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leadbelly  
#1 Posted : 21 August 2012 11:38:58(UTC)
Rank: Super forum user
leadbelly

A client is about to introduce a new process where different employees will be using the same tools but some of the employees are concerned about hygiene as one of the crew does not wash his hands after going to the toilet. He is being intransigent so is this a well-founded health concern or is it just an HR issue?

LB
bilbo  
#2 Posted : 21 August 2012 11:49:25(UTC)
Rank: Super forum user
bilbo

Washing ones hands after using the WC is pretty basic good infection prevention & control and should be ingrained for all. However - a lot will depend on what industry you are working in as to whether this is a significant issue.
Zimmy  
#3 Posted : 21 August 2012 11:57:21(UTC)
Rank: Super forum user
Zimmy

Has he learning difficulties?

Put a formal RA regarding toilet cleanliness and if this don't help I respectfully suggest that the other workers refuse to work with him until the matter is resolved

If the person refuses to follow the this RA then remove the person from the team. No one wants to, or should have to, work with clowns like this.

Make him or all wear gloves (this fool is a major risk to fellow employees.

Have individual tool kits?

For myself and the people I work with we'd have a gentle word :-)

chris.packham  
#4 Posted : 21 August 2012 12:13:02(UTC)
Rank: Super forum user
chris.packham

I think it is important not to overreact on this. We all come into contact with objects during our daily lives that others have handled who may not have washed their hands after using the toilet. After all, when you open a door to go into a shop then you don't know who has touched this before you and what condition their hands were in. Presumably he also opens doors, touches objects that other may handle, etc. so what is new about sharing tools?

What would be important for me is to ensure that other workers skin was in good condition (and it is now possible to monitor for sub-clinically damaged skin.

If all else fails, why not give the other workers some disinfectant/alcohol wipes to wipe over the handles of any tools that this clown will have used?

Chris
Zimmy  
#5 Posted : 21 August 2012 12:41:05(UTC)
Rank: Super forum user
Zimmy

That makes sense Chris. Prob solved
JohnV  
#6 Posted : 21 August 2012 12:43:37(UTC)
Rank: Forum user
JohnV

Chris, I would suggest that it is slightly unfair to expect the rest of the team on this job to put up with this man's refusal to observe basic hygiene rules. The fact that they might touch door handles etc previously touched by others with dirty hands will not wash (excuse the pun!) with them. I would also not go down the road of introducing alcohol wipes etc just to cater for one person's filthy habits! The next thing you may get, will be people complaining that their skin is being affected by the wipes and claiming they are developing dermatitis!

Probably better, I think, to go down the RA route as zimmy suggested. One of the findings of the RA can be that as the tools are shared by all, each user must handle them with clean hands and leave them in clean condition. By definition, this requires hand washing after visiting the toilet. If the guy still refuses to comply, then it is a legitimate reason for removing him from the job (just as it would be if he refused to follow any other control measure). The real problem is how do you police this? The guy can simply claim he has washed his hands. How do you prove he has not? Not an easy one unless you have someone following him every time he visits the toilets, which is why I think LB should also involve HR and have a friendly - but firm - word with him, spelling out the consequences of his refusal to tow the line.
sean  
#7 Posted : 21 August 2012 13:03:26(UTC)
Rank: Guest
Guest

Before I comment I want to make it clear that I do wash my hands on every visit to the gents.

I honestly get where you are coming from but I have to say when I worked on construction sites hardly anyone bothered washing their hands after going to the toilet, there is a good chance they cleaned them before hand though.
We used to share tools especially as we worked with both Imperial and Metric sizes and it was never an issue, in the winter it was too cold for any germs to survive!

Just walk into any major pub chain toilets that sell cheap beer look at the client's and with your hand on your heart guess how many of them washed their hands, I would guess not many!
JohnV  
#8 Posted : 21 August 2012 13:58:29(UTC)
Rank: Forum user
JohnV

Sean, I take your point and agree with what you say. The problem in this particular case though, is that the man's colleagues are not happy with the situation, which is why I think it would be prudent to consult and involve HR.
chris.packham  
#9 Posted : 21 August 2012 14:05:51(UTC)
Rank: Super forum user
chris.packham

I did not mean to imply in my posting that one should ignore the problem. My posting merely cautioned against overreacting. What I was suggesting did not exclude involving HR in the problem. I would thoroughly recommend that, but it is important to try to prevent what I call 'bugophobia' a la USA, where the attitude is sometimes that all bugs are dangerous and we should try to create a bacteria free world!

