HAZARD COMMUNICATION OSHA TRAINING OSHA 29 CFR 1910.1200 WELCOME NWACC Business & Industry Workforce Development Institute Z- 1 COURSE OBJECTIVES Introduce 29 CFR 1910.1200, The Hazcom Standard Discuss Methods and Observations Used to Detect Chemicals Discuss the Local Hazcom Written Policy Discuss the Physical and Health Hazards of Chemicals Discuss Employee Protective Measures Discuss Chemical Warning Labels Explain the Use of the Material Safety Data Sheet (MSDS) Introduce the Basic Rules for Safe Chemical Use NWACC Business & Industry Workforce Development Institute Z- 2 BASIS FOR THIS COURSE 32,000,000 Workers Exposed to Chemicals Daily 575,000 Existing Chemical Products Bhopal India Tragedy December 1984 OSHA Hazard Communication Standard Standard: 29 CFR 1910.1200 Establishes “Worker Right-to-Know” Program Requires Written “Hazcom” Program Requires Use of Material Safety Data Sheets Requires Use of Labels and Other Warnings Requires Chemicals to Be Listed Requires Hazards and Precautions Be Explained NWACC Business & Industry Workforce Development Institute Z- 3 BASIS FOR THIS COURSE THE BOTTOM LINE TRAINING YOU TO BE KNOWLEDGEABLE OF HOW TO LOWER YOUR LIFETIME WORKPLACE EXPOSURE AND DOSAGE TO THE CHEMICALS AND TOXIC MATERIALS YOU ARE POTENTIALLY EXPOSED TO IN YOUR DAILY WORKING LIFE! NWACC Business & Industry Workforce Development Institute Z- 4 REGULATORY STANDARD HAZARD COMMUNICATION 29CFR - 1910 - 1200 29CFR - SAFETY AND HEALTH STANDARDS 1910 - GENERAL INDUSTRY DANGER 1200 - HAZCOM STANDARD TOXIC MATERIALS NWACC Business & Industry Workforce Development Institute Z- 5 REGULATORY STANDARD 29CFR 1910.1200 TITLE - HAZARD COMMUNICATION MAY 23, 1988 - FINAL RULE TOOK EFFECT NWACC Business & Industry Workforce Development Institute Z- 6 TRAINING REQUIREMENTS THE EMPLOYER MUST: CHEMICAL SAFETY IN THE Maintain a Hazcom Training Program. WORKPLACE Discuss Employee Protective Measures. Review the Program on an Annual Basis. Discuss Labeling Requirements of Containers. Discuss the Use of Material Safety Data Sheets. Train All Employees In Contact With Chemicals. Discuss Trade Secrets and How to Obtain Needed Information. NWACC Business & Industry Workforce Development Institute Z- 7 RETRAINING REQUIREMENTS REQUIRED WHEN THERE IS A: Close Call Event Involving Chemicals. Failure in the Hazcom Procedures. Reason to Doubt Employee Proficiency. NWACC Business & Industry Workforce Development Institute CHEMICAL SAFETY Z- 8 GENERAL PROGRAM REQUIREMENTS ALL EMPLOYERS MUST: Provide Hazcom Training to All Required Employees. Not Purchase Materials Without an Adequate MSDS. Request Suppliers Provide All Ingredients With Identifiable Chemical Names and Percentage Composition. Provide an MSDS Requested by Any Employee. Provide Complete Hazard Information to Any Employee. Requesting Additional Information Not Listed on an MSDS. NWACC Business & Industry Workforce Development Institute Z- 9 WRITTEN PROGRAM REQUIREMENTS ALL EMPLOYERS MUST: Maintain a Written Program. Review the Program on an Annual Basis. Make the Written Program Available to All Employees During Each Work Shift. SAFETY PROGRAM NWACC Business & Industry Workforce Development Institute Z- 10 CHEMICAL INVENTORY LISTING ALL EMPLOYERS