Social care is a large and complex sector. Social care workers enable people – particularly those who require extra practical and physical help – to live their lives as comfortably and independently as possible. It is important that risks to those being cared for, and to their care workers, are sensibly and proportionately managed in ways that respect their rights, freedoms and dignity.

The HSG220 Government guidance is intended to help those providing and managing care homes – to give them a better understanding of the real risks and how to manage them effectively.

It brings together key messages on risks to both workers and residents. At the time of publication (June 2014), HSE and local authorities investigate serious worker and resident incidents. Under the Enforcing Authority Regulations, HSE regulates homes with nursing and local authority owned or run care homes.

Other homes are regulated by local authorities. It is anticipated, however, that the Care Quality Commission (CQC) in England will soon become the lead investigator of incidents where residents have been harmed because of unsafe or poor quality care.

The Aventus Group is providing easy access to this resource as there are clear crossovers between the guidance set out in this guide and sections in the Health Technical Memorandum 0104 and therefore the responsibilities of the care providers when running an onsite laundry operation.

The report is broken down into the following sections and the sections in bold are where there are specific areas of consideration with respect to an onsite Laundry operation.

Managing Health and Safety

At the very heart of social care are the people – a diverse workforce caring for an elderly and vulnerable population. Employees have the right to work in environments that are safe and protect their interests. For residents, their safety, dignity and welfare is of utmost importance, too.

Anticipating and effectively managing risks that are apparent in residential care is the key to securing a safe and pleasant social care setting for employees and residents. You need to be aware of these risks and how to mitigate them.

Relevant legislation

• Health and Safety at Work Act 1974
• Management of Health and Safety at Work Regulations 1999

Actions to take

Good management of health and safety in the care setting is about proactivity. You will likely have systems and management in place to deal with human resources, recruitment and payroll – so why not apply these meticulous methods to health and safety?

You will soon realise that health and safety is an integral part of the daily running of a care home, and the basics are displayed in the actions and attitudes of all competent employees.

Good leadership, trained and skilled employees and an environment of collaboration are the three key pillars of health and safety at work. If you are unsure whether you are doing enough to maintain a safe environment, ask yourself these questions:

• How does your workplace demonstrate an awareness and commitment to health and safety?

• How do you understand what is going on in the home at any one time – is there a set of checks in place?

• Have you reviewed instances where things have gone wrong or have not gone to plan to avoid future mistakes?
• Is health and safety evidenced in the everyday running of the home?

Appointing a competent person to undertake specific health and safety duties is a popular and effective strategy. Skills, experience, knowledge and attitude must all be of the right standard to qualify as a competent person who can complete health and safety related tasks. Occupational health services from a specialist provider are also good services to use as they will look after staff with regard to occupational hazards and offer health questionnaires, health checks, immunisations and rehabilitation procedures as required.

Moving and Handling

A key part of the working day for residents and staff is helping and being helped to dress, bathe and move around the social care setting. Moving and handling training for staff is therefore of the utmost importance.

Poor techniques in moving and handling can lead to unfortunate issues, such as:

• Accidents, which can injure both employee and the resident being moved
• Back pain and musculoskeletal disorders, which lead to sickness and inability to work
• Damage to equipment
• Discomfort or a lack of dignity for the resident

Daily tasks in the social care setting involve other moving and handling scenarios where the same quality handling techniques must be used to prevent accidents. Practical lifting, moving, pushing and lowering applies to work in the kitchen and food preparation areas, bedrooms, stores and the onsite laundry facilities.

Relevant legislation:

• Manual Handling Operations Regulations 1992
• Provision and Use of Work Equipment Regulations 1998

Assessment

Assessing risks with regards to moving and handling can be performed in-house providing there is a suitable member of staff able to do so. Specialist advice can be sought for unique cases. In which case, the best sources for advice are:

• Manual handling advisers and ergonomists
• Occupational therapists and physiotherapists
• Professional organisations such as the Chartered Society for Physiotherapists and the National Back Exchange

From these specialist recommendations you will get a thorough picture of which residents are most at risk from moving and handling failures. You will also get the best advice regarding equipment that is needed to effectively run the social care home. These will include hoists, slings, turntables, emergency evacuation equipment, ramps and walking aids. See our ‘Equipment Safety’ section below for more information.

