OSHA Inspection: OLEAN GENERAL HOSPITAL

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $9,239 · Current $5,100 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)  On or about 11/28/2017 - the employer's annual review and update of the exposure control plan including "OSHA Exposure Plan / Policy #1B.3050.00 and Post Exposure Management of Personnel after Occupational Exposure to Blood and Body Fluids / Policy # 1B.3075.00," did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure.    ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not 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 did not document the solicitation in the Exposure Control plan:  a)  On or about 11/28/2017 and continuing - the employer, who has employees with occupational exposure to blood and OPIM and is required to establish an Exposure Control Plan, did not 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 did not document the solicitation in the Exposure Control plan.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $9,239 · Current $5,100 Reduced

General-duty citation text

29 CFR 1910.1030(f)(3)(i): The post-exposure evaluation and follow-up of an exposure incident did not include documentation of the route(s) of exposure and the circumstances under which the exposure incident occurred:     a)  On or about 11/28/2017- Olean General Hospital / OGH Cardiac Cath. - the employer's post-exposure evaluation and follow-up of an exposure incident did not include documentation of the circumstances under which the exposure incident occurred (09/26/2017; case# 2017-1048) including whether an action/reason/cause/occurred or person was holding the device or specific operations being performed and/or conditions.    b)  On or about 11/28/2017 - Olean General Hospital / OGH 3A Acute Care - the employer's post-exposure evaluation and follow-up of an exposure incident did not include documentation of the route(s) of exposure and the circumstances under which the exposure incident occurred (10/31/2017; case # 2017-00170) including whether an action/reason/cause/occurred or person was holding the device or specific operations being performed and/or conditions.    c)  On or about 03/02/2018 -  Olean General Hospital / OGH Dialysis - the employer's post-exposure evaluation and follow-up of an exposure incident did not include documentation of the circumstances under which the exposure incident occurred (11/22/2017; case# 2017-00190) including whether an action/reason/cause/occurred or person was holding the device or specific operations being performed and/or conditions.    d)  On or about 03/02/2018 -  Olean General Hospital / OGH Emergency Room - the employer's post-exposure evaluation and follow-up of an exposure incident did not include documentation of the circumstances under which the exposure incident occurred (12/02/2017; case# 2017-00177) including whether an action/reason/cause/occurred or person was holding the device or specific operations being performed and/or conditions.    ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Dec 31, 2018

Penalty

Initial $9,239 · Current $5,100 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(B): The employer did not ensure that the training was provided to employees with occupational exposure at least annually:    a)  On or about 11/28/2017, the employer did not ensure that the training required by the OSHA Bloodborne Pathogen standard was provided to all employees with occupational exposure at least annually.    ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $9,239 · Current $5,100 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(A): The bloodborne pathogens training program did not contain an accessible copy of the regulatory text of this standard and an explanation of its contents:    a)  On or about and prior to 11/28/2017 - The employer's mandatory computer-based bloodborne pathogens training program did not contain an accessible copy of the regulatory text of this standard and an explanation of its contents for employee's with occupational exposure to blood or OPIM.    ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(B): The bloodborne pathogens training program did not contain a general explanation of the epidemiology and symptoms of bloodborne diseases:  a)  On or about and prior to 11/28/2017 - The employer's bloodborne pathogens training program did not contain a general explanation of the epidemiology of bloodborne diseases including hepatitis B, hepatitis C, and HIV.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(C): The bloodborne pathogens training program did not contain an explanation of the modes of transmission of bloodborne pathogens:  a)  On or about and prior to 11/28/2017 - The employer's bloodborne pathogens training program did not contain explanation of the modes of transmission of bloodborne pathogens.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(D): The bloodborne pathogens training program did not contain an explanation of the employer's exposure control plan and the means by which the employee could obtain a copy of the written plan:  a)  On or about and prior to 11/28/2017 - The employer's bloodborne pathogens training program did not contain an explanation of the employer's exposure control plan and the means by which the employee could obtain a copy of the written plan.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

