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1 Plans and Programs for the OSHAB loodborne PathogensandHazard Communications StandardsOSHA 3186-06R 2003 This informational booklet provides a general overview of a particular topic related to OSHA standards. It does not alteror determine compliance responsibilities inOSHA standards or the Occupational Safetyand Health Act of 1970. Because interpreta-tions and enforcement policy may changeover time, you should consult current OSHA administrative interpretations and decisionsby the Occupational Safety and HealthReview Commission and the Courts for additional guidance on OSHA publication is in the public domain and may be reproduced, fully or partially,without permission. Source credit is requested but not information is available to sensoryimpaired individuals upon phone: (202) 693-1999; teletypewriter(TTY) number: (877) Department of LaborElaine L. Chao, SecretaryOccupational Safety and Health AdministrationJohn L.

2 Henshaw, Assistant SecretaryOSHA 3186-06N2003 Model Plans and Programs for the OSHAB loodborne PathogensandHazard Communications 1: Bloodborne Pathogens exposure control 2: Hazard Communications Hazard Communications and health management system Consultation OSHA Voluntary Protection Program (VPP)..23 Strategic Partnership OSHA Alliance training and available Regional mission of the Occupational Health and Safety Administration(OSHA) is to save lives, prevent injuries, and protect the health ofAmerica s workers. As part of the Department of Labor, OSHA promotesworker safety and health in every workplace in the United S bloodborne pathogens standard protects employeeswho work in occupations where they are at risk of exposure toblood or other potentially infectious materials. OSHA s hazard com-munication standard protects employees who may be exposed tohazardous chemicals.

3 Both standards require employers to developwritten documents to explain how they will implement eachstandard, provide training to employees, and protect the health andsafety of their workers. This publication includes a model exposure control plan to meetthe requirements of the OSHA bloodborne pathogens standard anda model hazard communication program to meet the requirementsof the hazard communication standard. The full text of these twoOSHA standards, including the requirement for the writtendocuments, is found in 29 CFR and 29 CFR ,respectively. You can access the full text of these standardsthrough the OSHA website ( ) by using the alphabeti-cal index (click on B for the bloodborne pathogen standard; clickon H for the hazard communication standard).These model documents can be used as templates for your ownworkplace exposure control plan and hazard communicationprogram, but you must tailor them to the specific requirements ofyour establishment.

4 These sample plans contain all elementsrequired by the bloodborne pathogens and hazard communicationstandards, so you should not eliminate any items when convertingthem for your own use. Your written plans must be accessible to allemployees, either on-line or in an area where they are available forreview on all publication provides general guidance on preparing writtenplans required by OSHA standards, but should not be considered adefinitive interpretation for compliance with OSHA reader should consult the OSHA bloodborne pathogens andhazard communication standards in their entirety for specificcompliance 1 Bloodborne Pathogens StandardThe following model for an exposure control plan includes allelements required by the OSHA bloodborne pathogens standard(29 CFR ). The intent of this model is to provideemployers with an easy-to-use format that may be used as atemplate to develop a written exposure control plan tailored to theindividual requirements of their establishments.

5 Model exposure control PlanPOLICYThe (Your facility name)is committed to providing a safe andhealthful work environment for our entire staff. In pursuit of thisgoal, the following exposure control plan (ECP) is provided to eliminate or minimize occupational exposure to bloodbornepathogens in accordance with OSHA standard 29 , Occupational exposure to Bloodborne Pathogens. The ECP is a key document to assist our organization in implementing and ensuring compliance with the standard, therebyprotecting our employees. This ECP includes: Determination of employee exposure Implementation of various methods of exposure control ,including:Universal precautionsEngineering and work practice controlsPersonal protective equipmentHousekeeping Hepatitis B vaccination Post- exposure evaluation and follow-up Communication of hazards to employees and training Recordkeeping Procedures for evaluating circumstances surrounding exposureincidentsImplementation methods for these elements of the standard arediscussed in the subsequent pages of this ADMINISTRATION (Name of responsible person or department)is (are) responsible forimplementation of the ECP.

