OSHA Inspection: COAST MULTI SPECIALTY MEDICAL GROUP, P.A.

Issued

Jun 23, 2014

Penalty

Initial $2,000 · Current $2,000

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:    a. On or about March 18, 2014,  a medical assistant was exposed to bloodborne pathogen hazards while assisting the physician during surgeries and the employer did not offer the Hepatitis B vaccination series within 10 working days of initial assignment.

Issued

Jun 23, 2014

Abate by

Jul 18, 2014

Penalty

Initial $2,000 · Current $0 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(vii): The employer's training program did not contain the minimum elements required by 29 CFR 1910.1030(g)(2)(vii)(A) through (g)(2)(vii)(N):    a. On or about March 18, 2014, the bloodborne pathogens training provided to the employees did not contain all the minimum elements required under the bloodborne pathogens training program.  The training did not include:       1. An accessible copy of the regulatory text of this standard and an explanation of its contents;  2. A general explanation of the epidemiology and symptoms of bloodborne diseases;  3. An explanation of the modes of transmission of bloodborne pathogens;  4. An explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan;  5. An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood and other potentially infectious materials;  6. An explanation of the basis for selection of personal protective equipment;  7. Information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine and vaccination will be offered free of charge;  8. Information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials;  9. An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available; and  10. Information on the post-exposure evaluation and follow-up that the employer is required to provide for the employee following an exposure incident.

Issued

Jun 23, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually:  a. On or about March 18, 2014, the employer had a written Exposure Control Plan that had not been reviewed at least annually to include all elements required under the OSHA standard.  The Safety Officer identified in the program was an employee that no longer worked at the office and was reviewed in 2002.

Issued

Jun 23, 2014

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:  a. On or about March 18, 2014, employees worked side by side with the physician during surgical procedures and the employer did not solicit input from non-managerial employees in the identification, evaluation, and selection of better and/or effective engineering and work practice controls used at the center that could prevent injuries from contaminated sharps.

Issued

Jun 23, 2014

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. On or about March 29, 2014, the employers' Hepatitis B declination letter included in the new employee application package did not include the statement required under Appendix A of the 1910.1030 Bloodborne Pathogens standard.

Issued

Jun 23, 2014

Abate by

Jul 18, 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:  a. On or about March 18, 2014, employees worked with or around hazardous chemicals such as, but not limited to, Cidex Plus and 10% Formalin solution and the employer did not provide effective information on the location of the employers' hazard communication program, the location of the safety data sheets, and the health hazards of the chemicals at the time of their initial assignment.