MUST: Maintain a Current List of Chemicals, Including Specific Uses. Make the List Available to All Employees. Make the List Available During Each Work Shift. CHEMICAL INVENTORY NWACC Business & Industry Workforce Development Institute Z- 11 MATERIAL SAFETY DATA SHEETS VARIOUS SECTIONS OF THE MSDS (TYPICAL FORMAT) SECTION I II III IV V VI VII VIII IX CONTENTS Product Identity Hazardous Ingredients Physical/Chemical Characteristics Fire/Explosion/Physical Hazard Data Reactivity Data Health Hazards Data Precautions for Safe Handling and Use Control Measures/Protection Information Additional Information/Special Precautions NWACC Business & Industry Workforce Development Institute Z- 12 MATERIAL SAFETY DATA SHEETS TRADE SECRETS: Information Withheld From a MSDS Must Be Provided During an Emergency or at The Request of a Physician. The User of The Information Must Agree to Keep The Information Confidential. The Chemical Manufacturer Must Provide the Information Immediately Upon Request During Emergencies. CLASSIFIED INFORMATION NWACC Business & Industry Workforce Development Institute Z- 13 MATERIAL SAFETY DATA SHEETS LOCAL USE MSDS’s: Let’s Discuss Some of the Material Safety Data Sheets Currently Used at This Facility. SITE SPECIFIC CHEMICALS AND MATERIALS NWACC Business & Industry Workforce Development Institute Z- 14 PERSONAL PROTECTIVE EQUIPMENT PERSONAL PROTECTIVE EQUIPMENT REQUIREMENTS: Follow Local Job Procedures. Review the Relative Material Safety Data Sheet. If You Have Questions Consult Your Supervisor. NWACC Business & Industry Workforce Development Institute Z- 15 LABELING REQUIREMENTS All Employers Must Maintain a Labeling Program. Review the Program on an Annual Basis. Train All Employees Whose Job Brings Them Into Contact With Chemicals in the Use of Labels. All Labels Will Use the Same Name As It Appears On The MSDS. FIRE HAZARD REACTIVITY 4 2 1 HEALTH HAZARD W SPECIFIC HAZARD (WATER REACTIVE) NWACC Business & Industry Workforce Development Institute Z- 16 LABELING REQUIREMENTS All Chemical Containers Will Be Labeled. Unless The Container Is a Portable Container in the Control of A Specific Person for Their Immediate Use. No Container That Resembles a Drinking Glass, Cup, Or Other Type of Container Used for Consumption Will Be Used For Chemical Storage or Containment. The Employer Must Provide Sufficient Labels for Labeling. NWACC Business & Industry Workforce Development Institute Z- 17 HAZARD RATING SYSTEMS TWO SYSTEMS NFPA - NATIONAL FIRE PROTECTION ASSOCIATION HMIS - NATIONAL PAINT AND COATINGS ASSOCIATION - HAZARDOUS MATERIAL IDENTIFICATION SYSTEM NWACC Business & Industry Workforce Development Institute Z- 18 HAZARD RATING SYSTEMS FOUR HAZARD PARAMETERS FIRE HAZARD HEALTH FLAMMABILITY REACTIVITY SPECIFIC HAZARD (NFPA) 2 HEALTH HAZARD REACTIVITY 4 1 W SPECIFIC HAZARD (WATER REACTIVE) NWACC Business & Industry Workforce Development Institute Z- 19 HAZARD RATING SYSTEMS FIVE HAZARD LEVELS HMIS 4 SEVERE 3 SERIOUS 2 MODERATE 1 SLIGHT 0 MINIMAL NWACC Business & Industry Workforce Development Institute NFPA 4 EXTREME 3 HIGH 2 MODERATE 1 SLIGHT 0 INSIGNIFICANT Z- 20 HOMEMADE LABEL SAMPLE “HOMEMADE” LABEL FOR A SINGLE CHEMICAL (NON-MIXTURE) CHEMICAL NAME (SEE MSDS) DOT HAZARD