OSHA Inspection: EMERGENCY PHYSICIANS ASSOCIATION OF NORTH JERSEY PC/TEAMHEALTH

Issued

Oct 20, 2020

Abate by

Nov 17, 2020

Penalty

Initial $13,494 · Current $6,000 Reduced

General-duty citation text

29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employee's ability to use a respirator, before the employee was fit tested or required to use the respirator in the workplace:  a) Emergency Department    The employer did not provide medical evaluations for employees, including physician assistants and nurse practitioners, who were provided and required to wear N95 respirators while providing care for COVID-19 positive patients and COVID-19 patients under investigation.        Violation occurred on or about 4/20/2020 and thereafter.

Issued

Oct 20, 2020

Abate by

Nov 17, 2020

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 prior to initial use of the respirator and whenever a different respirator facepiece (size, style, model or make) was used and annually thereafter:     a) Emergency Department    The employer did not provide initial fit tests for employees, including physician assistants and nurse practitioners who were provided and required to wear N95 respirators while providing care for COVID-19 positive patients and COVID-19 patients under investigation.      b) Emergency Department  The employer did not provide fit tests whenever a different respirator facepiece (size, style, model or make) is used for East Orange General Hospital employees, including nurses and technicians who were provided and required to wear N95 respirators to provide care for COVID-19 positive patients and COVID-19 patients under investigation.    Violation occurred on or about 4/20/2020 and thereafter.

Issued

Oct 20, 2020

Abate by

Nov 17, 2020

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.134(k)(1): The employer did not provide effective training to ensure that each employee could demonstrate knowledge of 1910.134(k)(1)(i) - (vii):  a) Emergency Department   The employer did not provide respirator training to employees, including physician assistants and nurse practitioners who were provided and required to wear N95 respirators while caring for COVID-19 positive patients and COVID-19 patients under investigation.  The training did not include:  a) Why the respirator is necessary and how improper fit, usage, or maintenance can compromise the protective effect of the respirator; b) What the limitations and capabilities of the respirator are; c) How to use the respirator effectively in emergency situations, including situations in which the respirator malfunctions; d) How to inspect, put on and remove, use, and check the seals of the respirator; e) What the procedures are for maintenance and storage of the respirator; and f) How to recognize medical signs and symptoms that may limit or prevent the effective use of respirators.  Violation occurred on or about 4/20/2020 and thereafter.

Issued

Oct 20, 2020

Abate by

Nov 17, 2020

Penalty

Initial $1,082 · Current $1,000 Reduced

General-duty citation text

29 CFR 1910.134(m)(2):  The employer did not establish a record of the qualitative or quantitative fit test administered to employees:  a) Emergency Department  The respirator fit test record for East Orange General Hospital employees did not include the type of test performed and the make and model of the respirator tested.    Violation occurred on or about 4/20/2020 and thereafter.