OSHA Inspection: DR. LARRY MCLARTY

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) 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
regarding hepatitis B vaccinations shall address all
circumstances warranting such vaccinations and shall
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 standard 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. Training and Education of Health Care Workers.
a. All high risk health care workers shall receive education
on precautionary measures, epidemioligy, 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 "universal precautions" as it
applies to their work practices. They shall be trained about
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 contaminated 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.

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

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

Sep 3, 1992

Penalty

Initial $150