CLASS USE OF CHEMICAL PPE REQUIRED CHECK ALL THAT APPLY FLAMMABLE TOXIC IRRITANT CORROSIVE WATER REACTIVE OXIDIZER NAME EMERGENCY PHONE ___________ __________________ ADDRESS: ________________________________________________ NWACC Business & Industry Workforce Development Institute Z- 21 HMIS LABEL FIVE HMIS HAZARD LEVELS - 4 SEVERE - 3 SERIOUS - 2 MODERATE - 1 SLIGHT - 0 MINIMAL HEALTH FLAMMABILITY REACTIVITY PERSONAL PROTECTION NWACC Business & Industry Workforce Development Institute Z- 22 NFPA LABEL FIRE HAZARD FIVE NFPA HAZARD LEVELS - 4 EXTREME - 3 HIGH - 2 MODERATE - 1 SLIGHT - 0 INSIGNIFICANT 2 HEALTH HAZARD REACTIVITY 4 1 W SPECIFIC HAZARD (WATER REACTIVE) NWACC Business & Industry Workforce Development Institute Z- 23 NON-ROUTINE TASKS Definition: A Task That Is Required Only on Occasion And Where Employees Are Not Completely Familiar With All Aspects of the Job. Problem: This Lack of Familiarity Contributes Greatly to a Higher Probability of Injury. Example: The Annual (or Infrequent) Cleaning of Reactor Vessels in Processes. Supervisors Must: Identify Nonroutine Tasks and Assess Their Degree of Risk to Employees. NWACC Business & Industry Workforce Development Institute Z- 24 CONTRACTOR SAFETY REQUIREMENTS OUTSIDE CONTRACTORS MUST: Inform Representatives of the Facility of The Types of Chemicals That They Will Be Using And Be Prepared to Provide MSDSs Upon Request. FACILITY OR EMPLOYER REPRESENTATIVES MUST: Inform the Contractor of Chemicals Used in the Area Where Contractor Personnel Will Be Work And Be Prepared to Provide MSDSs Upon Request. NWACC Business & Industry Workforce Development Institute Z- 25 TIPS FOR USING CONTRACTORS Remember, You Control Your Facility or Area! Review Their Procedures With Them Before Starting the Job! Determine Their Safety Performance Record! Determine Who Is in Charge of Their People! Determine How They Will Affect Your Employees! NWACC Business & Industry Workforce Development Institute Z- 26 GENERAL CONCEPTS OF TOXICOLOGY EVERYTHING IS TOXIC; IT ALL DEPENDS ON THE DOSE How Well the Body Accepts a Substance Depends on: The Type of Substance. The Amount (Dose) Absorbed. The Period of Time Over Which It Is Absorbed. The Susceptibility/Sensitivity of the Person Exposed. NWACC Business & Industry Workforce Development Institute Z- 27 GENERAL CONCEPTS OF TOXICOLOGY ROUTES OF ENTRY INHALATION INGESTION ABSORPTION INJECTION NWACC Business & Industry Workforce Development Institute Z- 28 GENERAL CONCEPTS OF TOXICOLOGY ROUTES OF ENTRY Inhalation -- A Dose Absorbed Through the Lungs Into the Bloodstream Absorption -- A Dose That Is Absorbed Through the Skin or Eyes NWACC Business & Industry Workforce Development Institute Z- 29 GENERAL CONCEPTS OF TOXICOLOGY ROUTES OF ENTRY Ingestion -- A Dose That Is Absorbed Through the Gastro-Intestinal Tract From Eating, Drinking or Smoking Injection -- A Dose That Is Absorbed Via Broken Glass, Spray Guns, Needles, Compressed Air, Knives Etc. NWACC Business & Industry Workforce Development Institute Z- 30 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE TERMINOLOGY Local Effect. Damage to Body Parts That Actually Contact The Harmful Substance (Acid on a Hand). Systemic Effect. Damage to an Area of the