Load handling assessments

Not all manual handling and moving tasks are related directly to residents. Many tasks involve moving inert loads in the kitchens and food preparation areas, stores and onsite laundry facilities. You must consider the following to make an effective assessment:

• The type of moving and handling tasks
• The frequency of these tasks
• The range of equipment required
• The environment, such as flooring, ramps, stairs, lighting restricted spaces
• Staff required for each task

Assess individuals’ appropriateness for the tasks required. If you have a pregnant (or recently pregnant) employee, reassess her tasks and make reasonable adjustments to equipment or to which tasks are performed by this individual. The same must be applied to any staff member who declares an injury or specific condition limiting their movement.

Training

It is the employer’s responsibility to provide adequate moving and handling training to minimise the risks of manual work in the social care setting. Initial instruction and reassessment at regular intervals are all part of keeping health and safety practices at work up to date and in line with the most recent guidelines and legislation.

Equipment Safety

Each year, accidents occur in social care settings that are attributable to equipment misuse or mishandling. Some are serious and, in the past, the odd mistake has proven fatal. It is therefore important to make all staff competent in carrying out their duties safely.

Relevant legislation

• Provision and Use of Work Equipment Regulations 1998
• Lifting Operations and Lifting Equipment Regulations 1998
• Electricity at Work Regulations 1989

Here is a rundown of the key parts of the legislation:

Provision and Use of Work Equipment Regulations

In simple terms, every piece of equipment that an employee interacts with comes under the guidance of this regulation. That includes every trolley in the laundry, every appliance in the kitchen, barrows in the garden, beds, rails, hoists, medical equipment – if it belongs to the care home, then it is the employer’s duty to ensure it is working correctly.

Mitigating this risks of this equipment means:

• Proper installation
• Exclusively using it for its intended purpose
• Proper maintenance (keeping maintenance logs where necessary)
• Providing health and safety information about the equipment as well as adequate training

Lifting Operations and Lifting Equipment Regulations

These regulations apply to equipment that is owned by the employer and any equipment owned and leased from another third party company. The equipment must be:

• Strong and stable enough for its intended use
• Marked clearly with the safe working loads
• Positioned and installed to minimise risks
• Maintained and checked before use with obvious damages reported immediately
• Used safely by trained staff
• Subject to thorough examination and inspection by competent people

Marking equipment

Each piece of lifting equipment must be uniquely identifiable, like having identical cars with different number plates. Giving each piece of equipment a unique number or letter-number combination is therefore essential.

Care must be taken with slings which are made using high strength webbing, which is essential for a strong industrial fabric. Permanent marker identifiers can be effective on labels but can wash off after laundering many times. It is therefore important to establish a check system whereby new marker is applied once the original has faded somewhat. The load bearing part of the slings must not be marked with permanent marker. This is because the marker contains solvents that weaken the fabric. If in doubt, contact a supplier, or choose an ink that is designed to be used on load bearing fabrics.

Examination of equipment

Periodic examinations of equipment must be carried out to assess lifting equipment exposed to conditions causing deterioration. This includes wear, corrosion and damage that could lead to failure and injury.

• Periodic examination is set at every 6-12 months depending on the type of equipment, 6 months for lifting accessories and 12 months for lifting equipment; if in doubt contact your supplier.
• Lifting equipment must be examined before first use.
• A competent person with theoretical and practical knowledge in lifting equipment defects should decide the examination scheme.
• Lower risk items may be assessed by an in-house employee but this person may not be in charge of maintenance also, as they would be assessing their own work.
• Keep records of thorough examinations and tell staff to routinely check that equipment is within date of examination before every use. Colour coded tags are also appropriate for this function.
• Routine maintenance includes checking and replacing of worn or damaged parts, lubrication and making adjustments.

Considerations for equipment design and pre-purchase decisions

Here at Aventus Group, our speciality is commercial and communal laundry equipment. Therefore, we are happy to provide the following guidelines for these items of machinery and manual handling equipment specifically.

