HomeMy WebLinkAboutR-1619 - Adopting an exposure control plan as required by OSHA/WISHA for Law Enforcement custody officers and other service personnel-_._---------------------
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CITY OF MARYSVILLE
EXPOSURE CONTROL PLAN AND POLICY
Resolution No./t'/1
A RESOLUTION OF THE CITY OF MARYSVILLE ADOPTING AN EXPOSURE
CONTROL PLAN AS REQUIRED BY OSHAjWISHA FOR LAW ENFORCEMENT,
CUSTODY OFFICERS AND OTHER SERVICE PERSONNEL.
,1993
APPROVED AS TO FORM:
.A~L~
City Attorney
3
CITY OF MARYSVILLE
EXPOSURE CONTROL PLAN AND POLICY
1
INTRODUCTION
SECTION 1.
SECTION 2.
SECTION 3.
SECTION 4.
SECTION 5.
SECTION 6.
SECTION 7.
SECTIONS.
SECTION 9.
SECTION 10.
SECTION 11.
SECTION 12.
SECTION 13.
SECTION 14.
SECTION 15.
TABLE OF CONTENTS
EXPOSURE DETERMINATION BY JOB
HBV VACCINATION
FOLWW-UP PROCEDURES AFTER POSSIBLE
EXPOSURE TO HIV/HBV
SHARPS AND DISPOSABLE ITEMS
LINENS ANDLAUNDRY
DISPOSABLE EQUIPMENT AND MATERIAL
REUSABLE EQUIPMENT
HAND WASHING
PERSONAL PROTECTIVE EQUIPMENT
HOUSEKEEPING
General Policies
Regulated Waste
Other Regulated Waste
DISPOSAL OF REGULATED WASTE
SIGNS AND LABELING
EDUCATION AND TRAINING OF EMPWYEES
MEDICAL RECORDS
PROCEDURES IN THE EVENT OF PERSONAL EXPOSURE
APPENDICES
VACCINATION DECLINATION FORM A-l
EXPOSURE INCIDENT INVESTIGATION FORM A-2
POST-EXPOSURE EVALUATION AND FOLLOW-UP
CHECKLIST A-3
CLEANING SCHEDULE A-4
BWODBORNE PATHOGENS TRAINING SESSION A-5
HBV POSTING NOTICE A-6
2
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CITY OF MARYSVILLE
EXPOSURE CONTROL PLAN AND POLICY
It is the policy of the city of Marysville to provide a safe
environment for employees which is as free as possible from
infection from the Hepatitis B virus and/or HIV. As such,all
employees of the City of Marysville are required to know and fol-
low universal precautions as described by the Centers for Disease
Control.All employees whose tasks may expose them to blood,
body fluids,or other potentially infectious materials (O.P.I.M.)
shall be provided with a copy of these policies or shall have
access to these policies.
The following policies were adopted on ,and shall be
reviewed and updated at least annually.These policies shall
also be reviewed and updated whenever the introduction of new or
modified tasks or procedures warrant.
Adopted this day of _____________________,1993
Mayor
ATTEST:
City Clerk
APPROVED AS TO FORM:
city Attorney
3
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Exposure Determination
One of the keys to implementing a successful Exposure Control
Plan is to identify exposure situations employees may encounter.
To facilitate this in our operations,we have prepared an expo-
sure control plan for each work group per the following:
Police Department:
V Job classifications in which all employees have occupa-
tional exposure to bloodborne pathogens.
Job classifications in which some employees have occu-
pational exposure to bloodborne pathogens.
Tasks and procedures in which occupational exposure to
bloodborne pathogens occur (these tasks and procedures
are performed by employees in the job classifications
listed.)
Public Works:
V Job classifications in which all employees have occupa-
tional exposure to bloodborne pathogens.
Job classifications in which some employees have occu-
pational exposure to bloodborne pathogens.
Tasks and procedures in which occupational exposure to
bloodborne pathogens occur (these tasks and procedures
are performed by employees in the job classifications
listed.)
Parks/Golf:
V Job classifications in which all employees have occupa-
tional exposure to bloodborne pathogens.
Job classifications in which some employees have occu-
pational exposure to bloodborne pathogens.
Tasks and procedures in which occupational exposure to
bloodborne pathogens occur (these tasks and procedures
are performed by employees in the job classifications
listed.)
Executive/Finance/court/Planning/Building:
V Job classifications in which all employees have occupa-
tional exposure to bloodborne pathogens.
Job classifications in which ~employees have occu-
4
pational exposure to bloodborne pathogens.
Tasks and procedures in which occupational exposure to
bloodborne pathogens occur (these tasks and procedures
are performed by employees in the job classifications
listed.)
The initial lists were compiled on or before April 1,1993.The
city's Assistant Personnel Director or Safety Officer will work
with department heads and supervisors to revise and update these
lists as our tasks,procedures,and classifications change.
5
1.EXPOSURE DETERMINATION BY JOB DESCRIPTION
Police Department
The following employees perform tasks and duties which do or may
expose them to blood and/or other body fluids:(High Risk)
Police Officers
As police officers,your work may involve contact with
another person's body fluids.Since these body fluids may
be infectious,you are considered to be at risk for occupa-
tional exposure to infectious disease.The environment you
work in provides unpredictable risks of exposure.There-
fore,you should assume that all persons whose blood and
body.fluids that you come into contact with to be infec-
tious.
Officers shall give care and aid to those persons requ1r1ng
aid regardless of the fact that the person may have an
infectious/communicable disease.Officers will not refuse
to aid persons solely on the information that the person may
have an infectious/communicable disease.
High Risk:
Commissioned Police Officers
Commissioned Corrections Officers
Police Detectives
Police Sergeants
Police Lieutenants
Police Chief
Animal Control Officer
The following Police Department employees may also be exposed
through contact with employees,shared equipment or surfaces
which may have become contaminated:(Low Risk)
Low Risk:
communications Officers
Records Clerk
Secretaries
Receptionists
Tasks or procedures performed in these offices which include a
risk of exposure are:
Crime scene investigations including but not necessarily
limited to:
6
Accident investigations
Assault investigations
Burglary investigations
Death investigations
Sexual assault investigations
Drug investigations
Search warrant services
Automobile and other searches
All one on one contacts with citizens
Evidence collection related to any of the above
Whenever blood or O.P.I.M.(Other Potentially Infectious Mate-
rial)is encountered during any of the above procedures,such
procedure must be performed in such a manner as to prevent or
minimize any splashing,spraying,or spattering of the suspect
material.
Tasks or procedures in the Police Department which may result in
secondary exposure to support personnel through contact with
potentially contaminated surfaces are:
Typing
Phone Handling
Recordkeeping
writing Surfaces
Police employees are prohibited from eating and drinking,apply-
ing make-up or lip balm,and handling contact lenses in the
Marysville Police Department lab area,the booking area or any
other prisoner holding area,in the property room or any other
work area where there is a reasonable likelihood of exposure to
blood or other potentially infectious material.In addition,all
officers are prohibited from storing food or drink in refrigera-
tors,freezers,shelves,cabinets or countertops where blood or
other potentially infectious material may be or may have been
present.
7
1.EXPOSURE DETERMINATION BY JOB DESCRIPTION
Public Works Department
The following employees perform tasks and duties which do or may
expose them to blood and/or other body fluids:(High Risk)
As Public Works employees,your work may involve contact with
another person's body fluids.Since these body fluids may be
infectious,you are considered to be at risk for occupational
exposure to infectious disease.The environment you work in pro-
vides unpredictable risks of exposure.Therefore,you should
assume that all persons whose blood and body fluids that you come
into contact with to be infectious.
Employees shall give first-aid to those persons requiring aid
regardless of the fact that the person may have an infec-
tious/communicable disease.Employees will not refuse to aid
persons solely on the information that the person may have an
infectious/communicable disease.
High Risk:
utility Maintenance/Solid Waste Supervisor
Solid Waste Collector
Wastewater Treatment Plant Manager
Wastewater Treatment Operator
Assistant Wastewater Treatment Operator
Wastewater Treatment Technician
The following Public Works employees may also be exposed through
contact with employees,shared equipment or surfaces which may
have become contaminated:(Low Risk)
Low Risk:
utility Division:
utility Superintendent
Construction Foreman
utility Maintenance/solid Waste Supervisor
Equipment Operator
utility Maintenance Worker
Construction Service Person
Bldg/Grounds Maintenance
Meter Reader Repair
Cross Connection Technician
Public Works Receptionist
Public Works Secretary
utility Secretary
8
Recycling Coordinator
street Division:
street Superintendent
Assistant Superintendent
Equipment Operator
Signal Technician
Street Laborer
Engineering:
Public Works Director
Public Works Engineer
Construction Inspection Supervisor
Engineering Technician
Engineering Aide
Construction Inspector
Equipment Rental:
Mechanic
Assistant Mechanic
These employees could potentially be exposed to blood and/or body
fluids through mucous splash and/or by the handling of job
related equipment or materials used in the performance of their
duties.
Tasks or procedures performed by Public Works positions which
include a risk of exposure are:
Treatment Plant:
1.Maintaining and cleaning bar screens.
2.Preparing samples in lab.
3.General and preventative maintenance of sewage
related equipment and systems.
Sanitation Division:
1.Dumping and picking up of solid waste.
Street Division:
1.Cleaning up of accident scenes.
2.Discarding of dead animals.
Public Works in general:
1.Interaction with the general pUblic.
2.Interaction with co-workers.
3.General maintenance and upkeep of all City equip-
ment and vehicles.
Employees are prohibited from cooking,eating,drinking,applying
9
make-up or lip balm,and handling contact lenses in the Marys-
ville Treatment plant lab area,or any other work area where
there is a reasonable likelihood of exposure to blood or other
potentially infectious material.In addition,all employees are
prohibited from storing food or drink in refrigerators,freezers,
shelves,cabinets or countertops where blood or other potentially
infectious material may be or may have been present.
10
1.EXPOSURE DETERMINATION BY JOB DESCRIPTION
Parks/Golf
As Park/Golf employees,your work may involve contact with
another person's body fluids.Since these body fluids may be
infectious,you are considered to be at risk for occupational
exposure to infectious disease.The environment you work in pro-
vides unpredictable risks of exposure.Therefore,you should
assume that all persons whose blood and body fluids that you come
into contact with to be infectious.
Employees shall give care and aid to those persons requiring aid
regardless of the fact that the person may have an infec-
tious/communicable disease.Employees will not refuse to aid
persons solely on the information that the person may have an
infectious/communicable disease.
High Risk Classification:
Parks Foreman
Parks Groundskeeper
Parks Caretaker
The following employees may also be exposed through contact with
employees,shared equipment or surfaces which may have become
contaminated:(Low Risk)
Low Risk Classification:
Parks and Recreation Director
Golf Superintendent
Assistant Golf Superintendent
Golf Pro
Golf Groundskeeper
Seasonal Help
Recreational Coordinator
Parks Secretary
Mechanic
These employees could potentially be exposed to blood and/or body
fluids through mucous splash and/or by the handling of job
related equipment or materials used in the performance of their
duties.
Tasks or procedures performed by these positions which include a
risk of exposure are:
1.Interaction with the general pUblic.
2.Interaction with co-workers.
3.Cleaning Restroom facilities.
4.Dumping solid waste.
11
5.General maintenance and upkeep of City equipment
and vehicles.
