OSHA Inspection: LYNN M. ANDREACOLA DMD

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

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

General-duty citation text

29 CFR 1910.151(c): Where employees were exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body were not provided within the work area for immediate emergency use:     a) Throughout facility: An eyewash station, capable of 15 minutes of continuous flush, was not provided where employees poured bleach, a corrosive chemical,  on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $2,000 · Current $1,000 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:     a) Throughout facility: Employees handled contaminated sharp dental tools, such as, but not limited to, curettes, burrs, drill bits, explorers and probes, during cleaning. Two employees received punctures while using the gloves when cleaning equipment, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $2,000 · Current $1,000 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) Throughout facility: The employer did not offer the hepatitis B vaccination to a temporary employee after the employee was stuck with contaminated dental equipment, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $0 · Current $0

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:Note:  Does not apply to employees who have previously received the complete hepatitis B vaccination series, for whom antibody testing has indicated immunity, or for whom the vaccine is contraindicated for medical reasons.   a) Throughout facility: The employer did not offer the hepatitis B vaccination to an employee within ten working days of initial assignment, which involved exposure to blood or other potentially infectious materials, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $2,000 · Current $1,000 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) Throughout facility: The employer did not ensure that post exposure treatments were provided to employees at no cost, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(1)(ii)(D): The employer did not ensure that all medical evaluations or procedures including the hepatitis B vaccine, vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were provided according to recommendations of the US. Public Health Service current at the time these evaluations and procedure took place:   a) Throughout facility: The employer did not provide post exposure treatment as required by the current US Public Health Service guidelines. This includes, but is not limited to, offering of the hepatitis B vaccination within 24 hours of  an exposure to those not vaccinated. The employer also did not have a contracted medical service provider that could provide immediate post exposure treatment including post exposure prophylaxis and counseling. The employer also did not have a contracted medical service provider to administer rapid HIV testing to the source individual, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(4)(ii)(A): The employer did not ensure that the health care professional evaluating an employee after an exposure incident was provided with a copy of this regulation:   a) Throughout facility: The employer did not provide a copy of the blood borne pathogen regulation to the physicians evaluating employees that had exposures to blood or other potentially infectious materials from contaminated dental equipment, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(4)(ii)(B): The employer did not ensure that the health care professional evaluating an employee after an exposure incident was provided with a description of the exposed employee's duties as they related to the exposure incident:   a) Throughout facility: The employer did not provide information to physicians evaluating employees that had exposure to blood or other potentially infectious materials from contaminated dental equipment regarding the employees duties as they related to the exposure incidents, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(4)(ii)(C): The employer did not ensure that the health care professional evaluating an employee after an exposure incident was provided with documentation of the route(s) of exposure or circumstances under which exposure occurred:   a) Throughout facility: The employer did not provide information to the physicians evaluating employees that had exposures to blood or other potentially infectious materials from contaminated dental equipment regarding the routes of exposure and the circumstances under which they occurred, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

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) Throughout facility: The employer did not ensure that employees who declined the hepatitis B vaccination signed the declination form located in appendix A of the standard. The employer did not have the employees hepatitis B vaccination records on file, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $2,000 · Current $0 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:     a) Throughout facility: The employer did provide initial bloodborne pathogen training to an employee upon initial assignment who performed such tasks as, but not limited to, assisting the dentist during treatment procedures and cleaning contaminated sharp dental tools, such as, but not limited to explorers, probes and drill burrs, curettes, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 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) Throughout facility: The employer did not provide annual bloodborne pathogen training to employees, on or about 4/5/13.

Issued

Jun 13, 2013

Abate by

Jul 10, 2013

Penalty

Initial $2,000 · Current $0 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:     a) Throughout facility: The employer did not provide hazard communication training initially upon assignment to employees using chemicals such as, but not limited to, bleach, a corrosive, Birex, Z3 and Optim 33,  on or about 4/5/13.