OSHA Inspection: APPLECARE, LLC

Issued

Apr 25, 2013

Abate by

May 21, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure:  a)  On or about February 14, 2013 and at times prior to, the employer failed to annually document consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure, resulting in a biohazard.  Clinical staff members at the urgent care facility were occupationally exposed to bloodborne pathogens while assisting the physician with procedures, drawing blood, giving injections, inserting IV needles, etc.  The facility utilized a written Exposure Control Plan.    The program did require that at least one aspect of the program be evaluated on an annual basis:  safety needle and sharp devices would be evaluated annually for safety and efficacy in needlestick prevention.  And when necessary, alternative engineering controls and work practices would be considered to prevent exposure.  No prior exposure incidents were identified at the urgent care facility.

Issued

Apr 25, 2013

Abate by

May 21, 2013

Penalty

Initial $0 · Current $0

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)  On or about February 14, 2013 and at times prior to, the employer failed to 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 document the solicitation in the Exposure Control Plan, resulting in a biohazard.  Clinical staff members at the urgent care facility were occupationally exposed to bloodborne pathogens while assisting the physician with procedures, drawing blood, giving injections, inserting IV needles, etc.  The facility utilized a written Exposure Control Plan.    When necessary, alternative engineering controls and work practices were considered to prevent exposure; however, the employer failed solicit and document input from employees.  No prior exposure incidents were identified at the urgent care facility.

Issued

Apr 25, 2013

Abate by

May 21, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(B): The employer did not ensure that the training was provided to employees with occupational exposure at least annually:  a)  On or about February 14, 2013 and at times prior to, the employer failed to train each employee with occupational exposure in accordance with the requirements of 29 CFR 1910.1030 at least annually, resulting in a biohazard.  Clinical staff members at the urgent care facility were occupationally exposed to bloodborne pathogens while assisting the physician with procedures, drawing blood, giving injections, inserting IV needles, etc.  The facility utilized a written Exposure Control Plan.    The employer provided some initial training when employees were hired; however, the employer could not provide any documentation regarding annual training with regard to the referenced standard.  No prior exposure incidents were identified at the urgent care facility.

Issued

Apr 25, 2013

Abate by

May 21, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(e)(1)(i): The employer did not comply a list of the hazardous chemicals known to be present using a product identifier that was referenced on the appropriate safety data sheet:  a)  Throughout the facility, on February 14, 2013 and at times prior to, the employer did not develop a list of the hazardous chemicals known to be present using a product identifier that is referenced on the appropriate safety data sheet including but not limited to Staphene (cleaning product) and oxygen, resulting in a chemical hazard.  Chemical Hazard.  Employees utilized cleaning products to sanitize the working surfaces and stored compressed oxygen for patient use.  The employer did not maintain SDSs for the products that they used.  The employer did not train employees regarding SDSs or their availability.  Other than being instructed to wear PPE, the employees were not instructed regarding the safe use of the products.

Issued

Apr 25, 2013

Abate by

May 21, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(g)(1): Chemical manufacturers and importers shall obtain or develop a safety data sheet for each hazardous chemical they produce or import. Employers shall have a safety data sheet in the workplace for each hazardous chemical which they use.  a)  In the facility, on February 14, 2013 and at times prior to, the employer did not maintain material safety data sheets for employees who used hazardous chemicals including but not limited to Staphene (cleaning product) and oxygen, resulting in a chemical hazard.  Chemical Hazard.  The employer did not maintain SDSs for the products that they used.  The employer did not train employees regarding SDSs or their availability.  Other than being instructed to wear PPE, the employees were not instructed regarding the safe use of the products.

Issued

Apr 25, 2013

Abate by

May 21, 2013

Penalty

Initial $0 · Current $0

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:  a)  Throughout the facility, on February 14, 1013 and at times prior to, the employer did not provide hazard communication training for employees who used hazardous chemicals including but not limited to Staphene (cleaning product) and oxygen, resulting in a chemical hazard.  Chemical Hazard.  The employer did not maintain SDSs for the products that they used.  The employer did not train employees regarding SDSs or their availability.  Other than being instructed to wear PPE, the employees were not instructed regarding the safe use of the products.