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Federal Program Change Summary Report
National Emphasis Program - Nursing and Residential Care Facilities

Federal Directive Number: CPL 03-00-016

Date of Directive: April 5, 2012

This instruction describes a Federal program change which establishes a National Emphasis Program (NEP) to reduce occupational illness and injury in nursing and residential care facilities (NAICS codes 623110, 623210 and 623311) with specific emphasis on ergonomic stressors relating to resident handling, exposure to blood and other potentially infectious materials, exposure to tuberculosis, workplace violence, and slips, trips, and falls.

Adoption Required
Intention Required

This table is best viewed on tablets, notebooks, or desktop computer screens.

State Intent to Adopt Adopt Identical State Adoption Date URL or Contact
AK YES YES 10/02/2012 N/A
AZ YES YES 05/28/2012 N/A
CA NO N/A N/A Ellen Widess, Chief, Cal/OSHA, (510) 286-7000
2014 - 2015 Highest Hazard Industry List (PDF*)
CT YES YES 06/06/2012 N/A
HI YES YES 10/01/2012 N/A
IA YES YES 06/22/2012 N/A
IL NO N/A N/A Cheryl Neff, (217) 782-1442
IN YES YES Pending N/A
KY YES YES 07/01/2012 N/A
MD YES YES 01/31/2013 N/A
MI YES YES 10/5/2012 N/A
MN YES NO 06/19/2012 MNOSHA Compliance, (651) 284-5050
NC YES NO 04/05/2012 132E
NJ YES YES 05/09/2012 N/A
NM YES NO 08/07/2012 New Mexico Environment Department
NV YES YES 10/01/2012 N/A
NY YES YES 05/01/2012 N/A
OR YES NO 05/20/2012 Program Directive (PDF*)
Peggy Munsell, Oregon OSHA Technical and Appeals Manager, (503) 947-7446
PR YES YES 07/05/2012 N/A
SC YES YES 06/08/2012 N/A
TN YES YES 04/30/2012 N/A
UT YES YES 06/01/2012 N/A
VA NO NO N/A John Crisanti (804) 786-4300
VI YES YES 10/02/2012 N/A
VT YES YES 07/01/2012 N/A
WA YES NO 10/05/2012 Nursing and Residential Care Facilities NEP (PDF*)
Pamela Edwards, (360) 902-6457
WY YES YES 07/01/2012 N/A
Total 24 19

Plan covers State and local government employees only.

[Last updated: April 3, 2013]

*Accessibility Assistance: Contact OSHA's Directorate of Cooperative and State Programs at (202) 693-2200 for assistance accessing PDF materials.

All other documents, that are not PDF materials or formatted for the web, are available as Microsoft Office® formats and videos and are noted accordingly. If additional assistance is needed with reading, reviewing or accessing these documents or any figures and illustrations, please also contact OSHA's Directorate of Cooperative and State Programs at (202) 693-2200.

**eBooks - EPUB is the most common format for e-Books. If you use a Sony Reader, a Nook, or an iPad you can download the EPUB file format. If you use a Kindle, you can download the MOBI file format.

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