Location and approximate size of the site. Knowledge of the basic hazard and risk assessment techniques. Immediately after initial site entry, a more detailed evaluation of the site's specific characteristics shall be performed by a qualified person in order to further identify existing site hazards and to further aid in the selection of the appropriate engineering controls and personal protective equipment for the tasks to be performed. In addition, where workers are exposed to blood or other potentially infectious materials, employers must provide the training required by the BBP standard, including information about how to recognize tasks that may involve exposure and the methods to reduce exposure, including appropriate engineering controls, work practices, and personal protective equipment. Employees who will be working on the site shall be informed of any risks that have been identified. Questions and Answers 1. Permissible exposure limit means the exposure, inhalation or dermal permissible exposure limit specified in 29 CFR part 1910, subparts G and Z. Any person who has not been so certified or who does not meet the requirements of paragraph (e)(9) of this section shall be prohibited from engaging in hazardous waste operations. Drums and containers that cannot be moved without rupture, leakage, or spillage shall be emptied into a sound container using a device classified for the material being transferred. If there is no permissible exposure limit or published exposure level, the employer may use other published studies and information as a guide to appropriate personal protective equipment. Trainers who teach any of the above training subjects shall have satisfactorily completed a training course for teaching the subjects they are expected to teach, such as the courses offered by the U.S. National Fire Academy, or they shall have the training and/or academic credentials and instructional experience necessary to demonstrate competent instructional skills and a good command of the subject matter of the courses they are to teach. A decontamination procedure shall be developed, communicated to employees and implemented before any employees or equipment may enter areas on site where potential for exposure to hazardous substances exists. 4 Dixon, M. G., & Schafer, I. J. This includes dressings, gauze, containers, and other products or equipment that are noticeably contaminated with such fluids and thereby potentially harmful to a human being upon direct contact. The ability to recognize the presence of hazardous substances in an emergency. Such evaluations shall be made available to OSHA upon request. Those items of the emergency response plan that are being properly addressed by the SARA Title III plans may be substituted into their emergency plan or otherwise kept together for the employer and employee's use. The employer shall develop and implement a written safety and health program for employees involved in hazardous waste operations that shall be available for inspection by employees, their representatives and OSHA personnel. Workers with 24 hours of training who are covered by paragraphs (e)(3)(ii) and (e)(3)(iii) of this section, and who become general site workers or who are required to wear respirators, shall have the additional 16 hours and two days of training necessary to total the training specified in paragraph (e)(3)(i). This section highlights OSHA standards and documents related to hazardous waste. The following monitoring shall be conducted during initial site entry when the site evaluation produces information that shows the potential for ionizing radiation or IDLH conditions, or when the site information is not sufficient reasonably to eliminate these possible conditions: Monitoring the air with appropriate direct reading test equipment (i.e., combustible gas meters, detector tubes) for IDLH and other conditions that may cause death or serious harm (combustible or explosive atmospheres, oxygen deficiency, toxic substances). Understand and implement decontamination procedures. Site topography and accessibility by air and roads. Employers who are not required to have a permit or interim status because they are conditionally exempt small quantity generators under 40 CFR 261.5 or are generators who qualify under 40 CFR 262.34 for exemptions from regulation under 40 CFR parts 264, 265 and 270 ("excepted employers") are not covered by paragraphs (p)(1) through (p)(7) of this section. Learn more about Bloodborne Pathogens Training Hazard Communication Awareness Training Viral load kinetics of Zika virus in plasma, urine and saliva in a couple returning from Martinique, French West Indies. Voluntary clean-up operations at sites recognized by Federal, state, local or other governmental bodies as uncontrolled hazardous waste sites; Emergency response operations for releases of, or substantial threats of releases of, hazardous substances without regard to the location of the hazard. Excepted employers who are required by the EPA or state agency to have their employees engage in emergency response or who direct their employees to engage in emergency response are covered by paragraph (p)(8) of this section, and cannot be exempted by (p)(8)(i) of this section. Soil or covering material shall be removed with caution to prevent drum or container rupture. Biohazard and Medical Waste - University of California, Santa Cruz Positive pressure self-contained breathing apparatus, or positive pressure air-line respirators equipped with an escape air supply, shall be used when chemical exposure levels present will create a substantial possibility of immediate death, immediate serious illness or injury, or impair the ability to escape. 15 OSHA recommends implementing post exposure evaluation and follow-up for all types of infectious agents. The results of the medical examination and tests if requested by the employee. 