OSHA's Bloodborne Pathogens & Hazard Communications Standards

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  • www.osha.gov

    Model Plans and Programs for the OSHABloodborne Pathogens and

    Hazard Communications Standards

    OSHA 3186-06R 2003

  • This informational booklet provides a general overview of a particular topic related to OSHA standards. It does not alteror determine compliance responsibilities inOSHA standards or the Occupational Safetyand Health Act of 1970. Because interpreta-tions and enforcement policy may changeover time, you should consult current OSHAadministrative interpretations and decisionsby the Occupational Safety and HealthReview Commission and the Courts for additional guidance on OSHA compliancerequirements.

    This publication is in the public domain and may be reproduced, fully or partially,without permission. Source credit is requested but not required.

    This information is available to sensoryimpaired individuals upon request.Voice phone: (202) 693-1999; teletypewriter(TTY) number: (877) 889-5627.

  • U.S. Department of LaborElaine L. Chao, Secretary

    Occupational Safety and Health AdministrationJohn L. Henshaw, Assistant Secretary

    OSHA 3186-06N2003

    Model Plans and Programs for the OSHABloodborne Pathogens andHazard Communications Standards

  • ContentsIntroduction...3

    PART 1: Bloodborne Pathogens Standard...4

    Model Exposure Control Plan...4

    PART 2: Hazard Communications Standard...16

    Model Hazard Communications Program...16

    OSHA Assistance...21

    Safety and health management system guidelines...21

    State Programs...22

    OSHA Consultation Services...22

    The OSHA Voluntary Protection Program (VPP)...23

    Strategic Partnership Programs...23

    The OSHA Alliance Program...24

    OSHA training and education...24

    Information available electronically...25

    OSHA Publications...25

    Contacting OSHA...25

    OSHA Regional Offices...27

    2

  • Introduction

    The mission of the Occupational Health and Safety Administration(OSHA) is to save lives, prevent injuries, and protect the health ofAmericas workers. As part of the Department of Labor, OSHA promotesworker safety and health in every workplace in the United States.

    OSHAS bloodborne pathogens standard protects employeeswho work in occupations where they are at risk of exposure toblood or other potentially infectious materials. OSHAs hazard com-munication standard protects employees who may be exposed tohazardous chemicals. Both standards require employers to developwritten documents to explain how they will implement eachstandard, provide training to employees, and protect the health andsafety of their workers.

    This publication includes a model exposure control plan to meetthe requirements of the OSHA bloodborne pathogens standard anda model hazard communication program to meet the requirementsof the hazard communication standard. The full text of these twoOSHA standards, including the requirement for the writtendocuments, is found in 29 CFR 1910.1030 and 29 CFR 1910.1200,respectively. You can access the full text of these standardsthrough the OSHA website (www.osha.gov) by using the alphabeti-cal index (click on B for the bloodborne pathogen standard; clickon H for the hazard communication standard).

    These model documents can be used as templates for your ownworkplace exposure control plan and hazard communicationprogram, but you must tailor them to the specific requirements ofyour establishment. These sample plans contain all elementsrequired by the bloodborne pathogens and hazard communicationstandards, so you should not eliminate any items when convertingthem for your own use. Your written plans must be accessible to allemployees, either on-line or in an area where they are available forreview on all shifts.

    This publication provides general guidance on preparing writtenplans required by OSHA standards, but should not be considered adefinitive interpretation for compliance with OSHA requirements.The reader should consult the OSHA bloodborne pathogens andhazard communication standards in their entirety for specificcompliance requirements.

    3

  • Part 1 Bloodborne Pathogens Standard

    The following model for an Exposure Control Plan includes allelements required by the OSHA bloodborne pathogens standard(29 CFR 1910.1030). The intent of this model is to provideemployers with an easy-to-use format that may be used as atemplate to develop a written exposure control plan tailored to theindividual requirements of their establishments.

