OSHA Inspection: DERMATOLOGY AND DERMATOLOGIC SURGERY, P.A.

Issued

2013-12-09 00:00:00

Penalty

Initial $2400.00 · Current $1800.00 Reduced

General-duty citation text

29 CFR 1910.36(g)(2): Exit access(es) were not at least 28 inches (71.1 cm) wide at all points.    a) Exit to building hallway    The door from the medical offices to the hallway could not be opened fully, reducing the width of the exit path to 17 inches where the door stuck by the hall stairs.    Violation occurred on or about 10/23/13

Issued

2013-12-09 00:00:00

Penalty

Initial $1600.00 · Current $1200.00 Reduced

General-duty citation text

29 CFR 1910.37(a)(3): Exit route(s) were not kept free and unobstructed:    a) Exit through breakroom to rear of building    The exit door from the breakroom was blocked with a garbage bin and mop.    Violation occurred on or about 10/23/13

Issued

2013-12-09 00:00:00

Penalty

Initial $1600.00 · Current $0.00 Reduced

General-duty citation text

29 CFR 1910.37(b)(4): Signs were not posted along the exit access indicating the direction of travel to the nearest exit and exit discharge when the direction of travel to the exit or exit discharge was not immediately apparent:    a) Hallway between examination rooms    There was no directional exit sign to indicate the exit to the rear of the building through the breakroom.    Violation occurred on or about 10/23/13

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $2000.00 · Current $1500.00 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:    a)  Establishment    The employer did not establish an exposure control plan for medical assistants potentially exposed to blood and other potentially infectious materials while working with the doctor performing skin treatments and surgeries.    Violation occurred on or about 10/23/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $2000.00 · Current $1500.00 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)  Establishment    The employer failed to use engineering controls that would eliminate or minimize exposure to blood or other potentially infectious material.  Such controls include the BD Eclipse Needle, Terumo Surguard 3 Safety Hypodermic Needle or Miltex-Integra Miltex Surgical Safety Scalpel, among other controls.    Violation occurred on or about 10/23/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(d)(4)(i): The employer did not determine or implement an appropriate written schedule for cleaning or method of decontamination based upon the location within the facility, type of surface to be cleaned, type of soil present, and tasks or procedures being performed in the area:  a)  Establishment  The employer did not have a written schedule for cleaning or method of decontamination for exam rooms with surfaces contaminated by blood or other potentially infectious material during procedures.  Violation occurred on or about 11/20/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $2000.00 · Current $1500.00 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 29 CFR 1910.1030 Appendix A:    a)  Establishment    The employer did not have employees declining hepatitis B vaccination sign the declination statement in Appendix A.  Workers were potentially exposed to blood and other potentially infectious material during skin treatments and surgeries.    Violation occurred on or about 10/23/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $0.00 · Current $0.00

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)  Establishment  The employer did not maintain records of  the hepatitis B vaccination status of medical assistants.  Workers were potentially exposed to blood and other potentially infectious material during skin treatments and surgeries.  Violation occurred on or about 11/20/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $2000.00 · Current $1500.00 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:    a)  Establishment    The employer did not provide annual bloodborne pathogen training for medical assistants potentially exposed to blood or other potentially infectious material while working with the doctor performing skin treatments and surgeries.    Violation occurred on or about 10/23/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $1600.00 · Current $1200.00 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 described how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) would be met:    a)  Establishment    The employer did not have a site-specific hazard communication program for medical assistants who worked with hazardous chemicals such as, but not limited to, MaxiCide Plus (3.4% glutaraldehyde) which they used to sterilize certain tools.      Violation occurred on or about 10/23/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1200(g)(8): The employer did not ensure that material safety data sheets were readily accessible to the employees in their work area during each work shift:  a)  Establishment  Safety data sheets were not available for medical assistants who worked with hazardous chemicals such as, but not limited to, MaxiCide Plus (3.4% glutaraldehyde) which they used to sterilize certain tools.  Violation occurred on or about 10/23/13.

Issued

2013-12-09 00:00:00

Abate by

2014-01-28 00:00:00

Penalty

Initial $0.00 · Current $0.00

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)  Establishment  Medical assistants were not trained on hazardous chemicals such as, but not limited to, MaxiCide Plus (3.4% glutaraldehyde) which they used to sterilize certain tools.  Violation occurred on or about 10/23/13.