Hazard Communication Training. GHS Modified Hazard Communication Training. BloodBorne Pathogen Standard Training

Transcripción

1 Hazard Communication Training GHS Modified Hazard Communication Training BloodBorne Pathogen Standard Training

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3 Purpose of Hazard Communication Laws Personal Protective Equipment Material Safety Data Sheets Labels

4 Your company, its suppliers and the government are all working together to protect you. Remember, the only person who can keep you safe, every day, is YOU. Take the time to learn about all the products with which you work and how to handle them safely. Here are some helpful resources and information for you to be safe in the work place. Purpose of Hazard Communication Laws Workers have a right-to-know the identities and hazards of chemicals they work with and around under conditions of normal use or in reasonably foreseeable emergencies. Hazard Communication Standard 29 CFR Workers must be informed in five ways: 1. Through a written Hazard Communication Program (HAZCOM) 2. Inventory of chemicals, maintained by a designated person. 3. Material Safety Data Sheets (MSDS) 4. Explanation of Chemical Labeling 5. Effective training of chemical hazards

5 HAZCOM Objectives Make you aware of your workplace hazards. Teach you safe methods of handling the products. Document your HAZCOM program. - Inform you of the labeling requirements and your responsibility. - Inform you of the location of the MSD Sheets in your work area. Components of the HAZCOM Program Written HAZCOM Program MSDS (Material Safety Data Sheets) Proper Chemical Labeling PPE (Personal Protective Equipment) Employee Training Personal Protective Equipment Certain safety equipment is required or recommended to be worn when handling chemicals. Types of Personal Protective Equipment include: Gloves Shoe Covers/Boots Eye Protectors Respirator

6 Material Safety Data Sheets Your company, its suppliers and the government are all working together to protect you. Remember, the only person who can keep you safe, every day, is YOU. Take the time to learn about all the products with which you work and how to handle them safely. Each MSDS is required to contain standard information to fully inform you about the product, its manufacture, hazards to which you may be exposed, what precautions you should take to protect yourself and how to treat an individual who is exposed. Each Section will be reviewed below. Section I: Product Information This section identifies the product name and the contact information. Section II: Hazardous Ingredients This section identifies any hazardous ingredient, the occupational exposure limit (OEL), if any, and whether or not the ingredient causes cancer.

7 Section III: Physical Data This section describes what the product looks like, smells like, whether it is a gas, liquid or solid, its ph, thickness, and percent of solids. Section IV: Fire & Explosion Data This section tells you whether the product is flammable and if so, at what temperature does the product ignite and what you should use to extinguish the fire. Section V: Health Hazard Data This section describes what happens if you get the product in your eyes, on your skin, breathe it in, or ingest it. It also provides the emergency and first aid procedures to use as well. Section VI: Reactivity Data This section describes what happens if you should accidently mix this chemical with another chemical.

8 Section VII: Spill or Leak Procedures This section describes what you should do if the container begins to leak. Section VIII: Special Protection Information This section tells you what personal protective equipment (PPE) is recommended to safely handle the product. Section IX: Special Precautions This section lists any special precautions that were not listed in previous sections including such things as special handling and special storage conditions.