Body After The Substance Is Absorbed (Liver Damage). Individual Susceptibility. Some People Are Naturally Sensitive or Can Develop Sensitivity to a Substance. Dose. Combination of Concentration and Length of Bodily Exposure to a Specific Material. NWACC Business & Industry Workforce Development Institute Z- 31 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE TERMINOLOGY Acute Exposure: Usually Minutes, Hours or Several Days. Chronic Exposure: Regular Exposure Over Months, Years, or a Lifetime. NWACC Business & Industry Workforce Development Institute Z- 32 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE TERMINOLOGY Hazardous Material. A Material That Falls Into One or More Of the Following Categories. Ignitability Is Flammable or Combustible. Reactivity Can React With Itself or Other Materials. Corrosivity Can Deteriorate Another Substance. Toxicity In Its Normal State Is Harmful to Living Things. NWACC Business & Industry Workforce Development Institute Z- 33 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE LIMITS SOURCES INCLUDE: American Conference of Gov. Industrial Hygienists (ACGIH) Occupational Safety and Health Administration (OSHA National Institute for Occupational Safety and Health (NIOSH NWACC Business & Industry Workforce Development Institute Z- 34 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE LIMITS American Conference of Government Industrial Hygienists: Threshold Limit Values (TLV). (Respiratory) Biological Exposure Indices (BEI). (Dermal) 8 Hour Time Weighted Averages (TWA). - How Much a Worker Can Be Exposed to in an 8 Hr. Shift. Published by ACGIH Annually, Provides Exposure Levels. Legally Enforceable. NWACC Business & Industry Workforce Development Institute Z- 35 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE LIMITS Occupational Safety and Health Administration (OSHA): Permissible Exposure Limits (PEL’s) Found in 29 CFR 1910.1000 (The “Z” Tables) Establishes OSHA’s Exposure Levels Legally Enforceable NWACC Business & Industry Workforce Development Institute Z- 36 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE LIMITS National Institute for Occupational Safety And Health (NIOSH): Recommended Exposure Limits (REL’s) Used to Develop New OSHA Standards Found in: “NIOSH Recommendations for Occupational Health Standards” NWACC Business & Industry Workforce Development Institute Z- 37 SPECIFIC TYPES OF HAZARDS AIR CONTAMINANTS Gases. Generally Used in a Compressed Form. Can Effect All Routes of Entry. Vapors. Formed by Evaporation of Liquids or Solids. Amount Usually Depends Upon Exposed Surface Area, Temperature, and Vapor Pressure Of Substance. Can Be Deadly. NWACC Business & Industry Workforce Development Institute Z- 38 SPECIFIC TYPES OF HAZARDS AIR CONTAMINANTS Fumes. Usually Metallic and Formed by Welding, Cutting, or Brazing Operations. Extremely Hazardous to Inhale. Particulates. Composed of Solid or Liquid Particles That Are Suspended or Dispersed in Air. Such As Dust, Mists, or Smokes. Can Be Explosive And Hazardous to Breath. NWACC Business & Industry Workforce Development Institute Z- 39 SPECIFIC TYPES OF HAZARDS THE FINAL WORD CONCERNING CHEMICALS NEVER DISCOUNT ANY ROUTE-OF-ENTRY! NWACC Business & Industry