OSHA Program Manual for Medical Facilities 5-56 Bloodborne Pathogens Violations in Physician Practices HCPro, Inc., obtained a report on OSHA violations for doctors’ offices and clinics from July 1, 2009, to June 30, 2010. The tables below show the most frequent and expensive bloodborne pathogens citations. Most frequent violations for offices and clinics of doctors of medicine Ranking PART 1910 Occupational Safety and Health Standards Average initial fine 1 1910.1030(c)(1)(i) Employer does not have a written exposure control plan designed to eliminate or minimize employee exposure. $924 2 1910.1030(c)(1)(iv) Exposure control plan not reviewed and updated at least annually and whenever necessary to reflect new tasks and procedures. $770 3 1910.1030(d)(2)(i) Engineering and work practice controls not used to eliminate or minimize employee exposure. $1,009 4 1910.1030(g)(2)(i) Employee training not provided at no cost to the employee and not during working hours. $848 5 1910.1030(c)(1)(v) Failure to solicit or document input from frontline workers on engineering and work practices to prevent exposure from contaminated needles and sharps. $227 6 1910.1030(f)(2)(iv) Employer not having signed documentation for employees declining the B vaccination. $420 7 1910.1030(h)(1) General recordkeeping violation. $62 8 1910.1030(c)(1)(iv)(B) Exposure control plan not documenting annual consideration and implementation of appropriate of commercially available safety devices. $167 9 1910.1030(g)(2)(ii)(B) Noncompliant biohazard sign. $498 10 1910.1030(h)(5)(i) No sharps injury log. $205 Source: OSHA Office of Management Systems.
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OSHA Program Manual for Medical Facilities
5-56
Bloodborne Pathogens Violations in Physician Practices
HCPro, Inc., obtained a report on OSHA violations for doctors’ offices and clinics from July 1, 2009, to June 30, 2010. The tables below show the most frequent and expensive bloodborne pathogens citations.
Most frequent violations for offices and clinics of doctors of medicine
Ranking PART 1910 Occupational Safety and Health Standards Average initial fine
1 1910.1030(c)(1)(i) Employer does not have a written exposure control plan designed to eliminate or minimize employee exposure.
$924
2 1910.1030(c)(1)(iv) Exposure control plan not reviewed and updated at least annually and whenever necessary to reflect new tasks and procedures.
$770
3 1910.1030(d)(2)(i) Engineering and work practice controls not used to eliminate or minimize employee exposure.
$1,009
4 1910.1030(g)(2)(i) Employee training not provided at no cost to the employee and not during working hours.
$848
5 1910.1030(c)(1)(v) Failure to solicit or document input from frontline workers on engineering and work practices to prevent exposure from contaminated needles and sharps.
$227
6 1910.1030(f)(2)(iv) Employer not having signed documentation for employees declining the B vaccination.
$420
7 1910.1030(h)(1) General recordkeeping violation. $62
8 1910.1030(c)(1)(iv)(B) Exposure control plan not documenting annual consideration and implementation of appropriate of commercially available safety devices.
$167
9 1910.1030(g)(2)(ii)(B) Noncompliant biohazard sign. $498
10 1910.1030(h)(5)(i) No sharps injury log. $205
Source: OSHA Office of Management Systems.
OSHA Program Manual for Medical Facilities
5-57
Most expensive violations for offices and clinics of doctors of medicine
Ranking PART 1910 Occupational Safety and Health Standards Average initial fine
1 1910.1030(d)(1) Universal precautions not observed. $1,500
2 1910.1030(d)(3)(vi) Bloodborne pathogens. PPE penetrated by blood or OPIM not removed immediately or as soon as feasible.
$1,500
3 1910.1030(f)(1)(ii)(A) Bloodborne pathogens. Failure to make hepatitis B vaccine vaccination and/or postexposure evaluation and follow-up at no cost to employee.
$1,438
4 1910.1030(c)(1)(ii) Incomplete exposure control plan. $1,375
5 1910.1030(d)(1)(viii) Needles and sharps not immediately disposed in containers.
$1,375
6 1910.1030(f)(4)(ii)(A) Contaminated surfaces not immediately decontaminated.
$1,300
7 1910.1030(f)(2)(i) Hepatitis B vaccination not made available after training and within 10 days of assignment.
$1,216
8 1910.1030(d)(2)(vii)(A) Bending, recapping, or removing contaminated needles.
$1,150
9 1910.1030(h)(1)(i) Missing or incomplete occupational exposure records.
$1,088
10 1910.1030(f)(5) Employee not provided with a written opinion by healthcare professional after an exposure.
$1,050
Source: OSHA Office of Management Systems.
For information on specific bloodborne pathogens fines, other standards, or other types of healthcare facilities, e-mail [email protected] or call 800/650-6787.
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