OSHA Inspection: STILLBROOK CORPORATION DBA BAIRD CASE FUNERAL HOME

Issued

Jul 12, 1990

Abate by

Aug 15, 1990

Penalty

Initial $640 · Current $320 Reduced

General-duty citation text

The alleged violations below have been grouped because they involve
similar or related hazards that may increase the potential for illness.
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) On or about April 11, 1990, appropriate post-exposure medical
evaluation and follow-up procedures were not established and provided
for funeral service employee(s) exposed to the hazard of being
infected with HBV and/or HIV through direct contact with blood or
other potentially infectious materials, i.e., incidents of
percutaneous (needle stick or cut) exposure, or to cutaneous exposure
of chapped, abraded, or otherwise non-intact skin.
Feasible abatement methods for reducing this hazard include: A
confidential medial examination and follow-up including the following:
1) Documentation of the HBV and HIV infection status of the source
patient (if known) and,
2) Follow-up of the exposed employee including antigen and/or antibody
testing (HBV/HIV), couseling, illness reporting, and safe and
effective post-exposure phrophylaxis as indicated according to
standard recommendations for medical practice.
Reference: Centers for Disease Control. Recommendations for Prevention
of HIV Transmission in Health-Care Settings: MMWR 1987:36 (Suppl.2s)
Centers for Disease Control, Immunization Practices Advisory Committee,
Recommendations for Protection Against Viral Hepatitis. MMWR1985:35:
313-24,329-35.
Note: It is recommended that the facility develop policies for
documentation and tracing of post-exposure evaluations and follow-up
procedures (Re: HBV/HIV) which address or specify requirements for:
1) Documentation of source patient identification and circumstances
under which exposure occurred.
2) Testing (HIV) of source patients in situations in which consent
cannot be obtained (e.g. an unconscious patient).
3) Documentation of seronegative source patients "risk-factors"
evaluation.
4) Development of a chronological tracking system to assure timely
administration of vaccines and procedures (e.g. HBV vaccine, serial
HIV testing) and notification to exposed employees of results of
tests and evaluation, and dates of future vaccinations/innoculations,
tests or procedures that may be required.

Issued

Jul 12, 1990

Abate by

Jul 18, 1990

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) On or about April 11, 1990, furneral service employees performing
embalming, applying cosmetics and dressing of remains were exposed to
the hazard of being infected by Hepatits B Virus and/or Human
Immunodeficiency Virus through possible direct contact with blood or
other potentially infectious materials.
Feasible abatement methods for reducing this hazard include:
1) Establishment of a Hepatitis B vaccination policy and program which
addresses all circumstances warranting such vaccinations and
identifies all employees at substantial risk of directly contacting
blood or other potentially infectious materials, and offers all such
employees Hepatitis B vaccinations in amount and at times prescribed
by standard medical practice.
Reference: Centers for Disease Control, Immunization Practices
Advisory Committee, Recommendations for Protection Against viral
Hepatitis. MMWR 1985;35:313-24,329-35.
2) Establishment of a training policy and program for employees (as
above) which includes:
a) Education on Epidemiology, modes of transmission, and prevention of
HIV/HBV,
b) Counseling regarding potential risks to the fetus from HIV/HBV and
other associated infectious agents.
c) Training regarding Centers for Disease Control Guidelines concerning
"Universal Precautions" as it applies to their workplace, and
specifies procedures for workpractices e.g., cleaning and
disinfection of work tables, equipment and use of personal protective
equipment, laundery and waste disposal.
d) Training about Hepatitis B vaccination program and procedures to be
followed and provided if they are exposed to a needle stick or other
direct contact with blood or other potentially infectious material.
Reference: Centers for Disease Control. Recommendations for Prevention
of HIV Transmission in Health Care Settings: MMWR 1987;36 (Suppl.25).
3) Implementation of engineering controls and workpractices as
necessary to reduce risk of contact with blood (e.g., splashes,
aerosols, cuts) such as:
a) Placement of embalming table drain tube and aspirator discharge
below water surface in the embalming sink.
b) Covering of embalming sink.
c) Maintenance of regulated areas to preclude access of unprotected
employees to areas to facility where fixtures, equipment, etc.,
may be contaminated with blood or other potentially infectious
materials.

Issued

Jul 12, 1990

Abate by

Jul 18, 1990

Penalty

Initial $640 · Current $320 Reduced

Issued

Jul 12, 1990

Abate by

Jul 15, 1990

Issued

Jul 12, 1990

Abate by

Jul 18, 1990

Penalty

Initial $560 · Current $280 Reduced

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Jul 18, 1990

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Jul 18, 1990

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Oct 12, 1990

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Jul 18, 1990

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Jul 18, 1990

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Jul 22, 1990

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Aug 12, 1990

Hazardous substances 1290

Issued

Jul 12, 1990

Abate by

Jul 15, 1990

Penalty

Initial $560 · Current $280 Reduced

Issued

Jul 12, 1990

Abate by

Jul 15, 1990

Issued

Jul 12, 1990

Abate by

Aug 12, 1990

Penalty

Initial $480 · Current $240 Reduced

Issued

Jul 12, 1990

Abate by

Aug 12, 1990

Issued

Jul 12, 1990

Abate by

Aug 12, 1990

Issued

Jul 12, 1990

Abate by

Aug 12, 1990

Issued

Jul 12, 1990

Abate by

Aug 12, 1990

Hazardous substances 1290