Workforce Development Institute Z- 40 BLOODBORNE PATHOGENS OSHA TRAINING OSHA 29 CFR 1910.1030 WELCOME NWACC Business & Industry Workforce Development Institute Z- 41 BASIS FOR THIS COURSE 1,000,000 + PEOPLE INFECTED WITH HIV IN THE UNITED STATES HEPATITIS B VIRUS (HBV) BIGGER THREAT THAN AIDS 5.6 MILLION WORKERS AT RISK OSHA BLOODBORNE PATHOGENS STANDARD STANDARD: 29 CFR 1910.1030 ESTABLISHES WORKPLACE EXPOSURE CONTROL PROGRAM REQUIRES A WRITTEN PROGRAM REQUIRES USE OF LABELS AND OTHER WARNINGS REQUIRES HAZARDS AND PRECAUTIONS BE EXPLAINED REQUIRES HOUSEKEEPING POLICY BE ESTABLISHED REQUIRES RECORDKEEPING NWACC Business & Industry Workforce Development Institute Z- 42 BASIS FOR THIS COURSE THE BOTTOM LINE TRAINING YOU TO BE KNOWLEDGEABLE OF HOW TO LOWER YOUR CHANCES OF WORKPLACE EXPOSURE TO THE BLOODBORNE PATHOGENS YOU ARE POTENTIALLY EXPOSED TO IN YOUR DAILY WORKING LIFE! NWACC Business & Industry Workforce Development Institute Z- 43 REGULATORY STANDARD BLOODBORNE PATHOGENS 29CFR - 1910 - 1030 29CFR - SAFETY AND HEALTH STANDARDS 1910 - GENERAL INDUSTRY 1030 - BLOODBORNE STANDARD NWACC Business & Industry Workforce Development Institute Z- 44 COMPLIANCE TIMETABLE 29CFR 1910.1030 29CFR - 1910 - 1030 MARCH 6, 1992 - FINAL RULE TOOK EFFECT MAY 5, 1992 - EXPOSURE CONTROL PLAN JUNE 4, 1992 - INFORMATION AND TRAINING JULY 6, 1992 - ALL OTHER PROVISIONS NWACC Business & Industry Workforce Development Institute Z- 45 APPLICABILITY APPLIES TO EMPLOYEE’S WHO: HAVE EMERGENCY RESPONSE DUTIES PERFORM JANITORIAL DUTIES PERFORM WORK WITH POTENTIAL BBP’S HAVE ANY POTENTIAL WORKPLACE EXPOSURE SMITH NWACC Business & Industry Workforce Development Institute SMITH Z- 46 WRITTEN PROGRAM REQUIREMENTS ALL EMPLOYERS MUST: DEVELOP AND MAINTAIN A WRITTEN PROGRAM REVIEW THE PROGRAM ON AN ANNUAL BASIS MAKE THE WRITTEN PROGRAM AVAILABLE TO ALL EMPLOYEES DURING EACH WORK SHIFT SOP’S NWACC Business & Industry Workforce Development Institute Z- 47 PROGRAM MANAGEMENT FORMS COMMONLY USED PROGRAM MANAGEMENT FORMS NON-ROUTINE TASK - (Protective Measures Determination): USED BY SUPERVISORS TO ASSESS JOBS THAT ARE NOT PERFORMED ON A ROUTINE BASIS, BUT WHERE THE POSSIBILITY OF INJURY TO AN EMPLOYEE EXISTS. FORMS NWACC Business & Industry Workforce Development Institute Z- 48 PROGRAM MANAGEMENT FORMS COMMONLY USED PROGRAM MANAGEMENT FORMS EXPOSURE INCIDENT REPORT: USED TO INVESTIGATE INCIDENTS WHERE EXPOSURE MAY HAVE OCCURRED. FORMS NWACC Business & Industry Workforce Development Institute Z- 49 DEFINITIONS BLOODBORNE PATHOGENS - MICROORGANISMS PRESENT IN HUMAN BLOOD CONTAMINATED - THE PRESENCE OF BLOOD OR OTHER POTENTIALLY INFECTIOUS MATERIALS DECONTAMINATION - THE USE OF PHYSICAL OR CHEMICAL MEANS TO REMOVE, DESTROY, OR RENDER SAFE POTENTIALLY INFECTIOUS MATERIALS NWACC Business & Industry Workforce Development Institute Z- 50 MEDICAL RECORDKEEPING EMPLOYERS MUST: MAINTAIN COPIES OF VACCINATION RECORDS MAINTAIN RECORDS IN STRICTEST CONFIDENCE MAINTAIN HEALTHCARE PROVIDER WRITTEN OPINIONS MAINTAIN DATA PROVIDED TO HEALTHCARE PROVIDERS RETAIN RECORDS FOR 30YRS OR - EMPLOYMENT + 20YRS ESTABLISH AND MAINTAIN ACCURATE EXPOSURE RECORDS NWACC Business & Industry Workforce Development Institute Z- 51 MEDICAL RECORDKEEPING HEPATITIS