Download the OSHA manual - Wisconsin Dental Association

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RECORD KEEPINGIn this Dental Office/Practice/Facility:Name of assigned staff person or employerwill maintain the following records relevant to the OSHA Bloodborne Pathogens Standard29CRF 1910.1030:Occupational Exposure Incident Reports (see page 28)Hepatitis B Vaccine Declination Form (see page 24)• Employer’s First Report of Injury or Disease/DWD*/Workers’ Compensation formsrelevant to occupational exposures to blood or other potentially infectious materials• Health Care Provider’s Written Opinion regarding employee’s ability to receiveHepatitis B Vaccine• Training Records (see page 33)Medical records are kept(location)All medical records are strictly confidential and will be retained for the duration of employment plus 30 years.Training records are kept(location)OSHA Bloodborne Pathogen training record (see page 33) and all training recordswill be retained for three years from the date of training.*Wisconsin’s Department of Workforce DevelopmentOSHA EXPOSURE CONTROL PLAN…a member benefit from the WDA 34
EVALUATION AND REVIEW OF EXPOSURE CONTROL PLANIn this Dental Office/Practice/Facility:Name of assigned staff person or employerWill ensure that this exposure control plan is reviewed and updated as necessary. The review will beaccomplished at least annually and more often if and when changes in employment responsibilities or inthe use of engineering and/or work practice controls occur. Such changes will be documented in thisExposure Control Plan (examples include a change in laundry service or contracted health care facilityprovider).REVIEWSREVIEW DATES ASSIGNED STAFF PERSON NAME/POSITION ASSIGNED STAFF PERSON SIGNATUREOSHA EXPOSURE CONTROL PLAN…a member benefit from the WDA 35
Page 4 and 5: TABLE OF CONTENTSHEPATITIS B VACCIN
Page 6 and 7: EXPOSURE CONTROL PLAN, PURPOSE AND
Page 8 and 9: EXPOSURE DETERMINATIONDEFINITIONOSH
Page 10 and 11: EXPOSURE DETERMINATION FORMFor use
Page 12 and 13: ENGINEERING AND WORK PRACTICE CONTR
Page 14 and 15: NEEDLESTICK SAFETY AND PREVENTION A
Page 20 and 21: PERSONAL PROTECTIVE EQUIPMENTThe pe
Page 22 and 23: PERSONAL PROTECTIVE EQUIPMENT CONTI
Page 24 and 25: HOUSEKEEPING CONTINUEDC. IN-HOUSE L
Page 26 and 27: HEPATITIS B VACCINATION AND ANTIBOD
Page 28 and 29: HEPATITIS B VACCINATION DECLINATION
Page 30 and 31: POST-EXPOSURE EVALUATION AND FOLLOW
Page 32 and 33: OCCUPATIONAL EXPOSURE INCIDENT REPO
Page 34 and 35: INFORMATION AND TRAININGIn this Den
Page 36 and 37: OSHA BLOODBORNE PATHOGENS STANDARD
Page 40 and 41: APPENDIXEMPLOYER REFERENCE PAGESOCC
Page 42 and 43: APPENDIXThe Hepatitis B vaccine doe
Page 44 and 45: APPENDIXEMPLOYER FREQUENTLY ASKED Q
Page 46 and 47: APPENDIXWEB SITES FOR REFERENCE DOC
Page 48 and 49: APPENDIXOSHA EXPOSURE CONTROL PLAN
Page 50 and 51: APPENDIXONLY FOR EMPLOYERS HIRING M
Page 52 and 53: OSHA EXPOSURE CONTROL PLAN…a memb

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