9 This product meets the Green Seal environmental standard for industrial and institutional cleaners based on its reduced human and environmental toxicity and reduced volatile organic compound content. Este producto cumple con la norma de medio ambiente de Green Seal para limpiadores industriales e instituciones sobre la base de su reducida toxicidad para seres humanos y del medio ambiente y su reducido contenido compuesto orgánico volátil. WOOLSAFE-approved maintenance product for wool and wool-rich carpets WOOLSAFE-producto de mantenimiento aprobado para alformbras de lana y con base de lana Please recycle container. Por favor recicle el recipiente. Labels All Containers MUST be properly labeled, including spray bottles. Spartan product labels have: product name, manufacturer s name, manufacturer s address, directions for use and physical precautions Product Name Manufacturer s Name All Purpose Hydrogen Peroxide Based Cleaner A unique blend of modern day surfactants and hydrogen peroxide. Cleans floors, walls, carpets, glass, windows, mirrors, restrooms, kitchens, tile and grout! WARNING: Read carefully additional precautionary and first aid statements on directional label. FOR INSTITUTIONAL AND INDUSTRIAL USE ONLY/KEEP OUT OF REACH OF CHILDREN Limpiador Multiuso a Base de Peróxido de Hidrógeno Una mezcla única de surfactantes de hoy día y peróxido de hidrógeno. Limpia pisos, paredes, alfombras, vidrio, ventanas, espejos, baños, cocinas, azulejo y lechada! ADVERTENCIA: Lea atentamente otras declaraciones de precaución y primeros auxilios en la etiqueta de instrucciones. PARA USO INSTITUCIONAL E INDUSTRIAL SOLAMENTE / MANTENGA LEJOS DEL ALCANCE DE LOS NIÑOS Spartan Chemical Company, Inc Spartan Drive, Maumee, OH #0035 NET CONTENTS: 1 U.S. Gallon/3.79 Liters / CONTENIDO NETO: 3.79 Litros / 1 Galón EE.UU. Manufacturer s Address Alfombras: Pre-tratamiento de vías de tráfico y otras secciones muy Carpet: Pre-treat traffic lanes and other heavily soiled areas with Contempo ensuciadas con Contempo H2O2 Carpet Spotting Solution. Diluya Clean by H2O2 Carpet Spotting Solution. Dilute Clean by Peroxy at 1:64 (2 oz./gal. Peroxy a 1:64 (2 onzas/galón de agua fría). Llene el equipo de extracción. of cold water). Fill extraction equipment. Clean the carpet following the Limpie la alfombra siguiendo las instrucciones del fabricante de la máquina. machine manufacturer s instructions. Do not over wet carpet. If carpet has Evite mojar la alfombra excesivamente. Si la alfombra ha sido limpiado been previously shampooed, use Spartan s Defoamer in the recovery tank. con champú previamente, use Spartan Defoamer (despumador) en el All Purpose Hydrogen After cleaning, brush carpet pile in one direction with carpet pile brush Limpiador Multiuso a tanque de recuperación. Después de limpiar, cepille el pelo de alfombra or shag rake. Avoid walking on carpet until thoroughly dry. If furniture en una dirección con un cepillo de alfombra o un rastrillo de pelo largo. Peroxide Based Cleaner is replaced before carpet is dry, place protective pads under legs. When Base de Peróxido de Hidrógeno Evite caminar sobre la alfombra hasta que esté completamente secada. HMIS HAZARD RATING: Health = 2, carpet is completely dry, vacuum thoroughly. Test carpet prior to overall ÍNDICE DE PELIGRO HMIS: Salud = 2, Inflamabilidad = 0, Reactividad = 1 Si reemplaza el mobiliario antes de que la alfombra esté secada, utilice Flammability = 0, Reactivity = 1 cleaning. Do not use product if test area indicates color removal or Ingredientes: Agua (No. CAS ), Alcohol etoxilado (No. CAS almohadillas de protección debajo de las patas. Una vez la alfombra seque bleeding, carpet shrinkage or adhesive deterioration. Ingredients: Water (CAS No ), ), Peróxido de hidrógeno (No. CAS ), Amina completamente, limpie bien con aspiradora. Pruebe la alfombra antes Alcohol ethoxylate (CAS No ), cuaternaria (No. CAS ), Fragancia (Propietario) de la limpieza global. No use el producto si el área indica decoloración o Hydrogen peroxide (CAS No ), WARNING: Undiluted product causes eye and skin irritation. May be corrimiento del color, encogimiento de la alfombra o deterioro del adhesivo. Quaternary amine (CAS No ), harmful if swallowed. Inhalation of product mist may cause respiratory Recomendaciones para Equipo de Protección Personal (PPE): Use Fragrance (Proprietary) irritation. Do not get in eyes, on skin or on clothing. Do not taste or guantes de goma u otro impermeable y gafas resistentes a salpicaduras. ADVERTENCIA: El producto puro causa irritación a los ojos y a la piel. Personal Protective Equipment (PPE) Recommendations: Wear rubber swallow. Avoid breathing product mist. Wash thoroughly after handling. INSTRUCCIONES PARA EL USO: Algunos individuos pueden ser Puede ser dañino si es ingerido. La inhalación de la neblina de producto or other impervious gloves and splash goggles when handling undiluted sensibles a los ingredientes de este producto. Antes de usar, lea la etiqueta puede causar irritación a las vías respiratorias. Evite el contacto con los product. FIRST AID: y la hoja DSM para el producto. Si tiene preguntas, consulte a su supervisor ojos, la piel o la ropa. No lo pruebe ni ingiera. Evite respirar la neblina EYES: Flush eyes with water for at least 15 minutes. Remove contact o un médico. de producto. Lávese bien después de manipular. DIRECTIONS FOR USE: Some individuals may be sensitive to lenses. Get medical attention. SE RECOMIENDA AGUA FRÍA PARA DILUCIÓN. ingredients in this product. Before use, read product label and MSD SKIN: Remove contaminated clothing. Rinse skin immediately with plenty SIEMPRE PRUEBE PARA COLOR INALTERABLE EN UNA SECCIÓN OCULTA PRIMEROS AUXILIOS: sheet. If questions remain, consult your employer or a physician. of water for at least 15 minutes. Get medical attention if irritation persists. ANTES DE USAR. NO UTILICE EN MÁRMOL U OTRAS SUPERFICIES OJOS: Lave los ojos con agua durante un mínimo de 15 minutos. Quítese COLD WATER IS RECOMMENDED FOR DILUTION. Wash contaminated clothing before reuse. SENSIBLES A ÁCIDOS. NO USE CON BOMBAS PARA TAMBOR DE METAL las lentillas de contacto. Consiga atención médica. ALWAYS PRE-TEST FOR COLORFASTNESS IN AN INCONSPICUOUS INGESTION: Do not induce vomiting. Drink one or two glasses of water to O CUBETA. PIEL: Quite la ropa contaminada. Lave la piel inmediatamente con AREA BEFORE USE. dilute product. Get medical attention. Do not give anything by mouth to an abundante agua durante un mínimo de 15 minutos. Consiga atención DO NOT USE ON MARBLE AND OTHER ACID SENSITIVE SURFACES. unconscious person. Limpieza Ligera: Diluya a 1:64 (2 onzas/galón de agua fría). Rocíe la médica si la irritación persiste. Lave la ropa contaminada antes de usarla DO NOT USE WITH METAL DRUM OR PAIL PUMPS. INHALATION: Move person to fresh air. Get medical attention if irritation superficie y quite con una esponja, un trapeador u otro paño limpiador. de nuevo. Light Duty Cleaning: Dilute at 1:64 (2 oz./gal. of cold water). Spray persists. Limpieza Moderada: Diluya a 1:32 (4 onzas/galón de agua fría). Rocíe la INGESTIÓN: No induzca el vómito. Beba uno o dos vasos de agua para surface and wipe with sponge, mop or other cleaning cloth. superficie y quite con una esponja, un trapeador u otro paño limpiador. diluir el producto. Consiga atención médica. No le dé nada por boca a una Medium Duty Cleaning: Dilute at 1:32 (4 oz./gal. of cold water). Spray persona inconsciente. Dispose of unused product by rinsing with water into sanitary sewer if Limpieza Pesada: Diluya a 1:10 (12 onzas/galón de agua fría). Rocíe la surface and wipe with sponge, mop or other limpiador. INHALACIÓN: Traslade la persona al aire fresco. Consiga atención médica si allowed by local regulations or other appropriate methods. Contact local superficie y quite con una esponja, un trapeador u otro paño cleaning cloth. la irritación persiste. waste water authorities or EPA office for guidance. Undiluted product may Limpieza de Pisos con Una Cubeta y Trapeador: Para limpiar con Heavy Duty Cleaning: Dilute at 1:10 (12 oz. per damage some surfaces. trapeador húmedo a diario, diluya a 1:128 (1 onza/galón de agua fría). Deseche el producto sin usar enjuagando con agua en un sitio con gal. of cold water). Spray surface and wipe with Llene la cubeta. Limpie el piso con un trapeador. Quite la suciedad y el alcantarillado sanitario, si así lo permiten las ordenanzas locales, o sponge, mop or other cleaning cloth. exceso de limpiador con un trapeador limpio. Enjuague los trapeadores mediante otros métodos apropiados. Para obtener orientación, consulte a Floor Cleaning Using Mop and Bucket: For daily DO NOT MIX WITH OTHER CHEMICALS. frecuentemente y cambie la solución según requerida. las autoridades locales encargadas de las aguas residuales, o la oficina de la damp mopping, dilute 1:128 (1 oz. per gal. of MEDICAL EMERGENCY: *Puede ser usado con la pistola de espuma Spartan. EPA. El producto sin diluir puede causar daños a ciertas superficies. cold water). Fill bucket. Mop floor. Pick up soil Limpiador de Vidrio: Diluya a 1:128 (1 onza / galón de agua fría) para la and excess cleaner with clean mop. Rinse mops limpieza cotidiana de vidrio y espejos. Rocíe la superficie y quite con un NO MEZCLE CON OTRAS SUSTANCIAS QUÍMICAS. frequently and change solution as needed. paño limpio libre de hilados. EMERGENCIA MÉDICA: *May be used with the Spartan Foam Gun. Glass Cleaner: Dilute at 1:128 (1 oz./gal. of cold water) for everyday glass and mirror cleaning. Spray surface and wipe with a lint free cloth. Spartan Chemical Company, Inc., 1110 Spartan Drive, Maumee, OH / / SCC 3/10 Directions for use Physical Precautions Secondary Labels Secondary labels must be applied to all containers by the person who transfers the chemical into the container. If you come across a container that contains a chemical and it is not labeled with a secondary label, take it to your supervisor.