B VACCINATION DECLINATION STATEMENT: 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, I Can Receive the Vaccination Series at No Charge to Me. NWACC Business & Industry Workforce Development Institute Z- 52 TRAINING RECORDKEEPING RECORDS MUST: CONTAIN A SUMMARY OF TRAINING SESSIONS BE RETAINED FOR 3YRS FROM DATE OF TRAINING CONTAIN THE JOB TITLES OF PERSONS ATTENDING BE PROVIDED UPON REQUEST TO OSHA INSPECTORS CONTAIN ATTENDEE NAMES AND DATES OF TRAINING CONTAIN NAMES AND QUALIFICATIONS OF INSTRUCTORS NWACC Business & Industry Workforce Development Institute Z- 53 EXPOSURE CONTROL PLAN THE PLAN MUST: BE IN WRITTEN FORM DETAIL METHODS OF COMPLIANCE INCLUDE AN EXPOSURE DETERMINATION DETAIL RECORDKEEPING REQUIREMENTS DETAIL POST EXPOSURE FOLLOW-UP PROCEDURES DETAIL COMMUNICATION OF HAZARDS TO EMPLOYEES DETAIL EXPOSURE INCIDENT REPORTING PROCEDURES DESCRIBE THE METHODS OF PROGRAM IMPLEMENTATION NWACC Business & Industry Workforce Development Institute Z- 54 BLOODBORNE HAZARDS COMMON BLOODBORNE DISEASES: DANGER SYPHILIS MALARIA HEPATITIS C BLOODBORNE PATHOGENS HEPATITIS B VIRUS (HBV) HUMAN IMMUNODEFICIENCY VIRUS (HIV) NWACC Business & Industry Workforce Development Institute Z- 55 BLOODBORNE HAZARDS HEPATITIS B VIRUS (HBV): ONE OF THE MOST COMMON VIRUSES VACCINES AVAILABLE TO PREVENT INFECTION CAN CAUSE DAMAGE TO LIVER LEADING TO DEATH VIRUS CAN BE SPREAD TO FAMILY MEMBERS EASILY SEVERE FLU-LIKE SYMPTOMS ARE A COMMON SYMPTOM BLOOD, SALIVA AND OTHER BODY FLUIDS MAY BE INFECTIOUS SYMPTOMS MAY BE DELAYED 28 TO 160 DAYS AFTER EXPOSURE NWACC Business & Industry Workforce Development Institute Z- 56 BLOODBORNE HAZARDS HUMAN IMMUNODEFICIENCY VIRUS (HIV): NO KNOWN VACCINE FOR HIV DIFFICULT TO CONTRACT IN THE WORKPLACE VIRUS IS NOT SPREAD THROUGH CASUAL CONTACT SYMPTOMS MAY BE DELAYED FOR MONTHS TO YEARS DECREASES THE BODY’S ABILITY TO FIGHT INFECTION BLOOD AND OTHER BODY FLUIDS MAY BE INFECTIOUS SEVERE FLU-LIKE SYMPTOMS ARE A COMMON SYMPTOM LEADS TO ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) NWACC Business & Industry Workforce Development Institute Z- 57 TRANSMISSION MODES BBP’S CAN BY TRANSMITTED BY: BLOOD VOMIT BODY FLUIDS NOSE AND MOUTH MUCOUS MEMBRANES ABSORPTION THROUGH THE EYES CUTS, SCRAPES, BURNS, RASHES, DERMATITIS ETC. NWACC Business & Industry Workforce Development Institute Z- 58 TRANSMISSION MODES OCCUPATIONAL EXPOSURE CAN OCCUR: CPR REMOVAL OF SUTURES BLOOD SUGAR SCREENING BIOHAZARD SPILL CLEANUP TREATING TEARS OF SKIN TISSUE DISPOSAL OF CONTAMINATED SHARPS CHANGING CONTAMINATED DRESSINGS JANITORIAL DUTIES IN FEMALE REST ROOMS REMOVAL OF FOREIGN BODIES FROM EYES OR SKIN NWACC Business & Industry Workforce Development Institute Z- 59 COMMUNICATION OF HAZARDS BIOHAZARD INTERNATIONAL SYMBOL FOR BIOHAZARD NWACC Business & Industry Workforce Development Institute Z- 60 COMMUNICATION OF HAZARDS WARNINGS AND LABELS: LABELS MUST BE FLUORESCENT ORANGE OR ORANGE-RED WARNING LABELS MUST BE AFFIXED TO WASTE CONTAINERS LABELS MUST BE PROPERLY AFFIXED TO CONTAINERS RED BAGS OR CONTAINERS MAY BE USED IN LIEU OF LABELS DECONTAMINATED WASTE NEED NOT BE LABELED OR CODED LABELS ARE ONLY REQUIRED ON THE OUTSIDE PACKAGE NWACC Business & Industry Workforce Development Institute Z- 61 COMMUNICATION OF HAZARDS SIGNAGE: SIGNS MUST BE POSTED AT THE ENTRANCE TO WORK AREAS HAVING POTENTIALLY INFECTIOUS MATERIALS BIOHAZARD 1. 