The document outlines the key components of an exposure control plan, which includes determining exposures, evaluating procedures, and annually reviewing the plan. It identifies employees at risk of exposure through daily tasks or incidental contact and notes that hepatitis B vaccine and awareness of workplace hazards is important. Records of all elements of the plan must be kept for at least 3 years.

1. An exposure control plan must be established in writing
-Determine exposures
-Procedure’s for evaluating exposures
-How and when the exposure methods are to be
used.
-The plan must be reviewed annually
Identify employees at risk
-Exposure through daily task, nurses, medical
assistants, and physicians
-Exposure through incidental control, laundry,
housekeepers, office workers
Employees must be aware of all the different hazards in
the workplace at all times.
Hepatitis B vaccine, offered at no cost to the employees.
1

2. Bloodborne Pathogen Engineering Controls
Constantly seek ways to improve control methods in work
practice, such as needleless devices.
No food, drink or use of cosmetics in area where blood is kept.
Use proper hand washing, handle needles correctly.
Personal protective equipment (PPE) must be supplied by
employers.
Sharps container for disposal of used needles must be provided
and maintain by employer.
Treat all body fluids and soiled linens as they are
contaminated.
Have a post exposure plan which may include counseling and
getting blood sample from source is possible.
Any exposures must be documented.
All records must be kept for at least 3 years.
2

3. Sharps container
Closeable
Puncture resistant.
Leak-proof on sides and bottom.
Labeled or color coded
-Fluorescent orange, or orange-red
“Biohazard” must be displayed.
Easily accessible to employees within work area.
Maintain upright when in use.
Replaced routinely.
3

4. Needle sticks
Hazards
-Infection from a contaminated needle
Prevention
-Never remove a needle cap using your mouth.
-Do not recap in hand “scoop” the cap on ifneeded.
-Dispose of all needles and syringe in approve sharps
container.
Develop communication and enforce safety standards
-Employees must be trained on safe way to handle
needles.
Sharp injury log
Documentation and report every needle stick injury.
4

5. Ergonomics of Lifting and Repetitive Task
Coordinate, have one employee manage all ergonomics
program.
Train, show employees the proper lifting techniques, computer
workstation design and ways to make adjustments, also be sure
that they know the early warning signs of any problems.
Report, if the employee does not report that something is
wrong or that they were hurt then it can’t be fixed
Analyze; look over the work station so that the hazard can be
seen before something happens.
Identify, make any and all adjustments within the work station
to control hazard.
5

6. 6

7. Product identification, it tells you who make it and what the
products name is.
The ingredients of the chemical.
The physical and chemical properties, such as the specific
gravity, boiling point, appearance and odor, and melting point.
The fire and explosion data, as what type of extinguisher to
use, and what the flash point is.
-Flashpoints less than 115 degrees are considered
flammable.
The protective precaution.
-where you find the personal protective equipment
needed to work safely with the product.
The health hazards associated with the product and the first
aid procedures in case you are over exposed to the product.
The reactivity data.
- If the product will react with other materials to cause a
fire, explosion, or gas.
- Tells you what not to mix it with.
How to store the product.
The transportation procedures.
Every chemical must have their own MSDS
All MSDS must be keep in a binder
Easily accessible to all employees 24 hours 7 days a week
7

8. Hazard communication
A written hazard communication plan in place.
Assign accountability, for compliance to ensure training,
labeling, and MSDS maintenanceis done.
Inventory of all the hazardous chemicals within the building.
Ensure hazardous chemicals are safely stored and labeled
correctly.
Documentation of the communication plan.
Review annually or when needed.
8

9. Hazardous drugs
A written safety plan in place for the drug, preparation,
handling, administration, and safe disposal of when done.
Warning signs shouldbe placed in area where the hazardous
drugs are used or stored.
Good work practices to prevent spraying.
Use proper PPE and wash hands after handling drugs.
Clean spills up immediately with spill kit.
Use biological safety cabinets of class II or class III that are
certified and vented properly.
Dispose of such drugs in accordance with EPA regulation.
Label item such as syringes with warning label and any special
instruction.
Investigational drug should only be administered by the person
involved with the drug research.
Emergency procedures should be posted on what to do in a
spill or release of a hazardous drug.
Medical monitoring program for those employees exposed.
Report and document all hazardous drugs to proper personal.
9

10. Respiratory hazards
Chemicals, drugs, and diseases that can become airborne may
be inhaled, or ingested.
Written program in place where respirator use is required.
Respirators, training and medical evaluation at no cost to
employees.
Quantitative fit testing.
-Fit factor of 100 for tight fitting
-Fit factor of 500 for full faced
Every respirator should be checked before use and during
cleanup.
Any damaged respirator must be reported and documented to
ensure it is fixed.
Must be certified monthly though approved agency.
10