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11 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Purpose of Hazard Communication Personal Protective Equipment Safety Data Sheets Labels

12 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Prologue: GHS Modified HAZCOM In 1983, OSHA in an effort to increase safety in the workplace introduced the Chemical Hazard Communication Program or HAZCOM. In 2012, OSHA modified HAZCOM to conform to the United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS). The standard changes the look and information order of your OSHA approved labels and Safety Data Sheets. Important Dates to Remember By December 1, 2013 must train employees regarding the new label elements and safety data sheet format. By June 1, 2015 chemical manufacturers, importers, distributors, and employers shall be in compliance with all modified provisions, except: After December 1, 2015 the distributor shall not ship containers labeled by the chemical manufacturer or importer unless the label has been modified to comply. By June 1, 2016 all employers shall update all alternative labels, their HAZCOM program and provide effective employee training for all employees at time of their initial assignment and whenever a new chemical is introduced to the work area. Source Code of Federal Regulations Major New Elements of GHS Hazard Classification: Defined: to identify the relevant data regarding the hazards of a chemical; review those data to determine the hazards associated with the chemical; and decide whether the chemical will be classified as hazardous according to the definition of hazardous chemical. In addition, where appropriate the degree of the hazard will be determined by comparing the data with the criteria for health and physical hazards. Pictograms: is a symbol, with a border, and a background intended to share specific information about the hazards of a product. Example: corrosive

