OSHA Inspection: EHTESHAM GHANI, MDSC

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $1,600 · Current $640 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(ii)(A): The employer's Exposure Control Plan did not include the exposure determination required by 29 CFR 1910.1030(c)(2):    (a) Ehtesham Ghani, MDSC, dba Thinfast MD, LLC, 135 E. Algonquin Rd., Suite A2, Arlington Heights, IL- The employer's Bloodborne Exposure Control Plan did not have an exposure determination specific to the employees with occupational exposure to bloodborne pathogens in the workplace.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $1,600 · Current $640 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan:    a) Ehtesham Ghani, MDSC dba Thinfast MD, LLC, 135 E. Algonquin Rd, Suite A2, Arlington Heights, IL - The employer did not solicit input from non-managerial employees responsible for direct patient care who were potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the workplace Exposure Control plan.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $2,000 · Current $800 Reduced

General-duty citation text

29 CFR 1910.1030(f)(1)(i): The employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure:    a) Ehtesham Ghani, MD dba Thinfast MD, LLC, 135 E. Algonquin Rd., Suite A2, Arlington Heights, IL - The employer did not offer the hepatitis B vaccination series to all employees who have occupational exposure to bloodborne pathogens at the time of initial hire or assignment.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $2,800 · Current $1,120 Reduced

General-duty citation text

29 CFR 1910.1030(f)(1)(ii)(A):     The employer did not ensure that medical evaluations and procedures including the hepatitis B vaccine and vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were made available at no cost to the employee:    (a) Ehtesham Ghani, MDSC, dba Thinfast MD, LLC, 135 E. Algonquin Road, Arlington Heights, IL - The employer did not make the hepatitis B vaccination series, post-exposure medical evaluation and follow-up treatment available to employees at no cost.     In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Jul 12, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(3):     Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation or follow-up:    (a) Ehtesham Ghani, MDSC, dba Thinfast MD, LLC, 135 E. Algonquin Rd., Suite A2, Arlington Heights, IL - The employer did not make immediately available, to an employee who reported an exposure incident, a confidential medical evaluation or follow-up as required and described in 29 CFR 1910.1030(f)(3)(i) through (vi).      In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $1,600 · Current $1,800

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(A): The bloodborne pathogens training program required to be provided by the employer to each employee with occupational exposure did not contain an accessible copy of the regulatory text of this standard and an explanation of its contents:    a) Ehtesham Ghani, MDSC dba Thinfast MD, LLC, 135 E. Algonquin Rd, Suite A2, Arlington Heights, IL- The employer's bloodborne pathogens training program required to be provided by the employer to each employee with occupational exposure, and did not contain an accessible copy of the regulatory text of this standard and an explanation of its contents.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $1,600 · Current $0 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(D): The bloodborne pathogens training program did not contain an explanation of the employer's exposure control plan and the means by which the employee could obtain a copy of the written plan:    a) Ehtesham Ghani, MDSC dba Thinfast MD, LLC, 135 E. Algonquin Rd., Arlington Heights,IL - The employer's bloodborne pathogens training program for the workplace did not contain an explanation of the employer's exposure control plan and the means by which the employees could obtain a copy of the written plan.     In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $2,000 · Current $0 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(I): The bloodborne pathogens training program did not contain information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or the fact that the vaccination will be offered free of charge:    a) Ehtsham Ghani, MDSC dba Thinfast MD, LLC, 135 E. Algonquin, Suite A2, Arlington Heights, IL- The employer's bloodborne pathogens training program did not contain information covering the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or that the vaccination will be offered free of charge upon initial hire or as part of the post-exposure medical treatment, upon experiencing an exposure incident.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $2,800 · Current $0 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(J): The bloodborne pathogens training program did not contain information on the appropriate actions to take or persons to contact in an emergency involving blood or other potentially infectious materials:    a) Ehtesham Ghani, MDSC dba Thinfast MD, LLC, 135 E. Algonquin Rd., Suite 2A, Arlington Heights, IL- The employer's bloodborne pathogens training program did not address the appropriate procedures to follow or persons to contact in an emergency involving blood or other potentially infectious materials.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(K): The bloodborne pathogens training program did not contain an explanation of the procedure to follow if an exposure incident occurred, including the method of reporting the incident or the medical follow-up that would be made available:    a) Ehtesham Ghani, MDSC dba Thinfast MD, LLC, 135 E. Algonquin Rd., Suite 2A, Arlington Heights, IL- The employer'sbloodborne pathogens training program did not contain an explanation of the procedure to follow if an exposure incident occurred, including the method of reporting the incident or the medical follow-up that would be made available to employees.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(L): The bloodborne pathogens training program did not contain information on the post exposure evaluation or follow-up that the employer was required to provide for employees following an exposure incident:    a) Ehteham Ghani, MDSC dba Thinfast MD, LLC, 135 E. Algonquin Rd, Suite A2, Arlington Heights, IL- The employer's bloodborne pathogens training program did not contain information on the post-exposure evaluation or follow-up that the employer was required to provide to employees following an exposure incident.    In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification.  This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence of abatement, or other written records.

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(iii): The employer did not ensure that a copy of the Exposure Control Plan was accessible to employees, in accordance with 29 CFR 1910.1030(e):    a)  Ehtesham Ghani, MDSC dba Thinfast MD, LLC, located at Arlington Heights, IL, did not ensure that a copy of the Exposure Control Plan was accessible to employees in accordance with OSHA standard, 29 CFR 1910.1030(e).    In accordance with 29 CFR 1903.19 (c), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET).

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(2)(iv): The employer did not ensure that employees who declined to accept the hepatitis B vaccination offered by the employer signed the statement in Appendix A:    a) Ehtesham Ghani, MDSC dba Thinfast MD LLC,135 E. Algonquin Rd., Suite 2A, Arlington Heights, IL - The employer did not ensure that employees who declined to accept the heptitis B vaccination signed the declination statement in Appendix A of the bloodborne pathogen standard.    In accordance with 29 CFR 1903.19(c) abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET).

Issued

Jun 27, 2012

Abate by

Aug 31, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(1)(ii)(B): The employer did not establish and maintain an accurate record for each employee with occupational exposure which includes a copy of the employee's hepatitis B vaccinations and any medical records relative to the employee's ability to receive vaccination as required by paragraph (f)(2) of the OSHA Bloodborne Pathogens Standard.    a)Ehtesham Ghani, MDSC dba Thinfast, LLC, 135 E. Algonquin Rd, Suite A2,  Arlington Heights, IL - The employer did not maintain a copy of the each employee's hepatitis B vaccination status, including the date(s) of all the hepatitis B vaccinations and medical records relative to the employee's ability to receive the vaccine.     In accordance with 29 CFR 1903.19 (c), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET).