OSHA Inspection: BINARY PLASMA CENTER

Issued

Sep 24, 1990

Abate by

Oct 24, 1990

Penalty

Initial $640 · Current $429 Reduced

General-duty citation text

Section 5(a)(1) of the Occupational Safety and Health Act of 1970: The
employer did not furnish employment and a place of employment which were
free from recognized hazards that were causing or likley to cause death
or serious physical harm to employees in that employees were exposed to
infectious bloodborne diseases.
a) Health care workers such as, but not limited to, phlebotomist and
supervisors working in the laboratory, were exposed to the hazard of
being infected by HBV and/or HIV and/or other bloodborne infectious
agents through possible contact with blood or other body fluids in
that the Center for Disease Control (CDC) recommended Universal
Precautions were not being followed for all situations where blood
and body fluids were encountered.
b) The Hepatitis B vaccine was not offered to employees who are at
substanial risk of contacting blood and/or other body fluids.
c) Appropriate followup procedures after a possible exposure to HIV/HBV
were neither developed nor implemented.
d) Training for high risk health care workers was inadequate in that
employees had no knowledge of all aspects of personal protective
equipment, "universal precautions", color coding, other methods used
in designated contaminated waste, precautions used in handling
contaminated articles or infectious waste and procedures to be used
when exposed to a needlestick or to body fluids.
Abatement Methods: Among other methods, one feasible and acceptable
method to correct the hazard is to implement a comprehensive written
infection control program. Essential elements of the program include,
but are not necessarily limited to, the following:
1) Provide training and education on the Universal Precaution System.
This training would be based on the fact that all clients would be
treated as infectious meaning all employees would be mandated to use
personal protective equipment for all procedures where potential
exposure to blood and/or body fluids would occur.
2) Provide a policy that addresses all circumstances warranting
Hepatitis B vaccinations and identify employees at substantial risk
of direct contact with body fluids. Offer employees Hepatitis B
vaccinations in amounts and at times prescribed by standard medical
practice.
3) Follow CDC Guidelines, "Recommendations for Prevention of HIV
Transmission in Health Care Settings"; Management of exposures for
follow-up procedures after possible exposure to HIV/HBV.
4) Provide training and education on precautionary measure, epidemiology
modes of transmission and prevention of HIV-HBV. Provide counseling
regarding possible risks of transmission to the fetus of HIV/HBV
and other infectious agents.
Training and education will also include providing information on
personal protective equipment, color coding, handling of infectious
waste and procedures after exposure.

Issued

Sep 24, 1990

Abate by

Sep 25, 1990

Penalty

Initial $350 · Current $235 Reduced

Issued

Sep 24, 1990

Abate by

Sep 25, 1990

Penalty

Initial $640 · Current $429 Reduced

Issued

Sep 24, 1990

Abate by

Oct 1, 1990

Penalty

Initial $300 · Current $200 Reduced

Issued

Sep 24, 1990

Abate by

Oct 1, 1990

Penalty

Initial $350 · Current $236 Reduced

Issued

Sep 24, 1990

Abate by

Oct 1, 1990

Penalty

Initial $70 · Current $47 Reduced

Issued

Sep 24, 1990

Abate by

Sep 25, 1990

Penalty

Initial $70 · Current $47 Reduced

Issued

Sep 24, 1990

Abate by

Oct 1, 1990

Issued

Sep 24, 1990

Abate by

Oct 31, 1990

Issued

Sep 24, 1990

Abate by

Oct 24, 1990

Issued

Sep 24, 1990

Abate by

Oct 24, 1990

Issued

Sep 24, 1990

Abate by

Oct 24, 1990

Issued

Sep 24, 1990

Abate by

Oct 31, 1990