updated March 6, 2019

1. (Reference OSHA Standard 1910.1030)

2. BLOODBORNE PATHOGENS POLICY
 The purpose of this policy is to prevent any employee at the facility from being infected with
the Hepatitis B (HBV), or the Human Immunodeficiency Virus (HIV). Infection from HBV or
HIV is caused through improper handling of human blood or other potentially infectious
material, such as certain body fluids, saliva with blood, and any body fluid of unknown
identity. The threat to personnel at the facility comes from assisting or caring for injured
employees.
 The policy at the facility is that only management employees and designated employees trained
in first aid and bloodborne pathogens are to care for injured employees. In addition, only
management employees and designated employees are to clean and sanitize equipment and
surrounding areas after contamination from blood or other potentially infectious material.
Furthermore, signs warning of the potential threat of infection will be in first aid areas.
 All employees trained in first aid and designated to help care for injured employees will receive
training regarding protection from HBV and HIV. The training will be updated on an annual
basis.
 This policy and written procedure, involving the facility’s Bloodborne Pathogens Policy, will be
reviewed and updated on an annual basis.

3. Potential Occupational Exposure to
Blood or Potentially Infectious Waste
Job Classifications
 Facility Management
 Randy Kunze, Lucas Mowrey
 First Responder Team Members
 Jason Porter, Rich Fishell, Lucas
Mowrey, Randy Kunze, Teresa
Contreras, Christie Luedtke,
Nikki Timmons
 Janitorial Staff
 Third Party Cleaning Company
Tasks That May Result In Exposure
1. Assisting employees that
have minor first aid needs,
i.e., band aid for a small cut.
2. Assessing an employee’s
injury to determine if further
medical care is needed.
3. Giving first aid care to
seriously injured individuals
as trained in First Aid and
CPR courses.
4. Clean up of any area of floor
or equipment where one of
the above situations
occurred.

4. Methods of Compliance Practices to Follow
Universal Precautions
 It is the policy of Grand Island Express to require
all employees to observe universal precautions to
prevent contact with blood or other potentially
infectious materials. Whenever a differentiation
cannot be made between body fluid types, all
body fluids shall be considered potentially
infectious material.

5. Methods of Compliance Practices to Follow
Exposure Control Plan
The following steps are to be taken to protect against
contact with blood or other potentially infectious material.
1. Assisting employees with minor injuries, including
injuries that involve no apparent bleeding: Employees
giving first aid should first wash their hands, put on a
pair of disposable latex or nitrile gloves, and then
proceed to help the individual. Wash hands and any
other skin that contacted blood or potentially infectious
material after removing the disposable gloves. Record
the injury in the First Aid Log Book.

6. Methods of Compliance Practices to Follow
Exposure Control Plan
The following steps are to be taken to protect against
contact with blood or other potentially infectious material.
2. Assessing an employee’s injury to determine if further
medical care is needed, including injuries that involve no
apparent bleeding: Employees giving first aid should
first wash their hands, put on a pair of disposable latex
or nitrile gloves and then proceed to help the injured
individual. Wash hands and any other skin that
contacted blood or potentially infectious material after
removing the disposable gloves. Record the injury in
the First Aid Log Book.

7. Methods of Compliance Practices to Follow
Exposure Control Plan
The following steps are to be taken to protect against
contact with blood or other potentially infectious material.
3. Giving first aid to seriously injured individuals as
trained through the first aid and CPR courses: The
ability and availability of an employee as a first
responder to wash their hands and put on
disposable latex or nitrile gloves and any other
personal protective equipment must be weighed
against the needs of the individual

8. Methods of Compliance Practices to Follow
Exposure Control Plan
 The proper procedure would be to wash your hands, put on disposable latex gloves or nitrile,
use a mouthpiece during CPR, and to wear goggles, a face shield, disposable Tyvec sleeves, and
a poly apron, as needed to prevent any contact with blood or other potentially infectious
material. However, common sense must be used by the first responder as to when it is
appropriate to take preventive steps.
 The personal protective equipment listed above will be part of the First Responder Kit. The
first aid supplies and personal protective equipment will be rushed to the scene of an injury as
quickly as possible.
 When through giving first aid or CPR, every first responder is to thoroughly wash his or her
hands and any other skin that may have contracted blood or potentially infectious material.
All blood-soaked clothing, rags, bandages, etc., should be disposed of in a red “Infectious
Waste” disposal bag.
 Following treatment of a seriously injured individual, management will assess if an exposure
incident occurred. If exposure has occurred, management will proceed according to proper
procedures, and also determine what changes can be made to prevent future exposure.

9. Methods of Compliance Practices to Follow
Exposure Control Plan
The following steps are to be taken to protect against contact with blood
or other potentially infectious material.
4. Clean up of contaminated equipment and surrounding area of
potentially infectious material: Employees involved with
clean up must be trained in the Bloodborne Pathogens Policy.
 Employees must wear disposable latex or nitrile gloves, a face
shield, goggles (if needed) and a disposable poly apron. A
mechanical means of handling contaminated sharps, such as a
broom or forceps, must be used. Contaminated sharps cannot
be picked up by hand, even with gloves.