2. 3. NAME OF THE INFECTIOUS AGENT SPECIAL REQUIREMENTS FOR ENTRY NAME, TELEPHONE NUMBER OF THE RESPONSIBLE PERSON NWACC Business & Industry Workforce Development Institute Z- 62 GENERAL CONCEPTS OF TOXICOLOGY ROUTES OF ENTRY INHALATION -- A DOSE THAT IS ABSORBED THROUGH THE LUNGS INTO THE BLOODSTREAM ABSORPTION -- A DOSE THAT IS ABSORBED THROUGH THE SKIN OR EYES NWACC Business & Industry Workforce Development Institute Z- 63 GENERAL CONCEPTS OF TOXICOLOGY ROUTES OF ENTRY INGESTION -- A DOSE THAT IS ABSORBED THROUGH THE GASTROINTESTINAL TRACT FROM EATING, DRINKING OR SMOKING INJECTION -- A DOSE THAT IS ABSORBED VIA BROKEN GLASS, SPRAY GUNS, NEEDLES, COMPRESSED AIR, KNIVES ETC. NWACC Business & Industry Workforce Development Institute Z- 64 GENERAL CONCEPTS OF TOXICOLOGY EXPOSURE TERMINOLOGY LOCAL EFFECT. DAMAGE TO BODY PARTS THAT ACTUALLY CONTACT THE HARMFUL SUBSTANCE (ACID ON A HAND). SYSTEMIC EFFECT. DAMAGE TO AN AREA OF THE BODY AFTER THE SUBSTANCE IS ABSORBED (LIVER DAMAGE). INDIVIDUAL SUSCEPTIBILITY. SOME PEOPLE ARE NATURALLY SENSITIVE OR CAN DEVELOP SENSITIVITY TO A SUBSTANCE. DOSE. COMBINATION OF CONCENTRATION AND LENGTH OF BODILY EXPOSURE TO A SPECIFIC MATERIAL. NWACC Business & Industry Workforce Development Institute Z- 65 METHODS OF CONTROL ROUTES OF ENTRY ABSORPTION INGESTION INJECTION NWACC Business & Industry Workforce Development Institute Z- 66 METHODS OF CONTROL CONTROL THE SPREAD OF CONTAMINATION NWACC Business & Industry Workforce Development Institute Z- 67 METHODS OF CONTROL COMMON SENSE RULES: WASH HANDS AND REMOVE PPE BEFORE: EATING SMOKING DRINKING HANDLING CONTACT LENSES APPLYING COSMETICS OR LIP BALM NWACC Business & Industry Workforce Development Institute Z- 68 METHODS OF CONTROL UNIVERSAL PRECAUTIONS: PROTECT ALL POTENTIAL ROUTES OF ENTRY PROPERLY DECONTAMINATE ALL POTENTIALLY EXPOSED PPE NEVER REUSE DISPOSABLE GLOVES (CROSS CONTAMINATION) ASSUME ALL HUMAN BLOOD AND BODY FLUIDS ARE INFECTIOUS INSPECT PERSONAL PROTECTIVE EQUIPMENT (PPE) BEFORE USE NWACC Business & Industry Workforce Development Institute Z- 69 METHODS OF CONTROL ACCIDENT/SPILL CLEANUP RECOMMENDATIONS: PUT ON A LEAK-PROOF APRON USE EYE AND FACE PROTECTION RESTRICT ACCESS TO THE CONTAMINATED AREA WEAR TWO PAIRS OF GLOVES TO PREVENT EXPOSURE USE DISPOSABLE TOWELS TO SOAK UP FLUIDS OR BLOOD DISINFECT MOPS AND OTHER CLEANUP EQUIPMENT AFTER USE USE EYE PROTECTION (SPLASH GOGGLES) TO PREVENT EXPOSURE NWACC Business & Industry Workforce Development Institute Z- 70 METHODS OF CONTROL ACCIDENT/SPILL CLEANUP KIT RECOMMENDATIONS: WIPER TOWELS WATERPROOF APRON IDENTIFICATION TAGS INSTRUCTION FOR USE PAPER, PENCILS AND TAPE RED BIOHAZARD WASTE BAG PICK-UP SCOOP WITH SCRAPER EYE, FACE AND SKIN PROTECTION ANTIMICROBIAL HANDWIPES (SKIN) SEVERAL PAIRS OF LATEX GLOVES (USE DOUBLE SETS) CONTAINER OF SOLIDIFIER/DECONTAMINANT/DEODORIZER GERMICIDAL DISINFECTANT WIPES PACK (EQUIPMENT/SURFACES) NWACC Business & Industry Workforce Development Institute Z- 71 EMERGENCY ASSISTANCE SOME SUGGESTIONS: KNOW WHAT TO DO BEFORE IT HAPPENS! SOUND THE ALARM FOR HELP SHUT OFF MACHINERY DON’T