Employees are prohibited from eating and drinking,applying
make-up or lip balm,and handling contact lenses in any work area
where there is a reasonable likelihood of exposure to blood or
other potentially infectious material.In addition,all employ-
ees are prohibited from storing food or drink in refrigerators,
freezers,shelves,cabinets or countertops where blood or other
potentially infectious material may be or may have been present.
12
1. EXPOSURE DETERMINATIONBY JOB DESCRIPTION
Executive/FinancefPlanningfCourt Departments
The following employees perform tasks and duties which do or
may expose them to blood and/or other body fluids:(High
Risk)
As Executive/Finance/Planning/court employees,your work may
involve contact with another person's body fluids.Since
these body fluids may be infectious,you are considered to
be at risk for occupational exposure to infectious disease.
The environment you work in provides unpredictable risks of
exposure.Therefore,you should assume that all persons
whose blood and body fluids that you come into contact with
to be infectious.
Employees shall give first aid to those persons requ~r~ng
aid regardless of the fact that the person may have an
infectious/communicable disease.Employees will not refuse
to aid persons solely on the information that the person may
have an infectious/communicable disease.
Executive/Finance/Planning/court Departments:
High Risk Classifications:
City Hall Receptionist **
Building Official/Building Inspector
**AII positions in the Finance Department assist at the
front counter,therefore at times their exposure increases.
The following employees may also be exposed through contact
with employees,shared equipment or surfaces which may have
become contaminated:(Low Risk)
Executive Department:
city Administrator
Assistant to the Administrator
Executive Secretary
Assistant Personnel Director
community Information Officer
Systems Coordinator
Municipal Court:
Court Administrator
Assistant Court Clerk
13
Finance Department:
Finance Director
Assistant Finance Director
utility Billing Clerk
Accounting Clerk III &II
utility Billing support Clerk
Planning Department:
City Planner
Building Permit Coordinator
Planning Aide
Planning Clerk
Building Permit Clerk
These employees could potentially be exposed to blood and/or
body fluids through mucous splash and/or by the handling of
job related equipment or materials used in the-performance
of their duties.
Tasks or procedures performed by these positions which
include a risk of exposure are:
In general:
1.Interaction with the general pUblic.
2.Interaction with co-workers.
3.General maintenance and upkeep of all city equip-
ment and vehicles.
Employees are prohibited from cooking,eating,drinking,applying
make-up or lip balm,and handling contact lenses in any work area
where there is a reasonable likelihood of exposure to blood or
other potentially infectious material.In addition,all employ-
ees are prohibited from storing food or drink in refrigerators,
freezers,shelves,cabinets or countertops where blood or other
potentially infectious material may be or may have been present.
14
2. HBV VACCINATION
HBV vaccinations shall be offered to all employees identified as
high risk free of charge by the city of Marysville.The city of
Marysville will allow the use of City time and pay all fees asso-
ciated with that service.The vaccination will be provided after
the employee has received the training outlined in these poli-
cies,but within 10 (ten)days of assignment to duties.This
policy shall exempt employees who have previously received the
complete vaccination series.whose antibody testing indicates
they are immune.or those employees for whom the vaccine is con-
traindicated.Employee vaccinations shall be documented and
maintained in the employees medical record files in the City of
Marysville Personnel Department as prescribed by WISHA,and shall
be preserved in the city of Marysville Personnel Department for
the duration of employment plus thirty (30)years.
Routine booster dose(s)of the HBV vaccine shall be provided in
accordance with US Public Health Service recommendations at no
cost to the employees.
If an employee refuses to obtain the required HBV vaccination,
the employee will be required to document that refusal on the HBV
Declination statement form (see Appendix A-I)which will be main-
tained in the employee's medical record for the duration of
employment plus thirty (30)years.If however,an employee subse-
quently decides to have an HBV vaccination,it will be made
available under the same terms and conditions as stated above,
upon employer's receipt of a written request to the Assistant
Personnel Director.
15
L-~~~~~~~~~.~_
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3. FOLLOW-UP PROCEDURES AFTER POSSmLE EXPOSURETO
HIVfHBV
All employees are required to report any incident of exposure to
blood and/or body fluids to their immediate supervisor.All
exposure incidents shall be recorded on the OSHA200 form and
investigated using the Exposure Incident Investigation form (see
Appendix A-2)which will sUbsequently become a part of the
employee's medical record.All exposures must document the
routers)of exposure and the circumstances under which the expo-
sure occurred.
Possible exposure incidents include percutaneous needle sticks or
cuts,mucous membrane exposure to blood or body fluids,or con-
tact with blood or body fluids via chapped,abraded,or otherwise
non-intact skin surfaces.
Using the Post Exposure Evaluation and Follow-up Checklist (see
Appendix A-3)the following steps will be taken:The source indi-
vidual shall be notified of the exposure incident and be
requested to consent to and obtain testing for HIV/HBV. A refusal
of the source individual to consent for testing shall be docu-
mented.
The results of the source individual's test shall be made known
to the exposed employee.The exposed employee shall also be
reminded of the laws and regulations concerning the disclosure of
the identity and infectious status of the source individual.
If the source individual refuses to consent to HIV/HBV testing,
or if the source individual tests positive,the exposed employee
shall have a clinical evaluation which will include HIV and HBV
antibody testing as soon as possible.
If the exposed employee tests sero-negative,the employee shall
be retested 6 weeks post-exposure and on a periodic basis there-
after;12 weeks and 6 months.
Follow-up procedures shall also be taken for employees exposed or
potentially exposed to HBV depending on employee immunization
status,antibody response,and HBV serologicstatus of source
individual.
If the exposed employee refuses to submit to clinical evaluation
and HIV and HBV testing,such refusal will be documented and
maintained in the employee's medical record (see Appendix A-I).
If the employee consents to baseline blood collection,but does
not consent to testing,the employee's blood sample shall be pre-
served for nintey (90)days.If within nintey (90)days of expo-
sure,the employee elects to have the baseline sample tested,
such testing will be conducted as soon as possible.
16
Exposed employees shall have access to post-exposure prophylaxis
as recommended by the US Public Health Service when medically
indicated,as well as counseling.
Exposed employees shall also be advised to report and seek medi-
cal evaluation of any acute febrile illness within twelve (12)
weeks following exposure.
All tests shall be conducted by an accredited laboratory at no
cost to the employee.
The following information will be provided to the physician per-
forming the post-exposure evaluation:
A. A copy of the WISHA regulation pertaining to bloodborne
pathogens.
B. A description of the employee's duties.
C.Documentation of the route(s)of exposure and circum-
stances under which the exposure occurred.
D.Results of the source individual's blood testing,if
available.
E.All relevant medical records of the employee,including
vaccination status.(see Appendix A-3)
The Marysville Personnel Department will obtain a written report
and opinion from the physician performing the post-exposure eval-
uation which shall be limited to:
A.Whether an HBV vaccination is indicated,and if the
employee has received such vaccination.
B.That the employee has been informed of the results of
the evaluation.
C.That the employee has been told about any medical conditions
resulting from exposure to blood or other infectious mate-
rial which warrant further evaluation or treatment.
In the event of employee exposure to blood or body fluids via
percutaneous needle stick,cuts,or mucous membrane exposure,
necessary medical treatment shall be administered as appropriate
for the type of injury.
17
4.SHARPS AND DISPOSABLE ITEMS
Police Department
The following sharp instruments or disposable sharps are fre-
quently encountered and or collected as evidence by members of
the Marysville Police Department:
A.Hypodermic needles
B.Syringes
c.Knives
D.Razor blades
E.Blood stained broken glass or tool marked metal
F.And as many other sharp instruments as one can imagine.
Subsequent to recovery or use,potentially contaminated sharp
instruments and/or disposable sharps shall be disposed of in the
following manner:
A.All such sharp items shall be placed in a leakproof,
rigid,puncture-resistant,break-resistant container
which is conspicuously labeled and which is located in
the Marysville Police Department lab room or the Marysville
Police Department property room.
B.All evidence will be processed and or packaged only in
the Marysville Police Department lab area.This will avoid
contamination of other work areas and also put the officer
in close contact with the necessary evidence containers and
bags used in said process.
c.The person recovering/receiving sharp instrument or item
shall be responsible for its proper disposal as soon as fea-
sible.In no instance will any officer leave any such sharp
instrument at any work station or in any vehicle beyond the
end of the employee's shift.
D.Needles shall not be recapped,purposely bent or
broken,or removed from disposable syringes.(If recapping
or removal is necessary,it must be accomplished by using a
mechanical device or a one-handed "scoop"technique).
E.Scalpel blades shall be removed from the handle using
clamped forceps and placed in the appropriate sharps
container by the person using that item.
F.Knives and other sharps necessary for evidence will at
all times remain in an approved,properly labeled sharps
container.
G.Appropriate protective gloves will be worn at all times
when handling any sharps or knives possibly contaminated by
18
H.
blood or OPIM.
At no time will any
retrieve any item.
with tongs,pliers,
officer reach into a sharps container to
All such removal will be accomplished
or other mechanical tool.
19
4.SHARPS AND DISPOSABLE ITEMS
Public Works
The following sharp instruments or disposable sharps are fre-
quently encountered by employees in the Public Works Department:
1.Hypodermic needles
2.Syringes
3.Knives
4.Razor Blades
5.Blood stained broken glass
6.Brooms used in street sweeping
7.Medical waste
8.Any and all sewage related materials
Subsequent to recovery or use,potentially contaminated sharp
instruments and/or disposable sharps shall be disposed of in the
following manner:
A.All such sharp items shall be placed in a leakproof,
rigid,puncture-resistant,break-resistant container
which is conspicuously labeled and which is located in all
vehicles,first aid station,and at the front desk of the
Lloyd Taubeneck building.
B. The person recovering/receiving sharp a instrument or item
shall be responsible for its proper disposal as
soon as feasible.In no instance will any employee leave
any such sharp instrument at any work station or in any
vehicle beyond the end of the employee's shift without noti-
fying his/her supervisor.
C.Needles shall not be recapped,purposely bent or
broken,or removed from disposable syringes.(If recapping
or removal is necessary,it must be accomplished by using a
mechanical device or a one-handed "scoop"technique).
D.Scalpel blades shall be removed from the handle using
clamped forceps and placed in the appropriate sharps
container by the person using that item.
E.Knives and other sharps necessary for evidence will at
all times remain in an approved,properly labeled sharps
container.
F.Appropriate protective gloves will be worn at all times
when handling any sharps or knives possibly contaminated by
blood or OPIM.
G.At no time will any employee reach into a sharps container
to retrieve any item.All such removal will be accomplished
20
with tongs,pliers,or other mechanical tool.
21
4.SHARPS AND DISPOSABLE ITEMS
Park/Golf Department
The following sharp instruments or disposable sharps are fre-
quently encountered by employees of the Park/Golf Department:
1.Hypodermic needles
2.Syringes
3.Knives
4.Razor Blades
5.Blood stained broken glass
SUbsequent to recovery or use,potentially contaminated sharp
instruments and/or disposable sharps shall be disposed of in the
following manner:
A.All such sharp items shall be placed in a leakproof,
rigid,puncture-resistant,break-resistant container
which is conspicuously labeled and which is located in all
vehicles,riding mowers,off-road vehicles,the front desk
at the Park Office,Caretakers home,Pro Shop,and Golf
Maintenance Shop.