13 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Signal Word: a word used to indicate the relative level of severity of hazard and alert the reader to the potential hazard on the label. The two signal words for the standard are: danger (more severe) warning (less severe) Hazard Statements: a statement assigned to a hazard class and category that describes the nature of the hazard. Example: May cause eye irritation. Precautionary Statements: A phrase that describes recommended measures that should be taken to minimize or prevent adverse effects resulting from exposure to a hazardous chemical, or improper storage, or handling. Examples include: Prevention; wear eye protection Response; rinse cautiously with water Storage; store in a well ventilated area Disposal; Dispose of contents/ container to an approved waste disposal plant

14 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Your company, its suppliers and the government are all working together to protect you. Remember, the only person who can keep you safe, every day, is YOU. Take the time to learn about all the products with which you work and how to handle them safely. Here are some helpful resources and information for you to be safe in the work place. Purpose of Hazard Communication Workers have a right-to-know the identities and hazards of chemicals they work with and around under conditions of normal use or in reasonably foreseeable emergencies. Hazard Communication Standard 29 CFR Workers must be informed in five ways: 1. Through a written Hazard Communication Program (HAZCOM) 2. Inventory of chemicals, maintained by a designated person. 3. Safety Data Sheets (SDS) 4. Chemical labeling 5. Effective training of chemical hazards

15 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) HAZCOM Objectives Make you aware of your workplace hazards. Teach you safe methods of handling the products. Document your HAZCOM program. - Inform you of the labeling requirements and your responsibility. - Inform you of the location of the Safety Data Sheets in your work area. Components of the HAZCOM Program Written HAZCOM Program Safety Data Sheets (SDS) Proper Chemical Labeling Personal Protective Equipment (PPE) Employee Training Personal Protective Equipment Certain safety equipment is required or recommended to be worn when handling chemicals. Types of Personal Protective Equipment include: Gloves Shoe Covers/Boots Eye Protectors Respirator

16 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Safety Data Sheets Your company, its suppliers and the government are all working together to protect you. Remember, the only person who can keep you safe, every day, is YOU. Take the time to learn about all the products with which you work and how to handle them safely. Each SDS is required to contain standard information to fully inform you about the product, its manufacture, hazards to which you may be exposed, what precautions you should take to protect yourself and how to treat an individual who is exposed. Each section will be reviewed below. Section I: Product and Company This section identifies the product name, the company contact information, responsible party, emergency phone number, as well as other ways to identify the product. Section II: Hazardous Ingredients Identifies GHS acute toxicity classifications by category. Includes label Elements: Symbols, signal words, hazard statements, precautionary statements, and hazards not other wise classified.

17 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Section III: Composition/Information on Ingredients Except for trade secrets includes chemical name, common name, Chemical Abstract Service (CAS) number, and the concentration. Section IV: First Aid Measures Describes what should be done if you get this product in your eyes, on your skin, breathe it in, or ingest it. Describes the most important symptoms/ effects. Section V: Fire-Fighting Measures Identifies what extinguising media should or shouldn t be used, specific hazards arising from the combustion of the product protective equipment fire-fighters should use.

18 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Section VI: Accidental Release Measures Covers personal precautions, protective equipment, emergency procedures, and methods to contain and clean up a spill. Section VII: Handling and Storage Precautions for safe handling, how to store, and incompatable materials. Section VIII: Exposure Controls/Personal Protection Describes chemicals exposure limits (PEL & TLV). Appropriate engineering controls, and personal protective equipment (PPE) recommended to safely handle the product.

19 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Section IX: Physical and Chemical Properties Describes both the physical and chemical properties including: appearance, odor, odor threshold, ph, melting/freezing point, boiling point, flash point, evaporation rate, flammability limits (upper and lower), vapor pressure and density, salubility, auto ignition temperature, decomposition temperature, and viscosity. Section X: Stability and Reactivicty Describes chemical stability, possible chemical reactions, conditions to avoid, incompatable materials, and hazardous decomposition products. Section XI: Toxicological Information Description of the carious health effects and data used to identify: Routes of exposure, symptoms, immediate or delayed effects from exposure, numerical measures of toxicity and chemicals listed as carcinogens.

20 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Section XII: Ecological Information Ecotoxicity, persistence, and degradablility, bioaccumulative potential, mobility in the soil, other adverse effects (such as hazardous to the ozone layer). Section XIII: Disposal Considerations Description of waste residues and their safe handling, methods for safe disposal. Disposal of any contaminated packaging. Section XIV: Transport Information UN number, UN name, transport hazard class, packaging group, environmental hazards, transport in bulk, and special precautions for handling during transport.

