Inspection Type |
Complaint
|
Scope |
Partial
|
Safety/Health |
Health
|
Close Conference |
2015-05-15
|
Case Closed |
2016-07-06
|
Related Activity
Type |
Complaint |
Activity Nr |
924374 |
Health |
Yes |
|
Violation Items
Citation ID |
01001A |
Citaton Type |
Serious |
Standard Cited |
19101030 C01 II A |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
6000.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
5 |
Nr Exposed |
5 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(c)(1)(ii): The Exposure Control Plan shall contain at least the following elements: (A): The exposure determination required by paragraph (c)(2): Facility: The employer's Exposure Control Plan did not contain the exposure determination for all exposed employees as required under 1910.1030(c)(2). |
|
Citation ID |
01001B |
Citaton Type |
Serious |
Standard Cited |
19101030 C01 II B |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
0.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
3000 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(c)(1)(ii): The employer's Exposure Control Plan did not contain at least the following elements: (B): The schedule and method of implementation for paragraphs (d) Methods of Compliance, (e) HIV and HBV Research Laboratories and Production Facilities, (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, (g) Communication of Hazards to Employees, and (h) Recordkeeping, of this standard: Facility: The employer's written Bloodborne Pathogens program did not outline the required Methods of Compliance with the standard; the procedures to be followed to receive the Hepatitis B vaccination and the employer's Post-Exposure Evaluation and Follow-up, how the employer will conduct the Communication of Hazards to Employees, and the Recordkeeping requirements of the standard. |
|
Citation ID |
01001C |
Citaton Type |
Serious |
Standard Cited |
19101030 C01 II C |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
0.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
1 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(c)(1)(ii): The Exposure Control Plan did not contain at least the following elements: C): The procedure for the evaluation of circumstances surrounding exposure incidents as required by paragraph (f)(3(i) of this standard: Facility: When the employer developed a written Exposure Control Plan (ECP) for employees exposed to bloodborne pathogens, the employer did not include those required elements outlined in 29 CFR 1910.1030(c)(1)(ii)(A) through(B). This includes, but is not limited to, those procedures which will be used for the evaluation of circumstances surrounding exposure incidents as required by paragraph (f)(3)(i). |
|
Citation ID |
01001D |
Citaton Type |
Serious |
Standard Cited |
19101030 C01 IV |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
0.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
5 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually, and whenever necessary, to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure. The review and update of such plans did not also: (A): Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens; and (B): Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure: Facility: The employer's exposure control plan was not reviewed and updated at least annually, and whenever necessary, to reflect new or modified tasks and procedures which may affect occupational exposure and to reflect new or revised employee positions with occupational exposure. |
|
Citation ID |
01001E |
Citaton Type |
Serious |
Standard Cited |
19101030 C01 V |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
0.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
5 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(c)(1)(v): An employer, who is required to establish an Exposure Control Plan did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation, and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control Plan: Facility: When non-managerial employees were exposed, and potentially exposed, to bloodborne pathogens the employer did not solicit input from them in the identification, evaluation, and selection of effective engineering and work practice controls and document this solicitation in the Exposure Control Plan. |
|
Citation ID |
01002A |
Citaton Type |
Serious |
Standard Cited |
19101030 D02 I |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
0.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
5 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(d)(2)(i): Engineering and work practice controls were not used to eliminate or minimize employee exposure. Where occupational exposure remained after institution of these controls, personal protective equipment was not used: Facility: When employees were required to unpack and handle contaminated sharps, the employer did not institute engineering or work practice controls to eliminate , or minimize, employee exposure to parenteral incidents with those sharps that were unguarded. |
|
Citation ID |
01002B |
Citaton Type |
Serious |
Standard Cited |
19101030 D02 II |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
0.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