B.The person recovering/receiving sharp a instrument or item
shall be responsible for its proper disposal as
soon as feasible.In no instance will any employee leave
any such sharp instrument at any work station or in any
vehicle beyond the end of the employee's shift without noti-
fying his/her supervisor.
C.Needles shall not be recapped,purposely bent or
broken,or removed from disposable syringes.(If recapping
or removal is necessary,it must be accomplished by using a
mechanical device or a one-handed "scoop"technique).
D.Scalpel blades shall be removed from the handle using
clamped forceps and placed in the appropriate sharps
container by the person using that item.
E.Knives and other sharps necessary for evidence will at
all times remain in an approved,properly labeled sharps
container.
F.Appropriate protective gloves will be worn at all times
when handling any sharps or knives possibly contaminated by
blood or OPIM.
G.At no time will any employee reach into a sharps container
to retrieve any item.All such removal will be accomplished
with tongs,pliers,or other mechanical tool.
22
4.SHARPS AND DISPOSABLE ITEMS
Executive/Finance/Planning/Court Departments
SUbsequent to recovery or use,potentially contaminated sharp
instruments and/or disposable sharps shall be disposed of in the
following manner:
A.All such sharp items shall be placed in a leakproof,
rigid,puncture-resistant,break-resistant container
which is conspicuously labeled and which is located in the
janitor's closet.
B.The person recovering/receiving sharp a instrument or item
shall be responsible for its proper disposal as
soon as feasible.In no instance will any employee leave
any such sharp instrument at any work station or in any
vehicle beyond the end of the employee's shift without noti-
fying his/her supervisor.
C.Needles shall not be recapped,purposely bent or
broken,or removed from disposable syringes.(If recapping
or removal is necessary,it must be accomplished by using a
mechanical device or a one-handed "scoop"technique).
D.Scalpel blades shall be removed from the handle using
clamped forceps and placed in the appropriate sharps
container by the person using that item.
E.Knives and other sharps necessary for evidence will at
all times remain in an approved,properly labeled sharps
container.
F.Appropriate protective gloves will be worn at all times
when handling any sharps or knives possibly contaminated by
blood or OPIM.
G.At no time will any employee reach into a sharps container
to retrieve any item.All such removal will be accomplished
with tongs,pliers,or other mechanical tool.
23
5. LINENSAND LAUNDRY
Police Department
All employees who handle or have contact with contaminated linen
shall wear gloves.
The following linen items are used/worn in this office and may be
exposed to blood or body fluids in the performance of duties by
officers:
A.Uniform shirts,pants,coats,ties,hats,jumpsuits
B.Ballistic vests
C.Clothing other than uniforms
Employees whose clothing or equipment becomes contaminated during
the course of duties should remove the clothing or equipment at
the earliest possible convenience.
contaminated linen shall be handled as little as possible with a
minimum of agitation.contaminated linen shall be bagged at the
location where it is recovered/received and shall not be sorted
or rinsed on location.For officer convenience,such receptacles
will be located adjacent to showers in locker rooms.
Contaminated linen shall be placed in a red,leakproof bag which
shall be marked "Bio-Hazard"to indicate the potential infectious
status of its contents.Should outside contamination of the bag
occur,double bagging shall be required.
The Marysville Police Department shall be responsible for trans-
port.laundering,and disinfection of linen items.
24
5.LINENS AND LAUNDRY
Public W orks/park/Golf Department
All employees who handle or have contact with contaminated linen
shall wear gloves.
The following linen items are used/worn in this department and
may be exposed to blood or body fluids in the performance of
duties by the employees:
A.Uniform shirts,pants,coats,hats,coveralls,jumpsuits.
B.Clothing other than uniforms
Employees whose clothing or equipment become contaminated during
the course of duties should remove the clothing or equipment at
the earliest possible convenience.
contaminated linen shall be handled as little as possible with a
minimum of agitation.contaminated linen shall be bagged at the
location where it is recovered/received and shall not be sorted
or rinsed on location.
For Public Works employees'convenience,such receptacles
will be located in locker rooms,changing areas,next to
soiled laundry pick-up.
For Parks Department employees'convenience,receptacles
will be located next to normal laundry drop off bins on the
caretaker's porch.
For Golf Department employees'convenience,receptacles will
be located under the stairs at the maintenance shop next to
normal laundry drop off bins.
Contaminated linen shall be placed in a red,leakproof bag which
shall be marked "Bio-Hazard"to indicate the potential infectious
status of its contents.Should outside contamination of the bag
occur,double bagging shall be required.
The City's contracted laundry service shall be responsible for
transport,laundering,and disinfection of linen items.
25
5. LINENSAND LAUNDRY
ExecutivefFinance,Planning/Building,Court
All employees who handle or have contact with contaminated linen
shall wear gloves.
Contaminated linen shall be placed in a red,leakproof bag which
shall be marked "Bio-Hazard"to indicate the potential infectious
status of its contents.Should outside contamination of the bag
occur,double bagging shall be required.
The city's contracted laundry service shall be responsible for
transport,laundering,and disinfection of linen items.
26
6.DISPOSABLE EQUIPMENT AND MATERIAL
Disposable gloves and other disposable personal protective equip-
ment found in Infection Control Kits,(located in all city vehi-
cles,including patrol vehicles,the Police lab,Marysville
Treatment Lab,in the jail booking area,and in all reception
areas.)do come in contact with blood or body fluids and could
potentially expose employees to HIV/HBV.
The above referenced non-sharp disposable equipment and/or mate-
rial shall be segregated and disposed of in a leak proof plastic
bag.Said bags will be located in:
Police - The Police lab,all police vehicles,in the jail
booking area;
Public Works -Wastewater treatment plant lab,First Aid
medical station in shop,all vehicles,Lloyd
Taubeneck building employee restooms and
locker rooms.
Parks -
Golf -
Court -
In the workshop next to the sink.
In trucks.
Under the steps in the maintenance shop.
In trucks.
In the jail booking area.
Planning -
Finance/
Executive -At City Hall in the Janitor's closet
Transport and disposal of the above referenced items shall be
carried out as outlined in the housekeeping section of these pol-
icies and procedures.
27
7.REUSABLE EQUIPMENT
Police Department
The following reusable equipment is used in this office and does
come in direct contact with blood or other body fluids and could
potentially expose officers to HIVjHBV:
A.Handcuffs
B.Leg irons
C.Night sticks or extension batons
D.Flashlights
E.Patrol vehicles and associated equipment
F.Lab aprons
Reusable equipment shall be scrubbed to remove all debris from
surfaces immediately following contamination by the person using
said equipment.
All said equipment will be sterilized using cold sterile solu-
tions prepared to appropriate dilution as recommended for control
of HBV.
Contaminated clothing item(s)will be handled as defined in sec-
tion 5 of this policy.
28
7.REUSABLE EQUIPMENT
Public Works Department
The following reusable equipment is used in the Public Works
Department and does come in direct contact with blood or other
body fluids and could potentially expose employees to RIVjRBV:
·A.Solid Waste vehicles and associated equipment.
B.All hand and power tools used in maintenance of all jobs as
assigned daily;in the maintenance of all equipment and
vehicles;and during all construction projects.
c.Wastewater treatment plant equipment such as forceps,
gloves,lab glassware,sponges and any other associated
items.
Reusable equipment shall be scrubbed to remove all debris from
surfaces immediately following contamination by the person using
said equipment.
All said equipment will be sterilized using cold sterile solu-
tions prepared to appropriate dilution as recommended for control
of RBV.
contaminated item(s)will be handled as defined in section 5 of
this policy.
29
7.REUSABLE EQUIPMENT
Park Department
The following reusable equipment is used in the Park/Golf Depart-
ment and does come in direct contact with blood or other body
fluids and could potentially expose employees to HIV/HBV:
A.Reusable Gloves~
B.All hand and power tools used in maintenance of all jobs as
assigned daily;in the maintenance of all equipment and
vehicles;and during construction projects.
Reusable equipment shall be scrubbed to remove all debris from
surfaces immediately following contamination by the person using
said equipment.
All said equipment will be sterilized using cold sterile solu-
tions prepared to appropriate dilution as recommended for control
of HBV.
contaminated item(s)will be handled as defined in section 5 of
this policy.
30
-----------------_.._.-
8;HAND WASHING
All employees having direct contact with blood or O.P.I.M.shall
wash hands using warm water and soap before,when anticipated,
but always after contact with blood or O.P.I.M.If such facili-
ties are unavailable,alcohol foams or antiseptic towelettes may
be used.(Found in infection control kits.)
Employees shall immediately remove and dispose of gloves in
appropriate segregated waste receptacles located in the:
Police -
Public Works -
Parks -
Golf -
court -
Planning -
Executive/
Finance -
Police lab and/or jail booking area.
Wastewater Treatment plant lab,First Aid
Medical station in shop,all vehicles,Taube-
neck Building employee restrooms and locker
rooms.
In the workshop next to the sink.
Under the steps in the maintenance shop.In
trucks.
Employee restroom.
Employee restroom.
The waste receptacle in the janitor's closet.
Where exposure may occur in order to prevent contamination from
spreading to other work areas.
Employees shall immediately and thoroughly wash hands and other
exposed skin surfaces after removal of gloves using warm water
and soap.The city of Marysville encourages all employees to reg-
ularly wash their hands as a means of controlling the spread of
infectious diseases.
These procedures shall also be followed after removal of other
personal protective equipment following accidental exposure to
blood or body fluids.
Reusable personal protective equipment as listed above in section
7 shall be rinsed and sterilized per the recommendations set
forth by the manufacturer.
31
L ..
9;PERSONAL PROTECTIVE EQUIPMENT
Police Department
The Marysville Police Department shall provide and maintain,in a
sanitary and reliable condition,necessary personal protective
equipment which is relevant to the procedures and job functions
of the various Marysville Police Department officers.Officers
are required to use appropriate protective equipment for the task
they are performing,except in those extraordinary circumstances
when such use would,in the officer's professional jUdgement,
prevent the service from being provided.In such cases the inci-
dent shall be investigated and documented in order to determine
if changes can be instituted to prevent such occurrences.
The use of gloves is indicated and must be worn:
A.For all emergency response care which involves
potential exposure to blood or body fluids,particularly
if the officer has cuts,abraded skin,chapped hands,
dermatitis,hang nails,or other non-intact skin.
B.During all decontamination procedures involving clean up of
blood or body fluids.
C.During the collection and processing of all potentially
contaminated evidentiary items both at the crime scene
and in the Marysville Police Department lab area.
D. When scrubbing equipment contaminated with blood or
body fluids prior to sterilization.
Gloves shall be of appropriate quality and material and shall
comply with the standards of safety for the procedure performed.
The Marysville Police Department shall supply a sufficient quan-
tity of gloves of appropriate size for each officer.Hypo-aller-
genic gloves,glove liners,powderless gloves or similar alterna-
tives will be made available to those officers who are allergic
to the gloves normally provided.Gloves shall be single-use and
shall be disposed of immediately following each contaminant con-
tact or procedure.
Masks and eye protectors are to be available and are required to
be used when contamination of mucosal membranes (eye,nose,or
mouth)with body fluids is likely to occur.
Resuscitation equipment is provided to minimize the need for
mouth-to-mouth resuscitation and shall be easily accessible in
the event resuscitation is necessary.Mouth suctioning of blood
or other potentially infectious material is prohibited.