21 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Section XV: Regulatory Information Safety, health, environmental regulations specific for the product. May include federal, state, and international data. Section XVI: Other Information Date of preperation or last revision. Voluntary information including HMIS and disclaimer.

22 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Labels Under the GHS Modified OSHA Hazard Communication program, Spartan Chemical labels include the following components: Product Identifier or Name, Signal Word or Words, Related Hazard Statements, Pictograms, Precautionary Statements, Company Name, Company Address, and Phone Number. In addition Spartan has also included the Directions for Use. Product Identifier Signal word Hazard Statement

23 United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS) Labels Under the GHS Modified OSHA Hazard Communication program, Spartan Chemical labels include the following components: Product Identifier or Name, Signal Word or Words, Related Hazard Statements, Pictograms, Precautionary Statements, Company Name, Company Address, and Phone Number. In addition Spartan has also included the Directions for Use. Precautionary Statement Company name, address, and phone number Pictogram Secondary Labels Secondary labels must be applied to all containers by the person who transfers the chemical into the container. If you come across a container that contains a chemical and it is not labeled with a secondary label, take it to your supervisor.

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25 About OSHA and The Standard Exposure Control Plans Identify, Implement and Ensure Universal Precautions & Controls Provide Personal Protective Equipment Covered Pathogens & Vaccination Requirements Post-exposure Evaluation & Follow-up Labels & Signs Information & Clean Up Procedures Maintain Records

26 Bloodborne Pathogens Standard When it comes to Safety Training, it is important to cover the OSHA Bloodborne Pathogens Standard. This Cleancheck safety training program provides in-depth coverage for the standard -- broken down into nine topics, which enables users to control the pace of the training module. These topics are: 1. About OSHA and The Standard 2. Exposure Control Plans 3. Identify, Implement and Ensure Universal Precautions & Controls 4. Provide Personal Protective Equipment 5. Covered Pathogens & Vaccination Requirements 6. Post-exposure Evaluation & Follow-up 7. Labels & Signs 8. Information & Clean Up Procedures 9. Maintain Records

27 Section One: A brief overview of OSHA and The Bloodborne Pathogens Standard. In the U.S., the Occupational Safety and Health Administration, or OSHA, is the government agency that develops and provides guidelines to ensure that workers have a safe work environment. Our goal of this training program is to provide you with the knowledge needed to understand OSHA s Bloodborne Pathogens Standard, otherwise known as 29 C F R; 19, 10.10, 30. The OHSA Bloodborne Pathogens Standard was issued to protect employees who can reasonably be anticipated to come into contact with blood and other potentially infectious materials as a result of doing their job. Such as: Physicians Nurses Emergency medical personnel Operating room personnel Law enforcement officers Laundry workers Certain custodial personnel Other health care personnel Personnel identified to provide assistance in a workplace accident

28 Section One: A brief overview of OSHA and The Bloodborne Pathogens Standard. Continued The standard outlines what your employer must do to help protect you from occupational exposures and what must be done if you are exposed to blood or other potentially infectious materials (also called, O.P.I.M.). To comply with the standard, employers must: 1. Establish an exposure control plan. 2. Update the plan annually. 3. Implement the use of universal precautions. 4. Identify and use engineering controls. 5. Identify and ensure the use of work practice controls. 6. Provide personal protective equipment (or, P.P.E.) including but not limited to: gloves, gowns, eye protection, and masks. 7. Make hepatitis B vaccinations available to all workers with an occupational exposure. 8. Make available post-exposure evaluation and follow-up to any occupationally exposed worker who experiences an exposure incident. 9. Use labels and signs to communicate hazards. 10. Provide information and training to workers. 11. Maintain worker medical and training records.

29 Section Two: The Exposure Control Plan OSHA requires that a site-specific, written Exposure Control Plan be prepared for the safety and health of at-risk workers. At a minimum, the plan must include the following: Identification of job classifications and tasks where there is exposure to blood or other potentially infectious materials. An explanation of the protective measures currently in effect and methods of compliance to be implemented, including: - hepatitis B vaccination and post-exposure follow up procedures; - hazard communication with employees; - personal protective equipment; - housekeeping; and - record keeping. Procedures for evaluating the circumstances of an exposure incident. The written Exposure Control Plan must be made available to workers and OSHA representatives, and updated at least annually. Ask your supervisor to see your site-specific plan. If one is not available please refer to the example Exposure Control Plan that is included in the Safety Manual document. This can be used as a template to establish your own exposure control. The facility safety committee, supervisors, and front line employees, together, are responsible for recognizing any task that creates a potential for exposure. They are each to observe the worksite, review activities, and determine and continually update the worksite to guard against hazards.