I do worry sometimes about some of the publicity/advertising about bacteria that I see on television that create the impression that all bacteria are bad.

Chris

Clairel  
#10 Posted : 21 August 2012 14:24:45(UTC)
Rank: Super forum user
Clairel

There has been a similar thread recently.

To be honest if only one worker admits to not washing his hands after going to the toilet then you have a case of people lying. We all know how many people go to the loo and then don't wash their hands. Loads of them. Horrible but true. Sounds more like a witch hunt to me. Are you sure there are not other issues at play here? A dislike of this worker for other reasons I would suggest.

I would take a more soft approach (yes, really I do softly softly too sometimes!!) . Signs up in the loo reminding employees of the imprtance of washing their hands etc.

To be honest unless you are going to have someone stand and look over everyone's shoulder to make sure they are washing their hands then you cannot enforce such a thing. And there will be other ways that people are cross contaminating without even realising it.

Like I said my gut instinct is that there is something more than this employees personal hygiene that is happening here.
Graham Bullough  
#11 Posted : 21 August 2012 14:30:52(UTC)
Rank: Super forum user
Graham Bullough

In echo of sean's response, I've noticed over the years that a fair proportion of men using toilet facilities in pubs, motorway service stations, workplaces, etc., don't bother to wash their hands. Don't ask me for any breakdown regarding users of urinals and WCs because my comment is based purely on fleeting casual observations. Nevertheless, it reinforces my observance of the unwritten advice against taking peanuts, crisps and similar comestibles from bowls for customers in pubs and similar establishments!

Out of curiosity, does anyone know if any experts have carried out any research to 1) establish what proportion of men do wash their hands after using urinals and WCs (modern technology should enable this to be done with due regard for privacy and not identifying individuals), and 2) more importantly, if infections can be transmitted to others via peanut bowls, shared work equipment, etc?

Like Sean I instinctively wash my hands after every toilet visit, presumably because it was a basic habit inculcated into me by my mum from when I was very young. If a significant proportion of men don't bother with hand washing, this could be because their mums either didn't bother to train their sons or check that their sons heeded their advice - or (as suggested in other recent threads on this forum) perhaps they lost their mums at an early age! Furthermore, I'll bother to wash my hands before using toilet facilities if I think they're sufficiently grubby. In relation to people who work with irritant or other hazardous substances or infectious agents, it could be argued that it's even more important for them to wash their hands before using toilet facilities than afterwards!



Graham Bullough  
#12 Posted : 21 August 2012 14:39:18(UTC)
Rank: Super forum user
Graham Bullough

LB

Have just read Clairel's response at 10# and agree with her reasoning that there could well be other issues involved in the circumstances you describe. Irrespective of the factors allegedly or actually involved, the whole situation certainly needs to be handled with due tact and diplomacy.
Invictus  
#13 Posted : 21 August 2012 14:51:05(UTC)
Rank: Super forum user
Invictus

If you are that concerned about people not wahing their hands how come you don't wash your hands before you go the toilet after all you have just touched the door handle and everything else and then you are goin to have to touch yourself. What about the hygiene there.

I am not talking about when you are in work but also in the pub that sells cheap ale. We have to walk around everyday, touching handrails, doorhandles, we will readily shake hands and how many of us think 'I wonder were there hands have been' Just deal with the issue, talk to him and tell him, would you ignore it if he smelled strongly. As for your staff they need to look at things realistically and not judge he is the one they know about.
David Bannister  
#14 Posted : 21 August 2012 15:53:48(UTC)
Rank: Super forum user
David Bannister

Handwash prior to toilet makes perfect sense to me, particularly after chopping chillies! Once done, never forgotten.

Wash afterwards was one of the very first things I can remember being taught at home and it has stayed with me. However, I occasionally find myself using my sleeve to open the door handles on the way out of a public loo - probably a gross over-reaction in line with Chris's comments, although it probably relates more to odours and visible debris in these places.

After recently spending 2 weeks visiting an intensive care unit I never had such clean hands.
Zimmy  
#15 Posted : 21 August 2012 16:14:19(UTC)
Rank: Super forum user
Zimmy

I'm all for a tactful approach to it.

