure
16.1.1 Emergency Information Evacuation diagrams, including routes and fire alarm pull stations shall be displayed in prominent positions throughout DHCC Maps of Emergency Assembly Area (EAA)
When evacuating your building or work area: Stay calm, do not rush, and do not panic Safely stop your work Gather your personal belongings if it is safe to do so If safe, close your office door and window, but do not lock them Use the nearest safe stairs and proceed to the nearest exit. Do not use the elevator Proceed to the designated Emergency Assembly Area (EAA) and report to your roll taker Wait for any instructions from emergency responders Do not re-enter the building or work area until you have been instructed to do so by the emergency responders 16.1.2 Fire Procedure A building occupant is required by law to evacuate the building when the fire alarm sounds. If there is a fire in your work area: Immediately notify DHCC Security by operating the alarm station. If trained, able and safe, use a portable fire extinguisher to extinguish the fire. Evacuate if one extinguisher does not put out the fire. Evacuate the building as soon as the alarm sounds and proceed to the designated Emergency Assembly Area (EAA). On your way out, warn others nearby. Move away from fire and smoke. Close doors and windows if time permits. Touch closed doors. Do not open them if they are hot. Use stairs only; do not use elevators. Move well away from the building and go to your designated EAA.
50 of 64 Nov 2008 V7.0
EP-07

Do not re-enter the building or work area until you have been instructed to do so by the emergency responders. If there is a fire in your building: Follow evacuation procedures as soon as you hear the fire alarm sound (see "General Evacuation Procedures)
16.1.3 Earthquake Procedure In case of an earthquake: Inside The Building: Duck under the nearest sturdy object and hold onto it until the shaking stops. If you are not near a sturdy object, make yourself as small as possible and cover your head and neck If you stand in a doorway, brace yourself against the frame and watch out for a swinging door or other people Avoid windows, filing cabinets, bookcases and other heavy objects that could fall or shatter Stay under cover until the shaking stops, and then leave the building If it is safe to do so, stabilize any laboratory procedure that could lead to further danger
Outside the Building: Move away from trees, signs, buildings, electrical poles and wires Protect your head with your arms from falling bricks, glass, plaster, and other debris Move away from fire and smoke Proceed to the Emergency Assembly Area if safe, or proceed to a pre -designated alternate assembly area Stay alert for further instructions
16.1.4 Criminal or Violent behavior All personnel must report suspicious situations or persons to DHCC security. Information provided should include: Nature of the incident Location of the incident Description of the person(s) involved Description of the property involved
If you witness a criminal act or notice person(s) acting suspiciously, immediately notify DHCC Security. Assist the police when they arrive by supplying them with any additional information requested; ask others to do the same.
EP-07
51 of 64
Nov 2008 V7.0

16.1.5 Explosion or bomb threat A suspicious-looking box, package, object or container in or near your work area may be a bomb or explosive material. Do not handle or touch the object. Move to a safe area and notify DHCC Security and Police. Do not operate any power switch, and do not activate the fire alarm. Ensure mobile phones and two way radio systems are switched off in the effected work areas. If there is an explosion: Take cover under sturdy furniture, or leave the building if directed to do so by emergency responders Stay away from windows Do not light matches Move well away from the site of the hazard to a safe location Use stairs only; do not use elevators Leave doors and windows open; do not turns light switch on or off
If you receive a bomb threat (via the telephone)

Stay calm and keep your voice calm. Pay close attention to details. Talk to the caller to obtain as much information as possible.
Take notes. Ask questions: When will it explode? Where is it right now? What does it look like? What kind of bomb is it? Where did you leave it? Did you place the bomb? Who is the target? Why did you plant it? What is your address? What is your name?
Observe the caller's: Speech patterns (accent, tone) Emotional state (angry, agitated, calm, etc.) Background noise (traffic, people talking and accents, music and type, etc.) Age and gender
Document other relevant details:

