This document outlines an agenda for an OSHA training session. It includes information on breaks, lunch, and end time. The agenda covers OSHA regulations regarding hazard communication, bloodborne pathogens, personal protective equipment, fire prevention, exit routes, and workplace violence plans. It also includes quizzes to test understanding of topics like safety data sheets, sharps injuries, and OSHA inspections. The document defines who is considered an employer under OSHA and outlines an employer's general duty to provide hazard-free workplaces.

1. Lisa Smith CMA,RMA,CHWE

2. *Breaks – 10:15 / 2:30 ‘ish’
*Lunch – 12:20 – 1:30 ‘ish’
*Home – 3:55 ‘ish’

3. *GGooaallss ffoorr TTooddaayy
*Discuss coverage of the OSH
Act and the regulations
(standards) implementing it.
*Comply with the Bloodborne
Pathogen Standard.
*Comply with Needlestick
Prevention and PPE.
*Follow the requirements of
the Right-to-know
/Hazardous Chemicals
(HAZCOM) Standard.
*Training Requirements
*X-Ray / Nitrous Oxide
*Develop fire prevention and
emergency action plans.
*Coordinate exit route
responsibilities.
*Workplace Violence Plans
*OSHA inspection protocol

4. *QQuuiicckk QQuuiizz 1. A Safety Data Sheet (SDS) gives information about:
a. Hazardous chemicals.
b. Injuries in the workplace.
c. Medical examinations.
d. Machinery maintenance.
2. A “SESIP” is:
a. an engineering control.
b. A non-needle sharp or a needle device used for withdrawing body fluids, accessing a
vein or artery, or administering medications or other fluids, with a built-in safety
feature or mechanism that effectively reduces the risk of an exposure incident.
c. Sharps with engineered sharps injury protections.
d. All of the above.
3. Because OSHA is an administrative agency, a compliance officer does not need to have a search warrant to inspect a
property.
a. True.
b. False.
4. Medical records of an employee’s exposure incident must be retained for:
a. the length of the worker’s employment plus 30 years.
b. 30 years.
c. 5 years.
d. 3 years.
5. If you were looking for the OSHA regulations dealing with bloodborne pathogens you would look in:
a. 29 CFR 1910.1030.
b. 29 CFR 1904.
c. 29 CFR 1926.1030.
d. 29 CFR 1910.1020.

5. *QQuuiicckk QQuuiizz
6. Bloodborne Pathogens for OSHA purposes means pathogenic microorganisms that are present in:
a. all blood.
b. human blood.
c. animal (non-human) blood.
d. “b.” and “c.”
7. The hepatitis B vaccination is a(n):
a. noninfectious, yeast-based vaccine.
b. potentially infectious, yeast-based vaccine.
c. noninfectious, yeast-based vaccine that is used for both hepatitis B and C.
d. a direct derivative of gamma globulin.
8. An employer does not have to keep and maintain a Sharps Injury Log if:
a. it employs no licensed medical professionals.
b. reviews SESIPs annually.
c. it is exempt from OSHA recordkeeping under 29 CFR 1904.
d. None of the above.
9. Employers have to pay for a titer for employees who have responsibility for ongoing direct patient care.
a. True.
b. False.
10. Nasal secretions and tears
a. are not generally considered to be OPIM.
b. are considered to be OPIM.
c. are considered to be OPIM if they are mixed with visible blood.
d. “a” and “c.”.

9. WWhhoo iiss AAnn EEmmppllooyyeerr??
DOL defines and ‘employer’ as “any person acting
directly or indirectly in the interest of an employer in
relation to an employee.” 29 USC §203 (d).
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Penalties can be assessed against the employer or a
‘person acting on behalf of an employer.’
2011-2013 – the courts re-defined ‘employer ‘ in
all employment law issues. States also followed.

12. *CCoovveerreedd EEmmppllooyyeerrss
OOccccuuppaattiioonnaall SSaaffeettyy aanndd HHeeaalltthh AAcctt
ooff
11997700 ((OOSSHHAA))
29 CFR 1975.4(a)
GGeenneerraall..
Any employer employing one or more
employees would be an "employer engaged
in a business affecting commerce who has
employees" and, therefore, he is covered by
the Act as such.

13. *GGeenneerraall DDuuttyy CCllaauussee
2299 CCFFRR 11997755..55 DDuuttiieess
(a)Each employer --
(1) shall furnish to each of his employees employment and
a place of employment which are free from recognized
hazards that are causing or are likely to cause death or
serious physical harm to his employees;
(2) shall comply with occupational safety and health
standards promulgated under this Act.
(b) Each employee shall comply with occupational safety and
health standards and all rules, regulations, and orders
issued pursuant to this Act which are applicable to his
own actions and conduct.

14. FOUR Main Personality Types
Colorful Connections – Rob and Mary Hambleton
Direct Red
Dynamic Yellow
Caring Green
Detail Blue
15

15. I am the ___________________ in my peer group.
*Mother
*Father
*Child
*Organizer
*Student
*Teacher
*Nurse/Doctor
*Patient
*Counselor……………..

