OSHA Inspection: PAIN INSTITUTE OF CENTRAL PA, P.C.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $1600.00 · Current $1050.00 Reduced

Hazardous substances 8210

General-duty citation text

29 CFR 1910.132(a): Protective equipment, including personal protective equipment for eyes, face, head, and extremities, protective clothing, respiratory devices, and protective shields and barriers, was not provided, used, or maintained in a sanitary and reliable condition wherever it was necessary by reason of hazards of processes or environment, chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through absorption, inhalation or physical contact:    a)  In the Fluoroscopy Room - On or about January 16, 2015, employees, assisting with fluoroscopic procedures, were inadequately protected from the hazard of ionizing X-Ray radiation, in that they were not provided a leaded barrier behind which to observe and assist with the procedure.      b)  In the Fluoroscopy Room - On or about January 16, 2015, employees, assisting with fluoroscopic procedures, were inadequately protected from the hazard of ionizing X-Ray radiation, in that each affected employee was not provided adequately protective .75mm lead-equivalent safety glasses.      c)  In the Fluoroscopy Room - On or about January 16, 2015, employees, assisting with fluoroscopic procedures, were inadequately protected from the hazard of ionizing X-Ray radiation, in that each affected employee was not provided adequately sized and adequately protective .35mm lead-equivalent lead aprons.      Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Penalty

Initial $0.00 · Current $0.00

Hazardous substances 8210

General-duty citation text

29 CFR 1910.133(a)(1): The employer did not ensure that each affected employee uses appropriate eye or face protection when exposed to eye or face hazards from flying particles, molten metal, liquid chemicals, acids or caustic liquids, chemical gases or vapors, or potentially injurious light radiation:  a)  In the Fluoroscopy Room - On or about January 16, 2015, employees, assisting with fluoroscopic procedures, were inadequately protected from the hazard of ionizing X-Ray radiation, in that each affected employee was not provided adequately protective .75mm lead-equivalent safety glasses.    No abatement certification or documentation required.

Issued

2015-07-16 00:00:00

Penalty

Initial $2000.00 · Current $1300.00 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)  At the Establishment - On or about January 16, 2015, the employer had not established a written exposure control plan for office managers and medical assistants sterilizing or pre-soaking the radio-procedure needle, bandaging patient injection sites, and cleaning the procedure rooms between patients.    No abatement certification or documentation required.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 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)  At the Establishment - On or about January 16, 2015, the employer had not determined or implemented a written schedule for cleaning and 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, in that the employees were using Q94384 Sani-Wipe Surface Sanitizing Wipe from Nice-Pak Products, Inc., a food service wipe to disinfect the minorly invasive pain injection procedure rooms.     Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $0.00 · Current $0.00

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)  At the Establishment - On or about January 16, 2015, the employer had not provided information and training containing at a minimum the elements listed in 29 CFR 1910.1030(g)(2)(vii)(A)-(N) to employees performing the duties of the medical assistant position sterilizing or pre-soaking the radio-procedure needle, bandaging patient injection sites, and cleaning the procedure rooms between patients, at the time of assignment and at least annually thereafter.    Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $2000.00 · Current $1300.00 Reduced

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)  At the Establishment - On or about January 16, 2015, the employer had not offered hepatitis B vaccinations within 10 days of initial assignment to the medical assistant position sterilizing or pre-soaking the radio-procedure needle, bandaging patient injection sites, and cleaning the procedure rooms between patients.    Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $2000.00 · Current $1300.00 Reduced

Hazardous substances 8210

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:    a)  In the Fluoroscopy Room - On or about January 16, 2015, the employer had not made an initial survey to evaluate the fluoroscopic X-Ray radiation hazards under actual fluoroscopic procedural conditions, including a physical survey of the location of materials and equipment, and measurements of levels of radiation present throughout the fluoroscopic procedure room.    Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $0.00 · Current $0.00

Hazardous substances 8210

General-duty citation text

29 CFR 1910.1096(d)(2)(i): The employer did not supply appropriate personnel monitoring equipment, such as film badges, pocket chambers, pocket dosimeters, or film rings, and/or require the use of such equipment by each employee who entered a restricted area under such circumstances that he received or was likely to receive a dose in any calendar quarter in excess of 25 percent of the applicable value specified in 29 CFR 1910.1096(b)(1):    a)  In the Fluoroscopy Room - On or about January 16, 2015, the employer had not supplied appropriate personal personnel monitoring equipment, such as film badges, pocket chambers, pocket dosimeters, or film rings for each employee entering a restricted area who is likely to receive 25% of the Permissible Dose listed in 29 CFR 1910.1096 Table G-18 in any calendar quarter, or 13 consecutive week time period.      Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $2000.00 · Current $1300.00 Reduced

