Osha Manuals for
Physicians, Dentists
and Veterinarians
What's New at OSHA

Statement from Secretary of Labor Hilda L. Solis on reported decline in workplace injuries and illnesses [October 20, 2011]


OSHA Violations in Dental Offices, Chadwick v. Board of Registration in Dentistry [September 6, 2011]


OSHA publishes new and revised materials on worker safety and health [October 17, 2011]


OSHA extends comment period on proposed revisions to the
occupational injury and illness tracking and reporting requirements [September 28, 2011]


Feds sue dentist for firing assistant over OSHA concerns[September 21, 2011]


 

Sept. 8, 2011
Contact: Office of Communications
Phone: 202-693-1999

OSHA issues compliance directive to address workplace violence

WASHINGTON – The Occupational Safety and Health Administration today issued a directive on Enforcement Procedures for Investigating or Inspecting Incidents of Workplace Violence. The directive establishes uniform procedures for OSHA field staff for responding to incidents and complaints of workplace violence and conducting inspections in industries considered vulnerable to workplace violence, such as healthcare and social service settings, and late-night retail establishments.

Workplace violence is a serious recognized occupational hazard, ranking among the top four causes of death in workplaces during the past 15 years. More than 3,000 people died from workplace homicide between 2006 and 2010, according to the Bureau of Labor Statistics (BLS). Additional BLS data indicate that an average of more than 15,000 nonfatal workplace injury cases was reported annually during this time.

A recent OSHA inspection of a Maine psychiatric hospital found more than 90 instances in which workers were assaulted on the job by patients from 2008 through 2010. The hospital was cited for not providing its workers with adequate safeguards against workplace violence and a fine of more than $6,000 was proposed. OSHA has also recently cited facilities in New York and Massachusetts where employees have been killed as a result of assaults.

"These incidents and others like them can be avoided or decreased if employers take appropriate precautions to protect their workers," said Assistant Secretary of Labor for Occupational Safety and Health Dr. David Michaels. "We have accompanied this directive with a new Web page on Preventing Workplace Violence to help employers address workplace violence issues."

Studies by the National Institute for Occupational Safety and Health and other organizations show that employers who implement effective safety measures can reduce the incidence of workplace violence. These measures include training employees on workplace violence, encouraging employees to report assaults or threats, and conducting workplace violence hazard analyses. Other methods such as using entrance door detectors or buzzer systems in retail establishments, and providing adequately trained staff, alarms and employee "safe rooms" for use during emergencies in healthcare settings can help minimize risk.

OSHA has launched a new Web page on Preventing Workplace Violence and has published several workplace violence guidance documents including Recommendations for Workplace Violence Prevention Programs in Late-Night Retail Establishments* and Guidelines for Preventing Workplace Violence for Health Care and Social Service Workers.*

Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees. OSHA's role is to ensure these conditions for America's working men and women by setting and enforcing standards, and providing training, education and assistance. For more information, http://www.osha.gov.
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Region 4 News Release: 11-503-ATL (169)
April 25, 2011
Contact: Michael D'Aquino      Michael Wald
Phone: 404-562-2076      404-562-2078
Email: d'aquino.michael@dol.gov      wald.michael@dol.gov


US Department of Labor's OSHA conducting inspections of outpatient care centers in Alabama to reduce needlestick hazards

ATLANTA – The U.S. Department of Labor's Occupational Safety and Health Administration is announcing a new emphasis program focused on reducing the number of needlestick and sharps injuries in Alabama at ambulatory surgical care centers, freestanding emergency care clinics and primary care medical clinics that provide acute, chronic and emergency care on an as-needed or walk-in basis.

"Needlestick and other sharps-related injuries that expose workers to bloodborne pathogens continue to be an important public health concern," said Cindy Coe, OSHA's regional administrator in Atlanta. "Employers must take seriously their responsibility to protect workers from these health risks."

