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DELTA HEALTH CARE OSHA BLOODBORNE PATHOGENS COMPLIANCE PROCEDURES HAZARD COMMUNICATIONS: Requires warning labels including the orange®r orange-red biohazard symbol affixed to containers of regulated waste, refrigerators and freezers and other containers which are used to store or transport blood or other potentially infectious materials. Red bags or containers Ma bbg used instead of labeling. When a facility uses universal precautions in its handling of all specimens, labeling is not required within the facility. Likewise, when all laundry is handled with universal precautions, the laundry need not be labelled. Blood which has been tested and found free of HIV or HBV and released for clinical use, and regulated waste which has been decontaminated, need not be labeled. Signs must be used to identify restricted areas in HIV and HBV research laboratories and production facilities. O TION AND TRAINING: Mandates training within 90 days of effective date, iaifia4 upon assignment andnna ually ... employees who have received appropriate training within the past year need only receive additional training in items not previously covered. Training must include making accessible a copy of the regulatory text of the standard and explanation of its contents, general discussion on bloodborne diseases and their transmission, exposure control plan, engineering and work practice controls, personal protective equipment, hepatitis B vaccine, response to emergencies involving blood, how to handle exposure incidents, the post-exposure evaluation and follow-up program, signs/labels, color-coding. There must be gpnortuni1y for questions and answers, and the trainer must be knowledgeable in the subject matter. Laboratory and production facility workers must receive additional sptcialized initial training. RECO KEEPING: Calls for medical records to be kept for each employee with occupational exposure for the duration of employmentl�us 30 years, must be confidential and must include name and social security number; hepatitis B vaccination status (including dates); results of any examinations, medical testing and follow-up procedures; a copy of the healthcare professional's written opinion; and a copy of information provided to the healthcare professional. Training records must be maintained for three years and must include dates, contents of the training program or a summary, trainer's name and qualifications, names and job titles of all persons attending the sessions. Medical records must be made available to the subject employee,anyone with written consent of the employee, OSHA and NIOSH...they are not available to the employer. Disposal of records must be in accord with OSHA's standard covering access to records. DATES: Sets effective date 90 days after publication in the Federal Register. Exposure control plan must be completed within 60 days of the effective date. Information and training requirements take effect 90 days following the effective date. And the following other provisions take effect 120 days after the effective date: engineering and work practice controls, personal and protective equipment, housekeeping, special provisions covering HIV and HBV research laboratories and production facilities, hepatitis B vaccination and post-exposure evaluation and follow-up and labels and signs. OMIAI.194 Page 3 of 3 Revised 01/94