6 Although an infectious dose or ID50 of Zika virus is not known, urine of Zika patients is known to have significant viral load. Hazardous Waste - Overview - Occupational Safety and Health Administration 13 OSHA recommends that employers implement this control for all types of infectious agents. Hazardous waste means - Refresher training. Health hazard means a chemical or a pathogen where acute or chronic health effects may occur in exposed employees. Periodic monitoring shall be conducted when the possibility of an IDLH condition or flammable atmosphere has developed or when there is indication that exposures may have risen over permissible exposure limits or published exposure levels since prior monitoring. Campus laboratories must abide by strict state and federal waste disposal requirements. When work begins on a different portion of the site. New employees. Instructors shall demonstrate competent instructional skills and knowledge of the applicable subject matter. 14 Paragraph (d)(3)(ix) of the BBP standard requires gloves to be worn when it can be reasonably anticipated that the employee may have hand contact with mucous membranes, non-intact skin, and certain other potential sources of exposure, in addition to blood and other potentially infectious materials covered under the standard. A statement that the employee has been informed by the physician of the results of the medical examination and any medical conditions which require further examination or treatment. ), General shops (e.g., mechanical and electrical equipment rooms, active storerooms, barracks or living quarters, locker or dressing rooms, dining areas, and indoor toilets and workrooms.). General. Totally-encapsulating suits shall protect employees from the particular hazards which are identified during site characterization and analysis. All food service facilities and operations for employees shall meet the applicable laws, ordinances, and regulations of the jurisdictions in which they are located. A ground-penetrating system or other type of detection system or device shall be used to estimate the location and depth of buried drums or containers. Such plans need not duplicate any of the subjects fully addressed in the employer's contingency planning required by permits, such as those issued by the U.S. Environmental Protection Agency, provided that the contingency plan is made part of the emergency response plan. Elements of the site control program. Equivalent training includes the training that existing employees might have already received from actual site work experience. This new standard would require, among other things, the use of SP and TBP when healthcare and healthcare support workers have occupational exposure to sources of infectious agents. Pathways for hazardous substance dispersion. Red biohazard bags are acceptable forms of storage containers and commonly used. Current employees. Risks to consider include, but are not limited to: The employer shall not implement a schedule of employee rotation as a means of compliance with permissible exposure limits or dose limits except when there is no other feasible way of complying with the airborne or dermal dose limits for ionizing radiation. Chapter 2 - Definitions 117625 - Definitions Unless the context requires otherwise, the definitions in this article govern the construction of this part. Employers who will evacuate their employees from the worksite location when an emergency occurs and who do not permit any of their employees to assist in handling the emergency are exempt from the requirements of paragraph (p)(8) if they provide an emergency action plan complying with 29 CFR 1910.38. Employers who will evacuate their employees from the danger area when an emergency occurs, and who do not permit any of their employees to assist in handling the emergency, are exempt from the requirements of this paragraph if they provide an emergency action plan complying with 29 CFR 1910.38. The site safety and health plan, which must be kept on site, shall address the safety and health hazards of each phase of site operation and include the requirements and procedures for employee protection. Elements. The skill and knowledge levels required for all new responders, those hired after the effective date of this standard, shall be conveyed to them through training before they are permitted to take part in actual emergency operations on an incident. 1990, Act 18, Eff. The comprehensive workplan shall provide for the implementation of the training required in paragraph (e) of this section. Radioactive wastes. An employee alarm system capable of being perceived above surrounding light and noise conditions shall be used to signal the commencement and completion of explosive waste handling activities. Compliance with the requirements of paragraph (q) of this section shall be deemed to be in compliance with the requirements of paragraph (p)(8) of this section. Notwithstanding subdivision (b) of Section 117605, the film bags that are used to line the The BBP standard requires the use of UP, and extends UP to protect workers against pathogens found in saliva during dental procedures and body fluids in situations where it is difficult or impossible to differentiate between body fluids (e.g., vomit mixed with blood). Excavation and waste areas, accessways, active storage areas, loading platforms, refueling, and field maintenance areas. Drums or containers that cannot be inspected before being moved because of storage conditions (i.e., buried beneath the earth, stacked behind other drums, stacked several tiers high in a pile, etc.) An accurate record of the medical surveillance required by paragraph (f) of this section shall be retained. 