17. DIRECT RED
Do it Now!
Direct and Guarded

18. Dynamic Yellow
Do it Together!
Direct and Open

19. Detail Blue
Do it Right!
Indirect and Guarded

20. Caring Green
Do it in a Caring Way!
Indirect and Open

21. WWhhiicchh PPeerrssoonnaalliittyy aamm II??

22. I am the Resource Person in my peer group.
*Mother
*Father
*Child
*Organizer
*Student
*Teacher
*Nurse/Doctor
*Patient
*Counselor……………..

24. WWhhiicchh PPeerrssoonnaalliittyy aamm II??

25. *TThhee SSttaannddaarrddss
““TThhee LLaaww””
* The OSH Act regulations are called, “standards.” Standards may
require conditions, or the adoption or use of one or more practices,
means, methods or processes reasonably necessary and appropriate
to protect workers on the job.
* The standards can be found at: www.osha.gov
* The standards most applicable to medical are 29 CFR 1910 and 29
CFR 1904.
* Standards are “performance based” – the employer is instructed on
what to do, but not how.
* It is the responsibility of employers to become familiar with
standards applicable to their establishments and to ensure that
employees have and use personal protective equipment when
required for safety.

27. *3+ employees hospitalized--same incident
*Death on the job
*CCaattaassttrroopphhee

28. *MMuusstt RReeppoorrttss
*Report fatal heart attack occurring at work
*Work related death that occurs regardless of
time between injury and death or length of
illness.

29. 29 CFR 1904 Subpart B
Specific SSIICCss –– MMeeddiiccaall//DDeennttaall

30. *OOSSHHAA HHOOTTLLIINNEE
1-800-321-6742
Hot Tip!
Follow Your Chain
of Command.

31. TThhrreeee MMaajjoorr CCoonncceerrnnss
WWoorrkkppllaaccee VViioolleennccee
BBllooooddbboorrnnee PPaatthhooggeennss
HHaazzaarrdd CCoommmmuunniiccaattiioonn

32. Inspection-Secure
Your Practice!
What will the inspectors
find swimming in
your waters?
Have you caught your fish?

33. OSHA IInnssppeeccttiioonn--SSeeccuurree CChheecckklliisstt
1. Reasonable Basis File
* Regulations
* Desk References/Software/Templates
* Consultant/Attorney/OSHA advice in writing
1. Plans, Programs, and Procedures
* Step by step guidance for each process
* Reference your Reasonable Basis / Regulations
* Must contain update and revision dates
1. Training Records
* Initial training records
* Refresher or Annual training when mandatory
1. Employee Handbook – Policies/Procedures
* Must reflect federal and state laws
* Must include specific company policies when law is silent
* Must include documentation of review and updates annually
1. Job Descriptions
* Not optional
* List Essential Functions and BFOQs
* Review annually – minimum – document
1. Self-Inspection Documentation
* Annual inspection documentation for each area
* Must include corrective action / remediation plan and outcome
*KEY*

34. www.pryor.com – use CAC# 2382 for discount $169.00

35. OSHA’s Workplace
Violence Prevention
Program

36. What Is Workplace Violence?
Any physical assault, threatening behavior,
or verbal abuse occurring in the workplace.
The workplace may be any location either
permanent or temporary where an
employee performs any work-related duty.

37. Establishments Affected by
Workplace Violence
According to the Bureau of Labor Statistics,
the highest number of homicides occur in
night retail establishments.
The highest number of nonfatal assaults
occur in the health care and social service
sectors.

38. Types of Serious Injuries and Deaths
from Workplace Violence
• Physical assaults
• Beatings/stabbings
• Shootings
• Rapes
• Attempting to cause physical harm, i.e..,
striking, pushing, or other aggressive
acts against another person

39. Acts of Aggression
Which May Indicate Risk
• Disorderly conduct, such as shouting,
pushing or throwing objects, punching walls,
or slamming doors;
• Verbal threats to inflict bodily harm including
vague or overt threats;
• Fascination with guns or other weapons,
demonstrated by discussions or bringing
weapons to workplace;

40. Acts of Aggression Which May
Indicate Risks (Continued)
• Obscene phone calls;
• Intimidating presence; and
• Harassment of any nature.

