OSHA Presented by Jennifer Thompson – HR Consultant
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WHAT IS OSHA? The Occupational Safety and Health Administration (OSHA) was founded April 28, 1971 with a mission to save lives, prevent injuries and protect the health of American Workers. OSHA and their state partners, combined with the efforts of employers, safety and health professionals, unions and advocates, have had a dramatic effect on workplace safety. OSHA REQUIREMENTS FOR MEDICAL OFFICES: Exposure Control Plan (ECP) Emergency Exit Routes • • Hazard Communication Electrical Safety Requirements • • Program (HCP) Reporting Requirements • X-ray Exposure •
EXPOSURE CONTROL PLAN (ECP) Per OSHA regulations, this plan is designed to eliminate or minimize occupational exposure to bloodborne pathogens
WHAT’S REQUIRED FOR YOUR ECP? • Effective Employee Training • Provide employee training at time of hiring • Recommended to provide additional up-to-date training periodically throughout the year. • Universal Precautions • An approach to infection control to treat all human blood and bodily fluids as if it were infected with HIV, HBV(Hepatitis B Virus) or other bloodborne pathogens • Engineering and Work Practice Controls • Designed to eliminate or reduce exposure to chemical or physical hazards through the use/substitution of engineered machinery/equipment • Personal Protective Equipment • Protective eye wear • Protective clothing • Gloves • Hepatitis B Vaccination • Must be provided at no cost to exposed employees
WHAT’S REQUIRED FOR YOUR ECP? (cont’d) • Post-exposure & Follow-up • Must be post-exposure follow up with any affected employees • Must be provided at no cost to the employee Includes, but is not limited to, office visits, lab work, etc. • • Use of Labels and Color-coding • Properly identify hazardous waste, sharps containers, specimens, contaminated laundry, etc. • Proper Containment of Regulated Waste • Regulated waste includes, but is not limited to, blood-soaked gauze, blood or other potential infectious material in suction containers • Per OSHA regulations, must be contained and disposed of in a certain manner For More Information: https://www.osha.gov/Publications/osha3186.pdf(Sample Plan) https://www.osha.gov/Publications/osha3187.pdf (A Guide to Compliance)
HAZARD COMMUNICATION PROGRAM (HCP) This program is also called the “Employee Right -to- Know” Plan. A HCP is a program provides proper warnings and safety precautions needed for dealing with hazardous chemicals in the workplace. THE HCP STATES: All chemical containers must be labeled • All employees are provided access to Material Safety Data Sheets (MSDS) • Information on potentially hazardous chemicals and how to work safely with • them. Employers must provide effective training to employees for • potential exposure to hazardous chemicals and what to do if exposed. For More Information: https://www.osha.gov/Publications/osha3187.pdf https://www.osha.gov/Publications/osha3186.pdf
X-RAY EXPOSURE & SAFETY OSHA requires: All equipment used for x-rays be clearly identified. These areas should be restricted to trained employees only to minimize employee exposure. All equipment and rooms used for radiology must be clearly labeled with “ Caution Signs ”
X- RAY EXPOSURE & SAFETY (cont’d) OSHA requires: Employees working in these areas must wear personal radiation monitors Film badges used for monitoring cumulative radiation dose due to ionizing radiation, usually processed for reading once a month. Worn close to the chest area Pocket dosimeters a pen-like device that measures the cumulative dose of ionizing radiation received by the device, usually over one work period Worn in the pocket
Film Badges and Pocket Dosimeters Film Badge Pocket Dosimeter
EMERGENCY EXIT ROUTES • Emergency Exit Routes are requirements for providing safe and accessible building exits. • Emergency exits must be kept clear of debris at all times . • Arrange emergency exits so staff and patients won’t have to travel toward a hazardous area. • If a door can’t be used as an emergency exit, use “Not an Exit” signage. • Exit Signs must be clearly visible. Post evacuation routes in several visible areas throughout the office. • Hold emergency evacuation drills during office hours with employees and patients • periodically throughout the year. For more information, contact your local fire department, insurance agent, OSHA office, or visit https://www.osha.gov/OshDoc/data_General_Facts/emergency-exit- routes-factsheet.pdf
ELECTRICAL SAFETY REQUIREMENTS • OSHA requires that electrical equipment be clearly tagged with the following information: Inspection date Due date of next inspection The inspectors initial • If equipment fails/malfunctions, it must be labeled “Out -of- Service”. • Employers must provide effective training on use of electrical equipment to all employees. • Electrical equipment should not be used by anyone not properly trained to do so.
REPORTING REQUIREMENTS • Medical and dental offices are currently exempt from maintaining an official log of reportable injuries and illnesses (OSHA Form 300), however it is strongly recommended that you maintain records • All employers (including medical and dental) must report any work-related: Fatality within 8 hours The hospitalization of three or more employees within 24 hours Amputations within 24 hours Loss of an eye within 24 hours Operators at 1-800-321-OSHA (6742) will direct you to the appropriate state/federal • office. Mississippi and Louisiana are covered under Federal OSHA Guidelines for reporting • and record keeping. The reporting requirement may differ for state-run OSHA plans. Visit • https://www.osha.gov/dcsp/osp/states_contact.html to see a complete list of state run OSHA plans and contact information for those states.
OSHA Changes and Reporting • Why? Publicly “Nudge” Employers to Focus on Safety • Fatality, Significant Injuries, Restricted Duty, or Loss Consciousness • Who is not subject to the Record Keeping? • https://www.osha.gov/recordkeeping/ppt1/RK1exempttable.html • Effective January 1, 2017 Submit/Post Electronically • Whoops, OSHA wasn’t Ready so now it is July 1 st December 1st • 3 Ways to Submit Data Manually • CSV File Upload • A created file that is uploaded to the OSHA website • Automated Tracking System using an Application Program Interface (API) • • Anti-retaliation Protections and Notice (300A Feb 1 – Apr 30) Allows employees to file complaints with OSHA if they feel they are being that they have experienced • discrimination or retaliation for exercising there right to report a work-related injury • New Filing Deadlines for Certain High-Risk Industries 3/2/19 https://www.osha.gov/recordkeeping/NAICScodesforelectronicsubmission.pdf •
Screenshot of OSHA Online Tracking
Screenshot of OSHA Online Tracking
Contact Information Jennifer Thompson HR Consultant 877-759-5765 Ext. 1292 jennifer.thompson@morganwhite.com
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