30 Section Three: How to identify, implement and ensure universal workplace precautions and controls. All at risk workers should be aware of General Universal Precautions. A general rule requires blood, bodily fluids, and waste products to be treated as if they are infectious. In order to protect themselves, all staff members will follow these universal precautions at all times while on duty: 1. Handle blood and body substance of all people as potentially infectious. 2. Wash hands thoroughly with soap and running water before and after all person or specimen contact, even when gloves are used. 3. Wear disposable gloves for all potential contacts with blood and body substance. Discard gloves immediately after each use. 4. Wear a gown when blood or body substance splashing is reasonably expected. 5. Wear protective eyewear and mask when blood or body substance splattering is possible. 6. Treat all linen soiled with blood or body substance as infectious 7. Change gloves after each contact, as glove integrity cannot be assured with washing and repeated use. 8. Wear a waterproof dressing and gloves if you have cuts, abrasions, or other lesions. 9. Clean up and disinfect all spills or contamination immediately using the established procedure.

31 Section Three: How to identify, implement and ensure universal workplace precautions and controls. Continued 10. Discard disposable items including tampons, used bandages, and dressings in plastic containers lined with non-reusable bags. Close and discard bags daily using an appropriate disposal procedure. 11. Use disposable or utility gloves for general cleaning. 12. Use disposable gloves for all housekeeping chores involving potential contact with body fluids. 13. Use protective airway mask when performing CPR. All practices, equipment, and supplies will be examined, maintained, and updated as needed on a regular schedule. Information on the use of these procedures will be provided to all employees. Disposal Procedures 1. Sharps will be placed in an approved sharps container. When moderately full, the container will be placed in the central double bag/box system for appropriate disposal. Sharps will not be reused, recapped, bent, or removed. 2. Other contaminated, disposable items or materials will be placed in the central double bag/box system for appropriate disposal on a regular basis. Bio-hazard disposal bags/boxes will be used. 3. All central bags/boxes used for disposal will be color-coded and marked with the appropriate bio-hazard symbol. Collection points will be in areas not generally accessible to all building occupants.

32 Section Three: How to identify, implement and ensure universal workplace precautions and controls. Continued Handwashing Facilities 1. Each site at which exposure can reasonably be expected will have hand washing facilities with soap and running water within easy access. 2. At sites without hand washing facilities, antiseptic towelettes or alcohol gel will be available where a slight potential for contamination exists. Disinfectant, gloves, first aid supplies, and similar items will also be available 3. Signs will be posted to remind employees to wash hands after each procedure, whether gloved or not. Another Universal Precaution is the need for Cleanup Kits for Removing Blood and Bodily Fluids When contamination occurs from larger amounts of bodily fluids such as vomitus and blood, kits will be provided for clean up by designated trained personnel. Custodians and any other personnel designated as responsible for cleanup will receive training in the proper use of the clean up kits. Other personnel will be instructed not to clean up any blood or body fluids unless designated as part of this plan. While it seems like common sense, it must be made clear that Eating and Food Storage cannot occur in areas where contamination exists. No eating, drinking, cosmetics application, food storage, or similar activities will be allowed in areas where contamination or contaminated fluids are present. Additionally, no food will be stored in refrigerators that also contain contaminated products. It is important to be sure that there is Marking Of Areas With Contaminated Products. All areas and containers with contaminated products will be marked by labels, colors, and signs.

33 Section Four: Personal Protective Equipment Personal Protective Equipment The plan requires all personnel to use gloves when handling any potentially infectious materials, objects, or surfaces. All staff identified as at-risk of exposure must be provided ample supplies of gloves at no cost to the employee. Hypoallergenic gloves or liners are available upon request. Contaminated laundry and clothing will be cleaned either on-site (using procedures described in this training program) or will be double bagged in marked containers and sent out for professional cleaning. Roll paper and disposable pillowcases that are impervious to fluid will be used to cover furniture which is not easily disinfected and in areas with high potential for exposure. Additional PPE is available as needed, including eyewear, masks, gowns and other items.

34 Section Five: Covered Pathogens and Vaccination Requirements To understand the standard you need to know about the covered pathogens: Hepatitis B and HIV. HEPATITIS B - Hepatitis is a liver disease, initially resulting in possible inflammation of the liver, and frequently leading to more serious conditions including cirrhosis and liver cancer. In the United States each year, there are approximately 300,000 new cases of Hepatitis B Virus (HBV), the most prevalent form of Hepatitis. Healthcare workers are 20 times more likely to contract Hepatitis B than the general population. It is estimated that there are as many as 18,000 new cases of HBV each year among healthcare workers, resulting in 200 to 300 deaths. While there is no cure for Hepatitis B, a vaccine does exist that can prevent infection. In healthcare settings HBV is most often transmitted through breaks in the skin or mucous membranes. This usually occurs through needle sticks, human bites, or having infectious material (such as blood or other body fluids) get into existing cuts or abrasions. The symptoms of HBV infection are very much like a mild flu. Initially, there is a sense of fatigue, possible stomach pain, loss of appetite, and even nausea. As the disease continues to develop, darkened urine and jaundice (or, distinct yellowing of the skin) will often occur. However, people who are infected with HBV will often show no symptoms for some time. After exposure it can take two to six months for Hepatitis B to develop. This is extremely important, since vaccinations begun immediately after exposure to the virus can often prevent infection. The Hepatitis B vaccine will be made available within ten days of assignment at no cost to all employees in primary jobs.