41. Types of Workplace
Violence Incidents
• Based upon the relationship between the
assailant/worker/workplace, violent incidents can
be divided into categories:
– Violence by strangers
– Violence by customers/clients/patients
– Violence by co-workers
– Violence by personal relationship

42. Domestic Violence and the Workplace
• 1 in 3 women will be abused by an intimate partner.
• 1 in 4 of these women will tell someone.
• 2-5% of men will be abused by their female partner.
• Race has no bearing on the statistics.
• 74% of working women in abusive relationships will be
confronted at work on some level.
• DV causes Americans to miss 175,000 workdays each year.
• DV costs employers $5.8 billion annually
• A woman is battered every 9 seconds in America

43. Domestic Violence and the Workplace

44. Domestic Violence and the Workplace

45. Domestic Violence and the Workplace
How to recognize signs of abuse:
– Coming in late or very early
– Crying
– Excuses
– Strange calls or visits
– Incessant calls or texts
– Odd ways of thinking – child-like
– Defensiveness
– Easy to startle
– Court dates
– Extreme concern regarding errands for partner

46. Occupational Safety and Health Act
The OSH Act of 1970 mandates that, in addition to
compliance with hazard-specific standards, all
employers have a general duty to provide their
employees with a workplace free from recognized
hazards likely to cause death or serious physical
harm. This includes the prevention and control of
the hazard of workplace violence.
OSHA will rely on Section 5 (a) (1)
of the OSH Act (the “General Duty Clause”)
for enforcement authority.

47. Overview of the Guidelines
The guidelines are:
• Not a new standard or regulation
• Advisory in nature and informational in content
• Intended for use by employers who are seeking
to provide a safe and healthful workplace
through effective workplace violence prevention
programs.

48. Six Components of Guidelines
• Management Commitment
• Employee Involvement
• Worksite Analysis
• Hazard Prevention and Control
• Written Program
• Training and Education

49. *BBllooooddbboorrnnee PPaatthhooggeennss

50. • Human blood, human blood components, and
products made from human blood.
• Bloodborne Pathogens: pathogenic
microorganisms that are present in human blood
and can cause disease in humans including, but
are not limited to, HBV and HIV.

51. *Other Potentially Infectious Materials
(OPIM)
1. The following human body fluids: semen, vaginal secretions,
cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid,
peritoneal fluid, amniotic fluid, saliva in dental procedures, any
body fluid that is visibly contaminated with blood, and all body
fluids in situations where it is difficult or impossible to
differentiate between body fluids;
2. Any unfixed tissue or organ (other than intact skin) from a human
(living or dead); and
3. HIV-containing cell or tissue cultures, organ cultures, and HIV- or
HBV-containing culture medium or other solutions; and blood,
organ, or other tissues from experimental animals infected with
HIV or HBV.
Note: Even if a human bodily fluid is not lliisstteedd aabboovvee,, eemmppllooyyeerrss
sshhoouulldd ttrraaiinn wwoorrkkeerrss ttoo uussee uunniivveerrssaall pprreeccaauuttiioonnss wwhheenn ddeeaalliinngg
wwiitthh aannyy bbooddiillyy fflluuiidd..

52. *Parenteral Exposure
*Literally, entry into the body by any other route
than the mouth/digestive system; typically, this
takes the form of needlesticks, cuts, abrasions
and dried blood.
*Includes human bites that break the skin, which
are most likely to occur in dental practices or
violent situations, e.g., prison and law
enforcement personnel, psychiatric ward
workers.

53. *Who must we protect and train?
*All employees who could be “reasonably
anticipated”, as the result of performing their job
duties, to face contact with human blood and other
potentially infectious materials.
*“Good Samaritan” acts such as assisting a co-worker
with a nosebleed would not be considered
occupational exposure.

54. *BBP Training Requirements
*Copy of the standard
*Site-specific exposure control plan
*Modes of transmission
*Signs/Symptoms/Stats
*Hazard recognition
*Use of engineering controls
*Work practice controls
*PPE
*Live question and answer session

55. *Human Immunodeficiency VViirruuss –– lleeaaddss ttoo AAIIDDSS
*HHeeppaattiittiiss BB
*HHeeppaattiittiiss CC

56. Human Immunodeficiency VViirruuss –– lleeaaddss ttoo AAIIDDSS
AApppprrooxxiimmaatteellyy::
*11..11 mmiilllliioonn ppeeooppllee iinn UU..SS.. hhaavvee HHIIVV –– 2200%% ddoo nnoott kknnooww!!
*4422,,000000 nneeww ddiiaaggnnoossiiss eeaacchh yyeeaarr
*1166,,000000 ddeeaatthhss ffrroomm AAIIDDSS eeaacchh yyeeaarr
*2266,,000000 ppeerrssoonn iinnccrreeaassee eeaacchh yyeeaarr iinn oovveerraallll ppooppuullaattiioonn
*NNoorrtthheeaasstt UU..SS.. hhaass tthhee HHIIGGHHEESSTT iinnccrreeaassee iinn nneeww ddiiaaggnnoossiiss
*MMeetthhaammpphheettaammiinnee uussee iiss aa ggrroowwiinngg rriisskk
*CCDDCC..ggoovv hhaass FFAAQQss aanndd iinnffoorrmmaattiioonn ooff pprreevveennttiioonn//ttrreeaattmmeenntt

57. Attacks immune system
Destroys white blood cells (CD4+ T cells)
Leaves patient immune suppressed & susceptible to infections/tumors
Many people show no symptoms for a long time (10 years)
May eventually lead to development of AIDS
*(Acquired Immune Deficiency Syndrome)
* Early symptoms very similar to flu:
*Fever
*Headache
*Tiredness
*Enlarged lymph nodes
* Treatment focuses on ways to lower blood levels of virus
* HIV is killed by digestive enzymes – saliva, digestive tract.
* Many workers view this as a license for carelessness.

