OSHA Inspection: DR. STEVE HARLAN & ASSOCIATES INC. & JEFFREY L. KL

Issued

Oct 8, 1991

Abate by

Oct 11, 1991

Penalty

Initial $1,500 · Current $600 Reduced

General-duty citation text

The alleged violations below have been  grouped  because  they  involve
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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 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 the following conditions which increase the risk of
employees developig a bloodborne disease:
a)  Dental care workers such as dental lab technicians and dental
assistants were exposed to the hazard of being infected by bloodborne
pathogens such as the Hepatitis B Virus (HBV) and the Human
Immunodeficiency Virus (HIV) through possible direct contact with
patient blood or body fluids.  Feasible and useful abatement methods
for reducing this hazard, among others, are the thorough and careful
cleaning and disinfecting of all dentures, impressions and intra-oral
devices which have been in contact with dental patient saliva, blood
or body fluids before they are subjected to any handling,
grinding, buffing or polishing in a dental laboratory.  These
necessary precautions were continuously not taken into June of 1991.

Issued

Oct 8, 1991

Abate by

Oct 15, 1991

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 the following conditions which increase the risk of
employees contracting bloodborne diseases:
a)  Dental care workers such as Dental Assistants, Dental
Hygienists and Dental Lab Technicians were exposed to the hazard of
bein infected by bloodborne pathogens such as the Human
Immunodeficiency Virus (HIV) and the Hepatitis B Virus (HBV) through
possible direct contact with patient blood or other body fluids.
Feasible and useful abatement methods for reducing this hazard, among
others, are the provision of training concerning the matters listed
below:
(1)  The procedures to be followed if an employee
experiences a percutaneous, mucous membrane, or non-intact skin
exposure to patient blood or other potentially infectious body fluids;
(2)  The procedures to be followed if permeable clothing
being worn by an employee becomes contaminated with a significan
amount of patient blood or other potentially infectious body fluids;
(3) The epidemiology and modes of transmission of HIV and HBV; and
(4)  The contents of "Recommendations for Prevention of HIV
Transmission in Health Care Settings" prepared by the CDC (Centers
for Disease Control).

Issued

Oct 8, 1991

Abate by

Nov 12, 1991

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 the following conditions which increase the risk of
employees developing a bloodborne disease:
a)  Health care workers such as dental assistants, dental lab
technicians and dental hygienists were exposed to the hazard of being
infected by bloodborne pathogens such as the Human Immunodeficiency
Virus (HIV) and the Hepatitis B Virus (HIV) through possible direct
contact with blood or other body fluids.  Feasible and useful abatement
methods for reducing this hazard, among others, are the development and
implementation of an Infection Control Program which specifies what
procedures must be followed after an employee experiences a per-
cutaneous, mucous membrane, or non-intact skin exposure to patient
blood or body fluids.  The source patient must be informed of the
employee exposure incident and tested for HIV and HBV infections unless
the patient refuses consent to such testing.  If the source patient
tests positive or refuses to be tested, the employee must be evaluated
clinically and seek medical evaluation of any acute febrile illness
that occurs within twelve weeks after exposure.  HIV seronegative
workers must be retested six weeks post - exposure and on a periodic
basis thereafter (normally twelve weeks and six months after exposure).
For health care workers exposed or potentially exposed to HBV, the
recommendations of The CDC Immunization Practices Advisory Committee:
regarding HBV post exposure prophylaxis (published in the June 7,
1985 Morbidity and Mortality Weekly Report) must be followed.
If an employee refused to submit to a medical test or procedure
described above, no adverse action can be taken against the employee
since these medical procedures were designed for the benefit of the
exposed employee.

Issued

Oct 8, 1991

Abate by

Oct 28, 1991

Penalty

Initial $750 · Current $300 Reduced

Issued

Oct 8, 1991

Abate by

Oct 28, 1991

Issued

Oct 8, 1991

Abate by

Oct 15, 1991

Penalty

Initial $750 · Current $300 Reduced

Issued

Oct 8, 1991

Abate by

Oct 17, 1991

Penalty

Initial $750 · Current $300 Reduced

Issued

Oct 8, 1991

Abate by

Oct 15, 1991

Penalty

Initial $600 · Current $240 Reduced

Issued

Oct 8, 1991

Abate by

Nov 12, 1991

Penalty

Initial $1,050 · Current $426 Reduced

Issued

Oct 8, 1991

Abate by

Nov 12, 1991

Issued

Oct 8, 1991

Abate by

Oct 28, 1991

Issued

Oct 8, 1991

Abate by

Oct 28, 1991

Issued

Oct 8, 1991

Abate by

Oct 28, 1991

Issued

Oct 8, 1991

Abate by

Oct 28, 1991

Issued

Oct 8, 1991

Abate by

Oct 28, 1991