I'm quite happy working away at life etc Ignorance is bliss as they (or us) say But would I knowingly want to handle something from someone, male or female, who I know has been well.. you get my drift. Not me mates.



leadbelly  
#16 Posted : 21 August 2012 16:18:07(UTC)
Rank: Super forum user
leadbelly

Thanks, everyone

My client now has enough food for thought.

LB
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#17 Posted : 21 August 2012 18:58:30(UTC)
Rank: Super forum user
Ian.Blenkharn

quote=Graham Bullough]Out of curiosity, does anyone know if any experts have carried out any research to 1) establish what proportion of men do wash their hands after using urinals and WCs (modern technology should enable this to be done with due regard for privacy and not identifying individuals), and 2) more importantly, if infections can be transmitted to others via peanut bowls, shared work equipment, etc?


Yes, there are lots of data.

The most interesting (or starling) was collected during two Infectious Diseases conferences, on in Scandanavia and one in US. The overall result was around 85% handwashing after visiting the toilet to urinate or defaecate, slightly better for women and slightly less at the US meeting than in Scandanavia.

Interesting that the conferences were dedicated to the theme of infectious diseases. For some of us, that is a profession, though to attend a conference where researchers are lurking in the toilets making notes of our personal habits is a little shocking. Interesting also that, if my memory is correct, the US conference too place at the start of the global H1N1 epidemic that might have, but didn't raise awareness of hand hygiene requirements.

For some the data may be shocking. But remember that the average compliance rate for hand hygiene in acute hospitals is around 75-85%, with few getting anywhere near 90%.

As for Joe Public, the rates are below 30%. It varies widely, depending on circumstances. Layout of facilities. Other people present? Age and social status/education etc.

And of course, don't forget about the quality of hand washing, and drying, and then the risk of contamination of those <10% of properly cleaned hands on the door handle on the way out of the toilet.

So to worry about using someone else's tool seems a predictable bit of nonsense, unless that tool is going to be used in an entirely unconventional way!
martinw  
#18 Posted : 21 August 2012 19:13:48(UTC)
Rank: Super forum user
martinw

Out of interest, I attended a responsible person course in relation to Legionella today. The tutor was strongly advocating that anyone who works on piping/water systems have two sets of tools. One to work on those systems which incorporate potable water are maintained with one set of tools, perhaps colour coded, with work on other systems - soil, waste pipe carrying systems - are maintained with another set of tools altogether. Cross contamination, pure and simple, and it makes sense. Never thought about it before. Just the same as in catering. Any thoughts on that?
Invictus  
#19 Posted : 21 August 2012 19:24:40(UTC)
Rank: Super forum user
Invictus

There also appears to be or the potential for bullying. Is this a typical management response to look at one issue and ignore the rest. If they continue to refuse to use tools after explain that mobile phones even the owners phone has more germs than most things. Imagine you handle money, use door handles, handrails etc, you then use your phone and put it against your face, very close to the mouth. My god were all doomed. Disciplinary action would stop the bullying of this person, and a sensitive approach to them regarding hygiene may reduce it happening again.
messyshaw  
#20 Posted : 21 August 2012 20:42:34(UTC)
Rank: Super forum user
messyshaw

martinw wrote:
The tutor was strongly advocating that anyone who works on piping/water systems have two sets of tools. One to work on those systems which incorporate potable water are maintained with one set of tools, perhaps colour coded, with work on other systems - soil, waste pipe carrying systems - are maintained with another set of tools altogether. Cross contamination, pure and simple, and it makes sense. Never thought about it before. Just the same as in catering. Any thoughts on that?


What next? Where do we draw the line? Perhaps two handles on doors? One for nut allergy sufferers and one for the rest of us? - maybe a third for vegans? :)

Clairel has hit the nail on the head earlier, in that this 'hand washing' issue has all the hallmarks of some kind of personal/IR/HR dispute dressed up as a H&S issue
John J  
#21 Posted : 21 August 2012 22:00:16(UTC)
Rank: Super forum user
John J

I'm beginning to understand why this profession is so poorly thought of
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#22 Posted : 22 August 2012 08:25:11(UTC)
Rank: Super forum user
Ian.Blenkharn

John J wrote:
I'm beginning to understand why this profession is so poorly thought of


I was never in any doubt!

aland76  
#23 Posted : 22 August 2012 08:26:51(UTC)
Rank: Forum user
aland76

martinw wrote:
Out of interest, I attended a responsible person course in relation to Legionella today. The tutor was strongly advocating that anyone who works on piping/water systems have two sets of tools. One to work on those systems which incorporate potable water are maintained with one set of tools, perhaps colour coded, with work on other systems - soil, waste pipe carrying systems - are maintained with another set of tools altogether. Cross contamination, pure and simple, and it makes sense. Never thought about it before. Just the same as in catering. Any thoughts on that?