58. Occupational EExxppoossuurree –– 33//11000000 aarree PPoossiittiivvee
Risk for HIV transmission after:
 Percutaneous injury – 0.3%
 Mucous membrane exposure – 0.09%
 Non-intact skin exposure – low risk (< 0.09%)
In 2011
*57 documented occupational infections in U.S. (139 possible infections)
*84% resulted from percutaneous exposure!

59. No cure – eventually fatal wwiitthhoouutt ttrreeaattmmeenntt//ccoommpplliiaannccee
NNOO VVAACCCCIINNEE
SSoommee HHIIVV ssttrraaiinnss rreessiissttaanntt ttoo tthheerraappyy
PPoosstt--eexxppoossuurree tthheerraappyy ccoossttllyy && hhaass ssiiddee eeffffeeccttss..
CCoocckkttaaiillss ooff tthhrreeee oorr mmoorree aannttiirreettrroovviirraall ddrruuggss ggiivveenn
RRyyaann WWhhiittee FFoouunnddaattiioonn ccoovveerrss mmoosstt ccoossttss

60.  Spread through direct contact with infected body fluids
 More transmissible than Hep C virus and HIV
 Infection may be acute or chronic
 1/250 Americans carry HepB Virus
 5-10 % of adults will develop chronic infection; ~1.2 million people with
chronic HBV
 15-25% develop cirrhosis , liver failure, or liver cancer (~ 3000
deaths/year)
 Many people (~50%) are asymptomatic; if symptoms occur they
include:

61. Occupational Exposure
HepB: 30% or 300 people per 1000 needle sticks, if unvaccinated
Can be transmitted by surface contact with dried blood or OPIM!
HBV can remain infective in dried blood @ room temperature for 1 week +
Many people have no idea how they became infected
Risk of infection from blood/OPIM splash onto non-intact skin or mucous
membranes… greater rriisskk tthhaann ootthheerr BBBBPPss

62.  Transmitted primarily tthhrroouugghh ccoonnttaacctt wwiitthh
iinnffeecctteedd bblloooodd
 MMaannyy ppeeooppllee aassyymmppttoommaattiicc
((ssyymmppttoommss ssiimmiillaarr ttoo HHeeppBB))
 22 %% ooff AAmmeerriiccaannss hhaavvee bbeeeenn iinnffeecctteedd wwiitthh
HHeeppCC,, 33..22 mmiilllliioonn cchhrroonniiccaallllyy iinnffeecctteedd
 ~~ 1122,,000000 ddeeaatthhss//yyeeaarr
 2200 ppeeooppllee ppeerr 11000000 nneeeeddllee ssttiicckkss
 LLeeaaddiinngg iinnddiiccaattiioonn ffoorr lliivveerr ttrraannssppllaanntt iinn UU..SS..
 NNoo ttrreeaattmmeenntt aavvaaiillaabbllee –– RReesstt,, nnuuttrriittiioonn,, fflluuiiddss
 1155--2255%% ooff iinnffeecctteedd wwiillll cclleeaarr vviirruuss nnaattuurraallllyy

63. OOccccuuppaattiioonnaall EExxppoossuurree
Percutaneous injury, esp. with deep punctures or extensive
blood exposures
 ~2% develop infection
Mucosal/non-intact skin exposures rarely documented
Proper cleaning/disinfection of surfaces important
 HCV in dried blood samples remains infective for at least 16 hours
TThheerree iiss nnoo vvaacccciinnee !!!!!!

64. *Identifies jobs and tasks where occupational exposure to
blood or other potentially infectious material occurs.
Some of these jobs or tasks might be:_____________________
*Describes how the employer will:
*Use engineering and work practice controls
*Ensure use of personal protective equipment
*Provide training
*Provide medical surveillance
*Provide hepatitis B vaccinations
*Use signs and labels

65. *Written plan required
*Plan must be reviewed at least annually to reflect changes in:
*tasks, procedures, or assignments which affect exposure
*technology that will eliminate or reduce exposure
*Annual review must document employer’s consideration and
implementation of safer medical devices
*Must solicit input from potentially exposed non-management
employees in the identification, evaluation and selection of
engineering and work practice controls
*Plan must be accessible to employees

66. *Treat all human blood and certain body fluids as if
they are infectious.
*Must be observed in all situations where there is a
potential for contact with blood or other potentially
infectious materials.

