(if dose fluoride Train staff in fluoride Identify staff controlled by sensor out of sensor calibration. training needs feedback from calibration. and provide Regular manual in-line probe). Monitoring training. checks on fluoride shows fluoride concentration in Instigate concentration treated water, with monitoring. out of control these samples being range. periodically split and sent for independent analysis. Use more that one fluoride sensor so that any malfunction in one will become apparent from mismatch with readings from others. P9.1.6 Provide staff training Fluoride Fluoride Identify staff in sampling, and concentration training needs Monitoring record keeping. more than and provide samples not 1 mg/L. training. or results Develop monitoring Monitoring incorrectly schedule, with checks schedule. Monitoring recorded. on data entry. schedule not Monitoring followed. records. Errors in records. P9.1.7 Provide staff training Fluoride Fluoride Identify staff in sample analysis. concentration training needs Monitoring more than and provide method Develop and use a 1 mg/L. training. incorrectly quality control Quality calibrated, programme, including control Duplicate Instigate quality performed periodic split-sample checks. checks show control incorrectly, or measurement checks errors in programme. analysis using an external reagents approved laboratory. deteriorated. Contingency Plan If an event happens despite preventive and corrective actions you have taken, you may need to consult with the Medical Officer of Health to assess how serious a problem is. Fluoride concentration is higher than maximum acceptable value Event –
(if dose controlled by feedback from in-line probe). fluoride sensor out of calibration. Monitoring shows fluoride concentration out of control range. Train staff in fluoride sensor calibration. Regular manual checks on fluoride concentration in treated water, with these samples being periodically split and sent for independent analysis. Use more that one fluoride sensor so that any malfunction in one will become apparent from mismatch with readings from others. Identify staff training needs and provide training. Instigate monitoring. P9.1.6 Monitoring samples not or results incorrectly recorded. Provide staff training in sampling, and record keeping. Develop monitoring schedule, with checks on data entry. Fluoride Monitoring schedule. Monitoring records. Fluoride concentration more than 1 mg/L. Monitoring schedule not followed. Errors in records. Identify staff training needs and provide training. P9.1.7 Monitoring method incorrectly calibrated, performed incorrectly, or analysis reagents deteriorated. Provide staff training in sample analysis. Develop and use a quality control programme, including periodic split-sample measurement checks using an external approved laboratory. Fluoride Quality control checks. Fluoride concentration more than 1 mg/L. Duplicate checks show errors in Identify staff training needs and provide training. Instigate quality control programme. Contingency Plan If an event happens despite preventive and corrective actions you have taken, you may need to consult with the Medical Officer of Health to assess how serious a problem is. Event – Fluoride concentration is higher than maximum acceptable value
treatment-fluoridation-feb14-v2.docx