• When choosing equipment for the disinfection of healthcare linen, all washers should be checked prior to purchase to ensure they have the specified programming ability to meet the disinfection standards, and on commissioning to ensure compliance with the required disinfection standards.
• Consideration should be given to the range of items to be disinfected with specific regard to their heat, chemical compatibility and volumes.
• Commercial-type purpose-designed washers are preferable to domestic types.
• All washers should be fitted with accurate heat sensors capable of controlling the disinfection stage to a level that ensures disinfection parameters are met.
• For standard washer extractors for a typical OPL, process-monitoring equipment and instruments should be fitted to the machine to allow monitoring of the key variables listed below:
  1. Programme identification
  2. Disinfection stage time
  3. Disinfection temperature
  4. Disinfection concentration via dosing
  5. Load weight
  6. Dip level
  7. Liquor ratio
  8. Alkalinity/pH
  9. Water hardness
• Thermal disinfection of the load should be deemed to have been achieved if the specified minimum temperature for the specified minimum (holding) time is achieved on all items that need to be disinfected. The temperature should be continuously maintained at or above 65ºC for not less than ten minutes or 71ºC for not less than three minutes.
• Chemical disinfection of the load should be deemed to have been achieved if all items have been exposed to the specified (HTM) conditions of chemical disinfectant concentration and temperature for the required contact time; and any other parameters deemed necessary for achievement of disinfection as specified by the disinfection system supplier have been met.
• The user should obtain information from the washer manufacturer, the disinfection system supplier or the chemical supplier, as appropriate, for each specified chemical disinfectant, any requirements for safe handling, data on the maximum permitted residual level on items and the method of detection to be used for determining process residuals. The washer manufacturer (or where appropriate, the disinfection system supplier) should specify the test method to be used to demonstrate compliance.
• The washer or disinfection system should either:
  1. Be fitted with a means that will indicate when there is (are) insufficient chemical disinfectant(s) available for the next cycle or next stage of the cycle; or
  2. Incorporate a monitoring system that aborts the cycle and indicates a failure should there be insufficient chemical disinfectant delivered to satisfy the parameters for chemical disinfection required in this section.
• Testing of washers used in the laundry: Disinfection processes should be validated before use; the performance of the process should be monitored during routine use; the calibration of controls and instrumentation should be verified; and the equipment should be subjected to a suitable maintenance programme.
• Washers should be suitably accredited to either BSI or CEN standards.
• Installation Qualification. All equipment must be:
  1. Installed correctly
  2. Adequate to meet the demands of the equipment; and
  3. Should not leak
• All necessary isolating valves/switches and test points should be installed. Drains should remove effluent effectively when all plant (including equipment) is connected and operating. The water treatment plant (if fitted) should operate correctly, and the quality of water supplied for the disinfection stage of the process should be in accordance with the specification. The ventilation discharge system should be checked to ensure the duct is not blocked and the exhaust air is being discharged safely.
• Periodic performance qualification tests are required by the user under the HTC and these are covered in detail in schedule 6 in the HTC0104 Part 4- Engineering, equipment and validation.
• WRAS – additionally, there are obligations under the Water Regulations 1999 to ensure that all washers are meet the fluid protection 5 standards. This is achieved with WRAS approval.
• GAS SAFE – many commercial dryers use gas, it is therefore imperative that gas equipment has been installed correctly by a GAS SAFE qualified engineer. Thereafter the dryer must be used correctly and in accordance with any manufacturer’s operating instructions. These measures will ensure that your staff, patients, residents and property remain safe.

Hazardous substances, infections and diseases

Hazardous substances found in care homes include drugs and medicines, cleaning materials, disinfectants and maintenance products containing strong chemicals. Infection and disease is commonly caused by microorganisms found in contaminants such as soiled laundry, or bodily fluids.

Relevant legislation

• Control of Substances Hazardous to Health Regulations 2002 (COSHH)
• Health and Safety (Sharps Instruments in Healthcare) Regulations 2013

Action to take

Assess the health risk to your staff, residents and visitors and decide on this basis the action you need to take and the priorities. Preventing or controlling the exposure to substances, infections and diseases is made easier when a detailed plan for each risk is drawn up.

COSHH assessments are relatively straightforward in the care home context. Here is what needs to be done:

• Establish what substances are present in the building and how they can cause harm.
• Prevent exposure to hazardous substances by elimination where practical.
• If this cannot be achieved, decide whether the substance can be swapped for something milder; or, reduce the risk of exposure by ensuring you have systems in place to maximise safety while using the substance; follow manufacturer’s instruction where available and securely store products (e.g. cleaning products), keeping them in their original containers.
• Provide adequate personal protective equipment (PPE) to staff.

Products must display hazard warnings on their labels, or provided leaflets. If not, obtain a data sheet for the product from the supplier or manufacturer. By law, the supplier is required to give you an up-to-date safety information sheet for a substance that is ‘dangerous to supply’.