67. These controls reduce
employee exposure by
either removing the hazard
or isolating the worker.
Examples:
*Sharps disposal containers
*Self-sheathing needles
*Safer medical devices
*Needleless systems
*Sharps with engineered sharps injury protections

68. Needle Safety: NEVER RECAP NEEDLES USING BOTH HANDS
•Do Place needles directly into the Sharps Box
•Close & replace Sharps Box when it is ¾ full • Do not overfill the sharps box.
•Never attempt to re-open a closed Sharps Box

69. Needle Safety:
**Know where your needles and
other sharps are—AT ALL TIMES!!!!!!!
**Never leave a needle uncapped anywhere in
your operating field.
When possible retract tissue with another
instrument (mouth mirror)
Recapping Needles
•Use a scoop technique
•Use a cap holder if supplied on the tray
Never use two hands when recapping - use
the one-handed scoop method.

70. *WWoorrkk PPrraaccttiiccee CCoonnttrroollss
These controls reduce the likelihood
of exposure by altering how a task is
performed.
Examples:
*Wash hands after removing gloves
and as soon as possible after
exposure
*Do not bend or break sharps
*No food or smoking in work areas
*Proper Use of Bio-hazard Waste Bags

71. Recent Outbreaks – April /May/August 2014
MERS (Middle Eastern Respiratory Syndrome) - Arabian Peninsula
Polio - Guinea, Cameroon, Somalia, Syria
Ebola – Widespread across West Africa 2473+
Cholera – Cuba *Mainly Hand Hygiene*
Avian Flu (H7N9) – China

72. CDC Recommends :
•Post visual alerts asking patients to report respiratory
symptoms immediately
•Cover your cough flyer – CDC.gov
•Cover your mouth and nose with a tissue when coughing or
sneezing;
•Use in the nearest waste receptacle to dispose of the tissue
after use;
•Perform hand hygiene (e.g., hand washing with non-antimicrobial
soap and water, alcohol-based hand rub, or
antiseptic hand-wash) after having contact with respiratory
secretions and contaminated objects/materials.

73. Indications for Hand Hygiene
 When hands are visibly dirty, contaminated or
soiled, wash with non-antimicrobial or anti-microbial
soap and water.
 Should be washed for at least 20 seconds and dried
thoroughly before donning gloves. Pay attention to
areas between fingers and around nails.
 Use an alcohol based hand sanitizer for
routinely decontaminating hands.
 Use enough sanitizer to moisten all surfaces of the
hands and rub until dry.
Note residue around cuticles & under watchband
after thorough hand washing (using “Glo-Germ” )

74. *Personal PPrrootteeccttiivvee EEqquuiippmmeenntt
*Specialized clothing or equipment
worn by an employee for protection
against infectious materials.
*Must be properly cleaned, laundered,
repaired, and disposed of at no cost
to employees.
*Must be removed when leaving area
or upon contamination.

75. *EExxaammpplleess ooff PPPPEE
*Gloves
*Gowns
*Face shields
*Eye protection
*Mouthpieces and
resuscitation devices

76. According to the CDC, the correct order for
donning personal protective equipment is:
1.Cover gown
• Fully cover torso from neck to knees , arms to end of wrist
2.Mask
• Fit flexible band to nose bridge
• Fit snug to face and over chin, covering nose
3.Goggles, safety glasses with side shield or face shield
4.Gloves
• Extend to cover wrist of cover gown

77. According to the CDC, the correct order for
removing personal protective equipment is:
1.Gloves
• Outside of glove is contaminated!
• When removing, grasp outside of glove with opposite gloved hand and peel
off
2.Goggles, safety glasses with side shield or face shield
• Outside of goggles is contaminated!
• Remove by grasping ear piece
3.Cover gown
• Gown front and sleeves are contaminated!
• Unfasten ties
• Pull away from neck and shoulders, touching inside of gown only
• Turn gown inside out and roll into a ball then discard
4.Mask
• Front of mask is contaminated – DO NOT TOUCH!
• Grasp bottom, then elastics and remove

78. Pay attention to how you remove your gloves
 Grasp the top or wrist of one glove, being careful not to touch
anything but the glove.
 Pull the glove off, turning it inside out. Continue holding the
glove.
 Go under the cuff of the other glove, being careful not to touch its
outside surface.
 Pull the glove off, turning it inside out and pulling it over the
first glove. Both gloves should now be inside out, one inside the
other.
 Discard both gloves into an approved waste container.
Then wash hands or use hand sanitizer!

79. Respiratory Protection for Healthcare Workers
*Minimum level N95 air-filtering disposable face piece
*Fit testing is performed upon initial assignment/annually
*More frequent fit testing may be determined by:
1) dental changes of the wearer,
2) a change in facial features of the wearer,
3) medical condition that would affect respiratory function,
4) weight gain of wearer,
5) a change in the model or size of the assigned respirator.
*For situations in which the risk for exposure to TB is
especially high because of cough-inducing and aerosol-generating
procedures, more protective respirators might be
needed. N99, N100, Powered air-purifying respirators (PAPR)