In addition to Alabama, OSHA will visit a sample of selected health-related facilities in other southeastern states, including Florida, Georgia and Mississippi, to review each establishment's processes and programs designed to protect workers from bloodborne hazards. Those inspections will focus on bloodborne pathogen hazards associated with exposure to contaminated sharps devices. Establishments of all sizes with varying numbers of workers will be inspected.

OSHA area offices also will continue to open inspections in response to complaints that include allegations of sharps/needlestick hazard exposures.

The regional emphasis program begins April 25 and will continue until Sept. 30, 2012, unless it is extended. Additional information is available by contacting Benjamin Ross at 678-237-0424.

To report workplace incidents, fatalities or situations posing imminent danger to workers, call OSHA's toll-free hotline at 800-321-OSHA (6742). Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees. OSHA's role is to ensure these conditions for America's working men and women by setting and enforcing standards, and providing training, education and assistance. For more information, visit http://www.osha.gov.

OSHA launches Injury and Illness Prevention Programs Page on their website

"The Bureau of Labor Statistics estimates that approximately 3.3 million serious work-related injuries and about 4,300 fatalities occurred in 2009. The human cost of preventable workplace injuries and deaths is incalculable. However, according to the 2010 Liberty Mutual Workplace Safety Index, the direct cost of the most disabling workplace injuries and illnesses in 2008 amounted to $53.42 billion in U.S. workers compensation costs, more than one billion dollars per week. This money would be better spent on job creation and innovation. Injury and illness prevention programs are good for workers, good for business and good for America." - Dr. David Michaels Assistant Secretary of Labor.

Cal/OSHA issues $101,485 in citations to Alta Bates Summit Medical Center in Oakland  

20 April 2010 07:48

The Department of Industrial Relations' (DIR) Division of Occupational Safety and Health, better known as Cal/OSHA, today issued $101,485 in citations to Alta Bates Summit Medical Center in Oakland for ten violations of the state safety and health standards in connection to a life-threatening exposure of bacterial meningitis. The case also involves citations issued to the Oakland Police Department and Fire Department as well as a continuing investigation of meningitis exposure involving ambulance employees of American Medical Response. The exposure resulted in the emergency hospitalizations of an Alta Bates employee and an Oakland police officer.  “This case is also a "wake-up call”

"The new Aerosol Transmittable Disease (ATD) Standard was designed to protect workers from just this type of exposure," said DIR Director John C. Duncan. "Protection of medical facility staff and first responders is critical in the process of assisting the public in need of the life-saving services they offer. We cannot allow the spread of diseases caused by airborne aerosols in these critical professions when preventive measures are readily available, and have been required since August 2009."

On Dec. 3, 2009, Alta Bates Summit Medical Center in Oakland received a patient with bacterial meningitis. The patient was transported by American Medical Response with the assistance of a fire department paramedic. The ambulance service responded to the home of the patient where the Oakland Police and Fire Departments had previously arrived. Employees of all three responders at scene were exposed to bacterial meningitis.

"This is a textbook case of why the ATD Standard was developed and why it is so important that it be implemented," said Cal/OSHA Chief Len Welsh. "This case is also a "wake-up call" for other medical facilities and first responders to make sure their ATD program, procedures and employee training meet the requirement of the standard and will be effective in preventing situations like this, which are completely preventable and should never happen."

Cal/OSHA was notified on Dec. 15 by Alta Bates that a respiratory therapist, who directly treated the patient, was hospitalized at another hospital and in the Intensive Care Unit being treated for bacterial meningitis. The respiratory therapist was hospitalized for 11 days.

Alta Bates Summit Medical Center was issued citations for not implementing an ATD program, not providing post exposure information to employees, not properly fit testing employees for respirators and not providing medical treatment to the exposed employee. They also received two willful citations: one for not reporting the meningitis case to the local health authorities and other employees in a timely manner, and one for failure to conduct an exposure analysis of employees exposed to bacterial meningitis for a week after the exposure.

