OSHA Inspection: DR. LARRY MCLARTY DDS

Issued

Aug 31, 1992

Abate by

Oct 3, 1992

Penalty

Initial $375 · Current $200 Reduced

General-duty citation text

The alleged violations below have been  grouped  because  they  involve
similar  or  related  hazards  that  may  increase  the  potential  for
illness.
Section 5(a)(1) of the Occupational Safety and Health Act of 1970:  The
employer did not furnish his employees employment and a place of
employment which were free from recognized hazards that were causing or
likely to cause death or serious physical harm to employees in that
employees were exposed to:
a) Dr. Larry McLarty, Colorado Springs, CO: Health care
workers in a dental office were exposed to the hazard of
being infected by HBV and/or HIV through possible direct
contact with blood or other body fluids. Feasible and useful
abatement methods for reducing this hazard, among others,
are:
1. Hepatitis B Vaccination. The facility's IC policy regard-
ing hepatitis B vaccinations shall address all circumstances
warranting such vaccinations and sahll identify employees at
substantial risk of directly contacting body fluids. All
such employees shall be offered hepatitis B vaccinations
free of charge in amounts and at times prescribed by stand-
ard medical practices.
2. Linen. The IC program shall have identified all laundry
operations involving substantial risk of direct exposure
to body fluids. Linen soiled with body fluids shall be
handled as little as possible and with minimum agitation
to prevent contamination of the person handling the linen.
All soiled linen shall be bagged at the location where it
was used: it shall not be sorted or rinsed in patient-care
areas. Soiled linen shall be placed and transported in bags
that prevent leakage.
3. Handwashing. Gloves should be removed immediately after
completing work on a patient. After removing gloves, hands
or other skin surfaces shall be washed thoroughly and
immediately after contact with body fluids.
4. Trainilng and Education of Health Care Workers.
a. All high risk health care workers shall receive education
on precautionary measures, epidemiology, modes of transmiss-
ion and prevention of HIV/HBV. Health care workers shall be
counseled regarding possible risks to the fetus from HIV/HBV
and other associated infectious agents.
b. In addition, such high risk workers must receive training
regarding the location and proper use of personal protective
equipment. They shall be trained concerning proper work
practices and, if the facility has implemented them, shall
understand the concept of "universail precautions" as it
applies to their work the meaning of color coding or other
methods (except tags) used to designate contaminated
articles or infectious waste. Where tags are used, training
about tags and precautions to be used in handling con-
taminated articles or infectious waste is governed by 29 CFR
1910.145(f). (See section M.4.).  Workers shall receive
training about procedures to be used if they are exposed to
needlestick or to body fluids.
5. Labaels and Warnings. Biohazard labels shall be placed
on all regulated waste containers such as sharps containers.
In the alternative, such containers shall be red color-
coded.

Issued

Aug 31, 1992

Abate by

Oct 3, 1992

Issued

Aug 31, 1992

Abate by

Oct 3, 1992

Penalty

Initial $225 · Current $100 Reduced

Issued

Aug 31, 1992

Abate by

Oct 3, 1992

Issued

Aug 31, 1992

Abate by

Oct 3, 1992

Issued

Aug 31, 1992

Abate by

Oct 3, 1992

Issued

Aug 31, 1992

Abate by

Oct 3, 1992

Issued

Aug 31, 1992

Abate by

Sep 3, 1992

Penalty

Initial $150