OSHA Inspection: DR. ELYSE S. RAFAL MD PC

Issued

2025-03-14 00:00:00

Abate by

2025-04-30 00:00:00

Penalty

Initial $3547.00 · Current $3547.00

General-duty citation text

29 CFR  1910.1030(c)(1)(i):The employer having employee(s) with occupational exposure to bloodborne pathogens did not establish a written Exposure Control Plan designed to eliminate or minimize employee exposure.  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2024, employees are exposed to bloodborne pathogens and other potentially infectious materials, in that a written exposure control plan for bloodborne pathogens was not established prior to employees conducting and assisting in occupational duties such as but not limited to, drawing blood, processing blood, skin, and urine samples.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $3547.00 · Current $0.00 Reduced

General-duty citation text

29 CFR  1910.1030(c)(2)(i):The employer having employees with occupational exposure did not prepare an exposure determination:  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2024  the employer did not prepare an exposure determination for employees who were exposed to bloodborne pathogens  and other potentially infectious material while conducting  occupational duties such as drawing blood, punch biopsies, processing blood, skin, and urine samples.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $3547.00 · Current $3547.00

General-duty citation text

29 CFR 1910.1030(d)(3)(i): When there is 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 or masks and eye protection, and mouthpieces, resuscitation bags, pocket mask or other ventilation devices:  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2024. The employer did not provided personal protective equipment  such as but not limited to gowns, laboratory coats, face shields or mask and eye protection to employee who are exposed to bloodborne pathogen and other potentially infectious materials  while performing occupational duties such as drawing blood, punch biopsies, processing blood, skin, and urine samples.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $3547.00 · Current $0.00 Reduced

General-duty citation text

29 CFR  1910.1030(d)(4)(i):The employer did not determine or implement an appropriate written schedule for cleaning or method of decontamination based upon the location within the facility, type of surface to be cleaned, type of soil present, and tasks or procedures being performed in the area, including how the elements specified in 29 CFR 1910.1030 (d)(4)(ii) through (iv) will be met:  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 31, 2024. The employer did not ensure that work surfaces are cleaned with appropriate disinfectant after completing procedures such as punch biopsies containing blood and tissue, wound car,  drawing blood and removal of used equipment that can expose employees to bloodborne pathogens or potentially infectious materials.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $3547.00 · Current $3547.00

General-duty citation text

29 CFR  1910.1030(d)(4)(iii)(A)(2)(iii): During use, containers for contaminated sharps were not replaced routinely or were allowed to be overfilled:   a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2024.  Employees were exposed to needlestick injuries from sharp containers that were overfilled with contaminated sharps and needles.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-03-26 00:00:00

Penalty

Initial $3547.00 · Current $0.00 Reduced

General-duty citation text

29 CFR  1910.1030(d)(4)(iii)(B)(1)(i): Regulated waste (other than contaminated sharps) was placed in containers which were not closable:   a)  At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 31, 2024. Materials contaminated with blood and other potentially infectious materials such as  but not limited to bloody  gauze, gloves and contaminated pipettes  were not disposed in closable containers. The regulated waste was disposed of in the regular trash, which could not be closed.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-03-26 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR  1910.1030(d)(4)(iii)(B)(1)(iii): Regulated waste was placed in containers which were not labeled or color-coded in accordance with 29 CFR 1910.1030(g)(1)(i)  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 31st, 2024. Materials contaminated with blood and other potentially infectious materials such as  but not limited to bloody  gauze, gloves and contaminated pipettes was placed in the regular trash. The regulated waste was not placed in labeled or color coded containers.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $3547.00 · Current $3547.00

General-duty citation text

29 CFR  1910.1030(f)(1)(ii)(D): The employer did not ensure that all medical evaluations and procedures including the hepatitis B vaccine and vaccination series and post-exposure evaluation and follow-up, including prophylaxis, are provided according to the recommendations of the U.S. Public Health Service current at the time these evaluations and procedures take place, except as specified by paragraph (f).    a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2024. The employer did not provide the hepatitis vaccine series to all employees who had occupational exposure to bloodborne pathogens and other potentially infectious materials while conducting occupational tasks such as drawing blood, assisting on punch biopsies and processing blood, tissue and urine.  b) At the facility 2500 Nesconset Highway Building Stony Brook, NY 11790. On or about October 22nd, 2024. the employer did not provide post exposure evaluation follow up to all employees who had an occupational exposure incident to bloodborne pathogens at the workplace.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $3547.00 · Current $0.00 Reduced

General-duty citation text

29 CFR  1910.1030(g)(2)(i): The employer did not train each employee with occupational exposure in accordance with the requirements of this section:  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2024.  Employees were exposed to bloodborne pathogens and other potentially infectious material when conducting occupational tasks such as drawing blood, assisting on punch biopsies and processing blood, tissue and urine without being provided with bloodborne pathogen training.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-30 00:00:00

Penalty

Initial $2128.00 · Current $2128.00

General-duty citation text

29 CFR  1910.1200(e)(1):The employer 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:  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2024. Employees  use products such as but not limited to Chamber Brite and  Ammonia  for sterilization and cleaning of the Autoclave. These products contain hazardous chemicals such as citric acid, ethyl chloride, ethylene glycol monobutyl ether and the employer did not develop, implement and maintain a hazard communication program in the workplace.  Note:  In addition to abatement certification, the employer is required to submit abatement documentation for this item in accordance with 29 CFR 1903.19

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR  1910.1200(g)(1):Employers did not have a safety data sheet in the workplace for each hazardous chemical which they used.  a) At the facility 2500 Nesconset Highway Building Stony Brook, NY 11790. On or about October 22nd, 2024, Employees  used products such as but not limited to Chamber Brite and  Ammonia  for sterilization and cleaning of the Autoclave. These products contain hazardous chemicals such as citric acid, ethyl chloride, ethylene glycol monobutyl ether and the employer did not have safety data sheets in the workplace for each hazardous chemical which they used.  Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-04-08 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR  1910.1200(h)(1):Employees were not provided information and training 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) At the facility 2500 Nesconset Highway Building Stony Brook, NY 11790. On or about October 22nd, 2024,   Employees  used products such as but not limited to Chamber Brite and  Ammonia  for sterilization and cleaning of the Autoclave. These products contain hazardous chemicals such as citric acid, ethyl chloride, ethylene glycol monobutyl ether and  employees were not provided with information and training on hazardous chemicals in their work place.  Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19

Issued

2025-03-14 00:00:00

Abate by

2025-03-26 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR  1910.157(e)(1):The employer did not inspect, maintain or test portable fire extinguishers in the workplace:  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 31st, 2024. Fire extinguisher  tag in Exam Room 1 indicated the last inspection was 2017.  b) At the facility 2500 Nesconset Highway Building  22A Stony Brook, NY 11790. On or about October 31st, 2024. Fire  extinguisher  tag in basement Room 1 indicated the last inspection was 2017.  c) At the facility 2500 Nesconset Highway Building  22A Stony Brook, NY 11790. On or about October 31st, 2024. Fire extinguisher tag  in the basement room 2 indicated the last inspection was 2017.  Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.

Issued

2025-03-14 00:00:00

Abate by

2025-03-26 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR  1910.157(g)(1): At this establishment, this employer had not provided an educational program to familiarize employees with the general principles of fire extinguisher use and the hazards involved with incipient stage firefighting.  a) At the facility 2500 Nesconset Highway Building 22A Stony Brook, NY 11790. On or about October 22nd, 2025. Employees required to use extinguisher were not provided with information and training.   Note: The employer is required to submit abatement certification for this item in accordance with 29 CFR 1903.19.