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protective clothing shall consist of waterproof gloves and aprons, as a
minimum; when cleaning up sewage spills, shore crew members shall wear
coveralls, waterproof gloves, waterproof aprons, and rubber boots.
d.  After each routine disconnection, shore crew members shall wash
their hands thoroughly with soap and warm water, even though gloves are
worn. After handling hoses, a hose handling crew member shall not smoke,
eat, or drink before washing his hands with hot water and soap.
e.  In the event that a shore crew member is wet down with sewage, he
shall take a shower with warm water and soap immediately; to prepare for
such occurrences, shore crew members shall carry a complete change of
clothing and shoes in their personal lockers.  If showering immediately is
not feasible, the crew member should rinse his face and hands with potable
water from a pier connection.  If sewage is ingested, the crew member shall
seek local medical advice for further precautionary actions.  Contaminated
clothing must be placed in a plastic bag for ultimate laundering in hot
water and detergent; no special laundering procedures are required.
f.  Every hose storage facility shall have sanitary facilities, includ-
ing lockers, lavatory, stool, hot water shower, and bath towels for daily
use, as well as for emergency wash-up in case of bodily contact with raw
sewage or flushing water.
g.  Only authorized personnel shall be permitted to handle sewage
hoses.  These personnel shall have received training in hose handling pro-
cedures, with emphasis on sanitary and physical safety.  This rule shall be
strictly applied except in the case of emergency.
h.  Shore crews shall be familiar with the proper sequence of riser
valve operation both on the ships and on the pier.  The shore crew should
advise the ship's crew on hose connection and disconnection sequencing and
riser valve operation; the ship's crew should follow the shore crew's advice.
i. Dust caps and dust plugs shall be used regularly on ship and pier
sewer risers; sewage hoses shall have ends closed when they are transported
from the pier to the hose washing/storage area. This may be accomplished
satisfactorily by using plastic end cover/plugs.
j.  While sewage hoses are in use, the ship's crew should observe the
hoses in operation at least once each watch, and report leaks or other prob-
lems promptly to the ship's engineering officer, the medical department
representative, and/or to the shore support duty desk.
k.  Upon notification by a ship's crew of any problem with the opera-
tion of sewage hoses, the response by the shore crew must be immediate.
1.  Before sewage hoses are disconnected from surface vessels and sub-
marines, the hoses shall be flushed with salt water for at least 10 minutes.
m.  If there is reason to doubt the effectiveness of the salt water
flushing upon removal to the hose washing/storage area, used hoses shall be
disinfected promptly (see Appendix A for disinfection steps). No hose may
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