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Health and safety in the
       mortuary
Safety

    • The mortuary presents a
      number of health and
      safety risks for personnel.
      This includes risks of
      illness and accident related
      to working conditions, as
      well as risks specific to
      working with human
      remains.

    • Simple common-sense
      approaches to working in
      the mortuary will reduce
      risks to a minimum.
Hazards

    • Human remains are a
      potential biohazard, and
      can host various
      pathogens and hazardous
      residues.

    • Bacteria

    • Infectious spores

    • Infectious soft tissue

    • Residues of military and
      industrial chemicals
Transmission of pathogens


              • Airborne

              • Hand to mouth

              • Directly into bloodstream

              • Contac with mucus membranes

              • Additional risks: handling heavy
                bodies, using dangerous
                equipment

              • Following health and safety
                procedures will reduce the risk
                of becoming ill or unsafe when
                working in the mortuary.
Contents

     • Preparation and Storage of
       Human Remains

     • Clothing

     • Hygiene

     • Illness and Vaccinations

     • Equipment
Preparation & storage



            • The mortuary should have two
              areas: one clean, one dirty.

            • The dirty area should be
              subdivided into wet and dry.

            • The two areas must be clearly
              demarcated.

            • Bodies, equipment, and people
              from each area should never
              cross into the other.

            • A body should never go to the
              dry area before it has been
              cleaned and any soft tissue
              removed.
Storing human remains




             • All human remains should
               be stored in air conditioned
               facilities, at the least.

             • Once removed, soft tissue
               should be stored in a
               refrigerator or freezer.

             • Follow procedures on
               correct disposal of
               biohazardous material.
PPE

      • Personal Protection
        Equipment (PPE) is any
        equipment or clothing worn
        to protect people from risks
        to health and safety.

      • In addition, extra PPE
        should be worn in specific
DNA     areas for extra
        protection, and when
        taking samples for DNA
        analysis.
PPE

  •   Never wear outside clothing or
      shoes in the mortuary

  •   Every mortuary should provide a
      clean changing area

  •   Recommended PPE is:
      •   Overalls/scrubs (washable or
          disposable)
      •   Latex/nitrile gloves
      •   Facemask
      •   Safety goggles/glasses
      •   Mortuary shoes/wellington boots
      •   Aprons
      •   Headwear
Facemask

    • Wear a facemask when
      cleaning bodies, clothing,
      and artifacts.

    • If you are uncertain, wear a
      facemask.
Hygiene




     • Wear clean
       scrubs/protective clothing
       every day

     • ALWAYS wash your hands
       and any exposed skin when
       leaving the mortuary

     • NEVER touch your bare skin
       while wearing gloves

     • Avoid touching your mouth,
       eyes, and nose in the
       mortuary

     • Shower before you leave or
       when you get home.
Illness
    • Working in the mortuary poses
      risks to health, especially when
      working in temporary
      mortuaries.

    • Potential risks from:

    • Working in hot conditions

    • Working in cold conditions

    • Bacterial related sickness

    • Blood/tissue/bodily fluid related
      sickness

    • Lifting injuries

    • Stress related sickness
Vaccinations
       • Human remains can
         potentially host infectious
         pathogens.

       • Suggested vaccinations:
         • Tetanus
         • Hepatitis A
         • Hepatitis B
         Other vaccinations:
           Typhoid
           Diptheria
           Tuberculosis
           Rabies
Equipment
     • Clean equipment after
       every use

     • Store in a safe and secure
       cupboard when not in use

     • Only experienced people
       should use an autopsy saw

     • Clean/disinfect the
       mortuary every night
General health and safety
             • Every new person should
               undergo a health and
               safety briefing

             • Risk assessments should
               be carried out before new
               bodies arrive and mortuary
               staff briefed.

             • Every mortuary should
               have a first aid kit and
               someone trained in first
               aid.
General health and safety
             • Anyone entering the mortuary,
               including visitors, must adhere
               to health and safety practices.