35 Section Five: Covered Pathogens and Vaccination Requirements Continued Following the Bloodborne Pathogens training, employees will be given a full description of the vaccination series and side effects, as well as sign a Consent/Refusal form. The form is included in the Safety Training Manual. Those who consent will be scheduled and given time off for the vaccination series. Records of the vaccination will be maintained and appropriate follow-up boosters will be scheduled as medically prescribed. Human Immunodeficiency Virus (HIV) - HIV is spreading rapidly. Healthcare workers appear to have a slightly higher risk of contracting the virus than the general population. The transmission of these pathogens occurs through the contact of Blood or Other Potentially Infectious Materials with the eyes, mouth, other mucous membranes, or parenteral (or, non intact) skin. Many people with the HIV virus can show no apparent symptoms for years after infection. In most cases, contracting the HIV virus ultimately leads to the development of Acquired Immunodeficiency Syndrome (or, AIDS). This results in the breakdown of the immune system, so the body does not have the ability to fight off other diseases. Currently no vaccination exists to prevent infection of HIV, and there is no known cure. Symptoms of HIV infection can vary, but often include: Weakness Sore Throat Headaches Nausea Fever Other flu-like symptoms Diarrhea

36 Section Five: Covered Pathogens and Vaccination Requirements Continued HBV, HIV and other Bloodborne pathogens may be present in Blood or OPIM including: Semen Pleural fluid Vaginal secretions Percardial fluid Cerebro-spinal fluid Peritoneal fluid Synovial fluid Amniotic fluid Any unfixed tissue or organ Saliva in dental procedures HIV or HBV cultures Tissue from experimental animals contaminated with HBV or HIV. All body fluids where it is difficult to determine if blood is present

37 Section Six: Post Exposure Evaluation & Follow Up All employees, whether under the plan or not, are required to report ALL exposures to bodily fluids to their supervisor immediately, using Communicable Disease Risk Exposure Report. An example of this report is available in the Safety Training Manual. All reports will be held as confidential. All exposed employees, both under and not under the plan, will receive full follow up. Follow up to a report of exposure Following a report of exposure, the employee will be immediately referred to the designated facility healthcare professional for confidential medical evaluation and follow up. The physician will be provided a copy of this plan. The healthcare professional will inform the employee and facility within five days whether the incident is defined as an exposure under the standard. If the incident is not defined as an exposure, the employee will be counseled and no further action will be taken. The reporting form with the physician s determination will be placed in the employee s supplemental file. If there is a defined exposure, the physician will immediately provide follow up activities at no cost to the employee, including: Documentation of the circumstances and routes of exposure; Identification and documentation of the source individual; Collection and testing of the source individual s blood with consent; or establishment that legally required consent cannot be obtained. Test results will be made available to the employee. Ongoing testing of the employee s blood will be performed per U. S. Public Health Services protocol, including immediate, 3-month, 6-month, and 1-year tests.

38 Section Six: Post Exposure Evaluation & Follow Up Continued With employee permission, the Hepatitis B vaccination series will be started immediately, and, within twenty-four (24) hours the HBIG inoculation will be administered. Post-exposure prevention treatment and an evaluation of reported illnesses will be completed. Appropriate counseling and any other directed actions, as determined by the healthcare professional, will be carried out. With the exception of the initial determination, no reports will be made by the physician to the facility. The physician will maintain records for the appropriate time. Section Seven: Labels & Signs Biohazard labels must be utilized where blood and/or other potentially infectious material may be present. 1. Labels should be fluorescent orange, orange-red, or predominantly comprised of those colors. with lettering and symbols in a contrasting color. 2. Red bags or red containers may be substituted.

39 Section Eight: Information and Clean Up Procedures Training is required for new workers at the time of their initial assignment, PRIOR to completing tasks with occupational exposure. Training is also required when job tasks change, causing occupational exposure risk, and annually thereafter. In the Safety Training Manual, you will find a current copy of the Bloodborne Pathogens Standard for your review. This document was obtained online from the OSHA website address shown here. This copy was used with permission from: table=standards&p_id=10051 Clean Up Procedures Housekeeping When performing general cleaning after contamination with blood or body fluids, all employees must wear disposable gloves and proper protection equipment prior to making any contact with blood or body fluids. This includes, but is not limited to, care and first aid treatment of a person as well as cleaning procedures for objects contaminated with body fluids. Employees should use only disposable items provided. When the procedure is completed, discard disposable articles from each contact or cleanup into plastic trash bags that are marked for placement into the bio-medical waste bags.

40 Section Eight: Information and Clean Up Procedures Continued Handwashing Use soap and running water. Soap helps remove dirt and bacteria. Rub hands together for fifteen seconds to work up a lather. Be sure to scrub between fingers, knuckles, back of hands, and around nails. Then rinse your hands under running water. Dry hands with paper towel. Use your paper towel to turn off water. Then discard it in the trash. (If you are in an area where water is not available, use the available antiseptic towelettes or alcohol gel until you get to running water.) Kit Instructions Use clean-up kits on floors and all washable surfaces. Be sure to follow the kit instructions. There are some variations in brands, but basic principles and steps are the same as listed here: First, put on disposable gloves and proper protection equipment. Next, cover the fluid (including vomitus, blood, or other body fluid) with the absorbent powder. This will absorb times its own weight. Allow it to congeal and then pick up the congealed waste matter with the cardboard scoops. Finally put the congealed matter and scoops into the plastic bag. Wait an appropriate amount of time, wipe the disinfectant from the spill area with the absorbent towel and place the towel and empty bottles into the biohazard bag.

