OSHA Inspection: HUNTER HOLMES MCGUIRE VA MEDICAL CENTER

Issued

2015-11-06 00:00:00

Abate by

2015-11-27 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1960.55(a): The Agency did not provide safety and health training for supervisory employees:  1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, management officials were not provided specialized job safety and health training to include recordkeeping.  Abatement certification and documentation required within 10 days after abatement date. The certification shall include a statement that abatement is complete, the date and method of abatement, and state that employees and their representatives were informed of this abatement. Abatement documentation shall include documents demonstrating that abatement is complete, such as evidence of the purchase or repair of equipment, photographic or video evidence of abatement or other written records.

Issued

2015-11-06 00:00:00

Abate by

2015-11-27 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1960.59(a): The Agency did not provide specialized job safety and health training appropriate to the work performed by the employee:  1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, employees were not provided specialized job safety and health training to include recordkeeping.  Abatement certification and documentation required within 10 days after abatement date. The certification shall include a statement that abatement is complete, the date and method of abatement, and state that employees and their representatives were informed of this abatement. Abatement documentation shall include documents demonstrating that abatement is complete, such as evidence of the purchase or repair of equipment, photographic or video evidence of abatement or other written records.

Issued

2015-11-06 00:00:00

Abate by

2015-12-28 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1960.8(a): The Agency head did not furnish employment and a place of employment to each employee that was free from recognized hazards that caused or were likely to cause death or serious physical harm:      1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, employees were exposed to the hazard of workplace violence and physical assaults while providing services and treating patients. The employer did not implement adequate measures to prevent workplace violence at this facility.    Among other methods, feasible and acceptable means to abate the hazard of workplace violence include:      1.  Follow the recommendation in Department of Veterans Affairs Office of Inspector General Report No. 11-00215-194 Management of Workplace Violence in Veterans Health Administrations Facilities dated June 14, 2012.       2.     Follow the VHA Directive 2010-053 Patient Record Flags dated December 3, 2010, including, but not limited to: communication among staff so they are aware of high risk patients.       3.     Follow the VHA Directive 2012-26 Sexual Assaults and other defined public safety incidents in Veterans Health Administration (VHA) Facilities dated September 27, 2012 including, but not limited to:      a)  Ensuring the Employee Threat Assessment Team, Disruptive Behavior Committee (DBC), and Prevention and Management of Disruptive Behavior (PMDB) program disruptive behavior reporting and tracking systems operate successfully.     b)   Reviewing and ensuring data required by this Directive are collected, tracked, trended, and analyzed with actions taken on finding as appropriate.      c)      Ensuring facility implementation, utilization, and regular testing of physical security equipment to include, as appropriate: computer-based panic alarms, and other equipment as determined by the local risk assessment.       4.     Require and ensure all employees report instances of violence, regardless of severity.  Ensure reports are complete and corrective action is taken where appropriate.     5.     Ensure all instance of WPV for the VAMC and off-campus locations are referred to the DBC.     6.     Establish a comprehensive program of medical and psychological counseling and debriefing for employees who experience or witness violent incidents.    7.     Ensure adequate staffing is used while providing services and care to patients.    8.     Implement sign-in procedures and visitor passes.  Institute a method to timely inform the security, clinical, and sign-in staff of patients and visitors with a history of violence or visitation restrictions.    9.     Restrict building access to limit the number of unsecured entrances.    10.  Direct visitors/patients to secure entrances to be screened for weapons and to implement safety measures required by patient record flags.  Ensure staff is adequately trained to screen visitors for weapons.

Issued

2015-11-06 00:00:00

Abate by

2017-02-28 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1960.59(a): The Agency did not provide specialized job safety and health training appropriate to the work performed by the employee:    1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, employees were exposed to the hazard of workplace violence and physical assaults while providing services and treating patients. The employer did not provide specialized job safety training to prevent workplace violence at this facility.    Abatement certification and documentation required within 10 days after abatement date. The certification shall include a statement that abatement is complete, the date and method of abatement, and state that employees and their representatives were informed of this abatement. Abatement documentation shall include documents demonstrating that abatement is complete, such as evidence of the purchase or repair of equipment, photographic or video evidence of abatement or other written records.

Issued

2015-11-06 00:00:00

Abate by

2015-11-27 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.4(a): The employer did not record each work-related fatality, injury or illness case that resulted in the general recording criteria on the OSHA Form 300 or equivalent:  1201 Broad Rock Rd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, the employer did not record the following workplace injuries and illnesses on the OSHA Form 300 or equivalent for the calendar year 2015.  a) April 8, 2015, Nursing, knee injured when kicked by patient that resulted in medical treatment was not recorded.  b) April 7, 2015, Nursing, injured back during patient handling that resulted in job transfer or restriction was not recorded.  c) April 9, 2015, Nursing, injured back during patient handling that resulted in medical treatment was not recorded.  d) April 13, 2015, Nursing, injured back during patient handling that resulted in medical treatment was not recorded.  e) May 2, 2015, Nursing, injured back during patient handling that resulted in job transfer or restriction did not correctly record the job transfer or restriction.  f) April 20, 2015, Environmental, injured wrists due to work duties that resulted in job transfer or restriction was not recorded.  g) May 1, 2015, Physical Medicine, injured arm, knees, hip in MVA that resulted in medical treatment was not recorded.  h) May 5, 2015, Pathology, injured shoulder moving supplies that resulted in job transfer or restriction was not recorded.  Abatement certification and documentation required within 10 days after abatement date. The certification shall include a statement that abatement is complete, the date and method of abatement, and state that employees and their representatives were informed of this abatement. Abatement documentation shall include documents demonstrating that abatement is complete, such as evidence of the purchase or repair of equipment, photographic or video evidence of abatement or other written records.