8 Body substance isolation focused on the isolation of all moist and potentially infectious body substances (blood, feces, urine, sputum, saliva, wound drainage, and other body fluids) from all patients, regardless of their presumed infection status, primarily through the use of gloves. The following procedures shall be followed in areas where drums or containers are being opened: Drums and containers shall be opened in such a manner that excess interior pressure will be safely relieved. In other areas not used primarily for treatment, storage, or disposal, any emergency response operations shall comply with paragraph (q) of this section. Since SP was developed to integrate principles of UP and body substance isolation,8 the infection prevention and control methods used under SP encompass what employers should already be implementing to protect workers against exposures under the BBP standard and its requirements for use of UP. One toilet seat and one urinal per 50 employees. The site safety and health plan, as a minimum, shall address the following: Pre-entry briefing. The written opinion obtained by the employer shall not reveal specific findings or diagnoses unrelated to occupational exposures. The second area, with an exit to the worksite, shall provide employees with an area where they can put on, remove and store work clothing and personal protective equipment. Totally-encapsulating chemical protective suits (protection equivalent to Level A protection as recommended in appendix B) shall be used in conditions where skin absorption of a hazardous substance may result in a substantial possibility of immediate death, immediate serious illness or injury, or impair the ability to escape. The initial training shall be for 24 hours and refresher training shall be for eight hours annually. Oxygen deficiency means that concentration of oxygen by volume below which atmosphere supplying respiratory protection must be provided. What is Regulated Waste? | OSHAKits.com: Body Fluid Spill Kits [61 FR 9227, March 7, 1996; 67 FR 67964, Nov. 7, 2002; 71 FR 16672, April 3, 2006; 76 FR 80738, Dec. 27, 2011; 77 FR 17776, March 26, 2012; 78 FR 9313, Feb. 8, 2013; 84 FR 21598, May 14, 2019], Occupational Safety & Health Administration. (Exception: Minimum of 10 foot-candles is required at tunnel and shaft heading during drillingmucking, and scaling. A site control program for protecting employees which is part of the employer's site safety and health program required in paragraph (b) of this section shall be developed during the planning stages of a hazardous waste clean-up operation and modified as necessary as new information becomes available. IDLH orImmediately dangerous to life or healthmeans an atmospheric concentration of any toxic, corrosive or asphyxiant substance that poses an immediate threat to life or would cause irreversible or delayed adverse health effects or wouldinterfere with an individual's ability to escape from a dangerous atmosphere. Any information concerning the chemical, physical, and toxicologic properties of each substance known or expected to be present on site that is available to the employer and relevant to the duties an employee is expected to perform shall be made available to the affected employees prior to the commencement of their work activities. Drum or container staging areas shall be kept to the minimum number necessary to identify and classify materials safely and prepare them for transport. On scene incident commander. Indoors: Warehouses, corridors, hallways, and exitways. Note that Table 2 discusses only selected provisions of the BBP standard, as well as only selected elements of SP and TBP, and is not intended to describe all provisions with which employers may need to comply. 12 OSHA recommends that employers develop and implement exposure control plans for all types of infectious agents. MMWR Morb Mortal Wkly Rep, 37(24): 377-82, 87-8." Biomedical Waste (BMW) means any infectious, pathological and/or chemotherapy waste generated during the administration of medical care or the performance of medical research involving humans or animals. Names of personnel and alternates responsible for site safety and health; Safety, health and other hazards present on the site; Work practices by which the employee can minimize risks from hazards; Safe use of engineering controls and equipment on the site; The contents of paragraphs (G) through (J) of the site safety and health plan set forth in paragraph (b)(4)(ii) of this section. Employees shall not be permitted to participate in or supervise field activities until they have been trained to a level required by their job function and responsibility. Elements of an emergency response plan. You may be held liable for violations of applicable laws. The employer may utilize a representative sampling approach by documenting that the employees and chemicals chosen for monitoring are based on the criteria stated above. For example, the CDC identified contact with urine, saliva, feces, vomit, and breast milk as potential sources of Ebola virus exposure.4, 5 Studies also found that urine of individuals with Zika can contain high concentrations of infectious virus that could persist in urine longer than it is detectable in serum, a component of blood.6, 7 (Note that exposure to urine has not been a recognized cause of Zika transmission. The employer shall develop and implement a training program, which is part of the employer's safety and health program, for employees exposed to health hazards or hazardous substances at TSD operations to enable the employees to perform their assigned duties and functions in a safe and healthful manner so as not endanger themselves or other employees. This paragraph covers employers whose employees are engaged in emergency response no matter where it occurs except that it does not cover employees engaged in operations specified in paragraphs (a)(1)(i) through (a)(1)(iv) of this section. A warning label that includes the universal biohazard symbol, followed by the term "biohazard," must be included on bags/containers of regulated waste, on bags/containers of contaminated laundry, on refrigerators and freezers that are used to store blood or OPIM, and on bags/containers used to store, dispose