Consider grouping cleaning products of a similar strength together. When specifying PPE for cleaning, look at the strength of each product. Typical toilet and bathroom cleaners may only require standard rubber gloves, whilst caustic cleaners, such as descalers and oven cleaners, will need heavy duty rubber gloves and eye and face protection is recommended, as well as decent ventilation to protect from inhalation.

PPE is not enough on its own. Quality training that is thorough and consistent throughout the care home is important, too. Information, instruction and training on how to use products and store them correctly is paramount to avoiding accidents. Cleaning up spillages and the checking of PPE for wear is therefore also required.

Hazardous substances, infections and diseases

Skin irritants

Skin problems are often the effect of frequent exposure to cleaning products, soaps and ‘wet work’. Wet work is anything that will involve the wetting of the hands and constant hand washing. Employees are at risk of developing skin problems if washing their hands more than 20 times a day.

Other hazardous agents include rubber chemicals, which are present in natural rubber latex and synthetic rubber materials, bleach, sterilisers, preservatives and fragrances. Common skin problems include dermatitis, urticaria and latex allergies.

Suitable control measures that can be put in place to avoid common skin problems include training employees to:

• Avoid direct contact between unprotected hands and substances, products and wet work where this is practical and sensible.
• Protect the skin because avoiding contact is not always possible.
• Check their hands regularly for initial signs of itchiness, dryness or redness; if they suspect problems, seeking advice from a medical professional is the next course of action.

Gloves

Carefully consider which gloves you are supplying to employees as the NRL proteins naturally found in latex gloves can cause allergic reactions. HSE’s glove selection guidance (latex and other types) is below:

• Assess the importance of rubber gloves for a given task, are they necessary?
• If they are required, they must be substantial enough to protect the wearer

If assessments lead to the conclusion that latex gloves are the most suitable for jobs in the care home, then:

• Single use gloves containing latex should be low-protein and powder-free;
• People with existing allergies to NRL proteins should take latex avoidance measures and not use the single-use of reusable latex-based gloves; employers should be prepared to provide a glove of another material;
• When the wearing of gloves may expose residents, or members of the public, to latex-based gloves, you must assess the risks of this exposure and apply control measures to ensure the health of others.

Infection prevention and control

Throughout the care home environment, infection control is and important consideration. Exposure to a range of pathogens from human contact is possible, with the risks being harm or disease. Care homes should have infection prevention and control policies that address issues, such as:

• Education and training of employees in infection prevention and control and its problems, such as outbreaks of infection
• Handwashing protocol
• Aseptic procedures
• Quality sanitation – disinfection and decontamination, including domestic cleaning procedures
• Ill-health reporting and recording
• Audit, monitoring and surveillance
• Preventing exposure to blood-borne viruses, including preventing sharps injuries and immunisation policies for at-risk staff
• PPE use
• Collection and disposal of clinical wastes

Risks of blood and body fluids

Employees of care homes are occasionally exposed to the risk of infections from blood-borne viruses and bodily fluids. These include hepatitis B, C and human immunodeficiency virus (HIV). Decide upon suitable controls for these risks if there is even a slight chance of infection to employees.

Precautions include covering cuts and grazes with waterproof dressings, good personal hygiene, environmental hygiene, cleaning and disinfecting contaminated equipment and wearing rubber gloves and disposable aprons for risky and messy tasks.

Sharps injury is any incident involving needles or sharp instruments penetrating the skin. If the sharp is contaminated with bodily fluids or blood, there is infection potential. Precautions for sharps injuries include:

• Eliminate sharp instruments where at all possible
• Replace conventional devices with safer alternatives, e.g. using needles with pivoting plastic shields to ‘cap’ them after use
• Disposing needles into a sharps container immediately
• Use of clinical waste procedures, such as sharps containers
• Instruction to employees about the safe use of sharps
• Providing access to occupational health advice and immunisations
• Clear procedures for responding to sharps injuries, including quick access to appropriate prophylaxis treatments

In care homes where hepatitis B is a risk among the residents, you should offer immunisations to all employees. An agreed arrangement with an occupational health provider is the best course of action, or a GP practice. Once employees are immunised periodic checks are necessary to ensure they remain protected by the vaccine. You cannot charge employees for vaccinations.

