OSHA Inspection: COLUMBIA MAXILLOFACIAL IMAGING, LLC

Issued

Nov 15, 2013

Penalty

Initial $3,600 · Current $2,500 Reduced

General-duty citation text

29 CFR 1910.101(b): The in-plant handling, storage, and utilization of all compressed gases in cylinders, portable tanks, rail tankcars, or motor vehicle cargo tanks were not in accordance with Compressed Gas Association Pamphlet P-1-1965, which is incorporated by reference as specified in CFR 1910.6:    ORAL SURGERY STORAGE ROOM:  On or about August 29, 2013, three "E" size cylinders of compressed gas (two oxygen, one nitrous oxide) were stored behind a door without being secured to prevent the cylinders from falling.  (Ref. CGA-P-1-1965 Section 3.3.1 referencing CGA P-1 Scetion 5.7.4)

Issued

Nov 15, 2013

Penalty

Initial $2,700 · Current $0 Reduced

General-duty citation text

29 CFR 1910.157(e)(3): Portable fire extinguishers were not subjected to an annual maintenance check:    STERILIZATION AND BREAK ROOMS:  On or about August 29, 2013, a portable fire extinguisher mounted on the wall in was observed to have an inspection tag indicating that the last inspection had been conducted in May 2012.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $4,500 · Current $3,120 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(ii): The employer's Exposure Control Plan did not contain at least the elements in 29 CFR 1910.1030(c)(1)(ii)(A) through (c)(1)(ii)(C):    On or about August 29, 2013, the employer had developed an Exposure Control Plan that was deficient in the following areas: there was no procedure for handling used PPE, no location was listed for administration of HBV vaccinations, and there was no information describing where employee medical records would be stored.    Employees perform dental procedures ranging from prophylactic cleaning to periodontics, orthodontics, and oral surgery on a daily basis.  During these procedures they are exposed to patients' blood.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $4,500 · Current $3,120 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:      STERILIZATION ROOM:  On or about August 29, 2013, the employer had not implemented engineering or work practice controls to eliminate or minimnize exposure of employees to contaminated reusable sharps.  Such equipment must be scrubbed to remove gross contamination prior to ultrasonic treatment.    Employees perform dental procedures ranging from prophylactic cleaning to periodontics, orthodontics, and oral surgery.  The reusable sharps are contaminated with patients' blood.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $4,500 · Current $3,120 Reduced

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:    COMPANY-WIDE:  On or about August 29, 2013 the employer presented forms completed by some employees indicating that they had received the vaccination series.  The statement from Appendix A was not included on the form.    Employees perform dental procedures ranging from prophylactic cleaning to periodontics, orthodontics, and oral surgery on a daily basis.  During these procedures they are exposed to patients' blood.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $4,500 · Current $3,120 Reduced

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:    COMPANY-WIDE:    On or about August 29, 2013, the employer had not provided employees with training related to the Exposure Control Plan and blood-borne pathogens.    Employees perform dental procedures ranging from prophylactic cleaning to periodontics, orthodontics, and oral surgery on a daily basis.  During these procedures they are exposed to patients' blood.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $4,500 · Current $3,120 Reduced

General-duty citation text

29 CFR 1910.1096(d)(1): The employer did not make such surveys as necessary to evaluate the radiation hazards incident to the production, use, release, disposal or presence of radioactive materials or other sources of radiation under a specific set of conditions:    FACILITY-WIDE:  On or about August 29 and September 3, 2013, the employer had not conducted an evaluation of the radiation hazards related to the GENDEX Expert DC x-ray machines present throughout the office or the Imaging Sciences I-Cat Cone Beam 3-D Dental Imaging System.  The GENDEX Expert DC x-ray machines are installed in each operatory/examining room.    Dental hygienists and assistants take x-rays of patients as necessary during routine treatments.  Employees who work in the operatories/examination rooms are exposed daily to any scatter radiation or radiation leaks in the rooms from the GENDEX Expert DC x-ray machines.  In addition, the receptionist is potentially exposed due to the location of her desk in relation to the I-Cat Cone Beam 3-D Dental Imaging System.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1096(i)(2): All individuals working in or frequenting any portion of radiation areas were not instructed in the safety problems associated with exposure to radioactive materials or radiation and in precautions or devices to minimize exposure:  FACILITY-WIDE: On or about August 29, 2013, the employer had not instructed the employees who use or work in the area of the x-ray machines and the I-Cat Cone Beam 3-D Dental Imaging System of safety problems associated with exposure to ionizing radiation and in precautions or devices to minimize exposure.  Dental hygienists and assistants take x-rays of patients as necessary during routine treatments.  Employees who work in the operatories/examination rooms are exposed daily to any scatter radiation or radiation leaks in the rooms from the GENDEX Expert DC x-ray machines.  In addition, the receptionist is potentially exposed due to the location of her desk in relation to the I-Cat Cone Beam 3-D Dental Imaging System.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1096(i)(3): The employer did not post a current copy of 29 CFR 1910.1096, and a copy of the operating procedures applicable to the work conspicuously in such location(s), to ensure that employees working in or frequenting radiation areas would observe these documents on the way to or from their place of employment:  FACILITY-WIDE: On or about August 29, 2013, the employer did not have a current copy of 29 CFR 1910.1096 or site-specific operating procedures for the GENDEX Expert DC x-ray machines available for employees to review.  Dental hygienists and assistants take x-rays of patients as necessary during routine treatments.  Employees who work in the operatories/examination rooms are exposed daily to any scatter radiation or radiation leaks in the rooms from the GENDEX Expert DC x-ray machines.  In addition, the receptionist is potentially exposed due to the location of her desk in relation to the I-Cat Cone Beam 3-D Dental Imaging System.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

Penalty

Initial $2,700 · Current $1,900 Reduced

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:    OPERATORIES, STERILIZATION ROOMS, LAB:    On or about August 29, 2013, the employer had not developed a hazard communication program addressing hazardous chemicals used in the facility.  Employees use chemicals to clean and disinfect operatories and equipment on a daily basis.  Chemical products used in the office include, but are not limited to: isopropyl alcohol, o-phenylphenol, o-benzyl-p-chlorophenol, phosphoric acid, p-tertiary amylphenol, and dodecylbenzene sulfonic acid.

Issued

Nov 15, 2013

Abate by

Jan 6, 2014

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:  OPERATORIES, STERILIZATION ROOMS, LAB:  On or about August 29, 2013, the employer had not provided employees with information and training addressing hazardous chemicals used in the facility.  Employees use chemicals to clean and disinfect operatories and equipment on a daily basis.  Chemical products used in the office include, but are not limited to: isopropyl alcohol, o-phenylphenol, o-benzyl-p-chlorophenol, phosphoric acid, p-tertiary amylphenol, and dodecylbenzene sulfonic acid.