OSHA Inspection: ROBERT GREENSPAN, D.D.S.

Issued

Dec 11, 1991

Abate by

Jan 17, 1992

Penalty

Initial $1,250 · Current $900 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 to being
infected by HBV and/ or HIV through possible direct contact with blood or
other body fluids.
a)  Health care workers such as dentists, dental assistants, X-ray
technicians, laboratory workers and housekeeping personnel (com-
puter operator performing housekeeping duties) in the dental
office at 268 West 47th Street, New York, NY were not trained or
informed of the hazards of HIV/HBV. On or about 6/13/91.
b)  The computer operator performing housekeeping duties such as
collecting and boxing of medical wastes  for disposal in the
dental office at 268 West 47th Street, New York, NY was not
informed or offered Hepatitis B Vaccinations in amounts and at
times prescribed by standard medical practice.  On or about
6/13/91.
Feasible and useful abatement methods for reducing this hazard among others
are:
Training and Education:
Training and Education of Health Care workers such as but not limited
to dentists, dental assistants, X-ray technicians, laboratory workers
and housekeeping personnel. Such training and education shall be at
the time of initial employment and at least annually thereafter. The
training material used shall be appropiate in the content and vocabul-
ary to educational level, literacy and language background of the
employees  being trained.
The Training and Education Program shall contain as a minimum the following
elements:
(i)        A general explanation of the modes of transmission of bloodborne
pathogens:
(ii)       A explanation of the employer's infection control program:
(iii)      A explanation of the appropiate methods for recognizing  tasks
and other activities that may involve exposure to blood or body
fluids and other potentially  infectious materials:
(iv)       An explanation of the use and limitations of work practices
that will prevent or reduce employee exposure, including
appropiate engineering controls, work practices, and personal
protective equipment:
(v)        An explanation of the basis for selection of personal protective
equipment:
(vi)       Information on the Hepatitis B  Vaccination, including
information on its efficacy, safety and the benefits of
being vaccinated:
(vii)      Information on the appropiate actions to be taken and the person
to contact in an emergency:
(viii)     An explanation of the procedure to follow if an exposure
incident occurs, including the method of reporting the incident
and the medical folow-up that will be made available:
(ix)       An explanation of the signs and labels and/or color coding
used in the workplace: and
(x)        A copy of the Center for Disease Control (CDC) Guidelines.
Hepatitis B Vaccination:
The facility's infection control policy regarding Hepatitis B Vaccinations
shall address all circumstances warranting such vaccinations and shall
identify employees at substantial risks of directly contacting body fluids.
All such employees shall be offered Hepatitis B Vaccinations in amounts
and at times prescribed by standard medical practice.

Issued

Dec 11, 1991

Abate by

Dec 24, 1991

Penalty

Initial $1,250 · Current $900 Reduced

Issued

Dec 11, 1991

Abate by

Jan 17, 1992

Issued

Dec 11, 1991

Abate by

Dec 24, 1991

Penalty

Initial $1,250 · Current $900 Reduced

Issued

Dec 11, 1991

Abate by

Jan 17, 1992

Penalty

Initial $1,000 · Current $800 Reduced

Issued

Dec 11, 1991

Abate by

Jan 17, 1992

Issued

Dec 11, 1991

Abate by

Dec 24, 1991