I have similar experiences to this; I worked for a water utilities company on the wastewater side of things (lucky me). Attending a Manual Handling course the instructor used the equipment in my van for lifting excercises, however some of the guys worked on clean water and refused to touch any of my kit for fear of cross contamination, and likewise wouldn't allow me to touch their kit. It even came to the point where we decided to lift a manhole cover (neutral territory) and the cleanwater guys wouldn't even touch the manhole keys (gloved or not!)
It all ended up with managers being contacted with complaints because they had allowed dirty and clean water ops to meet on the same training course! Overkill? absolutely!
teh_boy  
#24 Posted : 22 August 2012 08:43:35(UTC)
Rank: Super forum user
teh_boy

Ian.Blenkharn wrote:


And of course, don't forget about the quality of hand washing, and drying, and then the risk of contamination of those <10% of properly cleaned hands on the door handle on the way out of the toilet.
!


I was going to add this! - Of all the people who are trying to get a set of their own tools (Oh I'm sorry am I being overly cynical :) ) - you will find very few of them actually wash their hands properly!


Ian.Blenkharn wrote:
John J wrote:

I'm beginning to understand why this profession is so poorly thought of


I was never in any doubt!
.
!
teh_boy  
#25 Posted : 22 August 2012 08:44:38(UTC)
Rank: Super forum user
teh_boy

DOH!

I was meant to add after Ian's second comment - snap.... But i have to wait 22 seconds now... :(
Zimmy  
#26 Posted : 22 August 2012 08:59:18(UTC)
Rank: Super forum user
Zimmy

Electrical theory is a lot easier than H&S. I can no longer recall how, or in fact why, I got into H&S in the first place.

Time to let a little blood
John M  
#27 Posted : 22 August 2012 09:10:29(UTC)
Rank: Super forum user
John M

Never ever heard of anyone "catching" anything from handling tools.

Clairel has got this correct.

Jon
mstottm  
#28 Posted : 22 August 2012 09:46:25(UTC)
Rank: New forum user
mstottm

Just make sure you wash your hands before sucking your fingers.
Zimmy  
#29 Posted : 22 August 2012 09:51:02(UTC)
Rank: Super forum user
Zimmy

Try flu, the common cold, tummy trouble..all passed on by contact mainly by handling items that people have handled after snotting etc
John M  
#30 Posted : 22 August 2012 11:09:28(UTC)
Rank: Super forum user
John M

Ok - let us all now insist upon an autoclave for our knocking spanners, 36 inch stilsons, 12 inch Bahcos, shifters, 14 lb sledge hammers, test buckets, mega crowbars dtis and all the other tools that real men have to use daily.

We may have to post a warning DANGER - The last guy to use this tool did not wash his hands after a pee!

Thankfully, I work in an industry where this sort of thing is not a priority.

Jon
martinw  
#31 Posted : 22 August 2012 11:23:13(UTC)
Rank: Super forum user
martinw

Really? Am I not a real man because I do not do manual labour John M?

Messy dear boy, I was merely reporting the words and advice given by the tutor of a training course which I attended yesterday. I was not expecting that those who use tools listed above wash their hands, and I imagine that this was never part of their training. But should it not be something that should be thought about? Is it not obvious that if you use tools connecting pipes on a dirty water system then immediately use the same tools connecting pipes on a potable water system, that there will be a good possibility for cross contamination if the tools are not washed between those two jobs? It's obvious for those who go between patients in hospitals, should it not be similarly important if you are the one maintaining the pipes which carry their drinking water?

Just stating the position, as it was stated to me. I do not work on such systems but my mind is not so closed as to reject a new idea just because I have never done it that way before.
Kate  
#32 Posted : 22 August 2012 11:30:20(UTC)
Rank: Super forum user
Kate

I'm surprised by the suggestions of "do a risk assessment to force him to wash his hands."