80. *GGeenneerraall PPPPEE PPrreeccaauuttiioonnss
* WWaasshh hhaannddss iimmmmeeddiiaatteellyy oorr aass ssoooonn aass ffeeaassiibbllee aafftteerr rreemmoovvaall ooff gglloovveess oorr ootthheerr ppeerrssoonnaall
pprrootteeccttiivvee eeqquuiippmmeenntt..
* RReemmoovvee pprrootteeccttiivvee eeqquuiippmmeenntt bbeeffoorree lleeaavviinngg tthhee wwoorrkk aarreeaa aanndd aafftteerr aa ggaarrmmeenntt bbeeccoommeess
ccoonnttaammiinnaatteedd..
* PPllaaccee uusseedd pprrootteeccttiivvee eeqquuiippmmeenntt iinn aapppprroopprriiaatteellyy ddeessiiggnnaatteedd aarreeaass oorr ccoonnttaaiinneerrss bbeeiinngg
ssttoorreedd,, wwaasshheedd,, ddeeccoonnttaammiinnaatteedd,, oorr ddiissccaarrddeedd..
* WWeeaarr aapppprroopprriiaattee gglloovveess wwhheenn iitt ccaann bbee rreeaassoonnaabbllyy aannttiicciippaatteedd tthhaatt yyoouu mmaayy hhaavvee ccoonnttaacctt
wwiitthh bblloooodd oorr ootthheerr ppootteennttiiaallllyy iinnffeeccttiioouuss mmaatteerriiaallss aanndd wwhheenn hhaannddlliinngg oorr ttoouucchhiinngg
ccoonnttaammiinnaatteedd iitteemmss oorr ssuurrffaacceess..
* RReeppllaaccee gglloovveess iiff ttoorrnn,, ppuunnccttuurreedd,, ccoonnttaammiinnaatteedd,, oorr iiff tthheeiirr aabbiilliittyy ttoo ffuunnccttiioonn aass aa bbaarrrriieerr
iiss ccoommpprroommiisseedd..
* FFoolllloowwiinngg aannyy ccoonnttaacctt ooff bbooddyy aarreeaass wwiitthh bblloooodd oorr aannyy ootthheerr iinnffeeccttiioouuss mmaatteerriiaallss,, yyoouu mmuusstt
wwaasshh yyoouurr hhaannddss aanndd aannyy ootthheerr eexxppoosseedd sskkiinn wwiitthh ssooaapp aanndd wwaatteerr aass ssoooonn aass ppoossssiibbllee..
EEmmppllooyyeeeess mmuusstt aallssoo fflluusshh eexxppoosseedd mmuuccoouuss mmeemmbbrraanneess ((eeyyeess,, mmoouutthh,, eettcc)) wwiitthh wwaatteerr..
* NNeevveerr wwaasshh oorr ddeeccoonnttaammiinnaattee ddiissppoossaabbllee gglloovveess ffoorr rreeuussee oorr bbeeffoorree ddiissppoossaall..
* WWeeaarr aapppprroopprriiaattee ffaaccee aanndd eeyyee pprrootteeccttiioonn ssuucchh aass aa mmaasskk wwiitthh ggllaasssseess wwiitthh ssoolliidd ssiiddee
sshhiieellddss oorr aa cchhiinn--lleennggtthh ffaaccee sshhiieelldd wwhheenn ssppllaasshheess,, sspprraayyss,, ssppllaatttteerrss,, oorr ddrroopplleettss ooff bblloooodd oorr
ootthheerr ppootteennttiiaallllyy iinnffeeccttiioouuss mmaatteerriiaallss ppoossee aa hhaazzaarrdd ttoo tthhee eeyyee,, nnoossee,, oorr mmoouutthh..
* IIff aa ggaarrmmeenntt iiss ppeenneettrraatteedd bbyy bblloooodd aanndd ootthheerr ppootteennttiiaallllyy iinnffeeccttiioouuss mmaatteerriiaallss,, tthhee
ggaarrmmeenntt((ss)) mmuusstt bbee rreemmoovveedd iimmmmeeddiiaatteellyy oorr aass ssoooonn aass ffeeaassiibbllee..

81. Must develop a written schedule for cleaning and
decontamination at the work site based on the:
*Location within the facility
*Type of surface to be cleaned
*Type of soil present
*Tasks or procedures being performed

82. Work surfaces must be decontaminated with an appropriate
disinfectant (bleach 1:10, Cavicide, SaniWipes, etc):
*After completion of procedures
*When surfaces are contaminated
*At the end of the work shift
*Use the 4x Rule
*20 minutes set time for bleach
*Do NOT use ethanol – Alcohol Products

83. *RReegguullaatteedd WWaassttee
Must be placed in:
•Closeable containers
•Leak-proof containers
•Built to contain all contents during handling, storing,
transporting or shipping
•Be appropriately labeled or color-coded.

84. *LLaauunnddrryy
*Handle contaminated laundry as little as
possible and use PPE
*Must be bagged or containerized at location
where used
*No sorting or rinsing at location where used
*Must be placed and transported in labeled
or color-coded containers

85. Warning labels required on:
*Containers of regulated waste
*Refrigerators and freezers containing
blood and other potentially infectious
materials
*Other containers used to store, transport,
or ship blood or other potentially
infectious materials
*Red bags or containers may be substituted
for labels.