The Oakland Police Department, which had an officer hospitalized in the Intensive Care Unit of another hospital for five days with bacterial meningitis, was cited $31,520 for nine violations that included failure to develop and implement the required ATD standard, failure to properly notify the Oakland Fire Department and American Medical Response of the exposure, not obtaining a medical evaluation of the exposed employee, failure to report the officer's hospitalization to Cal/OSHA, and for not notifying the exposed employee of his exposure to meningitis.

The Oakland Fire Department, whose paramedic assisted in transporting the exposed patient, was cited $2,710 for five violations that included failure to develop and implement an ATD standard, not properly notifying the Oakland Fire Department and American Medical Response of the exposure and providing exposed employees with a copy of their medical evaluations. None of the responding fire fighters, who all used personal respirators, developed the disease.

An investigation involving American Medical Response is still open.

All employers involved in the transportation and treatment of a patient exposed to bacterial meningitis are required to provide respiratory protection, report the case to the local health authority and to employees or other employers exposed and initiate appropriate medical treatment. This investigation revealed a failure to comply with these requirements.

Willful citations are issued when evidence shows that the employer knew hazards existed which could lead to serious physical harm or a fatality and took no action to correct the hazards and comply with the appropriate regulations. The companies cited have 15 business days to appeal or to accept the violations and pay the penalties.

SOURCE Department of Industrial Relations


Campus plans to contest Cal/OSHA fines in November 2007  lab fire

By Phil Hampton March 17, 2010 Category: Campus News, Research 

 UCLA plans to contest citations and $23,900 in fines proposed by the California Division of Occupational Safety and Health (Cal/OSHA) in connection with a November 2007 accident in a campus chemistry and biochemistry laboratory.    

The incident was reported to the UCLA Office of Environment, Health and Safety and to UCLA Compensation and Employment Services, according to Kevin Reed, vice chancellor for legal affairs. The university is examining the circumstances that led to the failure to report the accident to Cal/OSHA.   

 "UCLA long ago corrected the conditions and circumstances that allowed it to go unreported," Reed said. "We're frustrated that state workplace safety regulators do not appear to recognize the comprehensive enhancements made to campus lab safety programs and are instead focused on something that took place more than two years ago. Our intent is to develop a dialogue with Cal/OSHA that will allow us to work cooperatively to ensure our labs are operated in as safe a manner as possible."   

Information about the November 2007 accident released to journalists by Cal/OSHA was based on UCLA documentation provided to the agency in the course of its review of campus safety programs. Cal/OSHA is not alleging any attempt to withhold information.   

A graduate student employee working in a chemistry and biochemistry lab was burned during a routine experiment when he spilled ethanol and it was ignited by a flame from a Bunsen burner. The fire burned his hands and clothing. He was not wearing a lab coat provided to him, a standard safety requirement at the time of the accident that is now an explicit campus-wide policy. He walked to the emergency room of UCLA Medical Center. The next day, he sought treatment at the Grossman Burn Center in Sherman Oaks, Calif., and was admitted for treatment for burns to his hands and chest. He did not sustain serious, long-lasting injuries and remains an employee of the university.   

Reed cautioned against drawing a relationship between the November 2007 incident and a December 2008 lab fire that led to the tragic death of a staff research associate.

 "Any attempt to link the two accidents is unrelated to the facts and UCLA's commitment to lab safety," Reed said. Among the many enhancements to lab safety programs since 2007, UCLA has nearly tripled the number of annual lab inspections, from 365 to 1,095. The inspection protocols are more rigorous, listing a greater number of criteria and requiring corrective action and reinspection within 48 hours when critical problems are identified. Materials developed by the UCLA Office of Environment, Health and Safety, including the laboratory hazard assessment tool, have since been used as a template by other universities. The assessment tool, which must be updated annually, requires each laboratory to quantify chemical, biological and other hazards, specify applicable protective equipment, train all personnel in the use of protective equipment specific to lab activities, and provide written documentation to EH&S. Over the past year, more than 3,300 lab workers have received training in the use of personal protective equipment, such as lab coats.