Hazardous substances 8210

General-duty citation text

29 CFR 1910.1096(i)(2): All individuals working in or frequenting any portion of radiation area(s) were not informed of the occurrence of radioactive materials or of radiation in such portions of the radiation area; were not instructed in the safety problems associated with exposure to radioactive materials or radiation and in precautions or devices to minimize exposure; were not instructed in the applicable provisions of 29 CFR 1910.1096 for the protection of employees from exposure to radiation or radioactive materials; were not advised of reports of radiation exposure which employees may request pursuant to the regulations in 29 CFR 1910.1096:    a)  In the Fluoroscopy Room - On or about January 16, 2015, the employer had not informed and instructed employees, working in or frequenting any portion of a radiation area, in the safety problems associated with exposure to fluoroscopic X-Ray radiation and in precautions or devices to minimize exposure As Low As Reasonably Achievable (ALARA); in the applicable provisions of 29 CFR 1910.1096 for the protection of employees from exposure to fluoroscopic X-Ray radiation; and in the understanding of radiation exposure reports which were not available upon request.     Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $0.00 · Current $0.00

Hazardous substances 8210

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:    a)  In the Fluoroscopy Room - On or about January 16, 2015, the employer had not posted a current copy of the standard 29 CFR 1910.1096 Ionizing Radiation, nor had the employer posted a copy of the Radiation Control Program, consisting of clear and situation/patient-specific operating procedures for the fluoroscopic X-Ray Imaging machine.      Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Penalty

Initial $1200.00 · Current $750.00 Reduced

Hazardous substances 106013611560

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)  At the Establishment - On or about January 16, 2015, the employer had not developed, implemented, or maintained, a written hazard communication program which at least described how the criteria specified in paragraphs (f) Labels, (g) [Material] Safety Data Sheets, and (h) Training was being met for employees using chemicals such as but not limited to CIDEX Activated Dialdehyde Solution, Enzymatic Detergent and Presoak, Aplicare Iodophor PVP Pouches, Sani-Wipes, and McKesson Antimicrobial Lotion Soap with Aloe at the time of their assignment as medical assistant employees.     Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Penalty

Initial $0.00 · Current $0.00

Hazardous substances 106013611560

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, and did not ensure that they were readily accessible during each work  shift to employees when they were in their work area(s):  a)  At the Establishment - On or about January 16, 2015, the employer had not maintained at the workplace copies of the required [material] safety data sheets ([M]SDS) for the hazardous chemicals, including but not limited to CIDEX Activated Dialdehyde Solution, Enzymatic Detergent and Presoak, Aplicare Iodophor PVP Pouches, Sani-Wipes, and McKesson Antimicrobial Lotion Soap with Aloe and had not ensured that they were readily accessible during each work shift.    Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $0.00 · Current $0.00

Hazardous substances 106013611560

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)  At the Establishment - On or about January 16, 2015, the employer had not provided employees with effective information and training on the chemical-specific health and physical hazards associated with but not limited to CIDEX Activated Dialdehyde Solution, Enzymatic Detergent and Presoak, Aplicare Iodophor PVP Pouches, Sani-Wipes, and McKesson Antimicrobial Lotion Soap with Aloe at the time of their assignment as medical assistant employees.     Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $0.00 · Current $0.00

Hazardous substances 106013611560

General-duty citation text

29 CFR 1910.1200(h)(3)(iv):   The details of the hazard communication program developed by the employer, did not include an explanation of the labels received on shipped containers and the workplace labeling system used by their employer; the safety data sheet, including the order of information and how employee could obtain and use the appropriate hazard information:    a)  At the Establishment - On or about January 16, 2015, the employer had not conducted training on the revised HCS 2012 shipping container labels, the hazard pictograms, and safety data sheet (SDS) organization for the workplace hazardous chemicals, such as but not limited to CIDEX Activated Dialdehyde Solution, Enzymatic Detergent and Presoak, Aplicare Iodophor PVP Pouches, Sani-Wipes, and McKesson Antimicrobial Lotion Soap with Aloe so that the employees could find and apply the SDS hazard information.      Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.

Issued

2015-07-16 00:00:00

Abate by

2015-09-20 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.157(e)(3): Portable fire extinguishers were not subjected to an annual maintenance check:    a)  At the Establishment - On or about January 16, 2015, the employer had not assured that the portable fire extinguishers were subjected to an annual maintenance check.     Abatement certification required within 10 days after abatement date. The certification shall include a statement that abatement is complete, date and method of abatement, and states employees and their representatives were informed of this abatement.