             • Fragmentary bone can be
               sharp.

             • Bodies can be heavy – staff
               should undergo manual
               handling training and only lift
               with two people.

             • Working with human remains,
               especially from a mass grave,
               can be traumatic. Make sure
               people have support and plenty
               of time off.

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mortuary health and safety

  • 1. Health and safety in the mortuary
  • 2. Safety • The mortuary presents a number of health and safety risks for personnel. This includes risks of illness and accident related to working conditions, as well as risks specific to working with human remains. • Simple common-sense approaches to working in the mortuary will reduce risks to a minimum.
  • 3. Hazards • Human remains are a potential biohazard, and can host various pathogens and hazardous residues. • Bacteria • Infectious spores • Infectious soft tissue • Residues of military and industrial chemicals
  • 4. Transmission of pathogens • Airborne • Hand to mouth • Directly into bloodstream • Contac with mucus membranes • Additional risks: handling heavy bodies, using dangerous equipment • Following health and safety procedures will reduce the risk of becoming ill or unsafe when working in the mortuary.
  • 5. Contents • Preparation and Storage of Human Remains • Clothing • Hygiene • Illness and Vaccinations • Equipment
  • 6. Preparation & storage • The mortuary should have two areas: one clean, one dirty. • The dirty area should be subdivided into wet and dry. • The two areas must be clearly demarcated. • Bodies, equipment, and people from each area should never cross into the other. • A body should never go to the dry area before it has been cleaned and any soft tissue removed.
  • 7. Storing human remains • All human remains should be stored in air conditioned facilities, at the least. • Once removed, soft tissue should be stored in a refrigerator or freezer. • Follow procedures on correct disposal of biohazardous material.
  • 8. PPE • Personal Protection Equipment (PPE) is any equipment or clothing worn to protect people from risks to health and safety. • In addition, extra PPE should be worn in specific DNA areas for extra protection, and when taking samples for DNA analysis.
  • 9. PPE • Never wear outside clothing or shoes in the mortuary • Every mortuary should provide a clean changing area • Recommended PPE is: • Overalls/scrubs (washable or disposable) • Latex/nitrile gloves • Facemask • Safety goggles/glasses • Mortuary shoes/wellington boots • Aprons • Headwear
  • 10. Facemask • Wear a facemask when cleaning bodies, clothing, and artifacts. • If you are uncertain, wear a facemask.
  • 11. Hygiene • Wear clean scrubs/protective clothing every day • ALWAYS wash your hands and any exposed skin when leaving the mortuary • NEVER touch your bare skin while wearing gloves • Avoid touching your mouth, eyes, and nose in the mortuary • Shower before you leave or when you get home.
  • 12. Illness • Working in the mortuary poses risks to health, especially when working in temporary mortuaries. • Potential risks from: • Working in hot conditions • Working in cold conditions • Bacterial related sickness • Blood/tissue/bodily fluid related sickness • Lifting injuries • Stress related sickness
  • 13. Vaccinations • Human remains can potentially host infectious pathogens. • Suggested vaccinations: • Tetanus • Hepatitis A • Hepatitis B Other vaccinations: Typhoid Diptheria Tuberculosis Rabies
  • 14. Equipment • Clean equipment after every use • Store in a safe and secure cupboard when not in use • Only experienced people should use an autopsy saw • Clean/disinfect the mortuary every night
  • 15. General health and safety • Every new person should undergo a health and safety briefing • Risk assessments should be carried out before new bodies arrive and mortuary staff briefed. • Every mortuary should have a first aid kit and someone trained in first aid.
  • 16. General health and safety • Anyone entering the mortuary, including visitors, must adhere to health and safety practices. • Fragmentary bone can be sharp. • Bodies can be heavy – staff should undergo manual handling training and only lift with two people. • Working with human remains, especially from a mass grave, can be traumatic. Make sure people have support and plenty of time off.