OSHA Inspection: LAKEMOOR DENTAL, P.C.

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $4,900 · Current $2,750 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) On April 20, 2016 Lakemoor Dental, P.C. dba Lakemoor Dental of Hainesville did not ensure that a written exposure control plan had been developed and implemented for employees including dental assistants and dental hygienist who had occupational exposure to blood and other potentially infectious material (OPIM) during dental procedures.

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $4,900 · Current $2,750 Reduced

General-duty citation text

29 CFR 1910.1030(d)(3)(i): When there was occupational exposure, the employer did not provide, at no cost to the employee, appropriate personal protective equipment such as, but not limited to, gloves, gowns, laboratory coats, face shields, masks, eye protection, and mouthpieces, resuscitation bags, pocket masks, or other ventilation devices:    (a) On April 20, 2016, Lakemoor Dental, P.C. dba Lakemoor Dental of Hainesville did not provide appropriate gloves to employees when decontaminating reuseable instruments. Employees were provided thin nitrile gloves for use when removing contaminated sharps from the ultrasonic.

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(3)(ii): The employer did not ensure that the employee used appropriate personal protective equipment when there was occupational exposure.  (a) On April 20, 2016, at Lakemoor Dental, P.C., dba Lakemoor Dental of Hainesville did not ensure that employees including dental assistants and dental hygienist used appropriate personal protective equipment such as safety glasses and gowns when there was occupational exposure to blood and other potentially infectious materials (OPIM).

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $4,900 · Current $2,750 Reduced

General-duty citation text

29 CFR 1910.1030(f)(1)(i): The employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure:    a) On April, 20 2016, Lakemoor Dental P.C., dba Lakemoor Dental of Hainesville did not ensure did not ensure employees who had occupational exposure to blood or other potentially infectious materials (OPIM) during dental procedures were offered the hepatitis B vaccination series.

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $4,900 · Current $2,750 Reduced

General-duty citation text

29 CFR 1910.1030(f)(1)(ii)(A): The employer did not ensure that medical evaluations and procedures including the hepatitis B vaccine and vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were made available at no cost to the employee.      a.) On or about March 9, 2016, following a report of a sharp injury, Lakemoor Dental, P.C., dba Lakemoor Dental of Hainesville did not ensure that the medical evaluations and procedures including the hepatitis B vaccine and vaccination series, post-exposure evaluation, or follow-up, were made available at no cost to the employee.

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(1)(ii)(B): The employer did not ensure that all medical evaluations and procedures including the hepatitis B vaccine and vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were made available to the employee at a reasonable time and place:  (a) On or about March 9, 2016, Lakemoor Dental, P.C., dba Lakemoor Dental of Hainesville  did not ensure that following a report of a sharp injury, medical evaluations and procedures including the hepatitis B vaccine and vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were made available to the employee at a reasonable time and place.

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $4,900 · Current $2,750 Reduced

General-duty citation text

29 CFR 1910.1030(f)(3): Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation or follow-up.    a.) On or about March 9, 2016, following a stick from a contaminated sharp, Lakemoor Dental, P.C., dba Lakemoor Dental of Hainesville did not make immediately available to the exposed employee a confidential medical evaluation or follow-up that covered at least the following:    (i) documentation of routes of exposure and the circumstances under which the exposure incident occurred;   (ii) identification and documentation of the source individual including testing of the source individual's blood   for HBV and HIV infectivity;  (iii) collection and testing of the exposed employees blood for HBV and HIV serological status;   (iv) post-exposure prophylaxis when medically indicated;   (v) Counseling; and   (vi)evaluation of reported illnesses.

Issued

Jun 24, 2016

Abate by

Aug 11, 2016

Penalty

Initial $4,900 · Current $2,750 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(i): The employer failed to train each employee with occupational exposure in accordance with the requirements of this section.    (a) On April 20, 2016 Lakemoor Dental, P.C., dba Lakemoor Dental of Hainesville did not ensure that employees who had occupational exposure to blood and other potentially infectious materials (OPIM) were provided training on bloodborne pathogens.

Issued

Jun 24, 2016

Abate by

Jul 21, 2016

Penalty

Initial $0 · Current $0

Hazardous substances 04351560S245

General-duty citation text

29 CFR 1910.1200(e)(1): Employers shall develop, implement, and maintain at each workplace, a written hazard communication program which at least describes how the criteria specified in paragraphs (f), (g), and (h) of this section for labels and other forms of warning, safety data sheets, and employee information and training will be met, and which also includes the following:  (a) On April 20, 2016 at Lakemoor Dental, P.C. dba Lakemoor Dental of Hainesville  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:  1) Requirement for labeling of containers of hazardous chemicals; 2) Safety Data Sheet availability; 3) Training of Employees; 4) A complete list of hazardous chemicals known to be in the workplace; 5) Methods to inform employees of the hazards on non-routine tasks; and 6) Methods to inform other employer(s) of safety data sheet availability; the labeling system and any precautionary measures to protect employees.  Employees who conduct equipment and surface from disinfectant cleaning products are exposed to hazardous chemicals, including PdCare Surface Disinfectant Contaminate Cleaner, (isopropanol, 2-Butoxyethanol), Patterson Brands Multi-Purpose Enzyme Tablets (isopropyl alcohol, soda Ash and ethoxylated alcohols phosphate ester) and Vacusol (Di-(C-8-10)-alkyldimethyl ammonium chlorides+, Ethanol, Sodium Metasilicate and Tetrasodium EDTA+).

Issued

Jun 24, 2016

Abate by

Jul 21, 2016

Penalty

Initial $0 · Current $0

Hazardous substances 04351560S245

General-duty citation text

29 CFR 1910.1200(h)(1): Employees were not provided information and training as specified in 29 CFR 1910.1200(h)(1) and (2) on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard was introduced into their work area:     (a) On April 20, 2016, Lakemoor Dental P.C., dba Lakemoor Dental of Hainesville did not provide information and training to employees exposed to hazardous chemicals, including PdCare Surface Disinfectant Contaminate Cleaner, (isopropanol, 2-Butoxyethanol), Patterson Brands Multi-Purpose Enzyme Tablets (isopropyl alcohol, soda Ash and ethoxylated alcohols phosphate ester) and Vacusol (Di-(C-8-10)-alkyldimethyl ammonium chlorides+, Ethanol, Sodium Metasilicate and Tetrasodium EDTA).