EP-07 52 of 64 Nov 2008 V7.0

Date and time of call How the threat was received (letter, note, and telephone)
16.1.6 Hazardous materials procedure If you are a hazardous material user, you should be trained by your supervisor on proper use and storage of hazardous materials. This training should include hazard information, proper procedures for preventing spills, and emergency procedures when a spill occurs. If you witness a hazardous material spil,l evacuate the spill site and warn others to stay away. Call DHCC Security. If you can determine that the spill is not life-threatening, follow the procedures outlined below. Leave the area of the spill first and proceed to a safe location nearby. Then assess if you have the proper training and protective gear to clean up the spill. If you are able to clean up the spill, follow proper cleanup procedures and use proper personal protection, and spill kit when available Manage the generated waste as appropriate. Consult your supervisor if necessary Isolate the spill area to keep everyone away, and post signs as necessary If you suspect or witness a release of a hazardous material to the environment (air, water, ground), call HSE Department and DHCC Security 16.1.7 Utility failure Elevator Failure If you are trapped in an elevator, use the emergency telephone to call for assistance If the elevator does not have an emergency telephone, turn on the emergency alarm (located on the control panel) to signal your need for help
Gas Leak If you smell natural gas: Cease all operations immediately. Do not switch lights on or off. Notify DHCC Security and HSE Department Evacuate as soon as possible (see "General Evacuation Procedures" above).
Ventilation Problem
EP-07 53 of 64 Nov 2008 V7.0
If odors come from the ventilation system: Immediately notify DHCC Security and HSE department If necessary, cease all operations and evacuate area (see "General Evacuation Procedures" above). If smoke is present, activate the fire alarm system by pulling the pull station and notify DHCC Security from a safe location
16.2 First Aid Training

A certificate of qualification as a first-aider is valid for three years, after which a two-day refresher course, followed by further examination is necessary before the person can be granted a further certificate. First-aiders should be trained in the following techniques and be knowledgeable about: Communication and delegation in an emergency Recognition of illness Management of unconscious casualty Resuscitation Treatment and control of bleeding Treatment of shock Treatment to injuries to bones, muscles and joints Treatment of burns and scalds Poisons Treatment of minor injuries Eye irritation Treatment of a casualty overcome by case or fumes Personal hygiene in treating wounds Transport of casualties Simple record keeping Contents of first-aid rooms Purchasing first-aid supplies
16.2.1 First Aid Employees Responsibilities Employees are to be informed of their responsibilities which are: Follow instruction, dont take chances, if you dont know, ask Correct / Report unsafe conditions, and help to keep everything clean and orderly Use right tools and equipment for the job, use them safety Report all injuries, get first aid promptly Use, adjust and repair equipment only when authorized
54 of 64 Nov 2008 V7.0
EP-07

Use prescribed equipment, wear safe clothing, and keep them in good condition Dont horseplay, avoid distracting others When lifting, bend your knees, get help for heavy load Comply with all safety rules and signs
EP-07
55 of 64
Nov 2008 V7.0

Appendix A
FIRST AID BOX CONTENTS CHECKLIST Check List - First Aid Box Box Inspection Date: Item Premier 10 Premier 20 Signature: Premier 50 Checked Quantity
Persons Guidance Leaflet Eye Pads Triangular Bandages Safety Pins Medium Dressings Large Dressings Gloves (Pairs) Wipes Plasters
10 1 2 4 12 6 2 2 10 20
20 1 4 6 12 9 3 4 10 40
50 1 6 8 12 12 4 6 20 60
Additional HSE items to standard range: Pilfer proof plasters Accident Book & Pen Tape Scissors Resusciade Apron 50 1 1 1 1 2 50 1 1 1 1 2 50 1 1 1 1 2
EP-07
56 of 64
Nov 2008 V7.0

Appendix B
FIRST AID ROOM CONTENTS
1. A Stretcher 2. Wheel chair 3. A sink with hot and cold running water 4. Drinking water 5. Paper towels, soap 6. Smooth topper impermeable work surfaces 7. Clean garments for use by first aiders 8. Clinical thermometer 9. One wash bottle 10. A couch with pillow and blankets frequently changed 11. Dressing trolley 12. Kidney tray medium size 13. Splints of different size 14. First Aid Box
EP-07
57 of 64
Nov 2008 V7.0

