OSHA Inspection: COLORADO HEALTH PROVIDERS, LLC

Issued

Jun 15, 2018

Abate by

Jul 31, 2018

Penalty

Initial $4,240 · Current $3,000 Reduced

General-duty citation text

29 CFR 1910.1200(e)(1): Employer had not developed, implemented or maintained 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:       (a) Colorado Health Providers, LLC dba Colorado Clinic at 3810 N Grant Ave in Loveland, Colorado:  On or before April 27, 2018, the employer did not develop and implement a written hazard communication program which at least described how the criteria specified for labels and other forms of warning, material safety data sheets, and employee information and training will be met, and which also included a hazardous chemicals list and methods used to inform employees of the hazards of non-routine tasks, had not been developed for employee exposures, such as but not limited to the following chemicals:     1) Drug Buster Drug Disposal System     2) Bupivacaine Hydrochloride for Injection     3) PDI Sani-Cloth AF3 Disposable Wipes     4) Clorox Disinfecting Wipes     5) Isopropyl Rubbing Alcohol 70% USP     6) Povidone-Iodine 10%  Injuries include, but are not limited to, chemical irritation and potential chemical exposure.

Issued

Jun 15, 2018

Abate by

Jul 31, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(h)(1): Employer had not provided employees with effective information and training on hazardous chemicals in their work area at the time of their initial assignment, and whenever a new chemical hazard the employees had not previously been trained about was introduced into their work area:       (a) Colorado Health Providers, LLC dba Colorado Clinic at 3810 N Grant Ave in Loveland, Colorado:  On or before April 27, 2018, the employer did not provide employees with effective information and training on hazardous chemicals in their work area at the time of their initial assignment, and whenever a new physical or health hazard the employees have not previously been trained about is introduced into their work area, such as but not limited to the following chemicals:     1) Drug Buster Drug Disposal System     2) Bupivacaine Hydrochloride for Injection     3) PDI Sani-Cloth AF3 Disposable Wipes     4) Clorox Disinfecting Wipes     5) Isopropyl Rubbing Alcohol 70% USP     6) Povidone-Iodine 10%  Injuries include, but are not limited to, chemical irritation and potential chemical exposure.

Issued

Jun 15, 2018

Abate by

Aug 2, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(i):  The employer had not established a written Exposure Control Plan designed to eliminate or minimize employee occupational exposure to bloodborne pathogens:     (a) Colorado Health Providers, LLC dba Colorado Clinic at 3810 N Grant Ave in Loveland, Colorado:  On or before April 27, 2018, the employer, having employees with occupational exposure, did not established a written Exposure Control Plan designed to eliminate or minimize employee exposure, in that employees were expected and required as part of their job duties to clean up patient rooms after treatment that could involve blood or other potentially infectious materials.       NOTE:  The Exposure Control Plan shall contain at least the following elements:     1) The exposure determination required by paragraph (c)(2);  2) The schedule and method of implementation for paragraphs:   (d) Methods of Compliance,   (e) HIV and HBV Research Laboratories and Production Facilities,   (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up,   (g) Communication of Hazards to Employees, and   (h) Recordkeeping, of this standard; 3) The procedure for the evaluation of circumstances surrounding exposure incidents as required by paragraph (f)(3)(i) of this standard.

Issued

Jun 15, 2018

Abate by

Jul 31, 2018

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 or procedures including the hepatitis B vaccine, vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were made available to employees at a reasonable time and place:    (a) Colorado Health Providers, LLC dba Colorado Clinic at 3810 N Grant Ave in Loveland, Colorado:  On or before April 27, 2018, the employer, having employees with occupational exposure, did not make available the hepatitis B vaccination available after employees had received the training required in 29 CFR 1910.1030(g)(2)(vii)(I) and within 10 working days of initial assignment.

Issued

Jun 15, 2018

Abate by

Jul 31, 2018

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(i):  The employer did not ensure that each employee with occupational exposure participated in a training program in accordance with the requirements of the section:       (a) Colorado Health Providers, LLC dba Colorado Clinic at 3810 N Grant Ave in Loveland, Colorado:  On or before April 27, 2018, the employer did not ensure that each employee with occupational exposure to blood borne pathogens participated in a training program in accordance with all requirements of the section.  Employees, as part of their job duties, cleaned patient rooms, analyzed urine samples, and spills of blood or other potentially infectious materials.  This condition exposed employees to a bloodborne pathogen hazard.       Abatement Note:  Training shall be provided as follows:       1)      At the time of initial assignment to tasks where occupational exposure may take place;   2)      Within 90 days after the effective date of the standard; and   3)      At least annually thereafter.   4)      The training program shall contain at a minimum the following elements:       (a)   An accessible copy of the regulatory text of this standard and an explanation of its contents;   (b)   A general explanation of the epidemiology and symptoms of bloodborne diseases;   (c)   An explanation of the modes of transmission of bloodborne pathogens;   (d)   An explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan;   (e)   An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood and other potentially infectious materials;   (f)    An explanation of the use and limitations of methods that will prevent or reduce exposure including appropriate engineering controls, work practices, and personal   (g)   protective equipment;   (h)   Information on the types, proper use, location, removal, handling, decontamination and disposal of personal protective equipment;   (i)     An explanation of the basis for selection of personal protective equipment;   (j)     Information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine and vaccination will be offered free of charge;   (k)   Information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials;   (l)     An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available; Information on the post-exposure evaluation and follow-up that the employer is required to provide for the employee following an exposure incident;   (m) An explanation of the signs and labels and/or color coding required by paragraph (g)(1); and   (n)   An opportunity for interactive questions and answers with the person conducting the training session.