OSHA Inspection: GLENWOOD MEDICAL ASSOCIATES

Issued

Jul 16, 2012

Abate by

Aug 15, 2012

Penalty

Initial $2,975 · Current $2,975

General-duty citation text

29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually and whenever necessary to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure:    (a) Glenwood Medical Associates at 1830 Blake St. in Glenwood Springs, CO: The employer did not review and update the Exposure Control Plan at least annually.  The Plan provided during the inspection was undated and did not include an exposure determination for each employee with occupational exposure.  The employer did not document annual consideration and implementation of safer medical devices.  This condition exposed employees to sharps injuries.    Abatement Note: The review and update of such plans shall:  	Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens; and  	Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure.  	An employer, who is required to establish an Exposure Control Plan, shall 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 shall document the solicitation in the Exposure Control Plan.    Abatement Note: The standard does not specify the level of detail that must be included in this documentation; however, sufficient information must be provided to substantiate the facility's judgment. As discussed in the preamble of the Final Rule, consideration and implementation of safer medical devices could be documented in the Exposure Control Plan by describing the safer devices identified as candidates for adoption; the method or methods used to evaluate devices and the results of the evaluations; and justification for selection decisions. (Excerpt from a Letter of Interpretation to Dr. Hyman on May 5, 2008)

Issued

Jul 16, 2012

Abate by

Aug 15, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(2)(i) Engineering and work practice controls were not used to eliminate or minimize employee exposure:    (a) Glenwood Medical Associates at 1830 Blake St. in Glenwood Springs, CO: The employer did not ensure that engineering and work practice controls were used to eliminate or minimize employee exposure.  Employees were allowed to use syringes without engineered sharps injury protections. This condition exposed employees to sharps injuries.    Abatement Note:  Abatement certification is required for this item (see enclosed "Certification of Corrective Action Worksheet").

Issued

Jul 16, 2012

Abate by

Aug 15, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(4)(iv)(A)(1) Contaminated laundry was not bagged or containerized at the location where it was used:    (a) Glenwood Medical Associates at 1830 Blake St. in Glenwood Springs, CO: Contaminated laundry was not bagged or containerized at the location where it was used in that employees carry contaminated sheets from treatment rooms to the Dirty Supply Room. This condition exposes employees to a bloodborne pathogens hazard.    Abatement Note: Contaminated Laundry means laundry which has been soiled with blood or other potentially infectious materials or may contain sharps.    Abatement Note:  Abatement certification is required for this item (see enclosed "Certification of Corrective Action Worksheet").

Issued

Jul 16, 2012

Abate by

Aug 15, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(N) The training program did not provide an opportunity for interactive questions and answers with the person conducting the training session:    (a)  Glenwood Medical Associates at 1830 Blake St. in Glenwood Springs, CO:  The bloodborne pathogens training program did not provide employees with the opportunity for interactive questions and answers with the person conducting the training session in that the employer relied upon a web-based training program.  This condition may prevent employees from fully understanding how to protect themselves from bloodborne pathogens hazards in their workplace.    Abatement Note:  Abatement certification is required for this item (see enclosed "Certification of Corrective Action Worksheet").

Issued

Jul 16, 2012

Abate by

Aug 15, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(e)(1) The employer did not develop, implement, and maintain at each workplace, a written hazard communication program which at least describes how the criteria specified in paragraphs (f), (g), and (h) of this section for labels and other forms of warning, material safety data sheets, and employee information and training will be met:    (a) Glenwood Medical Associates at 1830 Blake St. in Glenwood Springs, CO: The employer did not develop, implement, and maintain at the workplace a site specific written hazard communication program which describes how the criteria specified in paragraphs (f), (g), and (h) of this section for labels and other forms of warning, material safety data sheets, and employee information and training will be met.  This condition exposed employees to chemical and dust hazards.    Abatement Note:  Abatement certification is required for this item (see enclosed "Certification of Corrective Action Worksheet").

Issued

Jul 16, 2012

Abate by

Aug 15, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(f)(5)(i) The employer did not ensure that each container of hazardous chemicals in the workplace was labeled, tagged or marked with the identity of the hazardous chemical(s) contained therein:    (a) Glenwood Medical Associates at 1830 Blake St. in Glenwood Springs, CO: The employer did not ensure that each container of hazardous chemicals in the workplace was labeled, tagged or marked with the identity of the hazardous chemicals contained within.  An unlabeled container of blue liquid was observed on a countertop outside the laboratory area.  This condition exposed employees to a chemical hazard.