Directives - Table of Contents|
| Record Type:||Instruction|
| Directive Number:||CPL 02-02-069|
| Old Directive Number:||CPL 2-2.69|
| Title:||Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens|
| Information Date:||11/27/2001|
| Standard Number:||1910.1030|
|Directive Number: CPL 02-02-069 (formerly CPL 2-2.69)||Effective Date: November 27, 2001|
|Subject: Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens|
|Purpose:||This instruction establishes policies and provides clarification to ensure uniform inspection procedures are followed when conducting inspections to enforce the Occupational Exposure to Bloodborne Pathogens Standard.|
|Scope:||This instruction applies OSHA-wide.|
|References:||29 CFR 1910.1030, Occupational Exposure to Bloodborne Pathogens OSHA Instruction CPL 2.103, Field Inspection Reference Manual|
|Cancellations:||This instruction cancels CPL 2-2.44D|
|State Impact:||This instruction describes a Federal Program Change for which State adoption is not required (See Paragraph VI).|
|Action Offices:||National, Regional and Area Offices|
|Originating Office:||Directorate of Compliance Programs|
|Contact:||Office of Health Compliance Assistance (202)693-2190|
200 Constitution Avenue, Room N3603
Washington, DC 20210
If no engineering controls are being used to eliminate or minimize exposure, a citation should be issued.The citation should state that the employer failed to use engineering controls or work practices that would "eliminate or minimize exposures" and identify particular engineering controls, such as self-sheathing needles, and particular work practice controls, such as no-hand procedures in handling contaminated sharps, which should have been used. After each particular control mentioned in the citation, the words "among other controls" should be added unless it is clear that there are no other controls.
If a combination of engineering and work practice controls used by the employer does not eliminate or minimize exposure, the employer shall be cited for failing to use engineering and work practice controls.
When the compliance officer finds that an employer is using an engineering control, but believes another device would be clearly more effective than the one in use, the compliance officer should document how the device was being used and how it was selected . The compliance officer should consult with the Regional Bloodborne Pathogens Coordinator to determine if a violation of (d)(2)(i) exists.
The CL is not shipped labeled or in a red bag, paragraph (d)(4)(iv)(C) would be cited and grouped with the applicable subparagraph of paragraph (g)(1)(i);CDC has published "Guidelines for Laundry in Health Care Facilities." Current recommendations for the laundering of contaminated linen stipulate only that normal laundering methods be used according to the manufacturer's recommendations.
The CL is shipped with an improper label, paragraph (d)(4)(iv)(C) would be cited and grouped with the applicable subparagraphs of paragraphs (g)(1)(i) (B), (C) and/or (D);
The CL is shipped in a bag color-coded for in-house use (in a color other than red), paragraph (d)(4)(iv)(C) would be cited and grouped with citations for paragraph (g)(1)(i)(E).
1) Provision for a reporting procedure that ensures that all first aid incidents involving the presence of blood or OPIM will be reported to the employer before the end of the work shift during which the incident occurred. The report must include the names of all first aid providers who rendered assistance, regardless of whether personal protective equipment was used and must describe the first aid incident, including time and date. The description must include a determination of whether or not, in addition to the presence of blood or other potentially infectious materials, an "exposure incident," as defined by the standard, occurred. This determination is necessary in order to ensure that the proper post-exposure evaluation, prophylaxis, and follow-up procedures required by paragraph (f)(3) of the standard are made available immediately, whenever there has been an "exposure incident" as defined by the standard.NOTE: For industries not covered by 1910.1030 or 1915.1030, failure to provide appropriate evaluation of first aid incidents (including the determination of whether an exposure incident occurred) and adequate follow-up of exposure incidents (including the provision of the hepatitis B vaccine series free of charge) should be considered for a possible 5(a)(1) citation.
2) A report that lists all such first aid incidents, that is readily available, upon request, to all employees and to the Assistant Secretary.
3) Provision for the bloodborne pathogens training program for designated first aiders to include the specifics of this reporting procedure.
4) Provision for the full hepatitis B vaccination series to be made available as soon as possible, but in no event later than 24 hours, to all unvaccinated first aid providers who have rendered assistance in any situation involving the presence of blood or OPIM, regardless of whether or not a specific "exposure incident," as defined by the standard, has occurred.
5) Unless all the requirements of this de minimis policy are met, paragraph (f)(2)(i) should be cited for failure to provide the hepatitis B vaccine.
|Directives - Table of Contents|
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