UCLA Previously announced that it is appealing separate fines and citations proposed by Cal/OSHA in February 2010. 


OSHA REGIONAL NEWS RELEASE REGION 6

Trade Release
July 22, 2009
Contact: Office of Communications
Phone: 202-693-1999

  OSHA publishes new guidance document explaining exposure monitoring requirements for ethylene oxide

WASHINGTON - Ethylene oxide exposure levels and monitoring requirements are addressed in the Occupational Safety and Health Administration's (OSHA) recently published Small Business Guide for Ethylene Oxide. The guidance document helps employers understand the ethylene oxide (EtO) standard and explains how to monitor the air quality in workplaces where EtO is processed, used or handled.

The document includes clarification of the various types of EtO exposure monitoring, lists and explains the exposure levels used by OSHA and provides an outline of what employers should do when monitoring shows EtO exposure levels exceed the allowable limits.

"Because ethylene oxide cannot be detected by sight or smell, workers can be exposed to dangerous levels and not realize it," said acting Assistant Secretary of Labor for OSHA Jordan Barab. "Understanding OSHA's EtO standard is vital to ensuring that employers know how to measure exposure levels so that workers are not exposed to potentially serious illnesses."

The odorless, colorless EtO gas is widely used in hospitals to sterilize surgical equipment. Among other common products, EtO also is found in antifreeze, detergents, adhesives and spices. Short-term exposure to EtO can cause difficulty breathing and nausea, among other symptoms. Long-term exposure can cause more severe conditions such as damage to the nervous system and cancer.

Under the Occupational Safety and Health Act of 1970, OSHA's role is to assure safe and healthful working conditions for America's working men and women by setting and enforcing standards, and providing training, outreach and education.


OSHA's Role  in the American Recovery and Reinvestment Act of 2009 

The American Recovery and Reinvestment Act of 2009 (Recovery Act) was signed into law by President Obama on February 17th, 2009. The Act is an extraordinary response to a crisis unlike any since the Great Depression, and incl-udes measures to modernize our nation's infrastructure, enhance energy independence, expand educational opportunities, preserve and improve affordable health care, provide tax relief, and protect those in great-est need. OSHA's role is to ensure that worker protection laws are enforced as recovery infrastructure investments are carried out. OSHA carries out this responsibility through enforcement of its standards, providing free consultation services to small employers, and outreach to employees and employers regarding hazard awareness and worker protection in affected industries and job classifications.

Inside OSHA: ORC URGES ‘CULTURE CHANGE’ - REFORM UNDER OBAMA OSHA

A prominent industry consulting firm has floated a white paper calling for the incoming Obama administration to restructure the national occupational health and safety debate by fixing what it calls a broken OSHA standard-setting process.  Read on


 

Region 6 News Release: OSHA-09-615-DAL
Friday, June 12, 2009
Contact: Elizabeth Todd
Phone: 972-850-4710

Naval Health Clinic in Corpus Christi, Texas, achieves U.S. Labor Department's OSHA recognition for safety and health excellence

CORPUS CHRISTI, Texas-- Naval Health Clinic in Corpus Christi has earned membership in the Voluntary Protection Programs (VPP) of the U.S. Department of Labor's Occupational Safety and Health Administration (OSHA) at the star, or highest, level for achieving three years of excellence in employee health and safety.

"Naval Health Clinic is the first Department of Defense military treatment facility to achieve VPP star status," said OSHA Regional Administrator Dean W. McDaniel in Dallas. "The team has demonstrated excellence in effective safety and health management by maintaining an injury and illness rate 96 percent below the national average for this industry."

Michael J. Rivera, OSHA's area director in Corpus Christi, attended today's recognition ceremony at the Naval Air Station in Corpus Christi.

The clinic has approximately 170 Navy enlisted personnel working alongside 144 civilian employees who provide outpatient medical care for active duty and retired military personnel and their families. The clinic also provides general physician care, dental services, radiology, lab diagnostics, optometry, pharmacy services and physical therapy.

