Aftermath overview presentation_0502014_public

Aftermath Services

Company OverviewTHE BIOHAZARD PEOPLE

What We Do• Biohazard Remediation & Cleaning• Suicide, Homicide and Trauma

• Infectious Disease Decontamination

• Unattended Death Cleanup

• Filth/Hoarding

• Urine/Feces/Animal Contamination

• Personal Accidents/Injuries

• Specialty Services*• Tear Gas

• Industrial and Workplace Accidents (Machinery)

• Vehicle and Transportation

• Public Facilities - proactive sanitation (jail cell, morgue)

• Transient camps and outdoor biohazards* Sorry, we do not clean meth labs

3©Aftermath Services LLC All Rights Reserved

Biohazard Industry LeaderAftermath has been the most trusted name in Biohazard Remediation for nearly

20 years. We distinguish ourselves in these core pillars:

Aftermath

Professional Consultation

Quality Service Delivery

After ServiceSupport

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2 3

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EmergencyRapid

Response


Emergency Rapid Response Nationwide

VA

PA

NC

MI

WVKY

LA

AR

MN

OK

NV

CA

ID

AL

AZ

CO

FL

GA

IA

IL IN

KS MO

MS

MT ND

NE

NM

NY

OH

OR

SC

SD

TN

TX

UT

WA

WIWY

DC

NJ

MD

RI

VT

ME

DE

NHMA

CT

EmergencyRapid Response

• Emergency hotline to 24/7 client service

• Immediate assignment of a dedicated case manager and project manager within 10 minutes of initial call

• Emergency dispatch of remediation team, typically onsite within 2-4 hours of first contact…day or night

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We provide 24/7/365 emergency response and service to customers nationwide

Typical arrival time

<4 hours

4-8 hours

>8 hours


Professional ConsultationProfessional Consultation

• Discreet arrival of professional team

• Trained in compassion and communication to support traumatized people

• Comprehensive but rapid assessment of unique service needs

• Customized, clear customer education and consultation

• Experienced, trustworthy service recommendation

• Streamlined legal contracting

• Insurance claim filing service and support

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• Trained and certified three-person teams of biohazard remediation specialists

• 24/7 service delivery to expedite recovery

• Proprietary processes, procedures and cleaning agents developed and refined through years of experience

• Scientific contaminant testing (ATP)

• Dedicated project manager assigned to coordinate services and assure quality

• Every job has a documented Site Compliancy Remediation Report – detailing strict compliance with all Federal and State regulations, including OSHA

• 100% satisfaction guarantee

• Safe, compliant transport and disposal of all hazardous waste

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Site Compliance Remediation Report (SCRR)

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• Provides general description of the incident, potential complications, room dimensions and Hazard & Site Assessment

• Detailed breakdown outlines timeline, scope, and the Federal and state regulations applicable as it pertains to each phase of the project

• Manifesting and tracking documentation for medical waste and personal property

• Tracks hourly Wet Bulb Globe Test results as recommended by OSHA for heat stress safety

• Provided to insurance adjusters for explanation of services

• Provided to commercial clients for their records and proof the situation was handled properly

• Limits liability and provides proof of remediation when real estate death disclosure is required


After Service Support

After Service Support

• Network of follow-up restoration and other service providers

• No hassle insurance payment processing

• Customer Assistance Program

• Flexible payment plans

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When a tragic event happened in our small town…Our local coroner told us to try Aftermath. Luckily Aftermath…promptly came to assess the situation. From beginning to end the company kept us informed and up to date about what they were doing. Each one of the crew members were kind, courteous, and extremely professional…Hopefully our community will not have to go through another situation like this, but if so Aftermath is the only company to call.

— Jason O., Kansas

A family member was found deceased in his home and had been there laying on the floor beside his bed for at least 4 months. When we saw the condition of the room where his body laid, it was apparent that none of us were prepared to handle the grotesque task at hand. Aftermath assigned a case manager to our family and from that point on, we were professionally guided through the process. From the steps required for the proper cleanup of the infected area to assisting us with filing the claim through our home owners insurance.

— Kenneth R., Pennsylvania

Superb team of people who were incredibly compassionate and thoughtful. They all worked tirelessly, efficiently and explained the whole process very well. Thank you for making the last couple of days easier through a very difficult time for the family and we really appreciate your hard work.