A risk assessment would defeat that aim. In the first place, what disease do you think people are likely to catch from the shared tools, what is its likely severity, and just how likely is it to happen? The answers will presumably lead to an assessment of very low risk, so that gets you nowhere. If on the other hand you managed to produce an assessment that the risk was significant, then you'd be duty-bound to consider the whole issue of sharing tools and whether it should be done at all and what other precautions could be taken against the dangerous disease that is being spread in this way. Because you can never be sure that everyone will always wash their hands.

It's almost as if the idea wasn't to evaluate the risk objectively and act proportionately on that, but to write down the conclusion you want and then give it authority by writing "Risk Assessment" on the top.

"I don't want to touch things that he's been touching, because he has disgusting habits" isn't a health and safety issue, it's an issue of human relationships.
Zimmy  
#33 Posted : 22 August 2012 11:35:47(UTC)
Rank: Super forum user
Zimmy

Kate has nailed it ( I really hate that term, reminds of white teeth and fake tan)
Graham Bullough  
#34 Posted : 22 August 2012 11:54:12(UTC)
Rank: Super forum user
Graham Bullough

This thread has reminded me that about 10 years ago I attended a session about infection control run by the public health department or similar of an NHS trust. During the session all the attendees were asked to go and wash their hands and then return to insert them in turn in an open-fronted box which contained an ultraviolet (UV) lamp. I can't remember if our hands were sprayed with a special substance before we washed them, but do recall that the UV light subsequently revealed that for all of us our hand washing efforts had been far from effective. This led to a demonstration and practice of how to wash our hands effectively. However, for most circumstances, I confess that I didn't adopt the thorough technique shown and suspect that most or all of the other attendees didn't do so either.

Thus, perhaps those of us who think we're being good by washing our hands every time after using toilet facilities shouldn't feel smug about it unless we've done it thoroughly! :-)
John M  
#35 Posted : 22 August 2012 12:15:52(UTC)
Rank: Super forum user
John M

Scaffolders - the last scaff to handle this tube did not wash his hands. Imagine it!

Scaffs get flu but I suspect not from handling a tube that their post pee non wasing of hands colleague has passed to him.

Jon
smitch  
#36 Posted : 22 August 2012 12:37:51(UTC)
Rank: Forum user
smitch

Had a delivery driver turn up at our manufacturing site earlier, he asked me to sign the paperwork and promptly passed me his pen in order for me to do so. He looked a little surprised when I ran away from him screaming about disease spread.
He then looked even more surprised when I re-appeared wearing gloves, a disposable coverall, rubber over- shoe covers and of course a full BA set (couldn’t find my own pen you see).

Makes you wonder sometimes it really does; if I ever feel like “washing my hands” of the whole affair, then should I do this before leaving H&S, after leaving H&S or both? :-(
Zimmy  
#37 Posted : 22 August 2012 12:44:30(UTC)
Rank: Super forum user
Zimmy

I think I've caught a virus from reading some of this ...

Last I noticed was a saff bloke wearing safety gloves.

Guys, if you want to handle someone's snot, poo, naughty bits go right ahead and enjoy the flavors but please excuse me if I puke,
Zimmy  
#38 Posted : 22 August 2012 12:58:39(UTC)
Rank: Super forum user
Zimmy

To all those here who are ok with handling stuff passed to them by people who have just come from the thunder room, with out any thought or respect for their fellow workers, and who don't bother to carry out the most basic of hygiene functions.

I bet if something like this was found out in your children's school canteen you would be throwing a fit. If not, why not? Perhaps a hospital?

Hypocrisy has a funny taste
martinw  
#39 Posted : 22 August 2012 13:04:49(UTC)
Rank: Super forum user
martinw

My point was about cross contamination of a potable water pipe system, not of one plumber giving a couple of germs to another. It is the potential contamination of the drinking water of hundreds and perhaps thousands of people I was referring to, not just one person who then handles the work tools of another. The course I attended was to do with legionella, but there are many water bourne bacteria which cause serious illness/death and which could be a result of poor hygiene and using tools across different types of service, dirty to clean.
bob youel  
#40 Posted : 22 August 2012 13:06:15(UTC)
Rank: Super forum user
bob youel

You should wash your hands before going to the loo [think about it] and where possible afterwards - and in my personal view before is more important as afterwards you are not handling delicate personal parts!

All joking aside it is a real and hard to manage issue
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