OSHA Inspection: SUNRISE COMMUNITY HEALTH

Issued

Mar 7, 2017

Abate by

Apr 10, 2017

Penalty

Initial $5,432 · Current $2,716 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) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer did not ensure that the annual review and update of the Exposure Control Plan including annual consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure.  Dentists, dental assistants, and dental hygienists performed dental work upon patients  and a sterilization technician worked with contaminated sharps.  Employees utilized contaminated sharps, including but not limited to needles, endodontic files, dental burs, and ultrasonic scalers. Employees were occupationally exposed to blood or other potentially infectious materials (OPIM) during these activities.  The employer had not included consideration for alternative safer medical devices in its annual review of the Exposure Control Plan.  This condition exposed employees to a bloodborne pathogen hazard.      Abatement Note: The review and update of such plans shall:  �Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens; and  �Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure.  �An employer, who is required to establish an Exposure Control Plan, shall 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 and shall document the solicitation in the Exposure Control Plan.    Abatement Note: The standard does not specify the level of detail that must be included in this documentation; however, sufficient information must be provided to substantiate the facility's judgment. As discussed in the preamble of the Final Rule, consideration and implementation of safer medical devices could be documented in the Exposure Control Plan by describing the safer devices identified as candidates for adoption; the method or methods used to evaluate devices and the results of the evaluations; and justification for selection decisions. (Excerpt from a Letter of Interpretation to Dr. Hyman on May 5, 2008)

Issued

Mar 7, 2017

Abate by

Apr 10, 2017

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(2)(i)(A): The exposure determination did not include a list of all job classifications in which all employees in those job classifications had occupational exposure:  (a) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer did not ensure that the exposure determination contained a list of job classifications in which all employees have occupational exposure to blood and other potentially infectious material (OPIM). Dentists, dental assistants, and dental hygienists performed dental work upon patients and a sterilization technician worked with contaminated sharps.  Employees utilized contaminated sharps, including but not limited to needles, endodontic files, dental burs, and ultrasonic scalers. Employees were occupationally exposed to blood or other potentially infectious materials (OPIM) during these activities. The employer had not listed these job classifications in the Exposure Control Plan.  This condition exposed employees to a bloodborne pathogen hazard.

Issued

Mar 7, 2017

Abate by

Apr 10, 2017

Penalty

Initial $0 · Current $0

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) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer did not ensure that engineering and work practice controls were used to eliminate or minimize employee exposure.  Dentists, dental assistants, and dental hygienists performed dental work upon patients with sharps including, but not limited to, needles, endodontic files, dental burs, and ultrasonic scalers. In the sterilization room dentists, dental assistants, dental hygienists, and a sterilization technician removed and handled contaminated sharps for sterilization activities from contaminated sharps container trays by hand with Hu-Friedy Lilac Utility Gloves. Employees were occupationally exposed to blood or other potentially infectious materials (OPIM) during this activity. Contaminated sharps were removed from sharps containers by hand prior to sterilization. The employer had not utilized engineering controls to eliminate or minimize employee exposure to contaminated sharps.  This condition exposed employees to a bloodborne pathogen hazard.

Issued

Mar 7, 2017

Abate by

Apr 10, 2017

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(A): The employer did not ensure that training was provided to employees with occupational exposure at the time of initial assignment to tasks where occupational exposure might take place:  (a) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer did not ensure that training was provided to employees with occupational exposure at the time of initial assignment to tasks where occupational exposure might take place.  Dentists, dental assistants, and dental hygienists performed dental work upon patients and a sterilization technician worked with contaminated sharps. Employees were occupationally exposed to blood or other potentially infectious materials (OPIM) during these activities.  The employer had not provided training on bloodborne pathogens to approximately two new employees.   This condition exposed employees to a bloodborne pathogen hazard.   Abatement Note: Trainees must have the opportunity for interactive questions and answers with the person conducting the training session. The person conducting the training shall be knowledgeable in the subject matter covered by the elements contained in the training program as it relates to the workplace that the training will address.