More than 2,160 worksites representing about 270 industries nationwide have earned entry into OSHA's VPP. Requirements include a high degree of management commitment and employee involvement; a high-quality worksite analysis, hazard prevention and control program; and comprehensive safety and health training for all employees. Each of these elements must be effective, in place and in operation for at least one year before a company can apply to join the VPP. Companies in the VPP achieve average injury and illness rates 50 percent below the Bureau of Labor Statistics average for other companies in their respective industries.

OSHA has improved workplace safety and health over the past 38 years. This success is reflected in the latest data (2007) showing the lowest national injury and illness incidence rate that the Bureau of Labor Statistics has ever recorded. OSHA will continue to work diligently to focus its resources where they will have the most impact in assuring that every working man and woman returns home safely every day.

Under the Occupational Safety and Health Act of 1970, employers are responsible for providing a safe and healthy workplace for their employees. OSHA's role is to promote the safety and health of America's working men and women by setting and enforcing standards; providing training, outreach and education; establishing partnerships; and encouraging continual process improvement in workplace safety and health. For more information, visit www.osha.gov.


Nashua Telegraph News Release
2008 - 9/23/2008 -Nashua dental office faces $75k OSHA fine

US Labor Department says it found two violations after receiving a complaint.  Follow the link below for more details:

http://www.nashuatelegraph.com/apps/pbcs.dll/article?AID=/20080923/NEWS01/309239933/-1/OPINION02


OSHA REGIONAL NEWS RELEASE REGION 2

09-43-NEW/BOS 2009-020
Thurs., Jan. 22, 2009
Contact: Ted Fitzgerald
Phone: 617-565-2074

U.S. Department of Labor's OSHA issues 9 serious citations to University of Rochester laser lab following August 2008 accident that seriously injured worker

BUFFALO, N.Y. -- The U.S. Department of Labor's Occupational Safety and Health Administration (OSHA) has cited the University of Rochester Laboratory for Laser Energetics for nine alleged serious safety violations and proposed $56,700 in fines against the laboratory as a result of an Aug. 6, 2008, accident that seriously injured an employee.

The employee was servicing a pressurized diagnostic device for the OMEGA laser known as the Light Pipe when it exploded. OSHA's inspection found deficiencies regarding the design, installation and operator training for the Light Pipe and the compressed gas system of which it was a part. OSHA has cited the lab for failing to safeguard employees against recognized explosion hazards associated with assembly, disassembly, pressurizing, evacuating and monitoring activities for the Light Pipe.

"While this machinery is singular, the underlying safety concerns are basic and vital," said Arthur Dube, OSHA's area director in Buffalo. "Effective steps must be taken and maintained to eliminate any conditions that could contribute to a recurrence of this unfortunate and grave accident. One element of this could be an effective safety and health management system through which employees and management work together to evaluate, identify and eliminate workplace hazards."

Specifically, the laboratory has been cited for failing to keep the Light Pipe gas tight or provide it with a pressure relief device to prevent an instantaneous uncontrolled gas leak; failing to have the compressed gas system designed by a competent person; an improper gas pressure regulating device; housing the compressed gas cylinder in a place where it was exposed to damage; improper installation of the platform plate from which the Light Pipe was attached; having unqualified persons work on the compressed gas system; lack of eye, face and hand protection; and not evaluating the work area for hazards.

OSHA issues serious citations when death or serious physical harm is likely to result from hazards about which the employer knew or should have known. The laboratory has 15 business days from receipt of its citations and fines to meet with OSHA or to contest them before the independent Occupational Safety and Health Review Commission. This inspection was conducted by OSHA's Buffalo Area Office; telephone 716-551-3053.

Under the Occupational Safety and Health Act of 1970, employers are responsible for providing a safe and healthy workplace for their employees. OSHA's role is to promote the safety and health of America's working men and women by setting and enforcing standards; providing training, outreach and education; establishing partnerships; and encouraging continual process improvement in workplace safety and health.
 
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