10. Methods of Compliance Practices to Follow
Exposure Control Plan
The following steps are to be taken to protect against contact with blood or other potentially infectious
material.
 A chlorine-based cleaner or bleach will be used to clean contaminated equipment and
surrounding areas. Equipment should be scrubbed with disposable paper towels. Inspection
of the area and equipment will be conducted by management before the area is released for
use.
 Very little clean up may be needed for small cuts that require only a band-aid. Used band-aids
may be disposed of in normal trash containers. Larger amounts of blood-soaked towels, clean
up materials, bandages, or clothing will be disposed of in red “Infectious Waste” disposal bags.
Determination of disposal route for clean up waste will be determined by management.
Employees involved with the clean up of the contaminated area will wash their hands and
other potentially contaminated skin thoroughly upon completion of the clean up.
 The red “Infectious Waste” disposal bags will be taken to the area hospital for proper disposal

11. Engineering and Work Practices
Following are the locations where
hand-washing facilities can be found:
Personal Protective Clothing and
equipment can be found at the
following locations:
1. Men’s Locker Room
2. Men/Woman’s Bathroom by
Dispatch
3. Men/Woman’s Bathroom by
Safety
Jump Kits can be found at
 Shop Office
 Teresa’s Desk
 Washbay Office Trailer

12. Hepatitis B Vaccination Policy
Exposure Incident
 An exposure incident is defined as a specific eye, mouth, other
mucus membrane, non-intact skin or parenteral contact
(piercing mucus membranes or other skin barrier through such
events as needle sticks, human bites, cuts, and abrasions), with
blood or other potentially infectious materials, that result from
the performance of an employee’s duties.
 Following an exposure incident, the affected employee has the
option of a confidential medical evaluation and follow-up.
Affected employees will be offered the Hepatitis B vaccination.
Those eligible to receive the Hepatitis B vaccination, but decide
not to receive it, must sign a form communicating that they do
not want the vaccination and that they understand their options
concerning the Bloodborne Pathogens Policy.

13. Following the exposure, the following
steps will be taken:
1. Document routes of exposure and circumstances.
2. Identify the source individual (unless it is established that identification is not
feasible or is prohibited by state or local law).
a. Have blood tested for HBV and/or HIV with the consent of the source individual. A consent form
must be signed.
b. Results of the source individual’s testing shall be made available to the exposed individual, who shall
be informed of applicable laws and regulations concerning disclosure of the identity and infectious
status of the source individual.
3. Measures designed to preserve health and prevent the spread of disease, when
medically indicated, shall be offered and shall include counseling and an evaluation
of the reported illness.
4. Grand Island Express shall provide the health care professional responsible for
evaluating an employee after an exposure incident with the following information:
a. A copy of the OSHA 29 CFR 1910.1030 regulation.
b. A description of the employee’s duties as they relate to the exposure incident.
c. Documentation of the routes of exposure and the circumstances surrounding the exposure incident.
d. Results of the individual’s blood testing, if available.
e. All medical evaluations relevant to the appropriate treatment of the employee, including
vaccination status.

14. Following the exposure, the following
steps will be taken:
This information can be furnished to the health care professional using the attached “Post Exposure
Evaluation Form.”
5. The doctor’s opinion will be available to the affected employee within 15 days.
6. All information regarding the exposure incident will remain in the employee’s
confidential medical file.

15. Training
Annual training will be conducted for all management personnel and first responder team
members.
The training will consist of the following:
1. Review of the company Bloodborne Pathogens Policy, HBV and HIV prevention.
2. General explanation of the symptoms of bloodborne diseases.
3. Explanation of the modes of transmission of bloodborne diseases.
4. Explanation of universal precautions – personal protective equipment, clean up kits, etc.
5. Explanation of procedures described in the “Methods of Compliance” section of the policy.
6. Explanation of what infectious waste containers are and their location, and a review of
signs posted at first aid stations.
7. Review what constitutes an exposure incident, encourage reporting of any potential
exposure incident, and an explanation of the follow-up procedure.
8. Hepatitis B Vaccine.
9. Employees will be notified of the availability and location of the OSHA code 1910.1030.
10. Opportunity for questions and answers.
All training will be documented.

16. Recordkeeping
 Medical Records:
Medical records are to be kept of each employee with occupational exposure. This is to include the
name, social security number, Hepatitis B vaccination record, and records involving past exposure,
evaluation and follow-up. Confidentiality is to be ensured. These records are to be kept for the
duration of employment, plus 30 years.
 Training Records:
Training records to be kept are to include the dates of the training sessions, the contents or
summary of the training sessions, the names and job titles of all persons attending, and names
and qualifications of the trainers. These records are to be maintained for three years from the date
on which the training occurred.
 Availability:
All these records are to be made available to OSHA if requested. The training records are to be
made available upon request of employees or employee representatives. The medical records are
to be made available to the subject employee or to anyone having written consent of the subject
employee.
 Transfer of Records:
If the facility closes, these records will be retained at another facility location for the prescribed
time. Contact the Corporate Offices for more information.

17. HEPATITIS B VACCINE DECLINATION
 Date:
 Name:
 Social Security No.:
 HEPATITIS B VACCINE DECLINATION
 I understand that due to my occupational exposure to blood and other potentially infectious materials I may be at risk
of acquiring Hepatitis B Virus (HBV) infection.
 I have been given the opportunity to be vaccinated with Hepatitis B Vaccine, at no charge to me, however, I decline
Hepatitis B Vaccine at this time.
 I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in the
future I continue to have occupational exposure to blood or other potentially infection materials and I want to be
vaccinated with Hepatitis B Vaccine, I can receive the vaccination series as no charge to me.
 Signed:
 Date:

18. BLOODBORNE PATHOGENS
POST EXPOSURE EVALUATION FORM
Fs12sysShopSafety_OSHAOS
HABloodborne PathogensPost
Exposure Evaluation Form.doc

19. AUTHORIZATION FOR THE RELEASE OF
EMPLOYEE MEDICAL RECORD INFORMATION
Fs12sysShopSafety_OSHAOS
HAAUTHORIZATION FOR THE
RELEASE.doc