— A.S., Warwick, NY


“Task Force” Approach and Support

FIELD OPERATIONS

We have an integrated structure of project teams and back office supporting field operations, located in our home office in Aurora, IL.

PROJECT MANAGEMENT

SERVICE PROFESSIONALS

CUSTOMER

MEDIA & PUBLIC EDUCATION

DEDICATED TRAINING STAFF & FACILITIES

COMPLIANCE

BUSINESS ANALYTICS

HUMAN RESOURCES

INFORMATION TECHNOLOGY

RESEARCH & DEVELOPMENT

ACCOUNTING & FINANCE

Legal & ComplianceWhat We Do, Why It Matters•


Designed specially formulated cleaning agents and coordinated with

disinfectant manufacturers regarding EPA compliance

Continual research of regulations impacting the industry, at the federal, state, and local level

Monitoring of proposed rule changes and regulation updates

Auditing internal processes to ensure compliance with all regulations

Internal manifest portal to handle complex manifest tracking

Review of best practices from noted sources such as NIOSH and the CDC

In-House Compliance and Legal DepartmentSubstantial internal paperwork to document and record compliance with regulations and best practices through

each step of our work

How Aftermath Sets the Gold Standard for Compliance

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Legal & Compliance Overview

©Aftermath Services LLC All Rights Reserved

There is minimal “direct” licensing of the trauma and crime scene clean up industry, but it’s actually heavily regulated due to safety,

environmental and consumer risks + protections!

Employee Safety Environmental Safety

Transportation Safety

Consumer Protection

Home Repair and Improvement

Regulatory Agencies Governing the Industry

FEDERAL AND STATE

OSHAState

Environmental Agencies

OSHA EPA

State Environmental

Agencies

DOT

State Attorney Generals

FTC

State Attorney Generals

FTCState

Licensing Boards

1 2 3 4 5

Local & County Health Departments

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Employee Safety Regulations


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• Maintain written protocols on:– Blood-borne pathogens (BBP)– Personal protective equipment (PPE)– Hazardous communications– Respirator protocol (exposure plans)

• Train all employees on an annual basis on these protocols, as well as other potential safety exposures such as:– Asbestos Awareness– Lock out / Tag out– Fall Protection / Scaffolding– Lift and Ladder Safety– General Power Tool Safety– Hearing Protection

• Provide Hepatitis B vaccinations to all employees at employer’s expense before they are exposed to biological materials– If decline, maintain declination records

• Have a medical examination performed on all employees who will wear respirators to ensure they are medically able to work and breathe while wearing the respirator

• Provide and enforce use of all appropriate personal protective equipment when exposed to both seen and unseen biological materials,

including BBP-rated suits, gloves, booties, and respirators.

• Conduct an initial assessment of any hazards or risks to the employee at the job site and make the proper modifications to the work to address such hazards and risks.

• Require proper donning and doffing of all PPE to ensure no cross-contamination and no direct contamination to the employee.

OSHA Requirements

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Environmental Safety Regulations


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• Oversees the packaging, labeling, and handling of regulated medical waste (RMW) to protect employees from blood-borne pathogen exposures.

• RMW must be:– Packaged in a red bag of sufficient tensile strength;– Packaged in a secondary rigid container if there is the potential

for puncture through the red bag; – All packaging must contain the universal biohazard symbol; and – Packaging must be closable and able to sustain transport without

leaking or opening

• Employees must wear proper PPE while handling RMW.

• Because OSHA mandates packaging of RMW in red biobags, landfills will almost never accept RMW despite any state regulations allowing such disposal.

OSHA Regulations

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©Aftermath Services LLC All Rights Reserved CONFIDENTIAL

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• Packaging, handling, and labeling requirements all similar to OSHA with nuances that vary by state

• Generator, transporter, and/or storage licenses required (varies by state)

• Training for employees re: packaging, handling, labeling, storing, transporting, disposing of, and manifesting RMW

• Written transportation management plans prepared and carried on vehicles and in storage facilities (varies by state)

• Specific storage requirements including hazard warnings, segregation, impervious flooring, and refrigeration (varies by state)

• Disposal via state-approved methodologies, typically autoclaving or incineration

