OSHA’s Bloodborne Pathogens StandardOSHA’s Bloodborne Pathogens Standard
Richard J. Green, MSc
Safety Training ManagerOffice of Health and Safety
Centers for Disease Control and Prevention
Richard J. Green, MSc
Safety Training ManagerOffice of Health and Safety
Centers for Disease Control and Prevention
OverviewOverview
ComplianceCompliance
ComponentsComponents
SummarySummary
29 CFR 1910.1030 “Occupational Exposure to Bloodborne Pathogens”
Effective: March, 1992 Revisions:
November, 1999: Compliance Directive April, 2001: Needlestick Prevention Act
Scope ALL occupational exposure to blood and
other potentially infectious material (OPIM)
29 CFR 1910.1030 “Occupational Exposure to Bloodborne Pathogens”
Effective: March, 1992 Revisions:
November, 1999: Compliance Directive April, 2001: Needlestick Prevention Act
Scope ALL occupational exposure to blood and
other potentially infectious material (OPIM)
OverviewOverview
Major Provisions by Paragraph
(b) Definitions
(c) Exposure Control Plan (ECP)
(d) Engineering and Work Practice Controls
(e) HIV and HBV Research Labs
(f) Vaccination, Post-Exposure Follow-up
(g) Labeling and Training
(h) Record keeping
Major Provisions by Paragraph
(b) Definitions
(c) Exposure Control Plan (ECP)
(d) Engineering and Work Practice Controls
(e) HIV and HBV Research Labs
(f) Vaccination, Post-Exposure Follow-up
(g) Labeling and Training
(h) Record keeping
ComponentsComponents
(b) Definitions Bloodborne Pathogen
“Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV).”
(b) Definitions Bloodborne Pathogen
“Pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, hepatitis B virus (HBV) and human immunodeficiency virus (HIV).”
ComponentsComponents
(b) Definitions Occupational Exposure
“Reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employees duties.”
(b) Definitions Occupational Exposure
“Reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employees duties.”
ComponentsComponents
(c) Exposure Control Plan (ECP) Provides employees with work practices,
procedures, and policies designed to minimize or eliminate employee exposure.
Includes current safety technologies, documentation of safer device implementation, and input from non-managerial workers.
(c) Exposure Control Plan (ECP) Provides employees with work practices,
procedures, and policies designed to minimize or eliminate employee exposure.
Includes current safety technologies, documentation of safer device implementation, and input from non-managerial workers.
ComponentsComponents
(c) Exposure Control Plan (ECP) Exposure Determination:
Identify worker exposures to blood or OPIM
Review all processes and procedures with exposure potential
Re-evaluate when new processes or procedures are used
(c) Exposure Control Plan (ECP) Exposure Determination:
Identify worker exposures to blood or OPIM
Review all processes and procedures with exposure potential
Re-evaluate when new processes or procedures are used
ComponentsComponents
Universal/Standard Precautions: Treat all human blood and body fluids as
if they were infected. Treat all HIV/HBV/HCV containing cell or
tissue culture, culture medium, solutions or tissues from experimental animals infected with HIV/HBV/HCV as infected.
Utilize: Handwashing, Sharps Precautions, Barrier Protections
Universal/Standard Precautions: Treat all human blood and body fluids as
if they were infected. Treat all HIV/HBV/HCV containing cell or
tissue culture, culture medium, solutions or tissues from experimental animals infected with HIV/HBV/HCV as infected.
Utilize: Handwashing, Sharps Precautions, Barrier Protections
ComplianceCompliance
(d) Engineering and Work Practice Controls Employers must select, implement , and
document appropriate engineering controls (e.g. sharps disposal containers, sharps with engineered sharps injury protections {SESIP}, needleless systems, directional airflow) that isolate or remove the bloodborne pathogens hazard from the workplace and reduce or eliminate employee exposure.
(d) Engineering and Work Practice Controls Employers must select, implement , and
document appropriate engineering controls (e.g. sharps disposal containers, sharps with engineered sharps injury protections {SESIP}, needleless systems, directional airflow) that isolate or remove the bloodborne pathogens hazard from the workplace and reduce or eliminate employee exposure.
ComplianceCompliance
(d) Engineering and Work Practice Controls Selection of engineering and work practice
controls is dependent on the employer’s exposure determination.
(d) Engineering and Work Practice Controls Selection of engineering and work practice
controls is dependent on the employer’s exposure determination.