6 (Name of responsible person ordepartment)will maintain, review, and update the ECP at leastannually, and whenever necessary to include new or modified tasksand procedures. Contact location/phone number: . Those employees who are determined to have occupationalexposure to blood or other potentially infectious materials (OPIM)must comply with the procedures and work practices outlined inthis ECP. (Name of responsible person or department)will provide andmaintain all necessary personal protective equipment (PPE),engineering controls ( , sharps containers), labels, and red bagsas required by the standard. (Name of responsible person ordepartmentwill ensure that adequate supplies of the aforemen-tioned equipment are available in the appropriate sizes. Contactlocation/phone number: . (Name of responsible person or department)will be responsible forensuring that all medical actions required by the standard areperformed and that appropriate employee health and OSHA records are maintained.)

7 Contact location/phone number: . (Name of responsible person or department)will be responsible fortraining, documentation of training, and making the written ECPavailable to employees, OSHA, and NIOSH representatives. Contact location/phone number: .EMPLOYEE exposure DETERMINATIONThe following is a list of all job classifications at our establish-ment in which all employees have occupational exposure :Job TitleDepartment/Location(Example: Phlebotomists) (Clinical Lab) (use as many lines as necessary) 5 The following is a list of job classifications in which someemployees at our establishment have occupational is a list of tasks and procedures, or groups of closelyrelated tasks and procedures, in which occupational exposure mayoccur for these individuals:Example: Job TitleDepartment/LocationTask/ProcedureHo usekeeper Environmental Services Handling Regulated Waste(use as many lines as necessary)NOTE: Part-time, temporary, contract and per diem employees are covered by thebloodborne pathogens standard.

8 The ECP should describe how the standard will bemet for these OF IMPLEMENTATION AND CONTROLU niversal PrecautionsAll employees will utilize universal precautions. exposure control PlanEmployees covered by the bloodborne pathogens standardreceive an explanation of this ECP during their initial trainingsession. It will also be reviewed in their annual refresher employees can review this plan at any time during their workshifts by contacting (Name of responsible person or department). Ifrequested, we will provide an employee with a copy of the ECP free of charge and within 15 days of the request.(Name of responsible person or department)is responsible forreviewing and updating the ECP annually or more frequently ifnecessary to reflect any new or modified tasks and procedures thataffect occupational exposure and to reflect new or revisedemployee positions with occupational Controls and Work PracticesEngineering controls and work practice controls will be used toprevent or minimize exposure to bloodborne pathogens.

9 The6specific engineering controls and work practice controls used arelisted below: (For example: non-glass capillary tubes, SESIPs, needleless systems) _____ _____ Sharps disposal containers are inspected and maintained orreplaced by (Name of responsible person or department)every (listfrequency)or whenever necessary to prevent overfilling. This facility identifies the need for changes in engineeringcontrols and work practices through (Examples: Review of OSHA records, employee interviews, committee activities, etc.) We evaluate new procedures and new products regularly by(Describe the process, literature reviewed, supplier info, productsconsidered)_____ .Both front-line workers and management officials are involved in this process in the following manner: (Describe employees involvement) (Name of responsible person or department)is responsible forensuring that these recommendations are Protective Equipment (PPE)PPE is provided to our employees at no cost to them.

10 Training inthe use of the appropriate PPE for specific tasks or procedures isprovided by (Name of responsible person or department).The types of PPE available to employees are as follows: (gloves, eye protection, etc.)_____ _____ PPE is located (List location)and may be obtained through (Name of responsible person or department). (Specify how employeeswill obtain PPE and who is responsible for ensuring that PPE isavailable.)All employees using PPE must observe the followingprecautions:7 Wash hands immediately or as soon as feasible after removinggloves or other PPE. Remove PPE after it becomes contaminated and before leavingthe work area. Used PPE may be disposed of in (List appropriate containers forstorage, laundering, decontamination, or disposal.) Wear appropriate gloves when it is reasonably anticipated thatthere may be hand contact with blood or OPIM, and when handlingor touching contaminated items or surfaces; replace gloves if torn,punctured or contaminated, or if their ability to function as a barrieris compromised.