OSHA Inspection: ROBERT L. CHIVERS, D.D.S.

Issued

Apr 17, 1991

Abate by

May 20, 1991

Penalty

Initial $400 · Current $250 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 OR
ARE POTENTIALLY EXPOSED TO BLOODBORNE PATHOGENS, SUCH AS, HEPATITIS B
VIRUS (HBV) AND HUMAN IMMUNODEFICIENCY VIRUS (HIV):
A) HEALTH CARE WORKERS, SUCH AS DENTAL HYGIENISTS AND DENTAL ASSISTANTS,
WERE EXPOSED TO THE HAZARD OF BEING INFECTED BY HEPATITIS B VIRUS
AND/OR HUMAN IMMUNODEFICIENCY VIRUS THROUGH POSSIBLE DIRECT CONTACT
WITH BLOOD OR OTHER BODY FLUIDS.
FEASIBLE AND USEFUL ABATEMENT METHODS FOR REDUCING THIS HAZARD, AMONG
OTHERS ARE:
1) PROVIDE HEPATITIS B VACCINATIONS, FREE-OF-CHARGE, TO ALL EXPOSED AND
POTENTIALLY EXPOSED EMPLOYEES.
2) INSTITUTE A STERILIZATION QUALITY CONTROL PROGRAM WHEREBY SPORE
STRIPS ARE USED ON A MONTHLY BASIS TO ENSURE THAT ADEQUATE
TEMPERATURE AND PRESSURE WERE REACHED DURING AUTOCLAVING TO ENSURE
STERILITY OF THE REUSABLE EQUIPMENT.
3) DEVISE AND IMPLEMENT A FOLLOW-UP PROCEDURE AFTER POSSIBLE EXPOSURES
TO HEPATITIS B, HUMAN IMMUNODEFICIENCY VIRUS AND/OR OTHER BLOODBORNE
PATHOGENS.
4) DEVISE AND IMPLEMENT A TRAINING AND EDUCATION PROGRAM, WITH EDUCATION
ON PRECAUTIONARY MEASURES, EPIDEMIOLOGY, MODES OF TRANSMISSION AND
PREVENTION OF BLOODBORNE PATHOGENS, SUCH AS HEPATITIS B VIRUS AND
HUMAN IMMUNODEFICIENCY VIRUS FOR EMPLOYEES. TRAINING SHALL INCLUDE
PROPER WORK PRACTICES, UNIVERSAL PRECAUTIONS, DESIGNATION OF
CONTAMINATED ARTICLES/INFECTIOUS WASTE, AND PROCEDURES TO BE USED
IF THEY ARE EXPOSED TO A NEEDLESTICK OR OTHER SHARPS OR TO BODY
FLUIDS.

Issued

Apr 17, 1991

Abate by

Apr 25, 1991

Penalty

Initial $350 · Current $250 Reduced

Issued

Apr 17, 1991

Abate by

May 20, 1991

Penalty

Initial $250 · Current $200 Reduced

Issued

Apr 17, 1991

Abate by

May 20, 1991

Penalty

Initial $250 · Current $200 Reduced

Issued

Apr 17, 1991

Abate by

May 20, 1991

Penalty

Initial $250 · Current $200 Reduced