Right-to-Know / Hazard Communication Bloodborne Pathogens/ Exposure Control

Presented by: Debra B. Eichholtz, Safety Coordinator Safety and Risk Management

Annual Safety

Refresher Training

HazardCommunication

OSHA Standard

29 CFR 1910.1200

And NYS Right to Know Law

Introduction

• The federal Hazard Communication Standard says that you have a “Right-To-Know” what hazards you face on the job and how to protect yourself against those hazards.

That’s your Right-To-Know!

Purpose• The standard was developed to make sure

that everyone who works with any hazardous chemical is aware of the hazards and the necessary precautions.

District Right to Know Officer is David Crisafulli for Oswego and

Alicia Koster for Mexico

Hazard Communication

Program

Container Labeling

Material SafetyData Sheet

MSDSProgramLabel

To ensure that employers and employees know about work hazards and how to protect themselves so that the incidence of illnesses and injuries due to hazardous chemicals is reduced.

The Standard applies to

• Chemical Manufacturers

– Determine Hazards (Physical and Health)

• Employers

– Provide Info. to employees

• Employees

– Awareness

Employees

• Must use their Right-to-Know knowledge to stay safe and healthy on the job.

Chemical Hazards• Health

• Physical

Health Hazards

• Acute Health Problems– symptoms show up immediately after exposure

• Chronic Health Problems– problems develop gradually from prolonged or

repeated exposure

Physical Hazards

• Sudden release of pressure (explosion)

• Flammable (catches fire easily)

• Reactive (unstable chemicals)

Routes of Entry

• Inhalation

• Ingestion

• Injection

• Skin Contact or Absorption

4 Main Areas of Haz Com

• Labeling

• Material Safety Data Sheets

• Written Program

• Education and Training

• WHAT IT IS - WHY IT CAN BE DANGEROUS

• WHAT KIND OF HAZARD

• SAFETY PRECAUTIONS

• WHAT DEGREE OF HAZARD

– CAUTION 0 to 1

– WARNING 2

– DANGER 3 to 4

• PERSONAL PROTECTIVE EQUIP. - PPE

• BASIC FIRST AID

Other Labeling• Blue - Health

• Red – Flammability

• Yellow – Reactivity

• White – Protective Equipment and Other

• Scale 0-4

– 0 = no danger

– 4 = highest danger

New Labeling System Effective 2013Phasing in completed by 2015

• Before you move, handle or open a chemical container, READ THE LABEL and follow the instructions.

Material Safety Data SheetsNew Name Safety Data Sheets

• Detailed information sheet prepared by manufacturer or importer

• Available for every hazardous chemical or substance

• Contains information that:– Enables you to prepare for safe day-to-day use– Enables you to respond in emergencies

Contents of MSDS

• Chemical name

• Company information

• Hazardous ingredients

• Physical characteristics

• Fire and explosion data

•Health hazard data

• Reactivity data

• Special precautions–Safe handling practices–PPE–What to do in case of spills or leaks

HAZCOM 1994

• Requires employee information and training before a worker is exposed to the hazardous chemicals in the workplace, and whenever the hazard changes

HAZCOM 2012

• Clarifies that the labels on shipped containers and workplace labelsmust be explained, as well as SDS format.

• Workers will have to be trained on the new label and SDS formats before all the provisions of the ruleare effective.

1. Identification of the substance

or mixture and of the supplier

2. Hazards identification

3. Composition/information on

ingredients Substance/Mixture

4. First aid measures

5. Firefighting measures

6. Accidental release measures

7. Handling and storage

8. Exposure controls/personal

Protection

9. Physical and chemical properties

10. Stability and reactivity

11. Toxicological

12. Ecological information(non mandatory)

13. Disposal considerations(non mandatory)

14. Transport information(non mandatory)

15. Regulatory information(non mandatory)

16. Other information includinginformation on preparation andrevision of the SDS

Location of MSDS

• In your work area– Your supervisor will inform you of the specific

location– District Office

• Online with MSDSonline.com

Written Program

• The School District must have a written Hazard Communication Program– Inform employees about standard– Information and training on the Hazard

Communication program– Must be available to all employees

Education & Training

• The regulation requires that the employer provide employees with education and training on hazardous chemicals in their work area at the time of initial assignment, and whenever a new chemical hazard is introduced into the work area.

Summary

• You have a right to know about the chemical hazards in your workplace.

• And you have a duty to use that right to learn about and protect yourself from those hazards.

Why are we here?

• OSHA Blood Borne Pathogen Standard

• The more you know, the better you will perform in real situations!

Who is covered by the standard?