86. *HHeeppaattiittiiss BB VVaacccciinnaattiioonn
EEmmppllooyyeerr RReeqquuiirreemmeennttss
*Must make available, free of charge at a
reasonable time and place, to all
employees at risk of exposure within 10
working days of initial assignment unless:
*employee has had the vaccination
*antibody testing reveals immunity
*The vaccination must be performed by a
licensed healthcare professional

87. *HHBBVV DDeecclliinnaattiioonn SSttaatteemmeenntt
AApppp AA 11991100..11003300
I understand that due to my occupational exposure to blood or 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 myself. However,
I decline hepatitis B vaccination 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 infectious materials and I want
to be vaccinated with hepatitis B vaccine, I can receive the
vaccination series at no charge to me.
Employee Signature __________________________Date ___________

88. Basic Steps to Take If An Exposure Occurs
 Wash the area very thoroughly with ssooaapp && wwaatteerr:: fflluusshh
mmuuccoouuss mmeemmbbrraanneess ffoorr 1155 mmiinnuutteess
 NNoottiiffyy ssuuppeerrvviissoorr//ffaaccuullttyy
 GGeett iimmmmeeddiiaattee mmeeddiiccaall aatttteennttiioonn ((11--22 hhrr mmaaxx))
 AAllllooww MMeeddiiccaall ttoo ffoollllooww uupp wwiitthh tthhee aapppprroopprriiaattee tteessttiinngg &&
tthhee rreeqquuiirreedd wwrriitttteenn ooppiinniioonn

89. *Document routes of exposure and how exposure occurred.
*Record injuries from contaminated sharps in a sharps injury log.
*Obtain consent from the source individual and the exposed
employee and test blood as soon as possible after the exposure
incident.
*Provide risk counseling and offer post-exposure protective
treatment for disease when medically indicated in accordance
with current U.S. Public Health Service guidelines.
*Provide written opinion of findings to employer and copy to
employee within 15 days of the evaluation.
*Post-exposure follow up must be offered by the employer,
confidential, & offered at no cost to the employee.

90. CDC Guidelines are found here:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htm
HIV – PEP Cocktail – effective within 72 hours max
HBV – HepB vaccination started within 24 hours
HCV – No PEP available which has been proven effective

91. 29 C.F.R. 1910 1200
*Written Plan
*Hazard Assessment - Annually
*MSDS/SDS
*Labeling
*Training
*Hazardous Chemical Inventory Listing

92. *Must be in English and include information regarding the
specific chemical identity and common names.
*Must provide information about the:
*Physical and chemical characteristics
*Health effects
*Exposure limits
*Carcinogenicity (cancer-causing)
*Identification (name, address, and telephone number) of the
organization responsible for preparing the sheet
*Must be readily accessible to employees in their work area.

93. As of June 1, 2015, the Global Harmonizing
System (GHS), will require:
pictograms,
a signal word,
hazard and precautionary statements,
the product identifier,
supplier identification

94.  Chemical Identity
 Hazard Warning
 Manufacturer’s Information

95. Training is required for all employees regarding new
SDS guidelines NLT Dec. 1, 2013 and employees who
are exposed to hazardous chemicals in their work area:
*At the time of initial assignment
*Annually Refresher
*Whenever a new hazard is introduced into their work area

96. *Explanation of the HazCom program, including information
on labels, SDSs, and how to obtain and use available
hazard information
*Hazards of chemicals
*Protective measures such as engineering controls, work
practices, and the use of PPE
*How to detect the presence or release of a hazardous
chemical (using monitoring devices, observation, or smell)

100. *Ionizing RRaaddiiaattiioonn aatt tthhee CCeelllluullaarr LLeevveell
Exposure
*Employer cannot allow an employee to be exposed to sources of
ionizing radiation in any way that will cause them to be exposed to 1.4
rems per calendar quarter to their head and trunk, active blood-forming
organs, lens of eyes or gonads.
*For exposure to strictly the hands and forearms or feet and ankles, the
limit is 18.75 rems per quarter. Exposure to the skin of the whole body is
limited to 7.5 rems per quarter.
Signs
*Radiation Area - Such areas must be conspicuously marked with a sign in
the conventional radiation caution colors (magenta or purple on yellow)
and the words "Caution Radiation Area."
*High-radiation area - Such areas must be marked with a sign bearing
the words "Caution High Radiation Area."

103. *FFiirree PPrreevveennttiioonn PPllaann
TThhee PPllaann MMuusstt IInncclluuddee::
*A list of the major fire hazards and handling, storage, and
control procedures.
*Names or job titles of persons responsible for
maintenance of equipment and systems to prevent or
control ignitions or fires.
*Names or job titles of persons responsible for control of
fuel source hazards.
*Training for all employees who have responsibilities in the
plan.