ComplianceCompliance
(d) Engineering and Work Practice Controls Personal Protective Equipment:
Specialized clothing or equipment. Selection based on quantity and type of
exposure expected. Ex: aerosol production = face protection
(d) Engineering and Work Practice Controls Personal Protective Equipment:
Specialized clothing or equipment. Selection based on quantity and type of
exposure expected. Ex: aerosol production = face protection
ComplianceCompliance
(d) Engineering and Work Practice Controls Work Practices:
Hand washing Personal hygiene Personal attire Not wearing personal protective equipment
(PPE) out of the work area Changing PPE when contaminated Decontaminating/cleaning regularly & after
spills …
(d) Engineering and Work Practice Controls Work Practices:
Hand washing Personal hygiene Personal attire Not wearing personal protective equipment
(PPE) out of the work area Changing PPE when contaminated Decontaminating/cleaning regularly & after
spills …
ComplianceCompliance
(d) Engineering and Work Practice Controls Housekeeping:
Written schedule for cleaning and decontaminating
Documented eye wash checks Material decontamination before exit from
lab Removal of PPE from lab is prohibited Home laundering of PPE is prohibited Segregated waste …
(d) Engineering and Work Practice Controls Housekeeping:
Written schedule for cleaning and decontaminating
Documented eye wash checks Material decontamination before exit from
lab Removal of PPE from lab is prohibited Home laundering of PPE is prohibited Segregated waste …
ComplianceCompliance
(e) HIV/HBV Research Labs and Production
Facilities BSL 3 practices and procedures
Separated work areas Sealed surfaces Waste incineration/autoclaving BSC usage Directional airflow
(e) HIV/HBV Research Labs and Production
Facilities BSL 3 practices and procedures
Separated work areas Sealed surfaces Waste incineration/autoclaving BSC usage Directional airflow
ComplianceCompliance
(f) Vaccination, Post-Exposure Follow-up Hepatitis B vaccine made available to all
workers with potential risk of exposure Offered within 10 days of employment No cost to worker “Declination” signed if employee
declines vaccine; may accept at a later date
(f) Vaccination, Post-Exposure Follow-up Hepatitis B vaccine made available to all
workers with potential risk of exposure Offered within 10 days of employment No cost to worker “Declination” signed if employee
declines vaccine; may accept at a later date
ComplianceCompliance
(f) Vaccination, Post-Exposure Follow-up Report the incident immediately
Inform supervisor Go to clinic/medical services provider
Confidential medical evaluation Route of exposure Circumstances of the incident Source known
Important to start drug therapy within 2 hours Testing of victim/source only with consent
(baseline blood stored for 90 days)
(f) Vaccination, Post-Exposure Follow-up Report the incident immediately
Inform supervisor Go to clinic/medical services provider
Confidential medical evaluation Route of exposure Circumstances of the incident Source known
Important to start drug therapy within 2 hours Testing of victim/source only with consent
(baseline blood stored for 90 days)
ComplianceCompliance
(g) Labeling and Training Labels must include universal biohazard
symbol and the term “Biohazard” Wherever BBP or OPIM are Fluorescent orange-red Secured with: string, tape, wire, adhesive
Exceptions: Blood products for clinical use, blood samples in containers, blood drawing tubes
(g) Labeling and Training Labels must include universal biohazard
symbol and the term “Biohazard” Wherever BBP or OPIM are Fluorescent orange-red Secured with: string, tape, wire, adhesive
Exceptions: Blood products for clinical use, blood samples in containers, blood drawing tubes
ComplianceCompliance
(g) Labeling and Training Signs posted at all work area entrances:
Biohazard symbol Infectious agent Entry requirements Name & telephone # of responsible
person
(g) Labeling and Training Signs posted at all work area entrances:
Biohazard symbol Infectious agent Entry requirements Name & telephone # of responsible
person
ComplianceCompliance
(h) Record Keeping Occupational exposure/sharps injury
record Confidential Kept for duration of employment,
+ 30 years Includes:
Name & social security number Vaccination status Examination results
(h) Record Keeping Occupational exposure/sharps injury
record Confidential Kept for duration of employment,
+ 30 years Includes:
Name & social security number Vaccination status Examination results
ComplianceCompliance
(h) Record Keeping Sharps Injury Log (each incident)
Type and brand of device involved Department or area of incident Description of incident
(h) Record Keeping Sharps Injury Log (each incident)
Type and brand of device involved Department or area of incident Description of incident
ComplianceCompliance
(h) Record Keeping Training records
Kept for 3 years Dates Contents Names & qualifications of instructors Names & job titles of students Annual documentation
(h) Record Keeping Training records
Kept for 3 years Dates Contents Names & qualifications of instructors Names & job titles of students Annual documentation
ComplianceCompliance
Inspection Items Exposure Control Plan
Jobs Tasks
Compliance Methods Engineering Controls Workplace Practices PPE
HBV Vaccination/Post-Exposure Follow-up Records Management
Medical Sharps Injury Log Training
Inspection Items Exposure Control Plan
Jobs Tasks
Compliance Methods Engineering Controls Workplace Practices PPE
HBV Vaccination/Post-Exposure Follow-up Records Management
Medical Sharps Injury Log Training
SummarySummary
More InformationMore Information
U.S. Department of Labor, OSHA
200 Constitution Avenue NW, Room N-3603
Washington, DC 20210
(202) 693-2190
Or contact your Regional, Area, or State-Plan Office
U.S. Department of Labor, OSHA
200 Constitution Avenue NW, Room N-3603
Washington, DC 20210
(202) 693-2190
Or contact your Regional, Area, or State-Plan Office