All contaminated personal protective equipment must be removed
32
from vehicles or work stations,cleaned or disposed of in the
appropriate area or container prior to leaving the work area.
New or cleaned personal protective equipment will also be
installed to replace contaminated equipment.This will be the
responsibility of the officer who used the equipment.Failure to
replace/restock used materials will make the officer(s)sUbject
to disciplinary action.
33
9.PERSONAL PROTECTIVE EQUIPMENT
Public Works Department, Park/Golf,ExecutivefFinance,Court, Planning
The City of Marysville shall provide and maintain,in a sanitary
and reliable condition,necessary personal protective equipment
which is relevant to the procedures and job functions of the var-
ious employees.Employees are required to use appropriate pro-
tective equipment for the task they are performing,except in
those extraordinary circumstances when such use would,in the
employee's professional judgment,prevent the service from being
provided.In such cases the incident shall be investigated and
documented in order to determine if changes can be instituted to
prevent such occurrences.
The use of gloves is indicated and must be worn:
A.For all emergency response care which involves
potential exposure to blood or body fluids,partiCUlarly
if the employee has cuts,abraded skin,chapped hands,
dermatitis,or other non-intact skin.
B.During all decontamination procedures involving clean up of
blood or body fluids.
c.When scrubbing equipment contaminated with blood or
body fluids prior to sterilization.
Gloves shall be of appropriate quality and material and shall
comply with the standards of safety for the procedure performed.
The city of Marysville shall supply a sufficient quantity of
gloves of appropriate size for each employee.Hypo-allergenic
gloves,glove liners.powderless gloves or similar alternatives
will be made available to those employees who are allergic to the
gloves normally provided.Gloves shall be single-use and shall
be disposed of immediately following each contaminant contact or
procedure.
Masks and eye protectors are to be available and are required to
be used when contamination of mucosal membranes (eye,nose,or
mouth)with body fluids is likely to occur.
Resuscitation equipment is provided to minimize the need for
mouth-to-mouth resuscitation and shall be easily accessible in
the event resuscitation is necessary.Mouth suctioning of blood
or other potentially infectious material is prohibited.
All contaminated personal protective equipment must be removed
from vehicles or work stations,cleaned or disposed of in the
appropriate area or container prior to leaving the work area.
New or cleaned personal protective equipment will also be
installed to replace contaminated equipment.This will be the
34
responsibility of the employee who used the equipment.Failure to
replace/restock used materials will make the employee (s)subject
to disciplinary action.
35
10.HOUSEKEEPING
General Policies:
A cleaning schedule for equipment/or areas will be established
and maintained.The following guidelines will be followed until
such time as procedures or policies require an appropriate
update.(see Appendix A-4)
All equipment and work surfaces shall be cleaned as soon as prac-
tical after any contamination by blood or other potentially
infectious material.In no circumstances will this be left for
other officers/employees to do.It is the responsibility of the
officer/employee who contaminated the area.
Protective coverings used-to cover equipment are to be removed,
cleaned or replaced as soon as feasible after being contaminated.
All bins,cans,or other receptacles which will be reused and
which may be contaminated are to be emptied,cleaned and decon-
taminated at the end of each work shift.
Broken glass which may be contaminated is not to be picked up by
hand,but cleaned up or picked up by using a broom and dust pan,
tongs,or forceps.
Reusable sharps are,after use,to be placed in the appropriate
labeled container.Officers/Employees shall not reach into such
containers with their hands;but must place and retrieve used,
and presumably contaminated,sharps with tongs or forceps.
Regulated waste (disposable sharps)
Contaminated sharps shall be discarded immediately after they are
located or used,or as soon as feasible,in appropriate contain-
ers.This presumes that there is no compelling need to retain
the item for evidentiary purposes.Appropriate containers
whether for disposal or evidence are
described as follows:
A.Closable
B.Puncture resistant
C.Leak-proof on sides and bottoms
D.Appropriately labeled (see labeling section)
E.Maintained upright
F.Emptied or replaced daily or whenever 2/3 full,except
evidence containers
When moving containers containing contaminated sharps,care
should be taken to assure the container is closed to prevent
spillage or protrusion of contents.
36
In the event of leakage or protrusion,the container is to be
placed in a secondary container which must also be closable,
puncture resistant,and leak-proof.
other Regulated Waste
other regulated waste includes liquid or semi-liquid blood or
other infectious materials;contaminated items that would
release blood or other potentially infectious materials in a liq-
uid or semi-liquid state if compressed;items that are caked with
dried blood or other potentially infectious materials and are
capable of releasing these materials during handling;contami-
nated sharps;and pathological and microbiological wastes con-
taining blood or other potentially infectious materials.
Such regulated waste must be placed in the appropriate,labeled
containers.containers must meet the following specifications:
A.Closable
B.Able to prevent leakage during handling,storage,or
transport
C.Appropriately labeled
Containers must be closed prior to removal to prevent leaks.If
outside contamination of a container occurs,the container is to
be placed in a secondary container which is also closable,able
to prevent leakage,and appropriately labeled.
37
--------------------------------------
11.DISPOSAL OF REGULATED WASTE
At the end of each day,regulated waste shall be removed from
vehicles and other work areas and placed in an appropriate waste
receptacle lined with a red,leak-proof plastic bag,and stored
in the appropriate location for pick-up and disposal by an out-
side contractor retained by the City of Marysville or Snohomish
County Health District.such independent contractors will be
responsible for the training of their employees regarding the
identification,segregation,and disposal of infectious waste.
38
12.SIGNS AND LABELING
Warning labels shall be affixed to all containers of regulated
waste,laundry,sharps containers,disposable personal protection
equipment,refrigerators,or freezers containing blood or other
potentially infectious material,and containers used to store or
transport blood or potentially infectious materials.
warning labels will include the following symbol and will be flo-
rescent orange or orange-red,or predominantly so,with lettering
and symbol in a contrasting color.
(see CH 296-62 WAC Part J,page 17 attached as Appendix A-7)
warning labels will be affixed to containers by string,wire or
adhesive in order to prevent their unintentional removal.
Note:Red containers may be substituted for labels.
Red bags will be used for contaminated laundry and non-sharp reg-
ulated waste.
39
13.EDUCATION AND TRAINING OF EMPLOYEES
All employees whose job functions involve the risk of exposure to
blood or body fluids shall receive appropriate education and
training prior to the commencement of their duties and annually
thereafter.Such education and training shall,at a minimum,
include:
A. A copy of the regulation and an explanation of its contents.
B. A general explanation of the epidemiology and symptoms
of bloodborne diseases.
c.An explanation of the modes of transmission of bloodborne
pathogens.
D. An explanation of each department's exposure control plan
and means by which the employee can obtain a copy of the
written plan.
E. An explanation of the appropriate methods for recogn~z~ng
tasks and other activities that may involve exposure to
blood or other potentially infectious materials.
F.An explanation of the use and limitations of methods
that will prevent or reduce exposure,including work
practices and personal protective equipment.
G.Information on the types,proper use,location,
removal,handling,decontamination and disposal of personal
protective equipment.
H.An explanation of the basis for selecting personal protec-
tive equipment.
I.Information on the Hepatitis B vaccine including
information on its efficacy,safety,method of admin-
istration,benefits of being vaccinated,and that the
vaccine will be offered free of charge.
J.Information on the appropriate actions to take and persons
to contact in an emergency involving blood or other poten-
tially infectious materials.
K. An explanation of the procedures to follow if an expo-
sure incident occurs,including the method of report-
ing the incident and the medical follow-up that will be made
available.
L.Information on the post-exposure evaluation and
follow-up that the employer is required to provide.
40
M.An explanation of the signs and labels and/or color-
coding used by the employer.
N. An opportunity for interactive questions and answers
with the persons conducting the training sessions.
Additional training will be provided when new tasks or procedures
involving potential exposure are instituted.
Records of training sessions will be maintained for three (3)
years.Such records will include:
A.The date of training.
B. A summary of the content of training.
c.The names and qualifications of person(s)conducting
the training session.
D.The names and job titles of all persons attending the
training session.
(Bloodborne Pathogens Training Sessions form,Appendix A-5)
Training records will be made available to employers,their rep-
resentatives,and appropriate government representatives.
41
14.MEDICAL RECORDS
A medical record for each employee whose duties include potential
occupational exposure will be maintained by the City of Marys-
ville.These records will include:
A.The name and social security number of the employee.
B. A copy of the employee's HBV vaccination status including
the dates of vaccination and any medical records regarding
the employee's ability to receive the vaccination.
C. A copy of all opinions,examinations,testing,and
follow-up involving post-exposure incidents.
D. A copy of any information provided to any other health
care professional regarding possible exposure.
Such records will be kept confidential and will not be disclosed
to any person,except as required by law,without the express
written consent of the employee.Such records will be maintained
for thirty (30)years beyond the duration of the employment.
In the event the city of Marysville ceases to do business and
there is no successor employer to transfer the records to,the
city of Marysville will notify the Department of Labor and Indus-
tries at least three (3)months prior to the disposal,and will
transfer them to the Department if requested to do so.
42
15.PROCEDURES IN THE EVENT OF PERSONAL EXPOSURE
All employees are required to use the following procedures in the
event of exposure to possibly infectious blood or bodyfluids:
A.Needle Stick/Cut:Milk the exposure to express blood and
clean the wound vigorously with soap and water for at
least 10-15 seconds using friction.
B.Mucosal Splash:For a mucosal splash to eyes,nose,or
mouth,flush or rinse with saline or water.For a mucosal
splash to the skin or contamination of open wound,wash with
soap and water.Shower and change clothes if necessary.
C.Blood Splash/contact:For blood splash to mucosal tissues
follow mucosal splash guideline above.For blood splash
or contact to chapped,abraded,cut or broken skin,wash
with soap and water and again remove contaminated
clothing as soon as possible.
D.For any other contact with blood or body fluids to skin
surfaces,wash with soap and water immediately or antisep-
tic wipes when wash facilities are not available.Remove
contaminated clothing,shower and if continued contamina-
tion is anticipated,put on appropriate personal protective
equipment.
E.Reporting:Report all needle sticks,mucosal splashes,
and contamination of open wounds with blood and/or body
fluids to your immediate senior supervisor.
43
- ----------------------------------~
Appendix A-l
CONFIDENTIAL
VACCINATION DECLINATION FORM
DATE:_
EMPLOYEE NAME:_
EMPLOYEE SOCIAL SECURITY NUMBER _
I understand that dueto my occupational exposure to blood or other p'oten-
tial infectious materials I may be at risk of acquiring Hepatitis Bvirus (HBY)
infection.I have been given the opportunity to be vaccmated with Hepatitis
B vaccine at no charge to myself.However\I declinethe Hepatitis B vacci-
nation atthis time.I understand that by declining this vaccine,I continue to
be at riskof acquiring Hep.atitis B,a serious disease.If, inthe future,I con-
tinueto have occupalional exposure to blood or other potentially infectious
materials and Iwantto be vaccinated with hepatitis B vaccine,can receive
the vaccination series at no charge to me.
Employee Signature
Supervisor
Department Head
city Administrator
Date
Date
Date
Date
Return Original to Personnel Department CorEmployee's permanent medical record file.
