OSHA Inspection: LEE-ROWAN COMPANY

Issued

Dec 13, 1990

Abate by

Jan 31, 1991

Penalty

Initial $810 · Current $810

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) HBV VACCINATIONS WERE NOT OFFERED TO CATEGORY II WORKERS, THOSE
TRAINED IN FIRST AID AND CPR, WHO WERE EXPOSED TO THE HAZARD OF BEING
INFECTED BY HBV THROUGH DIRECT CONTACT WITH BLOOD AND BODY FLUIDS.
FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THE HAZARD, AMONG
OTHERS ARE:
OFFER HBV VACCINATIONS TO ALL EMPLOYEES WHERE POTENTIAL EXPOSURE
TO BLOOD AND BODY FLUIDS IS A SUBSTANTIAL RISK.

Issued

Dec 13, 1990

Abate by

Jan 31, 1991

Penalty

Initial $810 · Current $810

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 RECOGNIZIED HAZARDS THAT WERE CAUSING OR LIKELY TO CAUSE DEATH
OR SERIOUS PHYSICAL HARM TO EMPLOYEES IN THAT EMPLOYEES WERE EXPOSED TO:
A) NO UNIVERSAL PRECAUTIONS TRAINING WAS PROVIDED FOR CATEGORY
II EMPLOYEES, THOSE TRAINED IN FIRST AID AND CPR, WHERE THE
POTENTIAL FOR EXPOSURE TO BLOOD, BODY FLUIDS OR TISSUE COULD
RESULT IN HIV AND/OR HBV INFECTIONS.
FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THE HAZARDS, AMONG
OTHERS, ARE:
WORKERS SHALL RECEIVE EDUCATION ON PRECAUTIONARY MEASURES,
EPIDEMIOLOGY, MODES OF TRAMSMISSION 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.
IN ADDITION, SUCH HIGH RISK WORKERS MUST RECEIVE TRAINING REGARDING
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). WORKERS SHALL
RECEIVE TRAINING ABOUT PROCEDURES TO BE USED IF THEY ARE EXPOSED
TO BODY FLUIDS.

Issued

Dec 13, 1990

Abate by

Jan 31, 1991

Penalty

Initial $810 · Current $810

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) APPROPRIATE MEDICAL FOLLOW-UP PROCEDURES WERE NOT IMPLEMENTED
FOR CATEGORY II EMPLOYEES, THOSE TRAINED IN FIRST AID AND CPR,
AFTER EXPOSURE TO THE HAZARD OF BEING INFECTED BY HIV AND/OR
HBV THROUGH DIRECT CONTACT WITH BLOOD OR OTHER BODY FLUIDS.
FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THE HAZARDS AMONG
OTHERS ARE:
IMPLEMENTATION OF FOLLOW-UP PROCEDURES AFTER POSSIBLE EXPOSURE
TO HIV AND/OR HBV.
IF WORKERS HAVE A MUCOSA MEMBRANE (SPLASH TO EYE, NASAL MUCOSA,
OR MOUTH) EXPOSURE TO BODY FLUIDS OR HAS A CUTANUOUS EXPOSURE
TO BLOOD WHEN THE WORKER'S SKIN IS CHAPPED, ABRADED, OR OTHERWISE
NON-INTACT THE SOURCE PATIENT SHALL BE INFORMED OF THE INCIDENT
AND TESTED FOR HIV AND HBV INFECTIONS, AFTER CONSENT IS OBTAINED.
IF PATIENT CONSENT IS REFUSED OR IF THE SOURCE PATIENT TESTS
POSITIVE, THE WORKER SHALL BE EVALUATED CLINICALLY AND BY HIV
ANTIBODY TSTING AS SOON AS POSSIBLE AND ADVISED TO REPORT AND
SEEK MEDICAL EVALUATION OF ANY ACUTE FEBRILE ILNESS THAT OCCURS
WITHIN 12 WEEKS AFTER EXPOSURE. HIV SERONEGATIVE WORKERS SHALL
BE RETESTED 6 WEEKS PAST EXPOSURE AND ON A PERIODIC BASIS
THEREAFTER (12 WEEKS AND 6 MONTHS AFTER EXPOSURE).
FOLLOW UP PROCEDURES SHALL BE TAKEN FOR WORKERS EXPOSED OR
POTENTIALLY EXPOSED TO HBV. THE TYPE OF PROCEDURES DEPENDS ON
THE IMMUNIZATION STATUS OF THE WORKER (I.E., WHETHER HBV
VACCINATION HAS BEEN RECEIVED AND ANTIBODY RESPONSE IS ADEQUATE)
AND THE HBV SEROLOGIC STATUS OF THE SOURCE PATIENT. THE CDC
IMMUNIZATION PRACTICES ADVISORY COMMITTEE HAS PUBLISHED
ITS RECOMMENDATIONS REGARDING HBV POST EXPOSURE PROHHYLAXIS IN
TABLE FORMAT IN THE JUNE 17,1985, MORBIDITY AND MORTALITY WEEKLY
REPORT.

Issued

Dec 13, 1990

Abate by

Jan 31, 1991

Penalty

Initial $810 · Current $810

Issued

Dec 13, 1990

Abate by

Jan 31, 1991

Penalty

Initial $810 · Current $810

Issued

Dec 13, 1990

Abate by

Dec 16, 1990

Penalty

Initial $270 · Current $270