41 Section Eight: Information and Clean Up Procedures Continued Next, remove gloves and place into the plastic bag. Wash hands using antiseptic towelette or alcohol gel. Place the towelette into biohazard bag and re-apply gloves. Apply appropriate disinfectant solution evenly over the spill area, but do not spray, allow to air dry. If a disposable apron was used, fold it so that the outside is rolled together. Place in in the bio-hazard bag and twist tie the bag. Place into the biohazard waste bag. Remove gloves and discard them in the biohazard container. Wash hands with soap and running water.

42 Section Eight: Information and Clean Up Procedures Continued Carpet and Upholstery First apply disposable gloves and proper protective equipment. Next, cover the spot with the absorbent powder and allow time to gel. Use scoops to pick up congealed material. Wet the affected area by spraying with an appropriate disinfectant and allow to stand for 10 minutes. Use a carpet extractor, filled with an appropriate disinfectant cleaner, to extract the spot and the surrounding area. Allow to stand for 10 minutes. Next, spray the affected area with clean water and extract only. Clean the equipment following the BBP Standard and store for the next use. Remove gloves and place in proper bag with congealed material and scoops.

43 Section Eight: Information and Clean Up Procedures Continued Use towelette or alcohol gel to clean hands and place in plastic bag. Apply gloves. Tie off bag and place in bio-medical waste bag. Remove gloves. Finally, wash hands with soap and running water. Laundry Including towels, crib sheets, cot covers, washcloths, and other washable materials. Be sure to wear disposable gloves and gowns while handling laundry. Rinse items under cold running water. Place the items in an appropriate plastic bag that can be sealed until it can be put into the washer. Spray the sink with an appropriate disinfectant.

44 Section Eight: Information and Clean Up Procedures Continued Laundry Cont. Remove gloves and place into plastic bag. Wash hands with a towelette or alcohol gel. Place the towlette in the plastic bag. Apply gloves. Put bag in biomedical waste, then remove gloves. Next, wash your hands. Remember to wear gloves and any other appropriate personal protective equipment when handling laundry to place into the washer. Follow the manufacturer s instructions for laundry detergent.

45 Washable Surfaces Section Eight: Information and Clean Up Procedures Continued Such as walls, changing tables, counter tops, desks and other similar areas. First apply disposable gloves. Make sure to use a clean-up kit if large amounts of fluid need to be congealed. Follow kit instructions. For small amounts of fluid that need to be cleaned, absorb with a dry towel and place it into the biohazard bag. Apply the appropriate disinfectant to the contaminated surface and allow proper dwell time per the product label. Wipe the contaminated area with a paper towel. Place the towel in the proper waste bag. Wet the contaminated surface with the proper disinfectant and allow to air dry. Remove gloves and place into plastic bag. Use towelette or alcohol gel to clean hands.

46 Section Eight: Information and Clean Up Procedures Continued Washable Surfaces Cont. Place towelette into the plastic bag and apply gloves. Tie off bag. Discard bag into bio-medical waste bag. Then, remove your gloves and place in the biohazard container. Finally, wash your hands with soap and running water. Small amounts of blood on floors in shop areas may be washed down the floor drain, followed by wetting the area with an appropriate disinfectant. Cleaning schedule Areas in which regular contamination may be expected will be cleaned daily as well as after each known contamination. Cleaning schedule forms will be provided in each of these areas. All other areas will be cleaned following each known contamination.

47 Section Eight: Information and Clean Up Procedures Continued Cleanup of Broken glassware Sweep up all broken glass using a broom and dust pan. Do not pick up any broken glassware with fingers, whether gloves or worn or not. If the debris is contaminated, dispose of it as sharps using the appropriate procedure. Finally, disinfect your dustpan and broom if they become contaminated. Reusable sharps such as medical devices and instruments Contaminated, reusable sharps will be decontaminated as soon as possible, according to facility policies and procedures. Disposable contaminated sharps Contaminated sharps will be discarded immediately at the site of use in containers that are close-able, puncture resistant, leak proof, and labeled as to use. Secondary containers will be used if initial container is damaged. Sharps containers will be placed so they are easily accessible to the area of use. Regular inspections will be scheduled to assure replacement of containers before they become overfull.

48 Section Nine: Maintain Records Proper record keeping is vital in all organizations, but especially when workers may be at risk. At a minimum you should: 1. Track and document each new employee s date of Bloodborne Pathogens Training and Certification. 2. Track and document each new employee s Hepatitis B vaccinations or waivers. 3. Track and document all exposure incidents.