Title Page
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Site conducted
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Conducted on
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Prepared by
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1.0 Training Program (Safety / Training Department)
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Are affected employees provided awareness level training about BBP annually? 1910.1030(g)(2)(iv)
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Are authorized employees provided BBP pathogen training at least annually? 1910.1030(g)(2)(ii)(B)
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Training program consists of all content located in 1910.1030(g)(2)(vii).
2.0 Blood Borne Pathogen Exposure Control Plan (Safety/Medical)
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Does the site have an exposure control plan? 1910.1030(c)(1)
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Is there evidence that the exposure control plan is reviewed and updated at least annually or during a new task or modified procedures? 1910.1030(c)(1)(iv)
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Does the site have an exposure determination? 1910.1030(c)(2)(i) (Must contain the following information: Job classifications for employees with occupational exposure, list of job classification in which some employees have exposure and a list of tasks and procedures or similar groups in which those employees could be exposed.
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Does the program identify that all fluids can be potentially infectious? 1910.1030(d)(1)
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Does the program identify the method for removing sharps devices from use? 1910.1030(d)(2)(vii) 1910.1030(d)(2)(vii)(B) 1910.1030(d)(2)(viii)
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Do BBP protocols identify proper handling, shipping and transport of blood or other potentially infectious materials? 1910.1030(d)(2)(xiii)
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Does the program describe the proper PPE to be worn when handling BBP? 1910.1030(d)(3)
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Does the program contain a written schedule for cleaning and methods of decontamination based upon the location within the facility? 1910.1030(d)(4)(i)
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Is there a procedure for cleaning and decontaminating equipment and working surfaces which may come into contact with blood of other potentially infectious materials? 1910.1030(d)(4)(ii)
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Does the site have protocols for how to handle regulated waste? 1910.1030(d)(4)(iii)(A)
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Does the site maintain a sharps injury log? 1910.1030(h)(5)
3.0 Blood Borne Pathogen Practices (Visual Inspection)
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Has the site provided hand washing facilities which are readily accessible to employees? 1910.1030(d)(2)(iii)
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Are needles and other contaminated sharps recapped, not bent or removed, located in a red boi-hazard storage locations? 1910.1030(d)(2)(vii)
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Are proper sharps containers used? 1910.1030(d)(2)(viii) (Puncture resistant, labeled bio-hazard, leakproof on the sides and bottom, and orange or red-orange.
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Is there a way to launder, dispose and clean garments on the plant site? 1910.1030(d)(3)(iv)
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Are employees wearing gloves, faceshields or other PPE when there is reason to believe they may be exposed to BBP? 1910.1030(d)(3)(ix)
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Is the medical site maintained in a clean and sanitary condition? 1910.1030(d)(4)(i)
4.0 Employee Knowledge (Employee Questions)
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Do exposed employees know when to wash their hands after handling potential blood borne pathogens? 1910.1030(d)(2)(v)
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Do employees know what a BBP is?
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Do employees know that any potential bodily fluid may potentially be infectious? 1910.1030(d)(1)
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Do employees know where to obtain PPE?
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Do employees know proper procedures for disposal of contaminated sharps?
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Do employees know proper procedures for disposal of contaminated PPE?
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Do employees know the types of PPE which need to be worn for various applications? Ask them to explain when to where certain types of PPE.
5.0 Documentation and Retention (Safety/Medical)
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Site maintains documentation which includes: Name, copy of Hep-B, qualification records, copy of examinations and medical testing's, copy of healthcare professionals written opinion as required in f5, and a copy of the information provided to the healthcare professional. 1910.1030(h)(1)(ii)
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Site maintains training records for the length of employment as identified by the Century document retention policy?
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Employee training records are readily accessible?
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Are sharps injury logs maintained for a period of 5 years? 1904