State Environmental Agencies – Medical Waste Management

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Manifesting• Requires cradle to grave tracking of medical waste from the point

of generation to the point of final destruction.• Typically includes multiple third parties (generator, transporter,

transfer station, disposal facility), requiring multiple signatures and complex tracking– Have to match original generation/transport manifest to final proof of

destruction which can come weeks/months later

• States all vary on the format of the manifest, causing complexity when responding to jobs in multiple states

• Most forms require weights, number of boxes, and possibly unique identifying numbers per box

• In some states, the customer is considered the generator and required to sign off on the manifest

• Must maintain manifests at all points in time while managing RMW• Manifests must be stored on record for 3 years

State Environmental Agencies – Medical Waste Management

Arizona

California

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• All disinfectants must be properly registered with the EPA.

• Disinfectants must be used in strict accordance with the manufacturer’s label (approved by the EPA) in order to substantiate claims of levels of disinfection (i.e. “kills 99.9% of germs).

Environmental Protection Agency

• Regulates removal and disturbance of lead paint by renovators.

• Requires the specific entity to be licensed as a Lead Paint RRP Certified

Firm.• Requires each job supervisor

to be licensed as a Lead Paint RRP Certified Renovator.

• Requires specific notices be provided and certain protocols be followed on each job to prevent unnecessary contamination.

Disinfectants Lead Paint

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Environmental Safety Risks


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• How to handle asbestos-containing material (ACM) that is covered in biological material?

• Cannot remove or disturb ACM without proper licensing (in-depth training and protocols required; varies by state).

• Even the EPA is having difficulty answering how to properly dispose – is it primarily asbestos or regulated medical waste?

Improper Disposal of Medical Waste

• Hefty fines and clean up costs come with the improper disposal of medical waste (i.e., finding red biobag falling out of a dumpster).

• State agencies look for the deep pockets in the chain of custody to pay these costs, regardless of who committed the disposal violation (i.e., negligent third party disposal facility or hauler).

• The EPA has issued a consumer warning against the use of ozone generators for indoor air cleaning purposes:http://www.epa.gov/iaq/pubs/ozonegen.html

• The amount of ozone necessary to properly clean an affected area causes respiratory damage and illness to those who return to the affected area.

• This is mistakenly a common-use practice in the restoration industry and yet clearly goes against EPA recommendations.

Asbestos Ozone Generators

http://www.epa.gov/iaq/pubs/ozonegen.html



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Transportation Safety


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• Requirements vary by size of transport vehicle (GVW)

• RMW considered a hazardous waste by the DOT and Federal Motor Carrier Safety Administration (FMCSA)

• Packaging, handling, and labeling specifications for Class 6.2 waste

• Specific training for employees transporting waste– Driver requirements further vary by size of transport vehicle

Department of Transportation Requirements

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Consumer Protection Laws


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State Consumer Protection Laws

Federal Trade Commission

• Vary by state (requires 50-state research of laws)• Protect consumer from deceptive and unethical

business practices• Can require estimates, written service

agreements, and specific contract language such as requirements for jury waivers or arbitration clauses

• Enforced by Consumer Protection Bureaus of state Attorneys General’s Offices

• Requires 3-Day Cooling Off right for goods or services worth more than $25 sold at a location other than the seller’s regular place of business

• Specific contract language, notices, and forms required

Notice of Cancellation

Buyer’s Right to Cancel

FEDERAL TRADE COMMISSION

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Home Repair & Improvement


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State Licensing Boards

State Consumer Protection Regulations

• Depending on the nature of the work, certain licensing may be required.

• Licenses come with state-specific requirements for training, permits, notices, and contract language. (Requires 50-state research.)

• Varies by state.• Can require certain pamphlets or notices when

performing home repairs. (For example, Illinois requires the Know Your Rights: Home Repair and Remodeling Pamphlet to be given to residential repair consumers.)

• Can require specific contract language and estimates.

©Aftermath Services LLC All Rights Reserved 22

How Can We Help Serve Your Community?

• We welcome your partnership, feedback and ideas

• We offer public education programs, promotional programs and safety training in most regions

• Contact information:Emergency Service: 800-366-9923Informational or non-emergency: [email protected]

http://www.aftermath.com/cleanup-biohazard-resources/biohazard-risks-regulations/3rs/

Documents

Aftermath overview presentation_0502014_public