| Inspection Type |
Complaint
|
| Scope |
Complete
|
| Safety/Health |
Health
|
| Close Conference |
2013-01-23
|
| Case Closed |
2014-10-09
|
Related Activity
| Type |
Complaint |
| Activity Nr |
748911 |
| Health |
Yes |
|
Violation Items
| Citation ID |
01001 |
| Citaton Type |
Serious |
| Standard Cited |
19101030 C01 II |
| Issuance Date |
2013-05-03 |
| Abatement Due Date |
2013-06-20 |
| Current Penalty |
2450.0 |
| Initial Penalty |
4900.0 |
| Final Order |
2013-05-23 |
| Nr Instances |
1 |
| Nr Exposed |
25 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(c)(1)(ii): The employer's Exposure Control Plan did not contain at least the elements in 29 CFR 1910.1030(c)(1)(ii)(A) through (c)(1)(ii)(C): a. On or about January 23, 2013, the employer's Infection Control/Sterilization Guidelines policy did not contain: 1. An exposure determination containing a list of all job classifications with their respective tasks and procedures in which occupational exposure to bloodborne pathogens may occur; 2. A schedule and methods of implementation of engineering and work practices controls, personal protective equipment, and housekeeping; 3. Hepatitis B vaccination and post-exposure evaluation and follow-up procedures; 4. Communication of hazards to the employees; 5. Recordkeeping of this standard; and 6. A procedure for the evaluation of circumstances surrounding exposure incidents. |
|
| Citation ID |
01002 |
| Citaton Type |
Serious |
| Standard Cited |
19101030 D04 III A 1 |
| Issuance Date |
2013-05-03 |
| Abatement Due Date |
2013-06-20 |
| Current Penalty |
2450.0 |
| Initial Penalty |
4900.0 |
| Final Order |
2013-05-23 |
| Nr Instances |
2 |
| Nr Exposed |
21 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(d)(4)(iii)(A)(1): Contaminated sharps were not discarded immediately or as soon as feasible in containers that were closable, puncture resistant, leak proof on side and bottom, and labeled or color-coded in accordance with paragraph (g)(1)(i) of this standard: a. On or about January 23, 2013, at procedure rooms #7 and #8, the employer did not ensure that contaminated files used during root canal procedures were discarded immediately or as soon as feasible into the sharps containers. Several contaminated root canal files were found laying around the sharps container lid and not inserted into the sharps container. |
|
| Citation ID |
01003 |
| Citaton Type |
Serious |
| Standard Cited |
19101030 F02 I |
| Issuance Date |
2013-05-03 |
| Abatement Due Date |
2013-06-20 |
| Current Penalty |
2450.0 |
| Initial Penalty |
4900.0 |
| Final Order |
2013-05-23 |
| Nr Instances |
4 |
| Nr Exposed |
20 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(f)(2)(i): Hepatitis B vaccination was not made available within 10 working days of initial assignment to all employee(s) with occupational exposure: a. On or about January 23, 2013, the employer did not make available nor offer the hepatitis B vaccine to those employees with occupational exposure to bloodborne pathogens while performing tasks such as, but not limited to, assisting during dental procedures, disinfecting surfaces or decontaminating instruments and tools. |
|
| Citation ID |
01004 |
| Citaton Type |
Serious |
| Standard Cited |
19101030 G02 II |
| Issuance Date |
2013-05-03 |
| Abatement Due Date |
2013-06-20 |
| Current Penalty |
2450.0 |
| Initial Penalty |
4900.0 |
| Final Order |
2013-05-23 |
| Nr Instances |
25 |
| Nr Exposed |
25 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(g)(2)(ii): The employer did not ensure that training was provided to employees at the time of initial assignment and at least annually thereafter: a. On or about January 23, 2013, the employer did provided training at the time of initial assignment nor annually thereafter, to those employee(s) with occupational exposure to bloodborne pathogens while performing tasks such as, but not limited to, assisting during dental procedures, disinfecting surfaces or decontaminating instruments and tools |
|
| Citation ID |
01005A |
| Citaton Type |
Serious |
| Standard Cited |
19101200 E01 |
| Issuance Date |
2013-05-03 |
| Abatement Due Date |
2013-06-20 |
| Current Penalty |
1050.0 |
| Initial Penalty |
2100.0 |
| Final Order |
2013-05-23 |
| Nr Instances |
1 |
| Nr Exposed |
21 |
| Gravity |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
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. On or about January 23, 2013, at the laboratory, procedure rooms and sterilization areas, hygienists, assistants, and sterilization personnel were handling hazardous chemicals such as, but not limited to, CaviCide Surface Disinfectant, a flammable liquid, Orthodontic Plaster and Die-Keen for creating denture molds, and Metricide 28, which contained glutaraldehyde, during cold sterilization procedures, and the employer did not develop nor implemented a written hazard communication program. |
|
| Citation ID |
01005B |
| Citaton Type |
Serious |
| Standard Cited |
19101200 H01 |
| Issuance Date |
2013-05-03 |
| Abatement Due Date |
2013-06-20 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2013-05-23 |
| Nr Instances |
5 |
| Nr Exposed |
21 |
| Gravity |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1200(h)(1): Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area: a. On or about January 23, 2013, at the laboratory and sterilization areas, hygienists, assistants, and sterilization personnel were handling hazardous chemicals such as, but not limited to, CaviCide Surface Disinfectant, a flammable liquid, Orthodontic Plasterand Die-Keen for creating denture molds, and Metricide 28, which contained 2.5%gluteraldehyde, during cold sterilization, and the employer did not provide to the employees information on the health and physical hazards of the chemicals at the time of their initial assignment. |
|
| Citation ID |
02001 |
| Citaton Type |
Other |
| Standard Cited |
19100134 C01 |
| Issuance Date |
2013-05-03 |
| Abatement Due Date |
2013-11-18 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2013-05-23 |
| Nr Instances |
1 |
| Nr Exposed |
11 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.134(c)(1): A written respiratory protection program that included the provisions in 29 CFR 1910.134(c)(1)(i) - (ix) with worksite specific procedures was not established and implemented for required respirator use: a. On or about January 23, 2013, at the laboratory, Assistants were required to use a mask while polishing and buffing orthodontic work such as crowns and bridges made out of Bitestone and Die-Keen for protection against the generated dust. The employer had neither developed nor implemented a site-specific written respiratory protection program. |
|
|
