OSHA Inspection: COOPER UNIVERSITY HOSPITAL

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $7,000 · Current $7,000

General-duty citation text

29 CFR 1910.132(f)(1)(i): The employer did not provide training to each employee who is required by this section to use PPE on knowing when PPE is necessary:   a) Throughout facility: The employer did not provide training to employees conducting the following tasks, including, but not limited to, emptying JP drains, clearing ventilators, labor and delivery, cleaning tracheotomies, clearing PEG and NG tubes, removing IV lines and emptying Foley bags to know that eye and or face protection was required, on or about 10/22/15.  NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(E): The bloodborne pathogens training program did not contain an explanation of the appropriate methods for recognizing tasks or other activities that might involve exposure to blood or other potentially infectious materials:  a) Throughout facility: The bloodborne pathogen training program did not contain an explanation of the appropriate methods for recognizing tasks that might involve exposure to blood or other potentially infectious materials, such as, but not limited to, emptying JP drains, clearing ventilators, labor and delivery, cleaning tracheotomies, clearing PEG and NG tubes, removing IV lines and emptying Foley bags, on or about 10/22/15.  NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $7,000 · Current $5,000 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure:  a) Throughout facility: The employer's review of the blood borne pathogen exposure control plan did not include a review of commercially available insulin needles with effective safer medical devices. Employees have received needlestick injuries as a result of using the currently available Becton Dickinson 40 and 100 unit needles with a self sheathing device that is difficult to close. Commercially available insulin needles with retractable needles were available and not considered for use, on or about 10/22/15.  b) Emergency Department: The employer's review of the blood borne pathogen exposure control plan did not include a review of commercially available 14 gauge IV catheter needles with effective safer medical devices. Employees used Jelco 14 gauge IV catheter needles that did not have an engineering control in place to cover the needle after use, on or about 10/22/15.  c) Throughout facility: The employer's review of the blood borne pathogen exposure control plan did not include a review of commercially available arterial blood gas needles with effective safer medical devices. Employees used Marquest Quik A.B.G. syringes whose engineering control was separated from the device and required the employees to use a one-handed method to recap. Commercially available arterial blood gas needles with attached engineering controls were available and not considered for use, on or about 10/22/15.    NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $7,000 · Current $7,000

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) Operating rooms: The employer did not institute engineering or work practice controls for employees that passed contaminated sharps to and from the surgeon.  Employees have received puncture injuries as a result of the techniques used, on or about 10/22/15.  b) Throughout facility: The employer did not institute engineering or work practice controls for employees using suture needles. Employees have received puncture injuries as a result of the techniques used, on or about 10/22/15.   NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $5,000 · Current $5,000

General-duty citation text

29 CFR 1910.1030(d)(4)(iii)(A)(1): Contaminated sharps were not immediately discarded in containers that were closable, puncture resistant, leakproof and labeled or color-coded according paragraph g(1)(i) of this standard:   a) Dishwashing area kitchen: Contaminated sharps were found on trays that were brought back to the department from patient rooms, on or about 10/22/15.  b) Keleman 7 pediatrics: An environmental services employee was stuck by a contaminated needle while changing the sheets on a mattress, on or about 10/22/15.  c) Laundry chute rooms: Contaminated sharps were found in bags of contaminated linens when  removed from the chute rooms by environmental services employees, on or about 10/22/15.  d) Patient care rooms: Contaminated sharps were found in regular trash receptacles and on floors when being cleaned by environmental services employees, on or about 10/22/15.   NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $5,000 · Current $5,000

General-duty citation text

29 CFR 1910.1030(d)(4)(iii)(A)(2)(iii): During use, containers for contaminated sharps were not replaced routinely or were allowed to be overfilled:  a) Throughout facility: Contaminated sharps containers were  full requiring employees to carry used sharps to other locations for disposal, on or about 10/22/15.   NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $5,000 · Current $5,000

General-duty citation text

29 CFR 1910.1052(d)(1)(i): Where methylene chloride was present in the workplace, the employer did not determine each employee's exposure:  a) Carpenter shop: The employer did not conduct exposure monitoring for employees spraying Sta' Put S120, which contained 75-90% methylene chloride, when manufacturing countertops, on or about 10/22/15.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $5,000 · Current $5,000

General-duty citation text

29 CFR 1910.1200(f)(6)(i): Except as provided in 29 CFR 1910.1200(f)(7) and 29 CFR 1910.1200(f)(8), the employer did not ensure that each container of hazardous chemicals in the workplace was labeled, tagged or marked with the information required by 29 CFR 1910.1200(f)(1)(i) through 29 CFR 1910.1200(f)(1)(v):  a) Carpenter shop: Spray bottles containing bleach, a corrosive chemical, and denatured alcohol were not labeled according to the standard, on or about 10/22/15.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

