OSHA Inspection: H. ANDREW HANSEN II MD PA

Issued

Dec 3, 2012

Abate by

Dec 4, 2012

Penalty

Initial $2,000 · Current $1,200 Reduced

General-duty citation text

29 CFR 1910.132(d)(1): The employer did not assess the workplace to determine if hazards were present, or were likely to be present, which necessitated the use of personal protective equipment:    a) At the inspection site, where the employer did not require use of personal protective clothing such as laboratory coats or gowns by employees during occupational exposure situations, including, but not limited to, assisting with invasive varicose vein treatments and post-treatment patient care, and cleaning surfaces, equipment, and surgical instruments after venous procedures such as phlebectomies and endovenous radiofrequency ablation.    b) At the inspection site, where the employer did not provide appropriate personal protective equipment such as puncture-resistant gloves for employee use while performing tasks where the potential for injuries from contaminated sharps existed, including, but not limited to, transferring and scrubbing contaminated reuseable surgical instruments and supplies.

Issued

Dec 3, 2012

Abate by

Dec 4, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.138(a): The employer did not select and require employees to use appropriate hand protection when employees' hands were exposed to hazards such as those from skin absorption of harmful substances; severe cuts or lacerations; severe abrasions; punctures; chemical burns; thermal burns; and harmful temperature extremes:    At the inspection site, where the employer did not provide appropriate personal protective equipment such as puncture-resistant gloves for employee use while performing tasks where the potential for injuries from contaminated sharps existed, including, but not limited to, transferring and scrubbing contaminated reuseable surgical instruments and supplies.

Issued

Dec 3, 2012

Abate by

Dec 4, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(3)(xi): Appropriate protective clothing such as, but not limited to, gowns, aprons, lab coats, clinic jackets, or similar outer garments was not worn in occupational exposure situations:    At the inspection site, where the employer did not require use of personal protective clothing such as laboratory coats or gowns by employees during occupational exposure situations, including, but not limited to, assisting with invasive varicose vein treatments and post-treatment patient care, and cleaning surfaces, equipment, and surgical instruments after venous procedures such as phlebectomies and endovenous radiofrequency ablation.

Issued

Dec 3, 2012

Abate by

Dec 8, 2012

Penalty

Initial $2,800 · Current $1,680 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(i): The employer having employee(s) with occupational exposure did not establish a written Exposure Control Plan designed to eliminate or minimize employee exposure:    At the inspection site, the employer did not establish an Exposure Control Plan for employees who were required to assist during invasive vascular procedures such as Radio Frequency Ablation (vein closure), perform medical procedures such as sclerotherapy, or perform housekeeping tasks in occupational exposure areas where there was a potential for contamination with bloodborne pathogens, including cleaning of surfaces and equipment in procedure rooms, and transferring and scrubbing contaminated surgical instruments, exposing employees to the hazards of infection with bloodborne diseases.

Issued

Dec 3, 2012

Abate by

Dec 8, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(i): The employer did not ensure that each employee with occupational exposure participated in a training program:    At the inspection site, the employer did not provide training on the hazards of bloodborne pathogens to all employees at the time of initial assignment to tasks where occupational exposure may occur, including, but not limited to, assisting during vein closure procedures, cleaning of surfaces and equipment in procedure rooms, cleaning of surgical instruments used for venous procedures, and performing medical procedures such as sclerotherapy, exposing employees to the hazards of infection with bloodborne diseases.

Issued

Dec 3, 2012

Abate by

Dec 4, 2012

Penalty

Initial $2,800 · Current $1,680 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(vii)(A): Contaminated needles and other contaminated sharps were bent, recapped, or removed:    In the Procedure room, where venous procedures using surgical instruments and needles were performed, needles were recapped and discarded in the regulated waste bag with IV rigs, resulting in a needlestick to an employee while changing out the red bag.

Issued

Dec 3, 2012

Abate by

Dec 4, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(4)(iii)(A)(1): Contaminated sharps were not discarded immediately or as soon as feasible in containers that were constructed in accordance with subparagraph (i) - (iv) of this section:    In the Procedure room, where venous procedures using surgical instruments and needles were performed, needles were recapped and discarded in the regulated waste bag with IV rigs in lieu of a sharps container, resulting in a needlestick to an employee while changing out the red bag.

Issued

Dec 3, 2012

Abate by

Dec 8, 2012

Penalty

Initial $2,000 · Current $1,200 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(x):     Food and drink was kept in refrigerators, freezers, shelves, cabinets or on countertops or benchtops where blood or other potentially infectious materials were present:    In the storage room, red biohazard bags containing regulated waste from vascular surgical procedures were stored in corrugated Biohazard boxes beside bottled drinking water and a refrigerator used by employees for food storage, exposing employees to the hazards of infection with bloodborne diseases.

Issued

Dec 3, 2012

Abate by

Dec 4, 2012

Penalty

Initial $2,800 · Current $1,680 Reduced

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:    At the inspection site, on or about July 6, 2012, the employer did not make available post-exposure evaluation and follow-up to an employee who experienced a needlestick while changing out a regulated waste bag in the procedure room, exposing employee(s) to the hazards of infection with bloodborne diseases.