Issued

Mar 7, 2017

Abate by

Apr 10, 2017

Penalty

Initial $5,432 · Current $2,716 Reduced

General-duty citation text

29 CFR 1910.1200(e)(1)(i): The written hazard communication program did not include a list of the hazardous chemicals known to be present, using an identity that was referenced on the appropriate safety data sheet:    (a) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer did not develop a list of the hazardous chemicals known to be present at the workplace. Employees are potentially exposed to hazardous chemicals including, but not limited to, the following:    (1) Cavicide   2) Optim 33TB  (3) Lidocaine 2% Hydrochloride and Ephedrine  (4) Septocaine  (5) Consepsis Chlorhexidine Antibacterial Solution

Issued

Mar 7, 2017

Abate by

Apr 10, 2017

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) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer did not provide employees with effective information and training on hazardous chemicals in their work area at the time of initial assignment. Employees were occupationally exposed to hazardous chemicals including, but not limited to, Cavicide, Optim 33TB, Lidocaine 2% Hydrochloride and Ephedrine, Septocaine, and Consepsis Chlorhexidine Antibacterial Solution. The employer had not provided training on hazardous chemicals to approximately two new employees. This condition exposed employees to chemical hazards.  (b) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer had not provided employees with effective information and training on hazardous chemicals in their work area the time of initial assignment.  Employees used Cavicide (containing 2-propanol and 2-butoxyethanol) and Optim 33TB (containing hydrogen peroxide) when disinfecting work surfaces.  The employer had not provided training on these hazardous chemicals to approximately twenty employees.  This condition exposed employees to a chemical hazard.

Issued

Mar 7, 2017

Abate by

Apr 10, 2017

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.132(d)(2): The employer did not verify that the required workplace hazard assessment has been performed through a written certification which included the requirements as outlined in 29 CFR 1910.132(d)(2):  (a) Sunrise Community Health at 302 3rd St. SE, Loveland, CO: On and about February 3, 2017, the employer did not verify that the required workplace hazard assessment had been performed through a written certification which included and identified the following:   (1)  The workplace evaluated; (2)  The person certifying that the evaluation had been performed; (3)  The date(s) of the hazard assessment; and, (4)  The document identified as a certification of the hazard assessment.    Abatement Note:  If hazards are present, or likely to be present, the employer must comply with the following:    (1)  Select, and have each affected employee use the types of PPE that will protect the affected employees from the hazards identified in the hazard assessment; (2)  Communicate selection decisions to each affected employee; and,  (3)  Select PPE that properly fits each affected employee.  (4)  The employer shall verify that the required workplace hazard assessment has been performed through a written certification that identifies the workplace evaluated; the person certifying that the evaluation has been performed; the date(s) of the hazard assessment; and, which identifies the document as a certification of hazard assessment.  (5)  Defective and damaged equipment shall not be used.  (6)  The employer shall provide training to each employee who is required by this section to use PPE.  Each such employee shall be trained to know at least the following:       (a)  When PPE is necessary;       (b)  What PPE is necessary;       (c)  How to properly don, doff, adjust, and wear PPE;       (d)  The limitations of the PPE. (7)  Each affected employee shall demonstrate an understanding of the training specified above and the ability to use PPE properly before being allowed to perform work requiring the use of PPE.  (8)  When the employer has reason to believe that any affected employee who has already been trained does have the understanding and skill required to use the PPE the employer shall retrain the employee. Circumstances where retraining is required include, but are not limited to situations where:       (a)  Changes in the workplace render pervious training obsolete; or       (b)  Changes in the types of PPE to be used render previous training obsolete; or       (c)  Inadequacies in an affected employee's knowledge or use of assigned PPE indicate the employee has not retained the requisite understanding or skill.  (9)  The employer shall verify that each affected employee has received and understood the required training through a written certification that contains the name of each employee trained, the date(s) of training, and that identifies the subject of the certification.