44
Appendix A-2
EXPOSURE INCIDENT INVESTIGATION FORM
Date of Incident:
Location:
Department:
Job Title of Employee Involved:
Time of Incident:
potentially Infectious Materials Involved:
Type:Source:
circumstances:(Work being performed,etc.):
How Incident was caused (accident,equipment malfunction,etc.):
Personal Protective Equipment being used:
Actions taken (decontamination,clen-up,reporting,etc):
Recommendations for avoiding repetition:
cc:Department Head
Safety Committee Chainnan
Personnel Department (Original)
45
Appendix A-3
CONFIDENTIAL
POST -EXPOSURE EVALUATION AND FOLLOW-UP
CHECKLIST
The following steps mustbe taken,and information transmitted,inthe case of an
employee's exposure to Bloodborne Pathogens:
ACTIVITY COMPLETION
DATE
)
Source individual
Employee furnished with documentation
regarding exposure incident.
Source individual identified.
(_-;:::--_,......."...-:-;--...,--_--J
Source individual's blood tested and
results given to exposed employee.
Exposed employee's blood collected and
tested
Appointment arranged for employee with
healthcare professional.
()
Professional's Name
Documentation forwarded to healthcare
professional.
Bloodborne Pathogens Standard.
Employee's job description.
Description of Exposure Incident,
including routes of exposure.
Result of source individual's
blood testing.
Employee's medical records.
Original to Personnel Department Cor employee's permanent medical record file.
46
SCHEDULED
EQUIPMENT/AREA CLEANING CLEANERS AND SPECIAL
(DAYITIME)DISINFECTANTS USED INSTRUCTIONS
AppendixA-5
BLOODBORNE PATHOGENS TRAINING SESSION
DATEOF SESSION:_
SESSION SUMMARY (ATTACHED)
INSTRUCTOR (S)QUALIFICATIONS
EMPLOYEE
Return completed form to Personnel Department.
JOB TITLE
47
MAKE SURE YOU HAVE RECEIVED YOUR
HEPATITIS B VACCINATION
The vaccination is given at the following times:
LOCATION:_
To sign up call or talk to your supervisor
The vaccination is free of cherqe to all employees.
Appendix A-7
Part J
Biological Agents
WAC
296-62-080
296-62-08001
296-62-08050
Biologicalagents.
Bloodborne Pathogens
Appendix A-Hepititis B Vaccine Declination (Mandatory)
1
1
21
WAC 296-62-080,Biological agents.
(1)Definition.Biological agents are organisms or their by-products.
(2) .Protection from exposure.Workmen shall be protected from exposure to hazardous concentrations of
biological agents which may arise from processing, handling or using materials or waste.IOnic,73-3,
§296-<12-Q80,filed snm,Order 7Cl-8,§296-<12-Q80,filed ttnne,effective 911nO;Rule 8.010,effective 811/63.1
WAC 296-62-08001,Bloodbome Pathogens.
(1) Scope and Application.This section applies to all occupational exposure to blood or otber potentially
infectious materials as defined by subsection (2) of this section.
(2)Definitions.For purposes of this section, the following shall apply:
"Blood" means human blood, human blood components,and products made from human blood.
"Bloodbome Pathogens" means pathogenic microorganisms that are present in human blood and can cause
disease in humans. These pathogens include, but are not limited to,hepatitis B virus (HBY) and human
immunodeficiency virus (HIY).
"Clinical Laboratory"means a workplace where diagnostic or other screening procedures are performed
on blood or other potentially infectious materials.
"Contaminated" means the presence or the reasonably anticipated presence of blood or other potentially
infectious materials on an item or surface.
"Contaminated Laundry"means laundry which has been soiled with blood or other potentially infectious
materials or may contain contaminated sharps.
'Contaminated Sharps'means any contaminated object thatcan penetrate the skin including,but not limited
to, needles,scalpels,broken glass, broken capillary tubes, and exposed ends of dental wires.
"Decontamination'means the use of physical or chemical means to remove,inactivate,or destroy
bloodbome pathogens on a surface or item to the point where they are no longer capable of transmitting
infectious particles and the surface or item is rendered safe for handling,use, or disposal.
Part J.Page 1
(4/92 Issue)
Chapler 296-62 WAC
BiologM:al Ageats
WAC 296-62-08001 (Cont.)
"Director"means the Director of the Washinglon State Department of Labor and Industries;the state
designee for the Washington State Plan.
"Engineering Controls"means controls (e.g.,sharps disposal containers,self-sheathing needles)tbat isolate
or remove Che bloodborne pathogens hazard from tbe workplace.
"Exposure Incident" means a specific eye, mouth,other mucous membrane,non-intact skin,or parenteral
contact with blood or other potentially infectious materials tbat results from the performance of an
employee's duties.
"Handwashing Facilities" means a facility providing an adequate supply of running potable water,soap and
single use towels or hot air drying machines.
,"Licensed Healthcare Professional"is a person wbose legally permitted scope of practice allows him or
.her to independently perform the activities required by subsection (6)Hepatitis B Vaccination and
Post-exposure Evaluation and Follow-up,
"HBV" means hepatitis B virus.
"HIV" means human immunodeficiency virus.
"Occupational Exposure" means reasonably anticipated skin,eye, mucous membrane,or parenteral contact
with blood or other potentially infectious materials that may result from the perfonnance of an employee's
duties.
"Other Potentially Infectious Materials"means:
(a) The following human body tluids:semen,vaginal secretions,cerebrospinal tluid,synovial fluid,
pleural fluid,pericardial tluid,peritoneal tluid,amniotic fluid, saliva in dental procedures,any
body tluid that is visibly contaminated witb blood, and all body tluids in situations wbere it is
difficult or impossible to differentiate between body tluids;
(b)Any unfixed tissue or organ (other tban intact skin) from a buman (living or dead); and
(c)HIV-containing cell or tissue cultures,organ cultures,and HIV-or HBV-containing culture
medium or other solutions;and blood,organs, or other tissues from experimental animals infected
with HIV or HBV.
"Parenteral"means piercing mucous membranes or the skin barrier through sucb events as needlesticks,
human bites, cuts, and abrasions.
"Personal Protective Equipment"is specialized clothing or equipment worn by an employee for protection
against a hazard. General work clothes (e.g.,uniforms,pants,shirts or blouses) not intended to function
as protection against a hazard are not considered to be personal protective equipment.
"Production Facility"means a facility engaged in industrial-scale,large-volume or high concentration
production of HlV or HBV.
"Regulated Waste" means liquid or semi-liquid blood or other potentially infectious materials;contaminated
items that would release blood or other potentially infectious materials in a liquid or semi-liquid stale if
compressed;items that are caked with dried blood or other potentially infectious materials and are capable
of releasing these materials during handling;contaminated sharps; and pathological and microbiological
wastes containing blood or other potentially infectious materials.
Part J.Page 2
(4/92 Issue)
Chapter 296-61 WAC
BiologM:a1 Agee ts
WAC 296-620.08001 (ConL)
"Research Laboratory" means a laboratory producing or using research-laboratory-scale amounts of HIV
or HBV. Research laboratories may produce high concentrations of HIV or HBV but not in the volume
found in production facilities.
"Source Individual" means any individual,living or dead, whose blood or other potentially infectious
materials may be a source of occupational exposure to the employee.Examples include,but are Dotlimited
to, hospital and clinic patients;clients in institutions for the developmentally disabled;trauma victims;
clients of drug and alcohol treatment facilities; residents of hospices and nursing homes; human remains;
and individuals who donate or sell blood or blood components.
"Sterilize" means the use of a physical or chemical procedure to destroy all microbial life including highly
resistant bacterial endospores.
"Universal Precautions"are an approach to infection control.According to the concept of Universal
Precautions,all human blood and certain human body fluids are treated as if known to be infectious for
HIV, HBV, and other bloodbome pathogens.
"Work Practice Controls"means controls that reduce the likelihood of exposure by altering the manner in
which a task is performed (e.g.,prohibiting recapping of needles by a two-handed technique).
(3)Exposure control
(a)Exposure Control Plan.
(i) Each employer having aa employee(s) with occupational exposure as defined by
subsection (2)of this section shall establish a written Exposure Control Plan designed to
eliminate.minimize employee exposure.
~
(ii)The Exposure Control Plan shall contain at least the following elements:
(A)The exposure determination required by subdivision (3)(b),
(B)The schedule and method of implementation for subsections (4),Methods of
Compliance,(5), HIV and HBV Research Laboratories and Production
Facilities,(6), Hepatitis B Vaccination and Post-Exposure Evaluation and
Follow-up,(7), Communication of Hazards to Employees,and (8),
Recordkeeping,of this standard, and,
(C)The procedure for 'the .evaluation of circumstances surrounding exposure
incidents as required by subdivision/item (6)(c)(i)of this section.
(iii) Each employer shall ensure that a copy of the Exposure Control Plan is accessible to
employees in accordance with WAC 296~2-o5209.
(iv) The Exposure Control Plan shall be reviewed and updated at least annually,and
whenever necessary to reflect Dew or modified tasks and procedures which affect
occupational exposure,and to reflectnew or revised employee positions with occupational
exposure.
(v)The Exposure Control Plan shall be made available to tbe Director upon request for
examination and copying.
Part J,Page 3
(4/92 Issue)
CbaplO'296-02 WAC
Biological Agents
WAC 296-62·08001 (Cont.)
(b) Exposure determination.
(i) Each employer who has an employee(s) with occupational 'exposure as defined by
subsection (2)of this section shall prepare an exposure determination.This exposure
determination shall contain the following:
(A) A list of all job classifications in whicb all employees in those job classifications
have occupational exposure;
(B) A list of job classifications 10 which some employees have occupational
exposure,and,
(C)A list of all tasks and procedures or groups of closely related tasks and
procedures in which occupational exposure occurs,and that are performed by
employees in job classifications listed in accordance with the provisions of
sub-division/item (3)(b)(i)(B) of this section.
(ii) This exposure determination shall be made without regard to the use of personal
protective equipment.'
(4) Methods of compliance.
(a) General. Universal precautions shall be observed to prevent contact with blood or other
potentially infectious materials. Under circumstances in which differentiation between body fluid
types is difficult or impossible, all body fluids shall be considered potentially infectious materials.
(b) Engineering and work practice controls.
(i) Engineering and work practice controls shall be used to eliminate or minimize employee
exposure. Where occupational exposure remains after institution of these controls,
personal protective equipment shall also be used.
(ii)Engineering controls shall be examined and maintained or replaced on a regular schedule
to ensure their effectiveness.
(iii) Employers shall providehandwashing facilities which are readily accessible toemployees.
(iv) When provision of handwashing facilities is not feasible, the employer shall provide
either an'appropriate antiseptichand cleanser in conjunction with clean cloth/paper towels
or antiseptic towelettes, When antiseptic hand cleansers or towelettes are used, hands
shall be washed with soap and running wateras SOon as feasible.
(v) Employers shall ensure that employees wash their hands immediately or as soon as
feasible after removal of gloves or other personal protective equipment.
(vi) Employers shall ensure that employees wash hands and any other skin with soap and
water, or flush mucous membranes with water immediately or as soon as feasible
following contact of such body areas with blood or other potentially infectious materials.
(vii) Contaminated needles and other contaminated sharps shall not be bent, recapped, or
removed except as noted in sub-division/items (4)(b)(vii)(A)and (4)(b)(vii)(B) below.
Shearing or breaking of contaminated needles is prohibited.