• All employees who could be “reasonably anticipated”, as the result of performing their job duties, to face contact with blood and other potentially infectious materials

• “Good Samaritan” acts such as assisting a co-worker with a nosebleed would not be considered occupational exposure

At Risk Staff:

• Nursing Staff• Athletic Trainer• Cleaners• Custodial Workers, • Maintenance Worker I• Bus Drivers, Bus Attendants, Bus Aides• Special Education Teacher, Assistant and Aide as dependent on

tasks or procedures performed

How does exposure occur?

• Most common: needlesticks

• Cuts from other contaminated sharps (scalpels, broken glass, etc.)

• Contact of mucous membranes (for example; the eyes, nose, mouth) or broken (cut or abraded) skin with contaminated blood

Exposure Control Plan

• Identifies jobs and tasks where occupational exposure to blood or other potentially infectious material occurs

• Describes how the employer will:– Use engineering and work practice controls– Ensure use of Personal Protective Equipment– Provide training– Provide medical surveillance– Provide Hepatitis B (HBV) vaccinations– Use signs and labels

Exposure Control Plan

• Written plan required • Plan must be reviewed at least annually to reflect changes in:

– Tasks, procedures, or assignments which affect exposure– Technology that will eliminate or reduce exposure

• Annual review must document employer’s consideration and implementation of safer medical devices

• Must solicit input from potentially exposed employees in the identification, evaluation, and selection of engineering and work practice controls

• Plan must be accessible to employees

What is a Blood Borne Pathogen?

Microorganisms that are present in the blood that can cause

disease in humans

Common Blood Borne Pathogens

• Hepatitis B (HBV)• Hepatitis C (HCV)• Human

Immunodeficiency Virus (HIV)

Potentially Infectious Bodily Fluids

• Blood• Saliva• Vomit• Urine• Semen or Vaginal

Secretions

• Skin Tissue, Cell Cultures

• Any other bodily fluid

• Chewing Tobacco Juice

Transmission Potential

• Contact with another person’s blood or bodily fluid that may contain blood

• Mucous membranes: eyes, mouth, nose

• Non-intact skin• Contaminated

sharps/needles

Your Exposure Potential

• Accidental Release

• Post-Accident Cleanup

• Administering First-Aid

• Handling of Returned Product

• Custodial or Maintenance Work

• Handling of any Waste Products

Universal Precautions

• Use of proper PPE

• Treat all blood and bodily fluids as if they are contaminated

• Proper cleanup and decontamination

• Disposal of all contaminated material in the proper manner

Personal Protective Equipment (PPE)

• Anything that is used to protect a person from exposure

• Latex or Nitrile gloves, goggles, CPR mouth barriers, aprons, respirators, among other things

PPE Rules to Remember

• Always check PPE for defects or tears before using

• If PPE becomes torn or defective remove and get new

• Remove PPE before leaving a contaminated area

• Do not reuse disposable equipment

Decontamination

• When cleaning up surfaces use suitable commercial disinfectant

• Do an initial wipe up

• Spray and allow it to stand for appropriate dwell time (usually ten minutes, then wipe up)

• Dispose of all wipes in biohazard containers

• PPE should be removed and disposed of in biohazard bags

Hand Washing

• Wash hands immediately after removing PPE

• Use a soft antibacterial soap

• A hand sanitizer can be used, but wash with soap and water as soon as possible afterward

Regulated Medical Waste

• Liquid or semi-liquid blood or other potentially infectious material (OPIM)

• Contaminated items that would release blood or OPIM when compressed

• Contaminated sharps• Pathological and

microbiological waste containing blood or OPIM

Signs and Labels

• Labels must include the universal biohazard symbol, and the term “Biohazard” must be attached to:– Containers of regulated

biohazard waste

– Refrigerators or freezers containing blood or OPIM

– Containers used to store, transport, or ship blood or OPIM

Exposure Incident

• A specific incident of contact with potentially infectious bodily fluid

• If there are no infiltrations of mucous membranes or open skin surfaces, it is not considered an occupational exposure

• Report all accidents involving blood or bodily fluids

• Post-exposure medical evaluations are offered

Post-Exposure Evaluation

• Confidential medical evaluation

• Document route of exposure

• Protect identity of staff or student

• Identify source individual• Provide results to exposed

employee• Hep B vaccine may be

offered post exposure

Hepatitis B Vaccination

• Offered to all potentially exposed employees preexposure

• Provided at no cost to employees

• Must give written consent or declination

Recordkeeping

Medical records include:• Hepatitis B vaccination status• Post-exposure evaluation and follow-up results

Training records include:• Training dates• Contents of the training• Signature of trainer and trainee

In Conclusion:The previous Safety Practices are in place for your protection, use

these tools to protect yourself and your classroom.