Hazardous Waste

Waste that is hazardous to the handler will be part of many employees remit. A majority of waste in the care home setting comes under the ‘offensive hygiene waste’ category. This is non-infectious waste that does not require specialist treatment or disposal. Hazardous waste has the potential to cause harm or infection.

Sharps waste and hazardous waste including bodily fluids each have their specialist waste streams and must be treated accordingly. All employees who are expected to handle such waste must know how to dispose of it correctly for health and safety reasons.

Furthermore, spillage kits are recommended. Staff must know what to do in the event of a spillage of offensive hygiene or hazardous waste. This includes interacting with spillage kits prior to an incident, so that familiarisation aids in the clean up and handling of hazardous waste items.

Safe disposal of all types of waste is the responsibility of the care provider. Transfer notes and relevant documentation will aid you in establishing a paper trail to prove that waste is handled and disposed of in a correct, safe and legal manner.

Key points

• Assess the risks to staff and others from exposure to hazardous substances.

• Introduce appropriate precautions to prevent and control risks.

• Inform, instruct and train staff regarding the risks and precautions to take.

• Provide staff with appropriate PPE.

• Ensure precautions are used and procedures are followed.
• Are your hazardous substances adequately stored, i.e. locked in cupboards or rooms that are inaccessible to residents?

Categorisation and segregation of dirty linen

It is the responsibility of the employee handling the linens to ensure it is segregated properly to guarantee sanitary working practices. In the social care home setting, a simple, two category system is most appropriate. We suggest the following colour coding:

• Standard process, white or off-white.
• Enhanced process, red: these items must be sealed in a red, water-soluble bag upon removal from the bed. This should then be placed in an impermeable container such as a nylon or polyester bag. The outer bag must carry a bold label stating ‘Infectious linen’.

Hot water and surfaces

Social care settings are at an increased risk of harm or injury caused by hot water and surfaces. Not only are staff exposed to the typical sources of extreme heat, such as cooking appliances, kettles and steam cleaning equipment – those who are in care can be vulnerable due to sensitivity to high temperatures.

Scalds are not uncommon, as water exceeds 44°C there is a risk of serious injury, especially to the old and infirm. However, hot water is a necessary agent in infection prevention and control.

Relevant Legislation

• Management of Health and Safety at Work Regulations 1999
• Provision and Use of Work Equipment Regulations 1998

Assessments of the building and its unique hot water and hot surface risks is essential. This will inform which items of personal protective equipment is needed for staff given any one task. It also provides information that is relevant to each individual receiving care and this information can be used in individual care assessments. The assessment will measure the individual’s mental state, capacity, mobility, sensitivity and any specific health needs that may be affected by temperature.

Hot water controls

Controls can be intelligently engineered into the plumbing system. This will prevent water being discharged any higher than 44°C from outlets that are accessible to those in care. Other outlets can be fully temperature controlled by staff, or have similar restrictions as necessary.

Hot surface controls

Burn risks are posed by radiators, exposed pipework and electric heaters as well as other sources. If residents come into contact with these heat sources, adequate measures should be in place to safely cover the source so that surface temperatures are no greater than 43°C.

Laundries

Onsite laundry facilities should be closed to residents and used exclusively by trained staff. This is because heat produced by laundry equipment is designed to be high enough to destroy various forms of bacteria, spores and other sources of infection.

General work environment

Care homes are there to make residents feel comfortable and ‘at home’ in their environment. Although, it cannot be stressed enough that, as a place of work for care staff, the building, equipment and protocols must comply with workplace law.

Relevant Legislation

• Workplace (Health, Safety and Welfare) Regulations 1992
• Control of Asbestos Regulations 2012
• Control of Substances Hazardous to Health Regulations 2002
• Personal Protective Equipment at Work Regulations 1992
• Gas Safety (Installation and Use) Regulations 1998
• Health and Safety (Display Screen Equipment) Regulations 1992

Asbestos

The risk of exposing employees and residents to asbestos must be assessed. If your premises was built between 1950 and 2000, it likely contains asbestos in some form or other. If it was refurbished at any point within the above dates, asbestos may be present, too.

It is your responsibility to manage the asbestos risk and provide information about the location and state of the asbestos that is present in the building. If you have no information about asbestos in the building to hand, then an asbestos survey is the only way to be certain of its presence and condition.