11. Tuberculosis
Employees should know how to early identify individual with
TB.
Information and training to ensure staff are aware of the
hazards of TB, its signs and symptoms.
Free medical screening for those employees at greater risk.
Evaluate staff with positive TB.
Acid-fast bacilli (AFB) isolation rooms for suspected or
confined patient where high risk procedures are done with
HEPA filters.
Provide respiratory protection for employees who are at risk.
Warning signs must be posted outside of room “Special
respiratory isolation” or “AFB isolation”.
Records of employee exposures to TB must be documented.
Label roof outlet and exhaust ducts.
11

12. Radiation
A survey to determine radiation hazards
- Incident to release.
-Disposal or presence of radioactive material.
-Physical survey of equipment and measurements of
levels radiation present.
Appropriate personal monitoring equipment.
- Film badges
- pocket dosimeters
Caution signs be posted where radioactive material are
present.
-Magenta or purple, yellow background
Radiation safety officer and a radiation safety
committee to oversee process.
Radiology department exposures rooms have
lead lined protection.
Lead-lined PPE should be provided for patient and employees.
Survey must be documented by person performing it.
12

13. X-ray hazards
Increase risk of cancer.
Skin burns.
Eye damage, doses greater than 200 rad.
Equipment must be checked for any radiation leaks.
Any leaks must be documented properly.
Lead-lined wall must be provided for employees.
Warning signs must be in place and visible at all times.
13

14. Lab Hazards
Acceptable permissible exposure limits must be posted.
Employee exposure determination for those at risk.
Chemicals hygiene plan.
Employee information, training and proper warning signs.
Hazards identification system.
Documentation of all hazards within the lab itself.
MSDS for all chemical within the lab.
14

15. Emergency Plan
Written emergency plan in place.
Evacuation routes and escapes procedure.
Procedure for employees to follow before evacuation. -Assign
one employee to account for all otheremployees’ safety after.
Assign duties to current employees to follow.
Contacts of more people to help if needed.
Alarm system.
Training must be provided and documented.
15

16. Fire Prevention
Written plan in place.
Know what and where fire hazards are and how to handle
them properly.
Employee communication on potential ignition sources, control
procedures,and proper PPE.
Test fire alarm and maintain suppression system.
Train employees on fire evacuation, fire containment, and how
to extinguish small fires.
Store combustible and flammable item in approved container,
with proper warning signs
Documented safety training and update annually.
16

17. Emergency chemical response
Where chemicals are located, potential for releases, consider
leaks, spill and containers that may become punctured.
Determine area that can be set up differently to prevent
uncontrolled release.
Know which chemicals may be cleaned by employees or must
be evacuated.
Consider patient that may pass through the areas.
Training of all employees.
Document and reported any emergency involving chemicals.
17

18. Personal Protective Equipment
Employer assessment of hazards which require PPE,
documented.
 Name of clinic
 Person performing assessment
 Dates assessment performed
Employer must provide PPE to all employees.
Employees shall be trained on use and training must be
kept on file with date of any retraining.
Updated with new PPE when needed.
18

19. Protect from undue latex exposures.
ADA, requires employers make accommodation for
employees with latex sensitivity.
Non latex gloves must be provided at no cost to
employees.
Provide employees with education and training on
occupational risk of latex.
Screen high-risk employees for allergy symptoms.
Good housekeeping skills.
Document any latex exposures.
19

20. Eyewash/ShowersEmergency
Station shall be located where exposures to corrosives material
are.
Station accessible within 25 feet of the know hazard.
Highly visible sign identifying its location.
Personal eyewash equipment) plastic bottles) may be used for
immediate use, but doesn’t replace the eyewash station.
Eyewash station must be capable of flushing eyes for at least 15
minutes.
Maintenance program checked weekly shower should deliver
20 gallons of water per minute for 15 minutes.
Shower head must be 82 to 96 in from floor level, eyewash
must be 33 to 45 in from floor level.
20

21. Warning signs
Design and colors must be consistent throughout facility.
-Danger- immediate danger, red, black and white.
-Caution potential hazards, unsafe work practice yellow
background, with black letters, and a black panel with yellow
letters.
Safety instruction – green panel with white letters and with
white background.
Specific signs biological hazardous (orange- red) radiation
(purple and yellow).
21

22. Preventive Measures
-Initial Assessment
-Prevention Strategies
Handling complaints alleging workplace security hazards.
Employees should have training to know what kind of violence
to look for and should know who they can tell.
Investigate assaults involving death or serious injury.
Record and report any workplace violence.
22

23. 23

24. 24

25. 25

26. 26

27. 27

28. 28