1 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(d)(2)(ii): Engineering controls were not examined and maintained or replaced on a regular schedule to ensure their effectiveness: Facility: When the employer used packing boxes to protect employees handling contaminated needles and sharps, these engineering methods were not examined, modified, or replaced on a regular basis. The employer did not change this policy even when an exposure incident occurred on at least one occasion. |
|
Citation ID |
01003A |
Citaton Type |
Serious |
Standard Cited |
19101030 D02 XIII A |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
0.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
3000 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(d)(2)(xiii)(A): The container for storage, transport, or shipping shall be labeled or color-coded according to paragraph (g)(1)(i) and closed prior to being stored, transported, or shipped. When a facility utilizes Universal Precautions in the handling of all specimens, the labeling/color-coding of specimens is not necessary provided containers are recognizable as containing specimens. This exemption only applies while such specimens/containers remain within the facility. Labeling or color-coding in accordance with paragraph (g)(1)(i) is required when such specimens/containers leave the facility: Worksite: When employees were instructed to ship contaminated sharps from remote locations of use back to the company's headquarters, the containers used for shipping were not labeled or color-coded as required in 29 CFR 1910.1030(g)(1)(i). |
|
Citation ID |
01003B |
Citaton Type |
Other |
Standard Cited |
19101030 D04 III C |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
1000.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
5 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(d)(4)(iii)(C): Disposal of all regulated waste shall be in accordance with applicable regulations of the United States, States and Territories, and political subdivisions of States and Territories. Facility: When the employer arranged to have containers of contaminated sharps shipped from the point of use back to the East Greenwich, Rhode Island facility, the needleboxes used were unable to prevent the contents from falling out during shipping. Shipping of these contaminated sharps was handled by a private carrier which is in violation of Federal laws concerning the shipment of hazardous waste. |
|
Citation ID |
01003C |
Citaton Type |
Other |
Standard Cited |
19101030 G01 I A |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
0.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
5 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(g)(1)(i)(A): Warning labels were not affixed to containers of regulated waste, refrigerators and freezers containing blood or other potentially infectious material; and other containers used to store, transport or ship blood or other potentially infectious materials, except as provided in paragraph (g)(1)(i)(E), (F) and (G): Facility: When the employer shipped blood-contaminated sharps from remote locations back to the East Greenwich, Rhode Island location, warning labels were not affixed to the containers holding the regulated waste as required. The employer placed needleboxes with contaminated sharps inside plain, unlabeled white cardboard boxes and shipped these white boxes inside unlabeled, plain cardboard boxes. |
|
Citation ID |
01004 |
Citaton Type |
Serious |
Standard Cited |
19101030 D04 III A 3II |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
0.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
2 |
Nr Exposed |
2 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(d)(4)(iii)(A)(3)(ii)(B): When moving containers of contaminated sharps from the area of use, the containers shall be placed in a secondary container if leakage is possible. The secondary container shall be (B): Constructed to contain all contents and prevent leakage during handling, storage, transport, or shipping: Facility: When the employer designed, constructed, and used a secondary, white container to ship needleboxes filled with contaminated sharps, it was not constructed in a manner to contain the contaminated sharps and prevent them from falling out of the needlebox during the shipping process. On at least two separate occasions contaminated needles fell out of the needle box when containers were shipped back to Provant headquarters. The sharps fell out of the needlebox and lodged between the needlebox and white shipping container. When the employees at the East Greenwich location opened the white container to retrieve the needlebox they received a needlestick from a loose, uncapped needle. |
|
Citation ID |
01005 |
Citaton Type |
Serious |
Standard Cited |
19101030 F02 I |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
6500.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
5 |
Nr Exposed |
5 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(f)(2)(i): Hepatitis B vaccination shall be made available after the employee has received the training required in paragraph (g)(2)(vii)(I) and within 10 working days of initial assignment to all employees who have occupational exposure unless the employee has previously received the complete hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons: Facility: When employees were assigned to unpack and re-pack boxes of contaminated sharps and were exposed to needlestick injuries, the employer did not offer them the Hepatitis B vaccination series within 10 working days of their initial assignment. |
|
Citation ID |
01006 |
Citaton Type |
Serious |
Standard Cited |