Older buildings with steel frames and boilers with thermal insulation are likely to contain asbestos. Managers need to following information relating to any asbestos:

• Its location
• The type of material (e.g. ceiling tiles, insulation)
• Its condition
• The type of asbestos (blue, brown or white)

Asbestos in poor condition should be sealed, repaired or removed completely. Asbestos in good condition and is not likely to be disturbed or worked on can be labelled and should be checked annually to ensure it is still in that state. A thorough record must be made so that the asbestos is easily traceable in future.

Gas Safety

Appliances that are fed by gas and associated gas pipework, flues and vents should be checked for safety at least once a year. This must be carried out by a Gas Safe registered engineer. Servicing during this check is advised.

The same applies to liquefied petroleum gas (LPG) installations and pipework. These must be inspected also to maintain a safe environment for all.

Fire Safety

Individual fire and rescue services throughout England, Wales and Scotland will happily check that you have adequate general fire precautions in place. These include having an appropriate means of escape from a building and having a plan of action in place for evacuation to be effective and quick.

Fire safety risk assessments must be carried out and kept up to date. The fire safety measures must be used effectively in these plans and the plans themselves be reviewed and altered annually if necessary. If there are changes to the building or its number of occupants or staffing levels, the plan must be reviewed immediately.

Start by identifying what may cause a fire to start, such as:

• Sources of ignition, such as heat or sparks
• Flammable materials
• Individuals who may pose a risk
• Electricals

Control measures include:

• Keeping an adequate distance between sources of ignition and flammable materials
• Good house-keeping (not allowing hoarding or build up of materials)
• Fire detection equipment and early warning equipment (alarms and buzzers)
• Special arrangements for individuals with limited mobility
• Correct and correctly maintained fire fighting equipment (extinguishers)
• Clearly marked exit routes that are unobstructed at all times
• Appropriate training for all employees

Fundamental Checks

• Have you had independent and thorough assessments of the above safety points? As well as asbestos, gas and fire safety, you may have to consider the following;

• Contract workers must be checked for competency and safeguarding.

• Radon gas is a natural gas that occurs in some areas of the UK, your building should be tested for radon levels.

• Outside areas and vehicle usage should be designed in such a way that residents are protected from the elements and motor vehicles.

• Door and gate design must be inclusive and meet building regulations for accessibility.

• Ventilation must be able to deliver clean, fresh air to employees and residents. Places that are hot or humid may require specially designed ventilation to be rid of fumes and hot gases, such as steam; these include kitchens and laundry facilities.
• Display screen equipment must be PAT tested and be operating within the legal parameters intended to provide safe viewing.

General Welfare

General welfare largely applies to your employees. However, you must make the premises safe for everyone to use within any means that are reasonable and practical. This section covers a range of welfare requirements.

Relevant legislation

• Workplace (Health, Safety and Welfare) Regulations 1992
• Health and Safety (First-Aid) Regulations 1981
• Working Time (Amendment) Regulations 2009

Staff welfare facilities

You must provide suitable changing facilities, washing facilities, rest facilities and toilets for people in the work environment.

Adequate toilets require there to be enough facilities for the maximum number of employees at work at any one time. See the table below for more details with regards to employee numbers and toilets. Toilets must be clean, well-lit, ventilated, supplied with hot and cold running water, soap and drying facilities. Provision for disposing sanitary items must be made for female toilets.

Men and women must have separate facilities, unless the toilet is a single occupancy toilet, with a lockable door. Employees should have separate toilets to those used by residents. In small care homes, this can be wavered.

Changing areas are to be provided if employees are expected to get changed whilst at work. This is important if you are working in an area that has strict infection prevention measures. Nurses and kitchen staff are typical examples, where hygiene for food preparation and residents interaction is paramount.

Rest areas for employees are important and you must consider their needs. Seating is necessary and so is access to drinking water and hot drinks facilities. If meals are eaten at work, there should be an area with clean surfaces that food can be placed on. For those working outside of regular hours, there should be means to store and heat food.

Smoking

Care homes are allowed a room dedicated to residents smoking but there is no legal obligation to provide one. Considering the ill effects to employees, this is a rarity. Consult with your staff and residents for an overall view of this notion.

At Aventus laundry we are able to provide you expert advice on how to meet your HTM 0104 and Health and Safety obligations in your onsite laundry operation. Call [ld_default] to speak to one of the expert Aventus Laundry team.