Element 8.1 Bloodborne Pathogens - Gap Analysis

• Conducted on

  Date

• Prepared by

• Location

  Select

• Some cleanup equipment and supplies are available.

  Yes

  No

• Site is generally aware of chemicals present on site

  Yes

  No

• Written program specifies:<br>• Roles and responsibilities;<br>• Requirements for those who may be exposed (i.e. first aid responders, maintenance, janitorial staff and clean-up personnel);<br>• Procedures for cleanup; <br>• Procedure for disposal of contaminated materials; <br>• Method for collecting and disposing of sharps;<br>• Procedure to be followed if someone believes they may have been exposed;<br>• Employee training requirements.<br><br>A revision log shall be included as part of the written program.

  Yes

  No

• All employees with potential occupational exposure have equipment to prevent exposure (e.g. gloves, CPR mask, etc.)

  Yes

  No

• Equipment and supplies are available for clean-up of potentially contaminated material.

  Yes

  No

• "Sharps containers" are available for the collection hypodermic syringes and other potentially contaminated sharps. .

  Yes

  No

• Written program is reviewed annually and updated as necessary. The revision log has been maintained to reflect the annual review and any other changes made to the written program throughout the year.

  Yes

  No

• Supervisors and all employees with potential occupational exposure to bloodborne pathogens receive formalized training, including exams, upon assignment and within each 365 days thereafter.

  Yes

  No

• Trainers are competent and qualified to train on the subject matter

  Yes

  No

• Process exists for disposal of bio-hazard wastes.

  Yes

  No

• All employees understand the hazards associated with bloodborne pathogens and the concept of Universal Precautions.

  Yes

  No

• Regulations are followed regarding annual training requirements, vaccinations (Hepatitis B) and recordkeeping

  Yes

  No

• Universal precautions are followed to prevent the spread of bloodborne pathogens.

  Yes

  No

Hazard Communication

• Which department are you reviewing?

  Select

• Are all containers labeled?

  Safe

  At Risk

  N/A

• Is chemical on a containment pallet?

  Safe

  At Risk

  N/A

• Are labels legible?

  Safe

  At Risk

  N/A

• Do team members know where the SDS book is located?

  Safe

  At Risk

  N/A

• Is the department using food containers for secondary containers?

  Safe

  At Risk

  N/A

Signature

• Supervisor's Signature

  Sign