    Model Exposure Control PlanPOLICY

    The (Your facility name) is committed to providing a safe andhealthful work environment for our entire staff. In pursuit of thisgoal, the following exposure control plan (ECP) is provided to eliminate or minimize occupational exposure to bloodbornepathogens in accordance with OSHA standard 29 CFR 1910.1030,Occupational Exposure to Bloodborne Pathogens.

    The ECP is a key document to assist our organization in implementing and ensuring compliance with the standard, therebyprotecting our employees. This ECP includes: Determination of employee exposure Implementation of various methods of exposure control,including:

    Universal precautionsEngineering and work practice controlsPersonal protective equipmentHousekeeping

    Hepatitis B vaccination Post-exposure evaluation and follow-up Communication of hazards to employees and training Recordkeeping Procedures for evaluating circumstances surrounding exposureincidents

    Implementation methods for these elements of the standard arediscussed in the subsequent pages of this ECP.

    4

  • PROGRAM ADMINISTRATION

    (Name of responsible person or department) is (are) responsible forimplementation of the ECP. (Name of responsible person ordepartment) will maintain, review, and update the ECP at leastannually, and whenever necessary to include new or modified tasksand procedures. Contact location/phone number: . Those employees who are determined to have occupationalexposure to blood or other potentially infectious materials (OPIM)must comply with the procedures and work practices outlined inthis ECP. (Name of responsible person or department) will provide andmaintain all necessary personal protective equipment (PPE),engineering controls (e.g., sharps containers), labels, and red bagsas required by the standard. (Name of responsible person ordepartment will ensure that adequate supplies of the aforemen-tioned equipment are available in the appropriate sizes. Contactlocation/phone number: . (Name of responsible person or department) will be responsible forensuring that all medical actions required by the standard areperformed and that appropriate employee health and OSHArecords are maintained. Contact location/phone number: . (Name of responsible person or department) will be responsible fortraining, documentation of training, and making the written ECPavailable to employees, OSHA, and NIOSH representatives. Contact location/phone number: .

    EMPLOYEE EXPOSURE DETERMINATION

    The following is a list of all job classifications at our establish-ment in which all employees have occupational exposure:

    Job Title Department/Location

    (Example: Phlebotomists) (Clinical Lab)

    (use as many lines as necessary)

    5

  • The following is a list of job classifications in which someemployees at our establishment have occupational exposure.Included is a list of tasks and procedures, or groups of closelyrelated tasks and procedures, in which occupational exposure mayoccur for these individuals:

    Example:

    Job Title Department/Location Task/Procedure

    Housekeeper Environmental Services Handling Regulated Waste

    (use as many lines as necessary)

    NOTE: Part-time, temporary, contract and per diem employees are covered by thebloodborne pathogens standard. The ECP should describe how the standard will bemet for these employees.

    METHODS OF IMPLEMENTATION AND CONTROL

    Universal Precautions

    All employees will utilize universal precautions.

    Exposure Control Plan

    Employees covered by the bloodborne pathogens standardreceive an explanation of this ECP during their initial trainingsession. It will also be reviewed in their annual refresher training.All employees can review this plan at any time during their workshifts by contacting (Name of responsible person or department). Ifrequested, we will provide an employee with a copy of the ECP free of charge and within 15 days of the request.

    (Name of responsible person or department) is responsible forreviewing and updating the ECP annually or more frequently ifnecessary to reflect any new or modified tasks and procedures thataffect occupational exposure and to reflect new or revisedemployee positions with occupational exposure.

    Engineering Controls and Work Practices

    Engineering controls and work practice controls will be used toprevent or minimize exposure to bloodborne pathogens. The

    6

  • specific engineering controls and work practice controls used arelisted below: (For example: non-glass capillary tubes, SESIPs, needleless systems)

    ________________________________________________________

    ________________________________________________________

    Sharps disposal containers are inspected and maintained orreplaced by (Name of responsible person or department) every (listfrequency) or whenever necessary to prevent overfilling.

    This facility identifies the need for changes in engineeringcontrols and work practices through (Examples: Review of OSHArecords, employee interviews, committee activities, etc.)

