OSHA Inspection: CAMPION AMBULANCE SERVICE

Issued

May 31, 1991

Abate by

Nov 23, 1991

Penalty

Initial $3,500 · Current $2,360 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 health care workers who
had direct contact with blood or body fluids were not adequately
protected from potential infections due to a possible immune deficiency
from a sero conversion:
IN THE FOLLOWING INSTANCES, THE EMPLOYER DID NOT ENSURE THAT THE
EMPLOYEES WERE ADEQUATELY PROTECTED FROM POTENTIAL INFECTIONS IN
THAT:
1) THE EMPLOYER DID NOT PROVIDE THE HBV VACCINE TO THE AMBULANCE
PERSONNEL WHO WERE EXPOSED TO BODY FLUIDS.
2) THE EMPLOYER'S PROGRAM DID NOT ENSURE THAT EMPLOYEES EXPOSED TO
BLOOD AND/OR BODY FLUIDS SHALL BE EVALUATED CLINICALLY AND WITH
HIV TESTING AS SOON AS POSSIBLE AFTER THE EXPOSURE, FURTHER
EVALUATIONS AT 6 WEEKS, 16 WEEKS AND 6 MONTHS AFTER THE INCIDENT
AMONG OTHER METHODS, ONE FEASIBLE AND ACCEPTABLE ABATEMENT METHOD WOULD
BE THE IMPLEMENTATION OF AN EMPLOYEE TRAINING PROGRAM EMPHASIZING THE
FOLLOWING:
1) EMPLOYEES WHO POTENTIALLY ARE EXPOSED TO BODY FLUIDS SHALL BE
OFFERED THE HEPATITIS B VACCINATION FREE OF CHARGE IN AMOUNTS AND
AT TIME PRESCRIBED BY STANDARD MEDICAL PRACTICE.
2) AFTER AN EXPOSURE, THE HEALTH CARE WORKER SHALL BE EVALUATED
CLINICALLY AND BY HIV ANTIBODY TESTING AS SOON AS POSSIBLE AND
ADVISED TO REPORT AND SEEK MEDICAL EVALUATION OF ANY ACUTE FEBRILE
ILLNESS THAT OCCURS WITHIN TWELVE WEEKS AFTER EXPOSURE. HIV SERO
NEGATIVE WORKERS SHALL BE RETESTED 6 WEEKS PART EXPOSURE AND ON A
PERIODIC BASIS THEREAFTER (16 WEEKS AND 6 MONTH AFTER EXPOSURE, 12
MONTHS IS RECOMMENDED).

Issued

May 31, 1991

Abate by

Sep 17, 1991

Penalty

Initial $1,100 · Current $775 Reduced

Issued

May 31, 1991

Abate by

Jul 17, 1991

Penalty

Initial $825 · Current $595 Reduced

Issued

May 31, 1991

Abate by

Sep 17, 1991

Penalty

Initial $1,925 · Current $1,370 Reduced

Issued

May 31, 1991

Abate by

Jun 3, 1991

Issued

May 31, 1991

Abate by

Jun 3, 1991

Issued

May 31, 1991

Abate by

Jul 17, 1991

Issued

May 31, 1991

Abate by

Jul 17, 1991