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)  On or about and prior to 11/28/2017 - The employer's 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.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(F): The bloodborne pathogens training program did not contain an explanation of the use or limitations of methods that would prevent or reduce exposure including appropriate engineering controls, work practices or personal protective equipment:  a)  On or about and prior to 11/28/2017 - The employer's bloodborne pathogens training program did not contain an explanation of the use or limitations of methods that would prevent or reduce exposure including appropriate engineering controls, work practices or personal protective equipment.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(I): The bloodborne pathogens training program did not contain information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or the fact that the vaccination will be offered free of charge:  a)  On or about and prior to 11/28/2017 - The employer's bloodborne pathogens training program did not contain on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or the fact that the vaccination will be offered free of charge.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(L): The bloodborne pathogens training program did not contain information on the post exposure evaluation or follow-up that the employer was required to provide for the employee following an exposure incident:  a)  On or about and prior to 11/28/2017 - The employer's bloodborne pathogens training program did not contain information on the post exposure evaluation or follow-up that the employer was required to provide for the employee following an exposure incident.  ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(M): The bloodborne pathogens training program did not contain an explanation of the signs, labels, or color coding required by 29 CFR 1910.103(g)(1):   a)  On or about and prior to 11/28/2017 - The employer's bloodborne pathogens training program did not contain an explanation of the signs, bio-hazard labels, or color coding required by 29 CFR 1910.103(g)(1).   ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $9,239 · Current $5,100 Reduced

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)  On or about 11/28/2017, Olean General Hospital/OGH Cardiac Cath. - the employer did not maintain a sharps injury log that contained, at a minimum, the type and brand of device involved in an employee exposure incident (09/26/2017, case# 2017-1048).  b)  On or about 11/28/2017, Olean General Hospital/OGH 3A Acute Care - the employer did not maintain a sharps injury log that contained, at a minimum, the type and brand of device involved in an employee exposure incident (10/31/2017 case # 2017-00170).  c)  On or about 11/28/2017, Olean General Hospital/OGH 3A Acute Care - the employer did not maintain a sharps injury log that contained, at a minimum, the type and brand of device involved in an employee exposure incident (12/02/2017 case # 2017-00177).    ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $1,848 · Current $0 Reduced

General-duty citation text

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 detail as required by the regulation:    a)  On or about 11/28/2017, the employer's Log of all recordable work-related injuries and illnesses OSHA Form 300, was not completed for an OSHA recordable injury (10/29/2017, case no. 2017-0172) which did not describe the object/substance that directly injured the person.     b)  On or about 11/28/2017, the employer's Log of all recordable work-related injuries and illnesses OSHA Form 300, was not completed for an OSHA recordable injury (10/20/2017, case no. 2017-0167) which did not describe the object/substance that directly injured the person.     c)  On or about 11/28/2017, the employer's Log of all recordable work-related injuries and illnesses OSHA Form 300, was not completed for an OSHA recordable injury (10/10/2017, case no. 2017-0162) which did not describe the object/substance that directly injured the person.     d)  On or about 02/27/2017, the employer's Log of all recordable work-related injuries and illnesses OSHA Form 300, was not completed for an OSHA recordable injury (11/18/2017, case no. 2017-0173) which did not describe the object/substance that directly injured the person.     ABATEMENT CERTIFICATION REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $1,848 · Current $0 Reduced

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.    a)  On or about 02/27/2017 - The employer did not fill out or correctly fill out an OSHA Form 301 or equivalent for each recordable injury or illness, including OSHA recordable injury (11/18/2017, case no. 2017-0173) which did not include:  the case number from the 300 Log; what happened; what object or substance directly harmed the employee; if the employee was treated in an emergency room; if the employee was hospitalized overnight.     ABATEMENT CERTIFICATION IS REQUIRED

Issued

Mar 26, 2018

Abate by

Apr 26, 2018

Penalty

Initial $1,037 · Current $0 Reduced

General-duty citation text

29 CFR 1910.1030(f)(2)(iv): The employer did not ensure that employees who declined to accept the hepatitis B vaccination offered by the employer signed the statement in appendix A:    a)  On or about 11/28/2017 - the employer did not ensure that employees who declined to accept the hepatitis B vaccination offered by the employer signed the statement in appendix A, which states:    I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me.    ABATEMENT CERTIFICATION REQUIRED