Appendix C
HEALTH, SAFETY AND ENVIRONMENT INCIDENT FORM This form is for DHCC Operational areas only. This form is not to be used for Clinical Incidents. This form is to be completed within the specified timeframes (refer to DHCC HSE Incident Reporting Process) for all HSE incidents, near misses and hazards within DHCC operational areas. The Reporter is to complete only the relevant sections for the specific classification type. The Witness is to complete only the Witness section on page 2. For further information on the Incident process, please review the DHCC HSE Incident Reporting Procedure (SP 01) contact Yasmin Kamel on +971 4 375 2361 or yasmin.kamel@cpq.dhcc.ae Please send the completed form to the Health, Safety and Environment email address:
healthsafety.environment@cpq.dhcc.ae or via fax on +971 4 362 4771 (Attn: Yasmin Kamel)
Injury 1) Classification Type Hazard Community
illness Property Damage Other:
Near Miss Environment
2) Details of Incident / Near Miss / Hazard Applicable Not Applicable
Date and time of incident / near miss / hazard: Date and time incident / near miss / hazard reported: Description of exact location: Describe the details of the occurrence and immediate actions taken: Proposed Actions:
Date: Date: /
/ /
/ /
Time: Time:
3) Notification (please tick appropriate)
most
DHCC QHSE team Dubai Municipality
DHCC Security Ambulance
Dubai Police Family of injured /ill
Dubai Defense Other:
Civil
Details of Notification Further Investigation Reqd 4) Reporting Person Applicable Not Applicable
Yes No Full Name: Gender: Status: Full Name: Gender: M F Age: Department / Facility: M F Age: Department / Facility
Employee Contractor Patient Visitor Other
5) Details of injured / ill Person
EP-07
58 of 64
Nov 2008 V7.0
Applicable Not Applicable
Status : Immediate treatment provided? Further details:
Employee Other Yes No
Contractor Type
Patient
Visitor
None First Aid Doctor Hospital Other:
6) injury / illness (please tick most appropriate) Applicable Not Applicable Body Part Affected (please tick most appropriate) Applicable Not Applicable
Superficial Injury Electric Shock Other: Head / Face / Neck Chest / Abdomen Leg / Knee (L) Full Name: Gender: Status: Additional Information: (R)
Sprain / Strain Injury Burn
Foreign Body Eye Poisoning
Fracture / Dislocation Bite Insect / Animal
Eye Shoulder
(R) (R)
(L) (L)
Ear (R) (L) Arm / wrist (R) (L) Other:
Back Hand/Finger/ Thumb (R) (L)
Ankle/Foot/Toe (R) (L)
7) Witness Applicable Not Applicable
M F
Age:
Department / Facility:
Employee Contractor Patient Visitor Other
8) Hazard (please tick most appropriate) Applicable Not Applicable
General Waste Lighting/Electrical Other:
Medical Waste Flying Object
Liquid Waste Vehicle
Noise/Vibration
9) Environmental (please tick appropriate) Applicable Not Applicable
most
Spill - Chemical Contaminated discharge Dust
Spill - Other Waste Management Other:
Sewerage
Water Discharge
Spill Location/Volume:
Property Damage (please tick appropriate) Applicable Not Applicable
Building most
Equipment
Vehicle
Other:
Estimation of Damage Costs: Coverage by Insurance: Probability Yes No Consequence Risk Score
Risk Rating (for QHSE dept use only)
Appendix D
EP-07 59 of 64 Nov 2008 V7.0
Quality Policy
Dubai Healthcare City (DHCC) aspires to become an internationally recognized location of choice for quality healthcare and an integrated center of excellence for clinical and wellness services, medical education and research. Continual improvement in Quality, Health, Safety and Environmental (QHSE) performance is a corporate priority and is fully integrated into our business. QHSE is the responsibility of all employees. We will strive to ensure that:

Our products and services are to the highest Quality standards with optimum use of natural resources; We employ processes, practices, materials or products that avoid, reduce or control pollution; Applicable environmental legislations and contractual requirements are complied with; and Protect the Health, Safety and property of our stakeholders and third parties.
This shall be achieved by:

Setting objectives and targets through which our performance will be regularly measured and improved using the European Foundation for Quality Management business excellence model; An ongoing programme of activities aimed at enhancing our environmental performance; The training, education and involvement of our staff so they understand, promote and assist in the implementation of this policy; and Communication with customers, suppliers, regulatory authorities and other interested parties to promote positive health, safety and environmental issues.
Dr. Ayesha M. Abdullah Senior Vice President: DHCC Dubai, July 10, 2008
Appendix E
EP-07 60 of 64 Nov 2008 V7.0
Occupational Health, Safety and Environment Policy Statement

Dubai Health Care City (DHCC) aspires to become an internationally recognized location of choice for quality health care and integrated centre of excellence for Clinical and Wellness services, Medical Education and Research. This policy is based on the DHCCs firm corporate conviction that continual improvement in Occupational Health, Safety and Environmental (OHSE) aspects are integrated into our business. DHCC Management, therefore, is fully committed that this integration is fully achieved while ensuring full compliance with all relevant Local, Federal and International laws and other best practices. Management will strive to prevent ill health, injuries and occupational illness and protect the environment through the active participation of its employees, its customers such as Clinical and Non-Clinical Operators, Contractors engaged in Facilities Maintenance, Construction Contractors, Sub-Contractors and Consultants operating on DHCC sites and visitors to DHCC facilities. These objectives will be achieved by ensuring compliance to all applicable OHSE Rules and Regulations in their day to day activities. DHCC is committed to the provision of necessary resources at its command to meet the requirements of OHSAS 18001:2007 and ISO 14001:2004 to ensure an effective Occupational Health and Safety Management System and Environmental Management System to attain a high degree of standard in all matters pertaining to OHSE. Whilst customer satisfaction and delivery of products and services of the highest quality standards is our top priority, all OHSE issues will also receive the utmost priority as those of other business matters. DHCC management will ensure the following in line with the above declaration: Setting OHSE objectives and targets; Setting the monitoring frame work to ensure that set objectives and targets are fully achieved according to the requirements of ISO 14001:2004 and OHSAS 18001:2007; Ensuring that hazards are identified and appropriate procedures for Risk Management through proper Risk Assessments and Controls and Emergency Response are in place, reviewed and updated on a regular basis; Ensure that all new Projects or activities take full account of OHSE requirements; The provision of training, education and ensuring involvement of employees so that they understand, promote and assist in the implementation of this policy and driving the company towards its objectives; Communication with employees, customers, suppliers, contractors , consultants and regulatory authorities and other interested parties to promote positive Occupational Health, Safety and Environmental issues that maximize stakeholders benefits; Minimize the impact of pollution generated by our activities on the environment by reducing emissions, discharges and wastes and by promoting energy conservation and recycling of wastes; Promote general health and environmental awareness in the society through our Corporate Social Responsibility plans; and Incorporate Green Dubai concept for the environmental benefits and sustainable development in future DHCC projects. This OHSE policy will be communicated to all concerned stakeholders and reviewed periodically to address the changing business requirements and regulatory needs.
Dr. Ayesha. M. Abdullah DHCC - Senior Vice President
References
S.N.
EP-07
Ref.
61 of 64
Description
Nov 2008 V7.0

S.N.
1. 2. 3. 4. 5. 6.
Ref.
ISO 14001: 2004 OHSAS 18001: 2007 ISO 22000: 2005 CODEX Alimentarius HSEEA Manual Codes of Practice
Description International Standards

Environmental Management System - Requirements Occupational Health & Safety Management Systems - Specifications Food Safety management Systems - Requirements HACCP Requirements & Procedure Tecom Construction Safety (Practice and Technical Guidelines)
International Protocols
7. 8. 9. Ozone May 1992 2005 Edition The Montreal Protocol on Substances that Deplete the Ozone Layer Basel convention on control of trans-boundary movements of hazardous wastes and their disposals International Atomic Energy Agency (IAEA) Regulations for Safe transport of Radioactive material
Local Orders (Dubai)