104. *FFiirree PPrreevveennttiioonn PPllaann
NOTE: An employer must:
*Inform employees upon initial assignment to
a job of the fire hazards to which they are
exposed.
*Review with each employee those parts of
the fire prevention plan necessary for self-protection.

105. *PPoorrttaabbllee FFiirree EExxttiinngguuiisshheerr
TTrraaiinniinngg aanndd EEdduuccaattiioonn
*Where portable fire extinguishers have been provided for
employee use in the workplace, employees must be
provided with an educational program on the:
*General principles of fire extinguisher use
*Hazards of incipient (beginning) stage fire fighting
*Employees designated to use extinguishers must receive
instruction and hands-on practice in the operation of
equipment.

106. *PP--AA--SS--SS TTeecchhnniiqquuee
*Pull…
*Aim…
*Squeeze…
*Sweep…
*Stand Back 5-6 Feet!

107. *EEmmeerrggeennccyy AAccttiioonn PPllaann
*Describes actions that must be taken
to ensure employee safety in
emergencies
*Includes floor plans or maps which
show emergency escape routes
*Tells employees what actions to take
in emergency situations
*Covers reasonably expected
emergencies, such as fires,
explosions, toxic chemical releases,
hurricanes, tornadoes, blizzards,
and floods

108. *EExxiitt DDoooorrss MMuusstt BBee UUnnlloocckkeedd
*Must be able to open from the inside at all times
without keys, tools, or special knowledge.
*Device such as a panic bar that locks only from
the outside is permitted.
*Must be free of any device or alarm that could
restrict emergency use if the device or alarm
fails.
*May be locked from the inside only in mental,
penal, or correctional facilities where there is
constant supervision.
Locked and
blocked exit

109. *EExxiitt MMaarrkkiinngg ((ccoonntt’’dd))
Each doorway or passage along an
exit access that could be mistaken for
an exit must be marked “Not an Exit”
or similar designation, or be identified
by a sign indicating its actual use
(e.g., closet).

110. *WWaallkkiinngg//WWoorrkkiinngg SSuurrffaacceess
What You Should Do
• If you drop it, pick it up.
• If you spill it, wipe it up.
• Look where you are going, and
• Go where you are looking.

111. *OOffffiiccee EErrggoonnoommiiccss

112. *WWoorrkkppllaaccee IInnssppeeccttiioonnss
*Every establishment covered by the
OSH Act is subject to inspection by
OSHA compliance safety and health
officers (CSHO's)
*Most inspections are conducted
without advance notice
*Priorities
*Imminent Danger
*Catastrophes & Fatal Accidents
*Complaints
*Programmed High Hazard
*Follow-up Inspections

113. *IInnssppeeccttiioonn PPrroocceessss
*CCSSHHOO ddiissppllaayyss ooffffiicciiaall ccrreeddeennttiiaallss
*OOppeenniinngg ccoonnffeerreennccee
*WWaallkk--aarroouunndd iinnssppeeccttiioonn
*CClloossiinngg ccoonnffeerreennccee

114. *VViioollaattiioonnss aanndd PPeennaallttiieess
TTyyppeess ooff PPeennaallttiieess
*Other-than-serious
*Serious
*Willful
*Repeated
*Failure to Abate
EEmmppllooyyeerrss mmaayy bbee aasssseesssseedd ppeennaallttiieess ffoorr::
*Violating posting requirements (can bring a civil
penalty up to $7,000)
*Falsifying records, reports, or applications (can
bring a criminal fine of $10,000 or up to 6
months in jail, or both)
*Assaulting a compliance officer or otherwise
resisting, opposing, intimidating or interfering
with his/her duties (can bring a criminal fine up
to $5,000 and up to 3 years in jail)

115. *BBaassee PPeennaallttyy AAddjjuussttmmeennttss
Size Adjustment
60% 1 - 25 employees
40% 26 - 100 employees
20% 101 - 250 employees
-0-% 250+ employees
Good Faith Adjustment 25%
History Adjustment 10% if no Serious, Willful or
Repeat citations for past
3 years

116. OSHA IInnssppeeccttiioonn--SSeeccuurree CChheecckklliisstt
1. Reasonable Basis File
* Regulations
* Desk References/Software/Templates
* Consultant/Attorney/OSHA advice in writing
1. Plans, Programs, and Procedures
* Step by step guidance for each process
* Reference your Reasonable Basis / Regulations
* Must contain update and revision dates
1. Training Records
* Initial training records
* Refresher or Annual training when mandatory
1. Employee Handbook – Policies/Procedures
* Must reflect federal and state laws
* Must include specific company policies when law is silent
* Must include documentation of review and updates annually
1. Job Descriptions
* Not optional
* List Essential Functions and BFOQs
* Review annually – minimum – document
1. Self-Inspection Documentation
* Annual inspection documentation for each area
* Must include corrective action / remediation plan and outcome
*KEY*

117. Big Boss
Me
2 Years Later!