OSHA Inspection: MIDWEST DENTAL PRODUCTS CORPORATION

Issued

May 6, 1992

Abate by

Jun 30, 1992

Penalty

Initial $2,250 · Current $1,500 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 likely to  cause
death or serious physical harm to  employees  in  that  employees  were
exposed to:
(a)  Midwest Dental Products Corporation's employees who unpack
blood and bone contaminated dental instruments sent in for
repair, who process blood contaminated instruments for sterili-
zation, and those employees potentially exposed to blood/bone
contaminated shipping materials in waste generated by Dept. 37,
were potentially exposed to infection by Hepatitis B Virus (HBV)
and/or Human Immunodeficiency Virus (HIV) through possible
direct contact with the blood on the contaminated instruments.
The heads of the damage handpieces can be sharp and/or contain
burrs which could create a skin puncture presenting a mode of
viral transmission.  Employees potentially exposed include but
are not limited to: Dept. 37 repair staff, Customer Service
employees, office employees who open mail and may contact the
contaminated instruments, and employees who handle or may
contact the waste generated by Dept. 37.
Feasible abatement methods include but are not limited to:
(1)  Development of an infection control program that identifies
(1) the task and work area that are likely to present exposure
to blood or potentially infectious products, (2) the employee
positions that are involved, and (3) the controls that will be
used to reduce the potential risks.
(2)  Presentation of a training program which ensures that all
employees with potential exposure will participate.  The train-
ing program shall include the following elements: (a) a general
explanation of epidemiology and symptoms of bloodborne diseases,
(b) an explanation of modes of transmission of bloodborne
pathogens, (c) an explanation of the employer's infection
control program, (d) methods for recognizing the tasks that may
involve exposure to blood and other potentially infectious
materials, (e) methods of reducing exposure including appropri-
ate engineering controls, work practices and personal protective
equipment, (f) information on types, proper use, location,
removal handling, decontamination, and/or disposal of personal
protective equipment, (g) an explanation of the basis of selec-
tion of personal protective equipment, (h) information on the
Hepatitis B vaccine, including information on its efficacy,
safety and benefits of being vaccinated, (i) information on
appropriate actions to take and persons to contact in case of
exposure, and medical follow-up that will be made available,
including medical counseling, and (j) explanation of signs/-
labels and color coding with regard to biohazards.
(3)  Hepatitis B vaccines shall be offered to all employees with
potential exposure to blood or body fluids free of charge,
according to standard recommendations for medical practice.
(4)  Post-exposure follow-up shall be provided for all employees
with an occupational exposure incident and shall include at
least the following elements:
(a)  Documentation of the route(s) if exposure, HBV and HIV
antibody status of the source patient (if known), and the
circumstances under which the exposure occurred.
(b)  If the source patient can be determined and permission is
obtained, collection of the testing of the source patient's
blood to determine the presence of HIV or HBV infection.
(c)  If the source patient is unknown, patient consent is
refused or if the patient tests positive for HIV, the exposed
employee shall be tested for HIV antibody as soon as possible,
and again at 6 weeks, 12 weeks, and 6 months post-exposure.  The
employee shall be advised to report and seek medical evaluation
of any acute febrile illness that occurs within 12 weeks after
exposure.
(d)  For employees potentially exposed to HBV, the follow-up
procedures would depend on the immunization status of the worker
and the HBV serologic status of the source patient if de-
termined.  (The CDC Morbidity and Mortality Report, June 7, 1985
may be consulted for recommendations of post-exposure pro-
phylazis.)

Issued

May 6, 1992

Abate by

May 23, 1992

Penalty

Initial $1,800 · Current $1,000 Reduced

Issued

May 6, 1992

Abate by

May 12, 1992

Issued

May 6, 1992

Abate by

May 10, 1992

Penalty

Initial $1,800 · Current $1,000 Reduced

Issued

May 6, 1992

Abate by

Jun 1, 1992

Penalty

Initial $2,250 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

May 23, 1992

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $2,250 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

May 10, 1992

Penalty

Initial $2,250 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Issued

May 6, 1992

Abate by

May 12, 1992

Penalty

Initial $1,350 · Current $1,000 Reduced

Issued

May 6, 1992

Abate by

May 12, 1992

Penalty

Initial $1,800 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

Jun 1, 1992

Penalty

Initial $1,350 · Current $1,000 Reduced

Issued

May 6, 1992

Abate by

Jun 1, 1992

Penalty

Initial $2,250 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

May 10, 1992

Penalty

Initial $1,350 · Current $1,000 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $1,800 · Current $1,200 Reduced

Issued

May 6, 1992

Abate by

May 23, 1992

Penalty

Initial $2,250 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $2,250 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

May 19, 1992

Penalty

Initial $3,150 · Current $1,700 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $2,250 · Current $1,500 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $2,250 · Current $1,400 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Issued

May 6, 1992

Abate by

Jun 8, 1992

Penalty

Initial $2,250 · Current $1,200 Reduced

Issued

May 6, 1992

Abate by

May 23, 1992

Issued

May 6, 1992

Abate by

Jun 1, 1992

Penalty

Initial $1,350 · Current $800 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $2,250 · Current $1,400 Reduced

Issued

May 6, 1992

Abate by

May 10, 1992

Issued

May 6, 1992

Abate by

May 16, 1992

Issued

May 6, 1992

Abate by

Jun 30, 1992

Penalty

Initial $1,350 · Current $800 Reduced

Issued

May 6, 1992

Abate by

Jun 30, 1992

Issued

May 6, 1992

Abate by

May 23, 1992

Penalty

Initial $1,350 · Current $800 Reduced

Issued

May 6, 1992

Abate by

May 23, 1992

Issued

May 6, 1992

Abate by

May 10, 1992

Issued

May 6, 1992

Abate by

May 23, 1992

Penalty

Initial $1,350 · Current $800 Reduced

Issued

May 6, 1992

Abate by

May 12, 1992

Penalty

Initial $1,350 · Current $800 Reduced

Issued

May 6, 1992

Abate by

May 23, 1992

Penalty

Initial $2,250 · Current $1,000 Reduced

Issued

May 6, 1992

Abate by

Jun 30, 1992

Penalty

Initial $3,150 · Current $380 Reduced

Issued

May 6, 1992

Abate by

May 23, 1992

Penalty

Initial $4,500 · Current $120 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $11,250 · Current $6,750 Reduced

Issued

May 6, 1992

Abate by

May 16, 1992

Issued

May 6, 1992

Abate by

May 16, 1992

Penalty

Initial $900 · Current $540 Reduced

Issued

May 6, 1992

Abate by

May 10, 1992

Issued

May 6, 1992

Abate by

May 10, 1992

Issued

May 6, 1992

Abate by

May 12, 1992

Issued

May 6, 1992

Abate by

May 16, 1992