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) Central Sterile Processing: A temporary employee was not provided training on the hazardous chemicals used in the work area, including, but not limited to STERRAD Cassettes and S40 Sterilant Concentrate and Cavicide and Rapicide PA Parts A and B, corrosive chemicals,  on or about 10/22/15.   NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $1,000 · Current $500 Reduced

General-duty citation text

29 CFR 1904.29(b)(1): 29 CFR 1904.29(b)(1): A log of all recordable work-related injuries and illnesses (OSHA Form 300 or equivalent), was not completed in the detail as required by the regulation:  Throughout facility: The employer did not fill out columns E and F on the OSHA 300 log in detail describing the cause of the injury/illness, the actual resulting injury/illness and the location for the following cases:  a) Keleman 9 South and basement: On 10/9/15 two entries were listed as exposure, body meningitis. There was no description as to how the exposures occurred or the injury/illness.   b) Operating room: On 10/9/15 one entry was listed as strain, left shoulder. There was no description as to how the injury occurred or what caused the injury.  c) Keleman 9 South and Keleman basement: On 10/9/15 six entries were listed as exposure body meningitis. There was no description as to how the exposure occurred or the injury/illness.  d) Location unknown: On 10/9/15 one entry was listed as exposure, body, patient. There was no description as to what  substance the employee was exposed to or the injury/illness. The location was also not listed.   e) Pavillion 9: On 10/13/15 one entry was listed as strain, left shoulder, patient. There was description was to how the injury occurred.  f) Location unknown: On 10/14/15 one entry was listed as exposure, face, body fluid. There was description as to what substance the employee was exposed to or the injury/illness. The location was also not listed.   g) Dorrance 3rd floor hall: On 10/14/15 one entry was listed as fall, left knee, wet floor. There was no description  as to the injury/illness.   h) Location unknown: On 10/18/15 one entry was listed as exposure, arms, patient in labor. There was no description as to what substance the employee was exposed to or the injury/illness. The location was also not listed.   i) Location unknown: On 10/20/15 two entries were listed as exposure, face/eyes ileostomy bag/tube. There was no description as to the injury/illness or the cause of the exposures. The locations were also not listed.  j) Location unknown: On 10/20/15 one entry was listed as exposure, hands, fluids. There was no description as to what substance the employee was exposed to, the injury/illness or the cause of the exposure. The location was also not listed.  k) Location unknown: On 10/21/15 one entry was listed as exposure, face, JP drain. There was no description as to what substance the employee was exposed to, the injury/illness or the cause of the exposure. The location was also not listed.  l) Location unknown. On 10/21/15 one entry was listed as exposure, face, body. There was no description as to what substance the employee was exposed to, the injury/illness or the cause of the exposure. The location was also not listed.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $1,000 · Current $500 Reduced

General-duty citation text

29 CFR 1904.31(b)(2): The employer did not record injuries or illnesses for temporary employees that they supervised on a daily basis on their OSHA 300 logs:  a) Operating room: The employer did not record an injury that occurred on 10/26/15 when a temporary employee received a puncture wound when changing a staple in a contaminated staple gun.   NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit tested whenever a different respirator facepiece (size, style, model or make) was used:  a) Emergency department: The employer did not ensure that temporary employees were fit tested on the same make and model of N95 respirators used in the facility, including the 3M 1860 and Moldex 1513, on or about 10/22/15.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(1)(i)(A): Warning labels were not affixed to containers of regulated waste, refrigerators, or freezers containing blood or other potentially infectious material:  a) Dishwashing area kitchen: A sharps container mounted on the wall across from the automatic dishwashing machine was not labeled with a biohazard symbol or color coded according to the standard, on or about 10/22/15.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(J): The bloodborne pathogens training program did not contain information on the appropriate actions to take or persons to contact in an emergency involving blood or other potentially infectious materials:  a) Central Sterile Processing: The employer did not provide training to temporary employees on the protocol to follow for exposures to blood or other potentially infectious material, on or about 10/22/15.  b) Patient care areas: The employer did not provide training to temporary employees on the protocol to follow for exposures to blood or other potentially infectious material, on or about 10/22/15.    NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 8, 2016

Abate by

May 4, 2016

Penalty

Initial $0 · Current $0

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:  a) Throughout facility: The employer did not list the brand of needle involved in the exposure incidents listed on the sharps injury log, on or about 10/22/15.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.