Sah-Lab: Clinical Laboratory

ST.
ANDREW HOSPITAL
SAH-LAB CLINICAL LABORATORY
Tumaway, Talisay, Batangas
Revision Code: 002 Page 1 of 5

Effectivity Date: May 2022
Document Title:
INCIDENT REPORT POLICIES AND PROCEDURES
I. Purpose and Scope
The purpose of this Standard Operating Procedure (SOP) is to describe the procedures for
reporting all laboratory accidents and incidents (e.g., spills, potential exposures to biological
materials, equipment, power failure, medical emergencies) that occur in and around the St.
Andrew Laboratory.
II. Responsibility
It is the responsibility of the Laboratory Manager or Chief Medical Technologist to ensure all
reported accidents, incidents and near-misses are investigated, and corrective action is
implemented to remove unsafe conditions and prevent similar events or more severe incidents in
the future. It is the responsibility of the Biosafety Officer to participate in accident and incident
investigations to identify root causes, analyze trends and recommend corrective actions. It is the
responsibility of all employees to report all accidents, incidents and near-misses as soon as
circumstances permit.
III. Terms and Definitions
“Accident” means an unplanned or unwanted event that occurred during the performance of
work activities, and that resulted in injury, illness, or damage.
“Near-Miss” means an unplanned event that did not result in an injury, illness, or damage, but
had the potential to do so.
IV. Procedure
i. Introduction
It is estimated that only 2% of all accidents occur as a result of situations which cannot be
controlled. By reporting, analyzing and learning from accidents and incidents, St. Andrew
laboratory is able to implement corrective actions and prevent, to some degree, future
occurrences. Near-misses that did not result in an injury or damage but have the potential to do
so, are also reported and investigated. Such reporting enables appropriate investigation and
follow-up in order to prevent similar events or more severe incidents in the future. It is important
Prepared by: Recommended by: Approved by:

MonalynMarabi,M.D. Zenaida S. Mendoza, M.D. Mark Anthony S. Mendoza, M.D.
Laboratory Head Hospital Administrator Hospital Director
ST. ANDREW HOSPITAL

Document Title:
to also report near-miss incidents which are unplanned or unanticipated events where no
individuals were injured but only by good fortune.
To conduct a thorough investigation, the following should be considered:
 Both why it happened and why the situation was not prevented or detected before it became an
accident or near-miss.
 The root causes of the problem and all causal factors (e.g., were work procedures available
and being followed? Was there an equipment failure? Was the equipment right for the task?
Were personnel adequately trained?
ii. Accident Reporting and Investigation
All spills, accidents and incidents must be reported by the person involved to the Laboratory
Supervisor and/or Biosafety Officer as soon as circumstances permit using the “Accident &
Incident Report” form (See Appendix A). Such reporting enables appropriate investigation and
follow-up in order to prevent similar events or more severe incidents in the future. It is important
to also report near-miss incidents which are unplanned or unanticipated events where nobody
was injured, or nothing was spilt or damaged but only by good fortune. These must also be
investigated to prevent the set of circumstances leading to the event from arising again.

ST. ANDREW HOSPITAL

Document Title:
APPENDIX A – Accident & Incident Report Form
St. Andrew Laboratory requires all near-misses, spills, accidents, and incidents must be reported to the
Chief Medical technologist and/or Biological Safety Officer as soon as circumstances permit. Such reporting
enables appropriate investigation and follow-up to prevent similar events or more severe incidents in the
future.
LABORATORY INCIDENT REPORT FORM
Date and Time of Event:
Date and Time event was Reported:
Person Involved (Name, Address, Position in the lab):
(To be completed by Person Involved)

Details of Event:
Provide a description of the event (near-miss, accident or incident; what was being done at the
time of the event)
Provide a description of any harm, injuries or damage (e.g. cut to the left index finger, splash to
eye or skin)
Was the first aid provided? (If yes, please provide details. Who administered first aid?)
What happened to the individual afterwards? (E.g. went to the hospital, went home, resumed
work)
Describe any conditions attributing to the event (e.g. inappropriate personal protective clothing,
equipment failure, wet floor)
ST. ANDREW HOSPITAL

Document Title:
Please provide the name of anyone who witnessed the accident
Are you aware of any prior similar related problems? (If so, please explain)
What steps have been taken to prevent recurrence?
Declaration of Person Involved:
___________________________________________________
Printed Name over Signature
Date:
Declaration of Head/ Supervisor:
___________________________________________________
Date:

ST. ANDREW HOSPITAL

Document Title:
(To be completed by Biosafety Officer)

Details of Event:
Are you aware of any prior similar related problems? (If so, please explain)
What steps have been taken to prevent recurrence?
Declaration of Biosafety officer:
___________________________________________________
Date:


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ST.

SAH-LAB CLINICAL LABORATORY

Tumaway, Talisay, Batangas

Revision Code: 002 Page 1 of 5

I. Purpose and Scope

III. Terms and Definitions

Prepared by: Recommended by: Approved by:

SAH-LAB CLINICAL LABORATORY

Tumaway, Talisay, Batangas

Revision Code: 002 Page 2 of 5

ii. Accident Reporting and Investigation

Prepared by: Recommended by: Approved by:

SAH-LAB CLINICAL LABORATORY

Tumaway, Talisay, Batangas

Revision Code: 002 Page 3 of 5

APPENDIX A – Accident & Incident Report Form

LABORATORY INCIDENT REPORT FORM

Date and Time of Event:

Date and Time event was Reported:

Person Involved (Name, Address, Position in the lab):

(To be completed by Person Involved)

SAH-LAB CLINICAL LABORATORY

Tumaway, Talisay, Batangas

Revision Code: 002 Page 4 of 5

Please provide the name of anyone who witnessed the accident

What steps have been taken to prevent recurrence?

Declaration of Person Involved:

Printed Name over Signature

Declaration of Head/ Supervisor:

Printed Name over Signature

Prepared by: Recommended by: Approved by:

SAH-LAB CLINICAL LABORATORY

Tumaway, Talisay, Batangas

Revision Code: 002 Page 5 of 5

(To be completed by Biosafety Officer)

What steps have been taken to prevent recurrence?

Declaration of Biosafety officer:

Printed Name over Signature

Prepared by: Recommended by: Approved by:

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