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Presented by: Ken Arp, Industrial HygienistIOSHA Consultation And Education

Ph. 515-281- 0621 Direct515-281-7629 General (OSHA Consultation)

E-mail: arp.kennan@dol.gov

Compliance with the “new” global harmonization system

Brief Discussion of the OSHA Program Review of past Iowa health care facility

citations Hazards associated with extended care

facilities Effective compliance with OSHA regulations

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A common, coherent approach to classifying and communicating chemical hazards

Harmonized definitions of hazards

Specific criteria for labels

Harmonized format for safety data sheets

Product identifierSupplier identifierChemical identityHazard pictograms*Signal words*Hazard statements*Precautionary information

*Standardized

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Nine pictogramsEight are mandatory for OSHA

Transport Pictograms

A single harmonized hazard statement for each level of hazard within each hazard class

Example: Flammable liquids

Category 1: Extremely flammable liquid and vapour Category 2: Highly flammable liquid and vapour Category 3: Flammable liquid and vapour Category 4: Combustible liquid

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Exposure route Category 1 Category 2 Category 3 Category 4

Oral (mg/kg bodyweight)see: Note (a)

Note (b)≤ 5 >5 and ≤ 50 >50 and ≤ 300 >300 and ≤ 2000

Dermal (mg/kg bodyweight)see: Note (a)

Note (b)≤ 50 >50 and ≤ 200 >200 and ≤ 1000 >1000 and ≤ 2000

Inhalation ‐ Gases (ppmV)see: Note (a)

Note (b)Note (c)

≤ 100 >100 and ≤ 500 >500 and ≤ 2500 >2500 and ≤ 20000

Inhalation ‐ Vapors (mg/l)see: Note (a)

Note (b)Note (c)

Note (d)

≤ 0.5 >0.5 and ≤ 2.0 >2.0 and ≤ 10.0 >10.0 and ≤ 20.0

Inhalation –Dusts and Mists (mg/l)see: Note (a)

Note (b)Note (c)

≤ 0.05 >0.05 and ≤ 0.5 >0.5 and ≤ 1.0 >1.0 and ≤ 5.0

1. Identification of the substance or mixture and of the supplier2. Hazards identification3. Composition/information on ingredients 4. First-aid measures 5. Fire-fighting measures6. Accidental release measures7. Handling and storage8. Exposure controls/personal protection.9. Physical and chemical properties10. Stability and reactivity11. Toxicological information12. Ecological information (non-mandatory)13. Disposal considerations (non-mandatory)14. Transport information (non-mandatory)15. Regulatory information (non-mandatory)16. Other information, including date of preparation or last

revision

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https://www.osha.gov/dsg/hazcom/index.html https://www.osha.gov/SLTC/pptpresentations

/oshaghsworkshop/index.html

Enforcement•Not confidential

•Fines

•Regulatory compliance

Consultation•Confidential

• No charge

•Voluntary compliance

IOWA OSHAA State Plan State

Unprogrammed Inspections

•Imminent Danger•Fatality/Catastrophe Investigations•Complaints/Referrals•Accidents/Amputations

Programmed InspectionsNational Emphasis Program NEP for nursing homes

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Let The Inspection Proceed Ask The Inspector To Wait (1 hr. max.) Require A Warrant To Proceed

Written programs 300 Log Injury data Interview employees Walkthrough of facility Many citations may come from non-targeted items Staffing agency worker training

Follow the operator’s manual

Don’t use “defective equipment”

Review the information on the OSHA web page for extended care facilities and the IOWA web site

Bring in OSHA Consultation

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Emergency action Exposure Control Plan Hazard Communication (this has changed) LOTO for maintenance (written procedures) Violence (written program optional) Ergonomics (written program optional)

In writing Fire, Tornado, Where? How notified? Meeting place and account for employees Are employees allowed to use fire

extinguishers? Training

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Written program Annual review, annual training, available to

answer questions Employee participation Sharps log Sharps containers -Do not over fill & do not

place non sharps in a sharps container Bleach as a disinfectant

39 inspections 95 citations 38 citations under bloodborne pathogens 20 recordkeeping 14 guarding of things that can hurt you 15 electrical LOTO, eye wash, haz. Com., Eye protection, No violence or ergonomic citations

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Input from non managerial and document Review and update annually Maintain a sharps log Names and qualifications of trainer Hepatitis B made available No written program Copies of written medical opinions

Use 300 and 300A & enter description Enter injury/illness within 7 calendar days on

301 Incident Report and 300 log Add the columns Signed by company executive Keep for at least five years Record needlesticks but not the person’s

name on the 300 log

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Blocking or storing in front of breaker panels Ground path interrupted – ground pin

missing Openings in boxes Damaged strain relief Damaged extension cords Lockout/Tagout of electrical equipment

Blocked PanelStorage issue Exposed wiring

Unmarked disconnects

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Openings

How can they sell these if we getcited and fined?Can not tape this damage

Flat cord, light duty useRound cord, hard use

Taping of cuts throughouter jacket not acceptable

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Damaged strain relief

Missing groundDid it come this way?Is the training effective?

Continuous use of an extension cord

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Violation, not GFCI’d

Machine guarding Eye wash Hazard communication Lockout/Tag out Eye protection

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These mixersmust also be

guarded

Drill press GuardA shield is also OK

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TrainingUsagePPEAnd????

1910.151(c) Where the eyes or

body may be exposed to injurious corrosive materials,

Bleach or concentrates

Test Weekly Do not block Not behind a locked

door!

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Documented hazard assessment!!! When is it necessary? Safety Glasses - Goggles Operating manuals Material safety data sheets

Inappropriate useSeat belts

Control of hazardous energy Written procedures required if more than one

energy source Training all employees Using the equipment and locks

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OSHA requires it One of the top two most frequently cited Average injury results in 17 days away

Have you identified potential hazards? Do you have a policy? http://www.osha.gov/SLTC/nursinghome/i

ndex.html http://www.riskandinsurance.com/printstory

.jsp?storyId=533352171 ASSE guidelines http://www.osha.gov/Publications/OSHA31

48/osha3148.html Have you done training? Be proactive

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Using the top step of the second ladder.Training?PPE?Hard Hat? Safety glasses?

Compliance with the “new” global harmonization system

Brief Discussion of the OSHA Program Review of past Iowa health care facility

citations Hazards associated with extended care

facilities Effective compliance with OSHA regulations