OSHA Inspection: BAYLOR COLLEGE OF MEDICINE

Issued

Aug 3, 1993

Abate by

Aug 15, 1993

Penalty

Initial $5,000 · Current $5,000

General-duty citation text

Section 5(a)(1) of the Occupational Safety and Health Act of 1970:  The
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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:
At Baylor College of Medicine, Dept. of Comparative Medicine, laboratory
animal attendants and animal
husbandry were potentially exposed to the hazard of tuberculosis in that:
(a)  All employees involved, and potentially exposed to TB
sources, in the TB studies were
not provided ppa skin test at 6 month intervals.
Feasible and useful abatement methods for reducing this hazard, as
recommended by the Center for Disease
Control, among others include, but are not limited to the following:
Medical Screening
All employees in the facilities covered must be offered the Mantoux skin
test free of charge and at a
time and place convenient to the employee.
All test procedures shall be conducted in accordance with standard
medical practice.
Frequency of testing shall be as follows:
- at time of employment, unless there is a previous positive test or
documented completion of adequate
preventive therapy.
- every six (6) months for workers with frequent exposure to patients
with TB or are involved with high
hazard procedures.
- annual testing for other workers.
- After a TB exposure, that is, if a worker has been exposed to a
potentially infectious TB patient for
whom infection control procedures have not been taken. This will not be
required when an employee's last
skin test was within the previous three (3) months. If negative, the skin
test shall be repeated twelve
(12) weeks after