ADR 2005 ADR 2005 TRANSPORT OF INFECTIOUS SUBSTANCES S J GRAY CHIEF H&S ADVISER NPHS for Wales

Division 6.2 CATEGORY A CATEGORY A CATEGORY B EXEMPT HUMAN OR ANIMAL SPECIMEN

Flowchart for the classification of infectious substances

CATEGORY A TRANSPORTED IN A FORM THAT WHEN EXPOSURE TO IT OCCURS IS CAPABLE OF CAUSING PERMANENT DISABILITY, LIFE- THREATENING OR FATAL DISEASE TO HUMAN OR ANIMALS TRANSPORTED IN A FORM THAT WHEN EXPOSURE TO IT OCCURS IS CAPABLE OF CAUSING PERMANENT DISABILITY, LIFE- THREATENING OR FATAL DISEASE TO HUMAN OR ANIMALS ADR 2005 INDICATIVE LIST ADR 2005 INDICATIVE LIST

CATEGORY B + CATEGORY B IS AN INFECTIOUS SUBSTANCE THAT DOES NOT MEET THE CRITERIA FOR INCLUSION IN CATEGORY A CATEGORY B IS AN INFECTIOUS SUBSTANCE THAT DOES NOT MEET THE CRITERIA FOR INCLUSION IN CATEGORY A EXEMPT HUMAN (OR ANIMAL) SPECIMEN EXEMPT HUMAN (OR ANIMAL) SPECIMEN “NON-INFECTIOUS” “NON-INFECTIOUS”

CATEGORY A EXEMPTIONS Mycobacterium tuberculosis (culture) Mycobacterium tuberculosis (culture) Shigella dysenteriae type 1 (culture) Shigella dysenteriae type 1 (culture) Escherichia coli, verotoxigenic (culture) Escherichia coli, verotoxigenic (culture)

TRANSPORT & PACKAGING CATEGORY A – UN 2814 (2900) - PI 620 (602) CATEGORY A – UN 2814 (2900) - PI 620 (602) CATEGORY B – UN PI 650 CATEGORY B – UN PI 650 “EXEMPT HUMAN (OR ANIMAL) SPECIMEN” “EXEMPT HUMAN (OR ANIMAL) SPECIMEN” NO ASSIGNMENT TO A PACKAGING NO ASSIGNMENT TO A PACKAGING INSTRUCTION INSTRUCTION

TRANSPORT & PACKAGING CATEGORY A / CATEGORY B / “EXEMPT” CATEGORY A / CATEGORY B / “EXEMPT” ALL OF 3 LAYERS SAMPLE IN ITS PRIMARY CONTAINER SAMPLE IN ITS PRIMARY CONTAINER SECONDARY CONTAINER SECONDARY CONTAINER OUTER OUTER All require absorbent material / padding All require absorbent material / padding

DIFFERENCES IN PIs Exempt Exempt Package Specification Marking e.g. U N / 4G Yes No No Class6.2/05/GB/ o / 2 o leak&siftproof Yes Yes Yes 2 o / Outer rigid Outer (Either) Adequate strength 95 kPa Yes Yes ? No Markings Yes (no technical name) Yes (n t n) No (n t n) UN 2814 UN 3373 Exempt Human UN 2814 UN 3373 Exempt Human Infectious Substance Biological Substance Specimen Infectious Substance Biological Substance Specimen affecting humans Category B Consignor/Consignee affecting humans Category B Consignor/Consignee Biohazard Diamond Consignor/Consignee Biohazard Diamond Consignor/Consignee Consignor/Consignee Consignor/Consignee Max amount 400 kg / l No limit No limit

Specimen Transport Royal Mail DX DG Courier Royal Mail DX DG Courier 620 No No Yes 650 Yes Yes Yes Not Mtb / VTEC / Sh.dys Not Mtb / VTEC / Sh.dys Exempt Yes Yes Yes

Transport Requirements Exempt Exempt Safety awareness Yes Yes Yes Security Yes No No Audit Audit Knowledge Knowledge Contract Contract VDC VDC DfT Transec DfT Transec DGSA Yes No No List of contents btwn Yes Yes Best Practice 2 o / outer Transport Document Yes No No Inform Consignee Yes No No

GP Specimen Transport

GP Samples (B)

GP Specimen Transport

Cat B Motorcycle courier

Cat B Bicycle courier

Cat B – Other Forms Transport Staff transporting samples Staff transporting samples Patient transporting samples Patient transporting samples Patient sample via Royal Mail Patient sample via Royal Mail Taxi Taxi