19101030 F03 |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
7000.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
1 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(f)(3): Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation and follow-up, including at least the following elements: (i): Documentation of the route(s) of exposure, and the circumstances under which the exposure incident occurred; (ii): Identification and documentation of the source individual, unless the employer can establish that identification is infeasible or prohibited by state or local law: Facility: When an employee incurred a parenteral exposure from a contaminated sharp, the employer did not make immediately available to this employee a confidential medical evaluation and follow-up with the information required under 29 CFR 1910.1030(f)(3)(i) and (ii). |
|
Citation ID |
01007 |
Citaton Type |
Other |
Standard Cited |
19101030 F04 II |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
1000.0 |
Initial Penalty |
5000.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
1 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(f)(4)(ii): The employer did not ensure that the healthcare professional evaluating an employee after an exposure incident was provided the following information: (A): A copy of this regulation; (B): A description of the exposed employee's duties as they relate to the exposure incident; (C): Documentation of the route(s) of exposure and circumstances under which exposure occurred; (D): Results of the source individual's blood testing, if available; and (E): All medical records relevant to the appropriate treatment of the employee including vaccination status which are the employer's responsibility to maintain: Facility: When an employee experienced a needlestick from a contaminated sharp, the employer did not ensure that all required documentation was sent with the employee to the healthcare professional treating the exposed employee. |
|
Citation ID |
01008 |
Citaton Type |
Serious |
Standard Cited |
19101030 G02 II A |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
6000.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
3000 |
Gravity |
10 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(g)(2)(i): The employer shall train each employee with occupational exposure in accordance with the requirements of this section. Such training must be provided at no cost to the employee and during working hours. The employer shall institute a training program and ensure employee participation in the program (A): At the time of initial assignment to tasks where occupational exposure may take place; and (B): At least annually thereafter: Facility: When employees handled contaminated sharps and were exposed to bloodborne pathogens, the employer did not ensure the affected employees received adequate initial training and training at least annually thereafter. |
|
Citation ID |
01009 |
Citaton Type |
Other |
Standard Cited |
19101030 H01 I |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-25 |
Current Penalty |
1000.0 |
Initial Penalty |
7000.0 |
Final Order |
2015-07-07 |
Nr Instances |
5 |
Nr Exposed |
5 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1910.1030(h)(1)(i): The employer did not establish and maintain an accurate record for each employee with occupational exposure, in accordance with 29 CFR 1910.1020: Facility: The employer did not establish and maintain an accurate record for each employee who has occupational exposure to bloodborne pathogens when they handle contaminated sharps shipped back to the facility in East Greenwich, Rhode Island. These records must include, at a minimum, the information outlined in 29 CFR 1910.1030(h)(ii)(A) through (D). |
|
Citation ID |
02001A |
Citaton Type |
Other |
Standard Cited |
19040008 A |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
1000.0 |
Initial Penalty |
1000.0 |
Final Order |
2015-07-07 |
Nr Instances |
1 |
Nr Exposed |
5 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1904.8(a): You must record all work-related needlestick injuries and cuts from sharp objects that are contaminated with another person's blood or other potentially infectious material (as defined by 29 CFR 1910.1030). You must enter the case on the OSHA 300 Log as an injury. To protect the employee's privacy, you may not enter the employee's name on the OSHA 300 Log (see the requirements for privacy cases in paragraphs 1904.29(b)(6) through 1904.29(b)(9)). Facility: When any employee incurred a work-related needlestick injury, the employer did not establish and maintain a specific program to record, and follow, needlestick injuries on the OSHA 300 log. |
|
Citation ID |
02001B |
Citaton Type |
Other |
Standard Cited |
19040031 A |
Issuance Date |
2015-05-21 |
Abatement Due Date |
2015-07-08 |
Current Penalty |
0.0 |
Initial Penalty |
0.0 |
Final Order |
2015-07-07 |
Nr Instances |
3 |
Nr Exposed |
5000 |
FTA Current Penalty |
0.0 |
Citation text line |
29 CFR 1904.31(a): You must record on the OSHA 300 Log the recordable injuries and illnesses of all employees on your payroll, whether they are labor, executive, hourly, salary, part-time, seasonal, or migrant workers: Facility: The employer failed to record occupational injuries and illnesses for all employees on OSHA 301 records, as well as the OSHA 300 Log, Summary of Occupational Injuries and Illnesses. |
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