OSHA Inspection: TERESA A MARLINO M.D., LLC

Issued

May 15, 2013

Abate by

Jun 19, 2013

Penalty

Initial $2,000 · Current $1,400 Reduced

Hazardous substances 8400

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:    a) Teresa A Marlino M.D.: Employees (Physician and Medical Assistant) were occupationally exposed to blood or other potentially infectious materials while administering injections and while collecting and preparing vaginal and cervical specimens and cultures. The employer did not develop or implement a written Exposure Control Plan for the site. On or about May 1, 2013.

Issued

May 15, 2013

Abate by

Jun 4, 2013

Penalty

Initial $0 · Current $0

Hazardous substances 8400

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:  a) Teresa A Marlino M.D.: An employee (Medical Assistant) while administering the Guardasil vaccine with a 1 miilliliter Tuberculin non-safety engineered syringe with a 25G x 5/8 inch needle (Reorder Number 309626) was potentially exposed to bloodborne pathogens. The employer did not solicit input from the employees concerning the selection of safer and effective engineering controls. On or about December 1, 2013.

Issued

May 15, 2013

Abate by

Jun 4, 2013

Penalty

Initial $0 · Current $0

Hazardous substances 8400

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) Teresa A. Marlino M.D.: An employee (Medical Assistant) while administering the Guardasil vaccine with a BD 1 milliliter Tuberculin non-safety engineered syringe with a 25G x 5/8 inch needle (Reorder Number 309626) was potentially exposed to bloodborne pathogens. The employer did not provide the employee with safety engineered syringes to administer the Guardasil vaccine. On or about December 1, 2012.   b) Teresa A. Marlino M.D.: An employee (Physician) used a BD 1 milliliter Tuberculin non-safety engineered syringe (Reorder Number 309626) with a non-safety engineered BD 23G x 1 inch PrecisionGlide Needle (Reorder Number 305145) to administer vulvar injecions, potentially exposing the employee to bloodborne pathogens. The employer did not administer injections with a safety engineered syringe. On or about May 1, 2013.

Issued

May 15, 2013

Abate by

May 30, 2013

Penalty

Initial $1,200 · Current $840 Reduced

Hazardous substances 8400

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) Teresa A Marlino M.D.: An employee (Medical Assistant) while administering the Guardasil vaccine and preparing vaginal and cervical specimens and cultures was potentially exposed to blood and other potentially infectious materials. The employer did not offer the employee the Hepatitis B vaccine. On or about May 1, 2013.

Issued

May 15, 2013

Abate by

May 30, 2013

Penalty

Initial $0 · Current $0

Hazardous substances 8400

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 vacination as required by 29 CFR 1910.1030(f)(2):  a) Teresa A Marlino M.D.: An employee (Medical Assistant) while administering the Guardasil vaccine and preparing vaginal and cervical specimens and cultures was potentially exposed to blood and other potentially infectious materials. The employer did not maintain a medical record to include the Hepatitis B vaccine status of the employee. On or about May 1, 2013.

Issued

May 15, 2013

Abate by

May 30, 2013

Penalty

Initial $1,200 · Current $840 Reduced

Hazardous substances 8400

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) Teresa A Marlino M.D.: An employee (Medical Assistant) while administering the Guardasil vaccine and prepparing vaginal and cervical specimens and cultures was potentially exposed to blood and other potentially infectious materials. The employer did not provide the employee with bloodborne pathogens training prior to initial assignment of tasks where occupational exposure tasks may take place. On or about May 1, 2013.

Issued

May 15, 2013

Abate by

Jun 19, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(e)(1): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met:  a) Teresa A Marlino, M.D.: An employee (Medical Assistant) used chemicals such as, but not limited to, Cidex OPA containing ortho-Phthalaldehyde, Certol Dual Enzymatic Detergent ProEZ and Regimen Germicidal Solution containing Ethylene Glycol Monobutyl Ether to clean reusable instruments. The employer did not develop or implement a written Hazard Communication Program. On or about May 1, 2013.

Issued

May 15, 2013

Abate by

May 25, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(g)(8):   The employer did not maintain in the workplace copies of the required safety data sheets for each hazardous chemical  a) Teresa A Marlino, M.D.: An employee (Medical Assistant) used chemicals such as, but not limited to, Cidex OPA containing ortho-Phthalaldehyde, Certol Dual Enzymatic Detergent ProEZ and Regimen Germicidal Solution containing Ethylene Glycol Monobutyl Ether to clean reusable instruments. The employer did not maintain the material safety data sheets for the chemicals used onsite. On or about May 1, 2013.

Issued

May 15, 2013

Abate by

May 30, 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) Teresa A Marlino, M.D.: An employee (Medical Assistant) used chemicals such as, but not limited to, Cidex OPA containing ortho-Phthalaldehyde, Certol Dual Enzymatic Detergent ProEZ and Regimen Germicidal Solution containing Ethylene Glycol Monobutyl Ether to clean reusable instruments. The employer did not provide training on the chemicals used on the worksite. On or about May 1, 2013.