10. 11. Local Order No. 7 of 2002 Local Order No. 61 of 1991 Management of Waste Disposal Sites in the Emirate of Dubai Environment Protection Regulations in the Emirate of Dubai
12. Administration Order 211 of 1991 Executive Regulations 13. 14. 15. 16. 17. Local Order No. 58 Local Order 27 of 1985 Local Order 115 of 1997 Local Order 11 oif 2003 Administrative Order No.20 Control of Pest Control Operations in the Emirate of Dubai LPG Safety Management of Medical Waste in the Emirate of Dubai Public Health and Community Safety in the Emirate of Dubai Food hygiene regulations (February 1992)
Federal Laws (UAE)

18. 19. 20. 21. 22. 23. 24. Federal Law No.24 of 1999 Federal Law No, 1 of 2002 Labour Law Final Aair Pollution Law Regulations 2004 Regulations 2004 Ministerial Order No. 32 Protection & Development of Environment Regulation and Control of the Use of Radiation Sources and Protection against their hazards Labour Law Final Air Pollution Law Regulations of Radiactive Waste Management Regulations of the safe transport of radioactive materials Determination of ways & means to protect Employees against Occupational Hazards.
25. Ministerial Order No. (5/1) 1982 Specifies dangerous operations in which employment of young persons is forbidden 26. Ministerial Order No, (6/1) 1982 Prohibits employment of women in certain jobs
Dubai Municipality Guidelines

27. 28. 29. 30. 31. 32. 33. 34. 35. 36. Guideline No. 1 Guideline No. 2 Guideline No. 3 Guideline No. 4 Guideline No. 5 Guideline No. 6 Guideline No. 7 Guideline No. 8 Guideline No. 9 Guideline No. 10 Application of Waste Discharge Permits to Sewer, Land & Marine Environment Guideline for Waste Audit Reports Guidelines for Safety Audit Reports Guidelines for Preparation of Environmental Impact Report for New Industrial Premises Oil Spill Response & Preparedness Industrial Compressed Gas Cylinders Heat Stress at Work Entry into Confined Spaces Electrical Safety at Work Guarding of Dangerous Machinery
EP-07
62 of 64
Nov 2008 V7.0

S.N.
37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78.
Ref.
Guideline No. 12 Guideline No. 13 Guideline No. 14 Guideline No. 15 Guideline No. 16 Guideline No. 17 Guideline No. 18 Guideline No. 19 Guideline No. 20 Guideline No. 21 Guideline No. 22 Guideline No. 23 Guideline No. 24 Guideline No. 25 Guideline No. 26 Guideline No. 27 Guideline No. 28 Guideline No. 29 Guideline No. 32 Guideline No. 33 Guideline No. 34 Guideline No. 35 Guideline No. 37 Guideline No. 38 Guideline No. 39 Guideline No. 40 Guideline No. 43 Guideline No. 46 Guideline No. 47 Guideline No. 48 Guideline No. 49 Guideline No. 50 Guideline No. 51 Guideline No. 53 Guideline No. 54 Guideline No. 56 Guideline No. 57 Guideline No. 58 Guideline No. 59 Guideline No. 60 Guideline No. 61 Guideline No. 62 Requirements of Waste Water Separators Industrial Waste Water Disposal
Description
Personal Protective Equipment Head Protection Personal Protective Equipment Eye & Face Protection Personal Protective Equipment Hearing Protection Personal Protective Equipment Protective Clothing Personal Protective Equipment Hand Protection Personal Protective Equipment Foot Protection Personal Protective Equipment Fall Protection / Safety Lines Personal Protective Equipment Respiratory Protection Safe Use of Industrial Organic Solvents Procedures for Testing the Leaching Characteristics of Hazardous Wastes Sampling of Hazardous Wastes First Aid Requirements Application for Approval to Dispose of Hazardous Wastes Annual Approval for Hazardous Waste Disposal Waste Minimization Requirements for the Discharge of Waste Gases, Fumes & Dusts to the Atmosphere Acetylene Generators Disposal of Outdated Pharmaceuticals & Medicines Requirements for the use of Waste Oil in Boilers and Furnaces Guidelines for Sampling, Preservation & Analysis of Water & Waste Water Transport of Non-Hazardous Liquid Wastes by Tanker Vehicles Samples Health & Safety in Kitchen & Food Preparation Areas Septic Tank / Soakaway Design Examination and Certification of Boilers and Pressure Vessels Placarding of Vehicles Carrying Dangerous Goods Clearance of Dangerous Goods Guidelines for the disposal of Used Chemical Containers Safety in handling Asbestos Hazardous Waste Exemption Policy Requirements for the Transport of Hazardous Waste Sampling & Preservation of Water Borne Oils Environmental Impact Assessment Procedures Clean-up of contaminated land Establishment of Environmental Management Systems Building of Storage Tanks & Transfer Facilities Policy on the Control of Ozone Depleting Substances Management of Medical Wastes from Clinics & Laboratories Approval of Environmental Auditors Development of Emergency Response Procedures for Accidents Involving The reuse Goods Dangerous and irrigation of Wastewater & Sludge
EP-07
63 of 64
Nov 2008 V7.0