    We evaluate new procedures and new products regularly by(Describe the process, literature reviewed, supplier info, productsconsidered)________________________________________________________________ .

    Both front-line workers and management officials are involved in this process in the following manner: (Describe employeesinvolvement)

    (Name of responsible person or department) is responsible forensuring that these recommendations are implemented.

    Personal Protective Equipment (PPE)

    PPE is provided to our employees at no cost to them. Training inthe use of the appropriate PPE for specific tasks or procedures isprovided by (Name of responsible person or department).

    The types of PPE available to employees are as follows: (gloves, eye protection, etc.)_____________________________________ ______________________________________________________________________________________________________________________________________________

    PPE is located (List location) and may be obtained through (Name of responsible person or department). (Specify how employeeswill obtain PPE and who is responsible for ensuring that PPE isavailable.)

    All employees using PPE must observe the followingprecautions:

    7

  • Wash hands immediately or as soon as feasible after removinggloves or other PPE. Remove PPE after it becomes contaminated and before leavingthe work area. Used PPE may be disposed of in (List appropriate containers forstorage, laundering, decontamination, or disposal.)

    Wear appropriate gloves when it is reasonably anticipated thatthere may be hand contact with blood or OPIM, and when handlingor touching contaminated items or surfaces; replace gloves if torn,punctured or contaminated, or if their ability to function as a barrieris compromised. Utility gloves may be decontaminated for reuse if their integrityis not compromised; discard utility gloves if they show signs ofcracking, peeling, tearing, puncturing, or deterioration. Never wash or decontaminate disposable gloves for reuse. Wear appropriate face and eye protection when splashes,sprays, spatters, or droplets of blood or OPIM pose a hazard to theeye, nose, or mouth. Remove immediately or as soon as feasible any garment con-taminated by blood or OPIM, in such a way as to avoid contact withthe outer surface.

    The procedure for handling used PPE is as follows: (may refer to specific procedure by title or number and last date ofreview; include how and where to decontaminate face shields, eyeprotection, resuscitation equipment)______________________________________________________________________________________________________________________________________________

    Housekeeping

    Regulated waste is placed in containers which are closable,constructed to contain all contents and prevent leakage, appropri-ately labeled or color-coded (see the following section Labels),and closed prior to removal to prevent spillage or protrusion ofcontents during handling.

    8

  • The procedure for handling sharps disposal containers is: (may refer to specific procedure by title or number and last date ofreview)______________________________________________________________________________________________________________________________________________

    The procedure for handling other regulated waste is: (may referto specific procedure by title or number and last date of review) ______________________________________________________________________________________________________________________________________________

    Contaminated sharps are discarded immediately or as soon aspossible in containers that are closable, puncture-resistant, leakproof on sides and bottoms, and appropriately labeled or color-coded. Sharps disposal containers are available at (must be easilyaccessible and as close as feasible to the immediate area where sharps areused).

    Bins and pails (e.g., wash or emesis basins) are cleaned anddecontaminated as soon as feasible after visible contamination.

    Broken glassware that may be contaminated is only picked upusing mechanical means, such as a brush and dustpan.

    Laundry

    The following contaminated articles will be laundered by thiscompany:______________________________________________________________________________________________________________________________________________

    Laundering will be performed by (Name of responsible person ordepartment) at (time and/or location).

    The following laundering requirements must be met: handle contaminated laundry as little as possible, with minimalagitation place wet contaminated laundry in leak-proof, labeled or color-coded containers before transport. Use (specify either red bags orbags marked with the biohazard symbol) for this purpose. wear the following PPE when handling and/or sorting contami-nated laundry: (List appropriate PPE).

    9

  • Labels

    The following labeling methods are used in this facility:

    Equipment to be Labeled Label Type (size, color)

    (specimens, contaminated laundry, etc.) (red bag, biohazard label)______________________________________________________________________________________________________________________________________________

    (Name of responsible person or department) is responsible forensuring that warning labels are affixed or red bags are used asrequired if regulated waste or contaminated equipment is broughtinto the facility. Employees are to notify (Name of responsible personor department) if they...

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