of, transport, or ship blood or . Under the PPE standards, employers must provide training to workers required to use PPE, including training on what equipment is necessary, when and how they must use the equipment, and how to dispose of the equipment. A site safety and health supervisor who has the responsibility and authority to develop and implement the site safety and health plan and verify compliance. According to the Environmental Protection Agency (EPA) and Per OSHA, The Bloodborne Pathogens Standard uses the term, "regulated waste," to refer to the following categories of waste: liquid or semi-liquid blood or other potentially infectious materials General. Tunnels, shafts, and general underground work areas. Oregon Health Authority : FAQs About Infectious Waste : Acute and Normal operations at TSD sites are not covered by this definition. Facilitymeans, (A) any building, structure, installation, equipment, pipe or pipeline (including any pipe into a sewer or publicly owned treatment works), well, pit, pond, lagoon, impoundment, ditch, storage container, motor vehicle, rolling stock, or aircraft, or. 1910.120 - Occupational Safety and Health Administration Unlabelled drums and containers shall be considered to contain hazardous substances and handled accordingly until the contents are positively identified and labeled. Small quantity qenerator means a generator of hazardous wastes who in any calendar month generates no more than 1,000 kilograms (2,205 pounds) of hazardous waste in that month. (2014). Uncontrolled hazardous waste site, means an area identified as an uncontrolled hazardous waste site by a governmental body, whether Federal, state, local or other where an accumulation of hazardous substances creates a threat to the health and safety of individuals or the environment or both. Depending on where you are in the United States and which regulatory agency you're talking to, infectious waste may also be called "regulated medical waste," "biomedical waste," "biohazardous waste," "special waste," or "hazardous materials." Dispose of pharmaceutical waste A preliminary site evaluation conducted by aqualified person to identify potential site haz-ards and to aid in the selection of appropriateemployee protection methods. What is "infectious waste"? Employee notification. Hazardous waste sites not provided with a sanitary sewer shall be provided with the following toilet facilities unless prohibited by local codes: Food handling. Emergency response organizations may use the local emergency response plan or the state emergency response plan or both, as part of their emergency response plan to avoid duplication. Personnel, not necessarily an employer's own employees, who are skilled in the operation of certain equipment, such as mechanized earth moving or digging equipment or crane and hoisting equipment, and who are needed temporarily to perform immediate emergency support work that cannot reasonably be performed in a timely fashion by an employer's own employees, and who will be or may be exposed to the hazards at an emergency response scene, are not required to meet the training required in this paragraph for the employer's regular employees. Washing facilities. An additional or separate safety and health program is not required by this paragraph. After the actual clean-up phase of any hazardous waste operation commences; for example, when soil, surface water or containers are moved or disturbed; the employer shall monitor those employees likely to have the highest exposures to hazardous substances and health hazards likely to be present above permissible exposure limits or published exposure levels by using personal sampling frequently enough to characterize employee exposures. First responders at the awareness level shall have sufficient training or have had sufficient experience to objectively demonstrate competency in the following areas: First responder operations level. Water shall not be dipped from containers. Excepted employers who are required by the EPA or state agency to have their employees engage in emergency response or who direct their employees to engage in emergency response are covered by paragraph (p)(8) of this section, and cannot be exempted by (p)(8)(i) of this section. It also includes stress due to temperature extremes. Know and understand the importance of decontamination procedures. Have the ability to develop a site safety and control plan. (See appendix A for a test method which may be used to evaluate this requirement.). Portable containers used to dispense drinking water shall be capable of being tightly closed, and equipped with a tap. The information and data obtained from site characterization and analysis work required in paragraph (c) of this section shall be used to prepare and update the site safety and health plan. Scope. Use a lab coat, gloves and splash goggles (or safety glasses with a face shield) when discharging waste to the drain. A description of any personal protective equipment used or to be used. Situations where it shall be considered whether the possibility that exposures have risen are as follows: When a different type of operation is initiated (e.g., drum opening as opposed to exploratory well drilling). Visually observing for signs of actual or potential IDLH or other dangerous conditions. Totally-encapsulating chemical protective suits. MMWR Morb Mortal Wkly Rep, 64, 690-4. The term health hazard includes chemicals that are classified in accordance with the Hazard Communication Standard, 29 CFR 1910.1200, as posing one of the following hazardous effects: Acute toxicity (any route of exposure); skin corrosion or irritation; serious eye damage or eye irritation; respiratory or skin sensitization; germ cell mutagenicity; carcinogenicity; reproductive toxicity; specific target organ toxicity (single or repeated exposure); aspiration toxicity or simple asphyxiant.
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