Part Jf Page 4
(4/92 Issue)
Chapl.r 296-62 WAC
Bwlop AJtots
WAC 296-62-08001 (Cant.)
(A)Contaminated needles and other contaminated sharps shall not be recapped or
removed unless the employer can demonstrate that no alternative is feasible or
that such action is required by a specific medical procedure.
(B)Such recapping or needle removal must be accomplished through the use of a
mechanical device or a nne-handed technique.
(viii)Immediately or as SOOn as possible after use,contaminated reusable sharps shall be
placed in appropriate containers until properly reprocessed.These containers shall be:
(A)Puncture resistant;
(B)Labeled or color-coded in accordance with this standard;
(C)Leakproof on the sides and bottom;and
(D)In accordance with the requirements set forth in sub-division/item (4)(d)(ii)(E)
for reusable sharps.
(ix)Eating,drinking,smoking,applying cosmetics or lip balm,and handling contact lenses
are prohibited in work areas where there is a reasonable likelihood of occupational
exposure.
(x)Food and drink shall not be kept in refrigerators,freezers,shelves,cabinets or on
countertops or benchtops where blood or other potentially Infectious materials are
present.
(xi) All procedures involving blood or other potentially infectious materials shall be
performed in such a manner as to minimize splashing,spraying,spattering,and
generation of droplets of these substances.
(xii)Mouth pipelling/suctioning of blood or other potentially infectious materials is prohibited.
(xiii)Specimens of blood or other potentially infectious materials shall be placed in a container
which prevents leakage during collection,handling,processing,storage,transport,or
shipping.
I
L
(A)
(B)
(C)
The container for storage,transport,or shipping shall be labeled or color-coded
according to sulKlivision/item (7)(a)(i)and closed prior to being stored,
transported,or shipped. When a facility utilizes Universal Precautions in the
handling'of all specimens, the labeling/color-coding of specimens is not
necessary provided containers are recognizable as containing specimens.This
exemption only applies while such specimens/containers remain within the
facility.Labeling or color-coding in accordance with sub-division/item (7)(a)(i)
is required when such specimens/containers leave the facility.
If outside contamination of the primary container occurs,the primary container
shall be placed within a second container which prevents leakage during
handling,processing,storage,transport,or shipping and is labeled or
color-coded according to the requirements of this standard.
If the specimen could puncture the primary container,the primary container
shall be placed within a secondary container which is puncture-resistant in
addition to the above characteristics.
Part J,Page 5
(4/92Issuo)
Cbopltr 1%-61 WAC
Bi.ological Ageats
WAC 296·62-08001 (Cont.)
(xiv)Equipment which may become contaminated with blood or other potentially infectious
materials shall be examined prior to servicing or shipping and shall be decontaminated
as necessary,unless the employer can demonstrate that decontamination of such
equipment or portions of such equipment is not feasible.
(A) A readily observable label in accordance with sub-division/item(7)(a)(i)(H)shall
be attached to the equipment stating which portions remain contaminated.
(B)The employer shall ensure that this information is conveyed to all affected
employees,the servicing representative,and/or the manufacturer,as appropriate,
prior to handling,servicing,or shipping so that appropriate precautions will be
taken.
(c)Personal protective equipment.
(i)Provision.When there is occupational exposure,the employer shall provide,at no cost
to the employee,appropriate personal protective equipment such as, hut not limited to,
gloves,gowns,laboratory coats,face shields or masks and eye protection,and
mouthpieces,resuscitation bags,pocket masks,or other ventilation devices.Personal
protective equipment will be considered "appropriate"only if it does not permit blood or
other potentially infectious materials to pass through to or reach the employee's work
clothes,street clothes,undergarments,skin,eyes,mouth,or other mucous membranes
under normal conditions of use and for'the duration of time which the protective
equipment will be used..
(ii) Use.The employer shall ensure that the employee uses appropriate personal protective
equipment unless the employer shows that the employee temporarily and briefly declined
to use personal protective equipment when,under rare and extraordinary circumstances,
it was the employee's professional judgment that in the specific instance its use would
have prevented the delivery of health care or public safety services or would have posed
an increased hazard to the safety of the worker or co-worker.When the employee makes
this judgement,the circumstances shall be investigated and documented in order to
determine whether changes can be instituted to prevent such occurrences in the future.
(iii)Accessibility.The employer shall ensure that appropriate personal protective equipment
in the appropriate sizes is readily accessible at the worksite or is issued to employees.
Hypoallergenic gloves,glove liners,powderless gloves,or other similar alternatives shall
be readily accessible to those employees who are allergic to the gloves normally
provided.
(iv)Cleaning,Laundering,and Disposal.The employer shall clean,launder,and dispose of
personal protective equipment required by subsections (4) and (5)of this section,at no
cost to the employee.
(v)Repair and Replacement.The employer shall repair or replace personal protective
equipment as needed to maintain its effectiveness,at no cost to the employee.
(vi) If a garment(s)is penetrated by blood or other potentially infectious materials,the
garment(s)shall be removed immediately or as soon as feasible.
(vii) All personal protective equipment shall be removed prior to leaving the work area.
Part J,Page 6
(4/92 Issue)
Chapter 2%-62 WAC
Biological Ageuts
WAC 296-62-68001 (ConI.)
(viii) When personal protective equipment is removed it shall he placed in an appropriately
designated area or container for storage, washing,decontamination or disposal.
(ix) Gloves. Gloves shall he worn when it can he reasonably anticipated that the employee
may have hand contact with blood, other potentially infectious materials,mucous
membranes,and non-intact skin; when performing vascular access procedures except as
specified in sub-division/item (4)(c)(ix)(D); and when handling or touching contaminated
items or surfaces.
(A) Disposable (single use) gloves such as surgical or examination gloves, shall he
replaced as soon as practical when contaminated or as soon as feasible if they
are tom,punctured,or when their ability to function as a barrier is
compromised.
(B)Disposable (single use) gloves shall not he washed or decontaminated for re-use:
(C)Utility gloves may he decontaminated for re-use if the integrity of the glove is
not compromised. However, they must he discarded if they are cracked,
peeling,tom,punctured, or exhibit other signs of deterioration or when their
ability to function as a barrier is compromised.
(D)If an employer in a voluoteer blood donation center judges that routine gloving
for all phlebotomies is Dot necessary then the employer shall:
(I)Periodically reevaluate this policy;
(II) Make gloves available to all employees who wish 10 use them for
phlebotomy;
(lll)Not discourage the use of gloves for phlebotomy;and
(IV) Require that gloves he used for phlebotomy in the following
circumstances:.
(sa) When the employee has cuts,scratches,or other breaks in his
or her skin;
(bb) When the employee judges that hand contamination with blood
may occur, for example, when performing phlebotomy on an
uncooperative source individual;and
(cc) When the employee is receiving training in phlebotomy.
(x) Masks, Eye Protection,and Face Shields. Masks in combination with eye protection
devices, such as goggles or glasses with solid side shields,or chin-length face shields,
shall he worn whenever splashes, spray, spatter, or droplets of blood or other potentially
infectious materials may be generated and eye,nose, or mouth contamination can be
reasonably anticipated.
(xi)Gowns,Aprons, and Other Protective Body Clothing.Appropriate protective clothing
such as, but not limited to,gowns,aprons, lab coats,clinic jackets,or similar outer
garments shall be worn in occupational exposure situations.The type and characteristics
will depend upon the task and degree of exposure anticipated.
Part J,Page 1
(4/92 Issue)
Chapter 2%-62 WAC
B;oloP<aJ AI"'"
WAC 296-62.()8001 (Cont.)
(xii) Surgical caps or hoods and/or shoe covers or boots shall be worn io instances when gross
contamination can reasonably be anticipated (e.g.,autopsies,orthopaedic surgery.)
(d) Housekeeping.
(i) General.Employers shall ensure that the worksite is maintained in a clean and sanitary
condition,The employer sball detennine and implement an appropriate written scbedule
for cleaning and method of decontamination based upon the location within the facility,
type of surface to be cleaned, type of soil present, and tasks or procedures being
performed in the area.
(ii) All equipment and environmental and working surfaces shall be cleaned and
decontaminated after contact with blood or other potentially infectious materials.
(A) Contaminated work surfaces sball be decontaminated with an appropriate
disinfectant after completion of procedures;immediately or as soon as feasible
when surfaces are overtly contaminated or after any spill of blood or other
potentially infectious materials; and at the end of the work shift if the surface
may have become contaminated since the last cleaning.
(B)Protective coverings, such as plastic wrap,aluminum foil, or
imperviously-backed absorbentpaper used to cover equipment and environmental
surfaces,shall be removed and replaced as soon as feasible when they become
overtly contaminated or at the end of the workshift if they may have become
contaminated during the shift.
(C) All bins, pails, cans, and similar receptacles intended for reuse whicb have a
reasonable likelihood for becoming contaminated with blood or other potentially
infectious materials shall be inspected and decontaminated on a regularly
scheduled basis and cleaned and decontaminated immediately or as soon as
feasible upon visible contamination.
(D) Broken glassware which may be contaminated shall not be picked up directly
with the hands.It shall be cleaned up using mechanical means, sucb as a brush
and dust pan, tongs, or forceps.
(E) Reusable sbarps that are contaminated with blood or other potentially infectious
materials sball not be stored or processed in a manner thai requires employees
10 reacb by band into the containers where these sharps have been placed.
(iii) Regulated Waste.
(A) Contaminated Sharps Discarding and Containment.
(I)Contaminated sbarps shall be discarded immediately or as soon as
feasible in containers that are:
(aa) Closable;
(bb) Puncture resistant;
Part J,Page 8
(4192 Issue)
WAC 296-62-08001 (Cont.)
Chapt..-296-62 WAC
BioI""w:a1 Agee"
(cc)Leakproof on sides and bottom: and
(dd) Labeled or color-coded in accordance with sub-division/item
(7)(a)(i) of this section.
(II) During use, containers for contaminated sharps shall be:
(aa) Easily accessible to personnel and located as close as is
feasibleto the immediatearea where sharps are used or can be
reasonably anticipated to be found (e.g.,laundries);
(bb) Maintained upright throughout use; and
(cc) Replaced routinely and not be allowed to overfiII.
(III) When moving containers of contaminated sharps from the area of use,
the containers shall be:
(aa) Closed immediatelyprior to removal or replacement to prevent
spillage or protrusion of contents during handling, storage,
transport, or shipping;
(bb) Placed in a secondary container if leakage is possible. The
second container shall be:
(AA) Closable;
(BB) Constructed to contain all contents and prevent
leakage during handling,storage,transport,or
sbipping; and
(cq Labeled or color-coded according to paragrapb
(g)(I)(i)of this standard.
(IV).Reusable containers shall not be opened, emptied,or cleaned manually
or in any other manner which would expose employees to the risk of
percutaneous injury.
(B) Other Regulated Waste Containment.
(1) Regulated waste sball be placed in containers which are:
(aa) Closable;
(bb) Constructed to contain all contents and prevent leakage of
fluids during handling, storage,transport or shipping;
(cc) Labeled or color-eoded in accordance with sub-division/item
(7)(a)(i) this standard; and
(dd) Closed prior to removal to prevent spillage or protrusion of
contents during handling, storage,transport,or shipping.
Part Jt Page 9
(4/92 Issue)
Cbapt...296-62 WAC
BioIog;w Ai .....
WAC 296-62-08001 (Cont.)