Issued

2015-11-06 00:00:00

Abate by

2015-11-27 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.8(a): All work-related needlestick injuries and cuts from sharp objects that were contaminated with another person's blood or other potentially infectious material were not recorded on the OSHA 300 Log as an injury:  1201 Broad Rock Rd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, the employer did not record the following workplace injuries and illnesses on the OSHA Form 300 or equivalent for the calendar year 2015.  a) April 13, 2015, Surgical, the sharps exposure during a procedure was not recorded.  Abatement certification and documentation required within 10 days after abatement date. The certification shall include a statement that abatement is complete, the date and method of abatement, and state that employees and their representatives were informed of this abatement. Abatement documentation shall include documents demonstrating that abatement is complete, such as evidence of the purchase or repair of equipment, photographic or video evidence of abatement or other written records.

Issued

2015-11-06 00:00:00

Abate by

2015-12-04 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.29(b)(2): The employer did not fill out or correctly fill out an OSHA Form 301 or equivalent for each recordable injury or illness:  1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, the employer did not fill out or did not correctly fill out an OSHA 301 or equivalent for each recordable injury or illness.  In 2015, there were 11 incomplete OSHA Form 301s for incidents that resulted in recordable injury or illness.   Documentation is required for this item.

Issued

2015-11-06 00:00:00

Abate by

2015-12-04 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.32(b)(1): The employer did not review the OSHA 300 Log entries as extensively as necessary to make sure the entries were complete and correct:  1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, the employer did not review the 300 Log entries to make sure they were complete and correct, cases were not classified in any column G, H, I, or J, and injuries and illnesses reported to the employer were not recorded exposing employees to injury and illness that may have been prevented by accurate logs, tracking and trending injuries and illnesses, and training of employees subsequent to incidents.   Abatement documentation is required for this item.

Issued

2015-11-06 00:00:00

Abate by

2015-12-04 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.32(b)(3): The Summary of Work-Related Injuries and Illnesses (OSHA Form 300A or equivalent) was not properly certified:  1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, a company executive did not certify the OSHA 300A Summary or equivalent for 2013 and 2014.  Abatement documentation is required for this item.

Issued

2015-11-06 00:00:00

Abate by

2015-12-04 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.32(b)(2)(ii): The employer did not complete on the annual summary, the calendar year covered, the company's name, establishment name, establishment address, annual average number of employees covered by the OSHA 300 Log, and the total hours worked by all employees covered by the OSHA 300 Log:  1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, the employer did not complete the 300A annual summary by calendar year for the years 2010, 2011, 2012, 2013, 2014.  Abatement documentation is required for this item.

Issued

2015-11-06 00:00:00

Abate by

2015-12-04 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.33(a): The employer did not maintain the OSHA 300 log, the privacy case list, the annual summary and the OSHA 301 Incident Report forms for five (5) years following the end of the calendar year that those records covered:  1201 Broad Rock Blvd, Richmond, VA 23224: On or about May 6, 2015, and times prior thereto, the employer did not retain the 300A annual summary for the calendar years 2010, 2011, 2012, 2013, 2014.  Abatement documentation is required for this item.

Issued

2015-11-06 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1904.40(a): The employer did not provide an authorized government representative the records within the four business hours required:  1201 Broad Rock Blvd, Richmond, VA 23249: The OSHA 301 or equivalent forms requested on July 7, 2015 were received July 20, 2015.

Issued

2015-11-06 00:00:00

Abate by

2015-12-04 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(h)(5)(i)(A): The employer did not maintain a sharps injury log that contained at a minimum the type and brand of device involved in the incident as required by 29 CFR 1960.8(b):   1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, the employer's Log of Needlestick Incidents did not contain the type and brand of device in the following incidents for the calendar years 2015, 2014, 2013, 2012, exposing employees to injury and illness that may have been prevented by accurate logs, tracking and trending injuries and illnesses, and training of employees subsequent to incidents.  a) June 23, 2015, Surgical, the sharps exposure that resulted in medical treatment.  b) July 16, 2015, Environmental, the sharps exposure that resulted in medical treatment.  Abatement documentation is required for this item.

Issued

2015-11-06 00:00:00

Abate by

2015-12-04 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(h)(5)(i)(C): The employer did not maintain a sharps injury log that contained at a minimum an explanation of how the incident occurred as required by 29 CFR 1960.8(b):   1201 Broad Rock Blvd, Richmond, VA 23249: On or about May 6, 2015, and times prior thereto, the employer's Log of Needlestick Incidents did not contain an explanation in the following incidents for the calendar years 2012, 2013, 2014, 2015, exposing employees to injury and illness that may have been prevented by accurate logs, tracking and trending injuries and illnesses, and training of employees subsequent to incidents.   a) June 23, 2015, Surgical, the sharps exposure that resulted in medical treatment.  b) July 16, 2015, Environmental, the sharps exposure that resulted in medical treatment.  Abatement documentation is required for this item.