S.N.
79. 80. 81.
Ref.
Information bulletin Dubai Municipality
Description
Environmental standards and allowable limits of pollutants on land, water and HACCP Guidelines and requirements for retail premises (July 2005) air environment May 2003
EP-07
64 of 64
Nov 2008 V7.0

DHCC OHSE Policies Regulations &amp; Guidelines EP-07 v6.0

Diunggah oleh

Informasi Dokumen

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

DHCC OHSE Policies Regulations &amp; Guidelines EP-07 v6.0

Diunggah oleh

Hak Cipta:

Format Tersedia

Occupational HSE Policies, Regulations and Guidelines

Occupational Health, Safety and Environmental Policies, Regulations and Guidelines

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

Section 4 Occupational Health & Safety ...................................................................................... 13

Section 5 Public Health .......................................................................................................... 16

Section 6 Emergency Preparedness & Response ............................................................................ 18

Section 7 First Aid ................................................................................................................ 21

Section 8 Incidents & Accidents .............................................................................................. 222

Section 9 Fire Regulations .................................................................................................... 234

Occupational HSE Policies, Regulations and Guidelines

Section 10 Environmental Protection ......................................................................................... 27

Section 11 Medical Waste ....................................................................................................... 37

Section 12 Pest Control .......................................................................................................... 41

Section 13 Compressed Gas Cylinders ........................................................................................ 42

Section 14 Building Utilities .................................................................................................... 45

Section 15 Food Safety .......................................................................................................... 46

Occupational HSE Policies, Regulations and Guidelines

Section 16 Guidelines .......................................................................................................... 501

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

Saeed Al Muntafiq Chairman of the Board Dubai Healthcare City

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

Occupational HSE Policies, Regulations and Guidelines

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

Combination of the likelihood and consequence(s) of a specified hazardous event occurring.

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

3.2 Responsibilities of Tenant / Contractors

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

3.3 HSE Committee

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

3.4 HSE Disciplinary Action

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

4.2 Health Surveillance &Immunization

4.3 Employee Training

4.4 Pregnant Employees

4.5 Infectious Disease Exposures

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

4.7 Needle stick / Sharp Injuries

4.8 Personal Protective Clothing and Equipment

4.9 Warning Signs

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

4.12 Ventilation & Lighting

4.13 Radioactive Isotope

4.14 Electrical Equipment

4.15 Alcohol and Non-Prescription Drugs

Nov 2008 V7.0

Occupational HSE Policies, Regulations and Guidelines

5.4 Display of Goods

5.6 Sanitary Facilities

5.7. Facilities for Rest/ Waiting area

Occupational HSE Policies, Regulations and Guidelines

5.8 Eating Area at Place of Work

5.9 Drinking Water

DHCC OHSE Policies Regulations & Guidelines EP-07 v6.0

DHCC OHSE Policies Regulations & Guidelines EP-07 v6.0