(Il)If outside contamination of the regulated waste container occurs,it shall
be placed in a second container. The second container shall be:
(aa)Closable;
(bb) Constructed to contain all contents and prevent leakage of
fluids during handling,storage,transport or shipping;
(cc) Labeled or color-coded in accordance with sub-division/item
(7)(a)(i) of this section; and
(dd) Closed prior to removal to prevent spillage or protrusion of
contents during handling,storage,transport,or shipping.
(C)Disposal of all regulated wasteshall be in accordance with applicable regulations
of the United States, States and Territories,and political subdivisions of States
and Territories.
(iv)Laundry.
(A) Contaminated laundry shall be handled as little as possible with a minimum of
agitation.
(I) Contaminated laundry shall be bagged or containerized at the location
where it was used and shall not be sorted or rinsed in the location of
use.
(Il) Contaminated laundry shall be placed and transported in bags or
containers labeled or color-coded in accordance with sub-division/item
(7){a)(i)of this section. When a facility utilizes Universal Precautions
in the'handling of all soiled laundry',alternative labeling or
color-coding is sufficient if it permits all employees to recognize the
containers as requiring compliance with Universal Precautions.
(III)Whenever contaminated laundry is wet and presents a reasonable
likelihood of soak-through of or leakage from the bag or container,the
laundry shall be placed and transported in bags or containers which
prevent soak-through and/or leakage of fluids to the exterior.
(B) .The employer shall ensure that employees who have contact with contaminated
laundry wear protective gloves and other appropriate personal protective
equipment.
(C)When a facility ships contaminated laundry off-site to a second facility which
does not utilize Universal Precautions in the handling of all laundry, the facility
generating the contaminated laundry must place such laundry in bags or
containers which are labeled or color-eoded in accordance with sub-division/item
(7)(a)(i).
(5)mv and HBV Research Laboratories and Production Facilities.
(a)This subsection applies to research laboratories and production facilities engaged in the culture,
production,concentration,experimentation,and manipulation of HIV and HBV. Itdoes not apply
to clinical or diagnostic laboratories engaged solely in the analysis of blood,tissues, or organs.
These requirements apply in addition to the other requirements of the standard.
Part J,Page 10
(4/92 Issue)
Chapter 296-62 WAC
Biological Agents
WAC 296-62-08001 (Cont.)
(b) Research laboratories and production facilities shall meet the following criteria:
(i) Standard microbiological practices. All regulated waste shall either be incinerated or
decontaminated by a method such as autoclaving known to effectively destroy bloodbome
pathogens.
(ii) Special practices.
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(1)
Laboratory doors shall be kept closed when work involving HIV or HBV is in
progress.
Contaminated materials that are to be decontaminated at a site away from the
work area shall be placed in a durable,leakproof,labeled or color-eoded
container that is closed before being removed from the work area.
Access to the work area shall be limited to authorized persons.Written policies
and procedures shall be established whereby only persons who have been
advised of the potential biohazard, who meet any specific entry requirements,
and who comply witb all entry and exit procedures shall be allowed to enter the
work areas and animal rooms.
When other potentially infectious materials or infected animals are present in the
work area or containment module, a hazard warning sign incorporating the
universal biohazard symbol shall be posted on all access doors.The hazard
warning sign shall comply ,,:,ith sub-division/item (7)(a)(ii)of this section.
All activities involving other potentially infectious materials shall be conducted
in biological safety cabinets or other physical-eontainment devices within the
containment module. No work with these other potentially infectious materials
shall be conducted on the open bench.
Laboratory coats, gowns, smocks, uniforms, or otber appropriate protective
clothing shall be used in tbe work area and animal rooms.Protective clothing
shall not be worn outside of the work area and sball be decontaminated before
being laundered.
Special care shall be taken to avoid skin contact with other potentially infectious
materials. Gloves sball be worn when handling infected animals and when
making hand contact with other potentially infectious materials is unavoidable.
Before disposal all waste from work areas and from animal rooms shall either
be incinerated or decontaminated by a method such as autoclaving known to
effectively destroy bloodbome pathogens.
Vacuum lines shall be protected with liquid disinfectant traps and high-efficiency
particulate air (HEPA)filters or filters of equivalent or superior efficiency and
which are checked routinely and maintained or replaced as necessary.
Part J.Page 11
(4/92 Issue)
Chapter 196-61 WAC
Biological AsJeots
WAC 296-62-08001 (Cont.)
(1) Hypodermic needles and syringes shall he used only for parenteral injection and
aspiration of fluids from laboratory animals and diaphragm bottles. Only
needle-locking syringes or disposable syringe-needle units (i.e.,the needle is
integral to the syringe) shall he used for the injection or aspiration of other
potentially infectious materials. Extreme caution shall he used when handling
needles and syringes. A needle shall not he beat,sheared,replaced in the
sheath or guard, or removed from the syringe following use. The needle and
syringe shall he promptly placed in a puncture-resistant container and autoclaved
or decontaminated hefore reuse or disposal.
(K) All spills shall he immediately contained and cleaned up by appropriate
professional staff or others properly trained and equipped to work with
potentially concentrated infectious materials.
(L) A spill or accident that results ill an exposure incident shall he immediately
reported to the laboratory director or other responsible person.
(M) A biosafety manualshall he prepared or adopted and periodically reviewed and
updated at least annually or more often if necessary.Personnel shall he advised
of potential hazards,shall he required to read instructions on practices and
procedures,and shall he required to follow them.
(iii)Containment equipment.
(A) Certified biological safety cabinets (Class I, II, or Ill)or other appropriate
combinations of personal protection or physical containment devices,such as
special protective clothing, respirators, centrifuge safety cups, sealed centrifuge
rotors,and containment caging for animals, shall he used for all activities with
other potentially infectious materials that pose a threat of exposure to droplets,
splashes, spills, or aerosols.
(B) Biological safety cabinets shall he certified when installed,whenever they are
moved and at least annually ..
(c) HIV and HBV research laboratories shall meet the following criteria:
(i) Each laboratory shall contain a facility for hand washing and an eyewash facility which
is readily available within the work area.
(ii)An autoclave for decontamination of regulated waste shall he available.
(d) HIV and HBV production facilities shall meet the following criteria:
(i) The work areas shall he separated from areas that are open to unrestricted traffic flow
.within the building.Passage through two sets of doors shall he the basic requirement for
.entry into the work area from access corridors or other contiguous areas.
Physical separation of the high-containment work area from access corridors or other
areas or activities may also be provided by a double-doored clothes-change room
(showers may be included), airlock, or other access facility that requires passing through
two sets of doors hefore entering the work area,
Part J.Page 12
(4/911ssuel
Cho",...29&-62 WAC
lIiologkal A8eot.l
WAC 296-62-68001 (Cont.)
(ii) The surfaces of doors, walls, floors and ceilings in the work area shall be waler resistant
so that they can be easily cleaned.Penetrations in these surfaces shall be sealed or
capable of being sealed to facilitate decontamination.'
(iii) Each work area shall contain a sink for washing hands and a readily available eye wasb
facility. The sink shall be foot, elbow, or automatically operated and shall be located
near the exit door of the work area.
(iv) Access doors to tbe work area or containment module shall be self-closing.
(v)An autoclave for decontamination of regulated waste shall be available witbin or as near
as possible to the work area.
(vi) A ducted exhaust-air ventilation system shall be provided.This system shall create
directional airflow that draws air into tbe work area through the entry area.The exbaust
air shall not be recirculated to any other area of tbe building,shall be discharged to the
outside,and shall be dispersed away from occupied areas and air intakes.The proper
direction of the airflow shall be verified (i.e.,into the work area.)
(e)Training Requirements.Additional training requirements for employees in HIV and HBV research
laboratories and HIV and HBV production facilities are specified in sub-divisionlitem (7)(b)(ix).
(6)Hepatitis B vaccination and post-exposure evaluation and follow-up.
(a)General.
(i) The employer shall make available tbe bepatitis B vaccine and vaccination series to all
employees who have occupational exposure,and post-exposure evaluation and follow-up
to all employees who have had an exposure incident.
(ii)The employer shall ensure'that allmedical evaluations and procedures including the
hepatitis B vaccine and vaccination series and post-exposure evaluation and follow-up,
including prophylaxis,are:
(A)Made available at no cost to the employee;
(B)Made available to the employee at a reasonable time and place;
(C)Performed by or under the supervision of a licensed physician or by or under
the supervision of another licensed healthcare professional;and
(D)Provided according to recommendations of the U.S.Public Health Service
current at the time these evaluations and procedures take place, except as
specified by this subsection (6).
,,
(iii)The employer shall ensure that all laboratory tests are conducted by an accredited
laboratory at no cost to the employee.'
Part J,Page13
(4/921ssoo)
Chapler 196-62 WAC
Biological Ageat.s
WAC 296-62-08001 (Cont.)
(b)Hepatitis B Vaccination.
(i)Hepatitis B vaccination sball be made available after the employee has received the
training required in sub-division/item (7)(b)(vii)(I)and within 10 working days of initial
assignment to all employees who have occupational exposure unless the employee has
previously received the complete hepatitis B vaccination series,antibody testing has
revealed that the employee is immune,or the vaccine is contraindicated for medical
reasons.
(ii)The employer shall not make participation in a prescreening program a prerequisite for
receiving hepatitis B vaccination.
(iii)If the employee initially declines hepatitis B vaccination but at a later date while still
covered under the standard decides to accept the vaccination,the employer shall make
available hepatitis B vaccination at that time.
(iv)The employer shall assure that employees who decline to accept hepatitis B vaccination
offered by the employer sign the statement in WAC 296-62-08050,appendix A.
(v)If a routine booster dose(s)of hepatitis B vaccine is recommended by the U.S.Public
Health Service 81 a future date, such booster dose(s)shall be made available in
accordance with sub-division/item (6)(a)(ii).
(c)Post-exposure Evaluation and Follow-up.Following a report of an exposure incident,the
employer shall make immediately available to the exposed employee a confidential medical
evaluation and follow-up,including at least the following elements:
(i)Documentation of the route(s)of exposure,and the circumstances under which the
exposure incident occurred;
(ii)Identification and documentation of the source individual,unless the employer Can
establish that identification is infeasible or prohibited by state or local law;
(A)The source individual's blood shall be tested as soon as feasible and after
consent is obtained in order to determine HBV and HIV infectivity.If consent
is not obtained,the employer shall establish that legally required consent cannot
be obtained.When the source individual's consent is not required by law,the
source individual's blood,if available,shall be tested and the results
documented.
(B)When the source individual is already known to be infected with HBV or HIV,
testing for the source individual's known HBV or HIV status need not be
repeated.
(C)Results of the source individual's testing shall be made available to the exposed
employee,and the employee shall be informed of applicable laws and regulations
concerning disclosure of the identity and infectious status of the source
individual.
(iii)Collection and testing of blood for HBV and HIV serological status;
(A)The exposed employee's blood shall be collected as soon as feasible and tested
after consent is obtained.
Part J,Page 14
(4192 Issue)
..-----_._-----
Cbapl'"19&-61 WAC
BioIogM:al All""
WAC 296-62-08001 (Conl.)
(B)If the employee consents to baseline blood collection,but does not give consent
at that time for HIV serologic testing, tbe sample shall be preserved for at least
90 days. If, within 90 days of the exposure incident, the employee elects to have
the baseline sample tested. such testing shall be done as soon as feasible.