ADD YOUR NAME TO THE LIST OF INJURED!! DON’T TAKE UNNECESSARY RISKS DON’T TOUCH BLOOD OR BODY FLUIDS DON’T GIVE UNPROTECTED MOUTH-TO-MOUTH STAY WITH THE INJURED PERSON WAIT FOR EMERGENCY RESPONDERS TO ARRIVE NWACC Business & Industry Workforce Development Institute Z- 72 METHODS OF DECON DECONTAMINATION METHODS: SOAP & WATER 10% BLEACH SOLUTION APPROVED TOWELETTES SEGREGATED LAUNDERING APPROVED DISINFECTANTS NWACC Business & Industry Workforce Development Institute Z- 73 EXPOSURE INCIDENT REPORTING SUGGESTED REPORTING METHOD: DON’T PANIC! DECONTAMINATE THE EXPOSED BODY PART REPORT TO YOUR SUPERVISOR DETERMINE THE SOURCE OF THE EXPOSURE TRY TO OBTAIN A SAMPLE FOR ANALYSIS ASK ABOUT VACCINATION, FOLLOW-UP ETC. NWACC Business & Industry Workforce Development Institute Z- 74 EXPOSURE INCIDENT REPORTING DOCUMENTING THE EXPOSURE: DID PPE FAIL? IF YES HOW? DESCRIBE THE CIRCUMSTANCES. IDENTIFY THE SOURCE INDIVIDUAL. GET COPIES OF ALL DOCUMENTATION. WHAT DUTIES WERE YOU PERFORMING? DESCRIBE POSSIBLE ROUTES OF EXPOSURE. WHAT BODY FLUIDS WERE YOU EXPOSED TO? NWACC Business & Industry Workforce Development Institute Z- 75 NON-ROUTINE TASKS DEFINITION: A Task That Is Required Only on Occasion and Where Employees Are Not Completely Familiar With All Aspects of the Job. PROBLEM: This Lack of Familiarity Contributes Greatly to a Higher Probability of Injury. SUPERVISORS MUST: Identify Nonroutine Tasks and Assess Their Degree of Risk to Employees. NWACC Business & Industry Workforce Development Institute Z- 76 MANAGING INFECTIOUS WASTE STORAGE: ESTABLISH DESIGNATED STORAGE AREAS CONTROL ACCESS TO STORAGE AREAS USE APPROVED RECEPTACLES RED IS THE PRIMARY COLOR FOR CONTAINERS ENSURE LABELS ARE PRESENT ENSURE PACKAGING IS SUFFICIENT (I.E. DON’T USE BAGS FOR SHARPS ETC.) NWACC Business & Industry Workforce Development Institute Z- 77 MANAGING INFECTIOUS WASTE DISPOSAL: USE APPROVED HAULERS REVIEW MANIFESTS CAREFULLY ESTABLISH REGULAR PICKUP TIMETABLES REVIEW HANDLING PROCEDURES PERIODICALLY NWACC Business & Industry Workforce Development Institute Z- 78 CONTRACTOR SAFETY REQUIREMENTS OUTSIDE CONTRACTORS MUST: INFORM REPRESENTATIVES OF THE FACILITY OF THE TYPES OF WORK THAT THEY WILL BE DOING AND BE PREPARED TO PROVIDE TRAINING DOCUMENTATION UPON REQUEST EMPLOYER REPRESENTATIVES MUST: INFORM THE CONTRACTOR OF PATHOGENS PRESENT IN THE AREA WHERE CONTRACTOR PERSONNEL WILL BE WORKING NWACC Business & Industry Workforce Development Institute Z- 79 TIPS FOR USING CONTRACTORS REMEMBER, YOU CONTROL YOUR FACILITY OR AREA! REVIEW THEIR PROCEDURES WITH THEM ! REVIEW THEIR PROCEDURES BEFORE STARTING THE JOB! DETERMINE THEIR SAFETY PERFORMANCE RECORD! DETERMINE WHO IS IN CHARGE OF THEIR PEOPLE! DETERMINE HOW THEY WILL AFFECT YOUR EMPLOYEES! NWACC Business & Industry Workforce Development Institute Z- 80 OSHA'S PERCEPTION OF A SUCCESSFUL PROGRAM 1. DETAILED EXPOSURE CONTROL PROCEDURES 2. EXTENSIVE EMPLOYEE TRAINING PROGRAMS 3. PERIODIC REINFORCEMENT OF TRAINING 4. SUFFICIENT DISCIPLINE REGARDING IMPLEMENTATION NWACC Business & Industry Workforce Development Institute Z- 81 THE FINAL WORD THE FINAL WORD CONCERNING PATHOGENS NEVER DISCOUNT ANY ROUTE-OF-ENTRY! NWACC Business & Industry Workforce Development Institute Z- 82