OSHA Inspection: BREATHEAMERICA TULSA, LLC

Issued

Oct 23, 2012

Abate by

Nov 1, 2012

Penalty

Initial $2,800 · Current $2,200 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(i): Engineering and work practice controls were not used to eliminate or minimize employees exposure:    On or about May 2, 2012, the employer had not implemented the use of engineering controls such as, but not limited to, sharps with engineered sharps injury protection for employees engaged in operations such as, but not limited to, administering allergy tests and allergy injections.

Issued

Oct 23, 2012

Abate by

Dec 6, 2012

Penalty

Initial $2,000 · Current $0 Reduced

General-duty citation text

29 CFR 1910.1030(d)(4)(i): The employer did not determine or implement an appropriate written schedule for cleaning or method of decontamination based upon the location within the facility, type of surface to be cleaned, type of soil present, and tasks or procedures being performed in the area:  On or about May 2, 2012, the employer did not implement a written cleaning and decontamination schedule for employees with occupational exposure, such as, but not limited to, nurses, medical assistants, and physicians assistants.

Issued

Oct 23, 2012

Abate by

Dec 6, 2012

Penalty

Initial $2,800 · Current $2,200 Reduced

General-duty citation text

29 CFR 1910.1030(f)(2)(i):  Hepatitis B vaccination was not made available within 10 working days of initial assignment to all employee(s) with occupational exposure:  On or about May 2, 2012, for employees with occupational exposure, such as, but not limited to, nurses and medical assistants the employer did not make the Hepatitis B vaccination available within 10 days of assignment.

Issued

Oct 23, 2012

Abate by

Dec 6, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(1)(ii)(B):  The medical record for an employee with occupational exposure did not include a copy of the employee's hepatitis B vaccination status, including the dates of all the hepatitis B vaccinations or any medical records relative to the employee's ability to receive vaccination as required by 29 CFR 1910.1030(f)(2):  On or about May 2, 2012, the employer did not ensure medical records documented employees' Hepatitis B vaccination status.

Issued

Oct 23, 2012

Abate by

Nov 13, 2012

Penalty

Initial $2,800 · Current $2,200 Reduced

General-duty citation text

29 CFR 1910.1030(f)(3)(i):  The post-exposure evaluation and follow-up of an exposure incident did not include documentation of the route(s) of exposure and the circumstances under which the exposure incident occurred:  On or about May 2, 2012, the employer did not ensure documentation of an exposure incident contained sufficient detail about the incident, such as, but not limited to, engineering controls in use at the time, work practices followed, a description of the device in use, protective equipment or clothing that was used at the time of the exposure incident, location, procedure being performed when the incident occurred, and the employee's training.

Issued

Oct 23, 2012

Abate by

Nov 13, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(3)(ii): The post-exposure evaluation and follow-up of an exposure incident did not include the identification or documentation of the source individual:  On or about May 2, 2012, the employer did not ensure post-exposure evaluation and follow-up of exposure incidents included identification or documentation of the source individual.

Issued

Oct 23, 2012

Abate by

Nov 6, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(3)(iv):  The post-exposure evaluation and follow-up of an exposure incident did not include post exposure prophylaxis, when medically indicated, as recommended by the U.S. Public Health Service:  On or about May 2, 2012, and at times prior thereto, the employer did not ensure post-exposure evaluation and follow-up of exposure incidents included post exposure prophylaxis, when medically indicated, as recommended by the U.S. Public Health Service.

Issued

Oct 23, 2012

Abate by

Nov 6, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(3)(v):  The post-exposure evaluation and follow-up of an exposure incident did not include counseling:  On or about May 2, 2012, and at times prior thereto, the employer did not ensure post-exposure evaluation and follow-up of an exposure incident included counseling.

Issued

Oct 23, 2012

Abate by

Nov 6, 2012

Penalty

Initial $2,000 · Current $1,600 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(A): The employer did not ensure that training was provided to employees with occupational exposure at the time of initial assignment to tasks where occupational exposure might take place:  On or about May 2, 2012, the employer did not provide training to employees with occupational exposure, such as, but not limited to, nurses, medical assistants, and physicians assistants at the time of their initial assignment.

Issued

Oct 23, 2012

Abate by

Nov 23, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(2)(i)(B):  Employee training records for bloodborne pathogens did not include the contents or a summary of the training sessions:  On or about May 2, 2012, for employees with occupational exposure, such as, but not limited to, nurses, medical assistants, and physicians assistants, the employer did not ensure that employee training records for bloodborne pathogens included the contents or a summary of the training sessions.

Issued

Oct 23, 2012

Abate by

Nov 13, 2012

Penalty

Initial $2,800 · Current $2,200 Reduced

General-duty citation text

29 CFR 1910.1030(h)(1)(iii)(A):  The employer did not ensure that employee medical records required by 29 CFR 1910.1030(h)(1) were kept confidential:  On or about May 2, 2012, and at times prior thereto, the employer did not ensure employee lab work results generated as a part of post-exposure evaluation and follow-up were kept confidential.

Issued

Oct 23, 2012

Abate by

Nov 13, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(1)(iii)(B):  The employer did not ensure that employee medical records required by 29 CFR 1910.1030(h)(1) were not disclosed or reported without the employee's expressed written consent to any person within or outside the workplace:  On or about May 2, 2012, and at times prior thereto, the employer did not ensure employee lab work results generated as a part of post-exposure evaluation and follow-up were not disclosed without the employee's expressed written consent to any person within or outside the workplace.

Issued

Oct 23, 2012

Abate by

Nov 22, 2012

Penalty

Initial $1,200 · Current $1,100 Reduced

General-duty citation text

29 CFR 1910.1200(h)(1):  Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area:  On or about May 2, 2012, employees exposed to chemicals such as, but not limited to, EZ-Kill (Isopropyl Alcohol, 2-Butoxyethanol, Ethylene Glycol), Chlorox Disinfecting Wipes (n-Alkyl dimethyl benzyl ammonium chloride, n-Alkyl dimethyl ethylbenzyl ammonium chloride, Isopropyl alcohol) and Oxygen (compressed) were not provided information and training as specified in 29 CFR 1910.1200(h)(1), (2), and (3) at the time of their initial assignment.