(iv)Post-exposure prophylaxis,when medically indicated, as recommended by the U.S.
Public Health Service;
(v) Counseling; and
(vi)Evaluation of reported illnesses.
(d)Infonnation Provided to the Healthcare Professional.
(i) The employer shall ensure that the healthcare professional responsible for the employee's
Hepatitis B vaccination is provided a copy of this regulation.
(ii) The employer shall ensure that the healthcare professional evaluating an employee after
an exposure incident is provided the following information:
(A) A copy of this regulation;
(B) A description of the exposed employee's duties as they relate to the exposure
incident;
(C)Documentation of the route(s)of exposure and circumstances under which
exposure occurred;
(D) Results of the source individual's blood testing, if available;and
(E)Air medical records relevant to the appropriate treatment of the employee
including vaccination status which are the employer'S responsibility to maintain.
(e)Healthcare Professional's Written Opinion. The employer shall obtain and provide the employee
with a copy of the evaluating healthcare professional's written opinion within 15 days of the
completion of the evaluation..
(i) The healthcare professional's written opinion for Hepatitis B vaccination shall be limited
to whether Hepatitis B vaccination is indicated for an employee,and if the employee bas
received such vaccination.
(ii) The healthcare professional's written opinion for post-exposure evaluation and follow-up
shall be limited to the following information:
(A) That the employee has been informed of the results of the evaluation; and
(B) That the employee has been told about any medical conditions resulting from
exposure to blood or other potentially infectious materials which require further
evaluation or treatment.
(iii) All other findings or diagnoses shall remain confidential and shall not be included in the
written report.
Part J,Page 15
(4/91 Issue)
Cba"er 296-62 WAC
Biological Agents
WAC 296-62-08001 (Cont.)
(I)Medical recordkeeping. Medical. records required by this standard shall be maintained in
accordance with subdivision (8)(a)of this section.
Cl)Communication of hazards to employees.
(a) Labels and signs.
(i) Labels.
(A) Warning labels shall be affixed to containers of regulated waste,refrigerators
and freezers containing blood or otber potentially infectious material; and otber
containers used to store, transport or sbip blood or other potentially infectious
materials, except-as provided in sub-division/items (7)(a)(i){E), (F) and (G).
,(B)'Labels required by this section shall include the following legend:
BIOHAZARD
Part J,Page 16
(4/92 Issue)
Chapler 196-Q WAC
Biological A/t ......
WAC 296-62-08001 (Cont.)
(C)These labels sball be fluorescent orange or orange-red or predominantly so, witb
lettering or symbols in a contrasting color.'
(D)Labels are required to be affixed as close as feasible to the container by string,
wire,adbesive,or otber method that prevents their loss or unintentional
removal.
(E) Red bags or red containers may be substituted for labels.
(F)Containers of blood, blood components,or blood products that are labeled as to
their contents and bave been released for transfusion or other clinical use are
exempted from the labeling requirements of subsection (7).
(0)Individual containers of blood or other potentially infectious materials that are
placed in a labeled container during storage,transport,shipment or disposal are
exempted from the labeling requirement.
(H)Labels required for contaminated equipment shall be in accordance with this
sub-division/item and shall also Slate which portions of the equipment remain
contaminated:,..'
(I)Regulated waste tbat has been decontaminated need not be labeled or
color-ceded.
(ii)Signs.
(A) The employer'sball post signs at the entrance to work areas specified in
subsection (5),HIV and HBV Researcb Laboratory and Production Facilities,
which shall bear the following legend:
BIOHAZARD
(Name of the Infectious Agent)
(Special requirements for entering the area)
(Name,telephone number of the laboratory
director or other responsible person.)
Part J,Page 17
(4/92 Issue)
Cbapter ~%-62 WAC
Biolog;w Ai""
WAC 296-62-08001 (Cont.)
(B)These signs sball be fluorescent orange-red or predominantly so,witb lettering
or symbols in a contrasting color.
(b)Information and Training.
(i)Employers shall ensure that all employees witb occupational exposure participate in a
training program wbich must be provided at no cost to the employee and during working
bours.
(ii)Training sball be provided as follows:
(A)
(B)
(C)
At the time of initial assignment to tasks wbere occupational exposure may take
place;, ,
Within 90 days after the effective date of the standard;and
At least annually thereafter.
(iii)
(iv)
(v)
(vi)
(vii)
For employees who bave received training on bloodborne pathogens in the year preceding
the effective date of the standard,only training witb respect to the provisions of the
standard which were not included need be provided.
Annual training for all employees sball be provided within one year of their previous
training.
Employers sball provide additional training wben changes sucb as modification of tasks
or procedures or institution of new tasks or procedures affect the employee's occupational
exposure.The additional training may be limited to addressing tbe new exposures
created.
Material appropriate in content and vocabulary to educational level,literacy,and
language of employees sball be used.
The training program shall contain at a minimum the following elements:
(A)
(B)
(C)
(0)
(E)
(F)
An accessible copy of the regulatory text of this standard and an explanation of
its conten~;'~"<~'-:.-:".":
A general,explanation of tbe epidemiology and symptoms of bloodbome
diseases;.'.
An explanation of the modes of transmission of bloodborne patbogens;
An explanation 'of the employer's exposure control plan and the means by wbicb
the employee can obtain a copy of tbe written plan;
An explanation of the 'appropriate methods for recognizing tasks and other
activities that may involve exposure to blood and other potentially infectious
materials;
An explanation of the use and limitations of methods that will prevent or reduce
exposure including appropriate engineering controls,work practices,and
personal protective equipment;
Part J,Page 18
(4/91 Issue)
Chapter 29~WAC
BioIogkal Ageau
WAC 296-62·08001 (Cont.)
(G)Information OD the types, proper use,location.removal,handling,
decontamination and disposal of personal protective equipment;
•
(H)An explanation of the basis for selection of personal protective equipment;
(I)Information OD the hepatitis B vaccine,including information on its efficacy,
safety,method of administration,the benefits of being vaccinated,and that the
vaccine and vaccination will be offered free of charge;
(J)Information on the appropriate actions to take and persons to contact in an
emergency involving blood or other potentially infectious materials;
(K)An explanation of the procedure to follow if an exposure incident occurs,
including the method of reporting the incident and the medical follow-up that
will be made available;.
(L)Information on the post-exposure evaluation and follow-up that the employer is
required to provide for tbe employee following an exposure incident;
(M)An explanation of the signs and labels andlor color coding required by
subdivision (7)(a); and
(N)An opportunity for interactive questions and answers with the person conducting
the training session ..
(viii).The person conducting the training shall be knowledgeable in the subject mailer covered
.by the elements contained in the training program as it relates to the workplace thattbe
training will address.
(ix).Additional Initial Training for Employees in HIV and HBV Laboratories and Production
Facilities.Employees in HIV or HBV research laboratories and HIV or HBV production
facilities shall receive the following initial training in addition to the above training
requirements:
(A)The employer sball assure that employees demonstrate proficiency in standard
microbiological practices and techniques and in the practices and operations
specific 10the facility before being allowed to work with HIV or HBV.
(B)The employer shall assure that employees have prior experience in the handling
of human pathogens or tissue cultures before working with HIV or HBV.
(C)The employer shall provide a training program to employees wbo have no prior
experience in handling human pathogens. Initial work activities shall not include
the handling of infectious agents. A progressioD of work activities shall be
assigned as techniques are learned and proficiency is developed.The employer
shall assure that employees participate in work activities involving infectious
agents only after proficiency has been demonstrated.
(8)Recordkeeping.
(a) Medical Records.
Part J,Page 19
(4/91 Issue)
Chapter Z~WAC
Biological A,eats
WAC 296~2-o8001 (Cont.)
(i) The employer shall establish and maintain an accurate record for each employee with
occupational exposure, in accordance with WAC 296~2-{)52.
(ii) This record shall include:
(A) The name and social security number of the employee;
(B) A copy of the employee's hepatitis B vaccination status including the dates of
all the hepatitis B vaccinations and any medical records relative to the
employee's ability to receive vaccination as required by subdivision (6)(b);
(C) A copy of all results of examinations, medical testing, and follow-up procedures
as required by subdivision (6)(c);
(D) The employer's copy of the healthcare professional's written opinion as required
by subdivision (6)(e); and
(E)A copy of the information provided to the healthcare professional as required by
sub-division/items (6)(d)(ii)(B)(C)and (D).
(iii) Confidentiality. The employer shall ensure that employee medical records required by
subdivision (8)(a) are:
(A) Kept confidential; and
(B) Are not disclosedor reported without the employee's express written consent to
any person within or outside the workplace except as required by this section or
as may be required by law.
(iv) The employer shall maintain the records required by subsection (8) for at least the
duration of employment plus 30 years in accordance with WAC 296-62-{)52..
.j ..";"'."
(b) Training Records.
(i) Training records shall include the following information:
(A)'The dates of the training sessions;
(B) The contents or a summary of the training sessions;
(C) The names and qualifications of persons conducting the training; and
(0)The names and job lilies of all persons attending the training sessions.
(ii) Training records shall be maintained for 3 years from the date on which the training
occurred.
(c) Availability..
(i) The employer shall ensure that all records required to be maintained by this section shall
be made available upon request to the Director for examination and copying.
Part J,Page 20
(4/92 Issue1
Cbople<2%-62 WAC
BioIogkol Agto!!
WAC 296-62'()8001 (ConI.)
(ii) Employee training records required by this section shall be provided upon request for
examination and copying to employees, to employee representatives,to the Director in
accordance with WAC 296-62'()52.
(iii) Employee medical records required by this section shall be provided upon request for
examination and copying to the subject employee, to anyone baving written consent of
the subject employee, to the Director in accordance with WAC 296-62-052.
(d) Transfer of Records.
(i) The employer shall comply with the requirements involving transfer of records set forth
in WAC 296-62-052..
(ii) If the employer ceases to do business and there is no successor employer to receive and
retain the records for the prescribed period, the employer shall notify the Director, at
least three months prior to their disposal and transmit them to the Director, if required
by the Director to do so, within that three month period.
(9) Dales
(a) Effective Date. The standard shall become effective on May 26, 1992.
(b) The Exposure Control Plan required by subdivision (3)(b) of this section shall be completed on
or before June 26, 1992.
(c) Subdivision (7)(b) Information and Training and subsection (h)Recordkeeping shall take effect on
or before July 27, 1992.
(d) Subdivisions (4)(b) Engineering and Work Practice Controls, (4)(c) Personal Protective
Equipment, (4)(d) Housekeeping, subsections (5) HIV and HBV Research Laboratories and
Production Facilities, (6) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up,
and subdivision (7)(a) Labels and Signs, shall takeeffect August27, 1992.ISa•••ory Aulhori.y:Chap.er
49.11 RCW.92.08-100 WSR (Order 92.(1),§296-62.o8ool,f,led 04/01192.err."ive 05/05/92.)
WAC 296-62-08050,Appendix A -Hepatitis B Vaccine Declination (Mandatory)
I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk
of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis
B vaccine. at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by
declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease.If in the future I continue
to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with
hepatitis B vaccine,] canreceivethe vaccination seriesatno charge tome.[Steuncry Authority:Chllpter49.17 RCW.92~8
100 WSR (Order 92.(1).§296-62.o8050,filed 04/01192.effective 05/05/92.)
Part J,Page 21
W92 Issue)