nother revision of the original safety plan implemented in
2000 by Commercial Safety Systems, Inc. Duplication or modification without the expressed written permission of
the Northeast Indiana Solid Waste Management District is strictly prohibited. Northeast Indiana Solid Waste Management District
Safety Manual
Table of Contents
Last Revised Spring 2007
Tabs:
Bloodborne Pathogens Program


Electrical Safety Program


Emergency Action Program


Forklift Safety Program


Hazard Communication Program


Control of Hazardous Energy Lockout/Tagout Program


Machine and Power Tool Safety Program


Personal Protective Equipment Program


Hazardous Waste Management Program


OSHA Recordkeeping Program


Comprehensive Exam


Household Hazardous Waste Safety Program
1
Northeast Indiana Solid Waste Management District

BLOODBORNE PATHOGENS PROGRAM

2007

Contents:

Introduction........ 2

Definitions..........2

Background on HBV and HIV........... 3

Program Elements.......................................................... 4


Potential Exposure Activities at the District.......... 4

Personal Protection ........... 4

Post Exposure Evaluation & Follow Up ........... 5

HBV Vaccination Program ............... 6


Exposure Incident Investigation ........... 6

Post Exposure Evaluation & Follow Up ................... 7

Information Provided To The Healthcare Professional......... 7

Healthcare Professionals Written Opinion....... 8

Medical Recordkeeping................................. 8

HBV Vaccination Declination Form............. 9

Bloodborne Pathogens Training Record Form...................................................................... 10














These safety program documents are for the exclusive use of the Northeast Indiana Solid Waste Management District and its
employees. The 2007 version of this safety plan is another revision of the original safety plan implemented in 2000 by
Commercial Safety Systems, Inc. Duplication or modification without the expressed written permission of the Northeast Indiana
Solid Waste Management District is strictly prohibited.
2
INTRODUCTION

A Bloodborne Pathogen Program (in compliance with CFR 1910.1030) has been created by the
Northeast Indiana Solid Waste Management District (i.e. the District) to protect employees with
occupational exposure from illnesses related to bloodborne pathogens. Bloodborne pathogens
are disease-causing microorganisms that are present in blood and bodily fluids. The two most
prevalent bloodborne pathogens are Hepatitis B and Human Immunodeficiency Virus. Job
classifications at the District that have occupational exposure include field operations personnel
that directly handle waste. Field operations personnel are in direct contact with wastes, such as
contaminated sharps, which may potentially have bloodborne pathogens. Personnel that have no
occupational exposure are exempt from this program. Risks have been reduced since the District
closed its materials recovery facility (MRF) in the mid 1990s. The following program outlines
the necessary steps to take to protect employees with occupational exposure to bloodborne
pathogens.


DEFINITIONS

Blood - Human blood, human blood components, and products made from human blood.

Occupational Exposure - Reasonably anticipated skin, eye, or mucous membrane contact with
blood or other potentially infectious materials that may result from the performance of an
employee's duties.

Contaminated - The presence of reasonably anticipated presence of blood or other potentially
infectious materials on an item or surface.

Decontaminated - The use of physical or chemical means to remove, inactivate, or
destroy bloodborne 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.

Sharps - Anything that can pierce, puncture, or cut skin. Some examples of sharps include:

1. Needles
2. Knifes
3. Nails
4. Broken Glass

Interaction with Healthcare Professionals - A written opinion shall be obtained when HBV
vaccinations are given and following an exposure incident.

Incident Investigation - The Districts executive director investigates the incident and generates
a report of findings including OSHAs forms 300 and 301 to improve procedures.

Training - Training is conducted prior to assignment of tasks where exposure may occur and
specific training is given to field operations personnel and the Districts executive director.

Recordkeeping - All training documents and re-training are kept on file according to all OSHA
guidelines.

3
BACKGROUND ON HBV AND HIV

Hepatitis B Virus (HBV) is a viral infection that invades the liver. HBV is a potentially life
threatening bloodborne pathogen that can live on surfaces at room temperature for up to seven
days.

Human Immunodeficiency Virus (HIV) is a viral infection that attacks the immune system and
causes AIDS. HIV is a life threatening bloodborne pathogen, which is very fragile and can be
easily destroyed on an environmental surface.

The following is a broad list of the modes of transmission and body fluids associated with these
diseases. The mode of transmission for field operations personnel at the District is inadvertently
handling contaminated sharps in the field.

Modes of Transmission

1.

Sexual contact involving the sharing of body fluids.

2.

Contaminated sharps contact with blood or body fluids.

3.

Prenatal (mother to baby).

4.

Receiving blood or blood products especially before screening.

5.

Organ transplantation.

Body Fluids that Transmit Bloodborne Diseases

1.

Blood.

2.

Any fluid visibly contaminated with blood.

3.

Semen.

4.

Vaginal secretions.

5.

Saliva in dental procedures.

6.

Breast milk.

7.

Body fluids such as amniotic (fluid around the baby), cerebrospinal (fluid of the brain
and spinal chord), pericardial (fluid in the sac around the heart), peritoneal (fluid in the
abdominal cavity), pleural (lubricant around the lungs), and synovial (lubricant in the
joints).

8.

Other potentially infectious materials also include any unaffixed human tissue or organ,
and call or tissue culture (living or dead) containing HIV or HBV.



4
PROGRAM ELEMENTS

Exposure Control Plan - The facility maintains a policy of self-assistance for minor injuries
based on the individual's assessment of the injury and responding accordingly, relying on the
first aid supplies available in the first aid kit.

Exposure Determination - This is a focus on job classifications that have a risk of
exposure. There is no method of determining the exact circumstances of any given incident
or location of incident. District field operations personnel that directly handle waste,
such as contaminated sharps, may potentially come in contact with bloodborne pathogens.
Personnel that have no occupational exposure are exempt from this program unless they
wish to participate.


Potential Exposure Activities at the District

1.

Handling wastes in the field, such as contaminated sharps.

Control Methods - Work Practice Control Methods are a combination of physical facilities and
specific procedures to follow when completing a task. Controls consist of personal protective
equipment, bleach solutions, and biohazard waste disposal procedures. Designated Provider
Control Methods limit employee response to a specific individual trained in Exposure Control
Methods.

Administrative Control Methods - Hepatitis B Vaccine Control Methods allow employees with
occupational exposure to be vaccinated to prevent HBV exposure. If the employee work
environment is in the high-risk area, such as field operations personnel that directly handle
waste, the District will offer the vaccination at no cost to the employee (CFR 19190.1030.f). The
District will also pay post-exposure evaluation and follow-up.

Personal Protection

The procedures to follow when handling waste in the field:

1. Glove Use:

Should be worn when handling all waste in the field to avoid the direct contact of blood
or other bodily fluid, mucous membranes, or non-intact skin.

2. Glove Removal: (when handling suspected or known HBV or HIV contaminated waste)

When both hands are still gloved, remove one glove by peeling it off from top to bottom
(the top being the wrist) and then hold the removed glove in the gloved hand. With the
exposed hand, peel the second glove off by placing a finger between the glove and the
wrist, and tucking the first glove inside the second. The second glove should now be
inside out.

Every time you remove your gloves you must wash your hands.

5
Gloves shall be disposed of in a biohazard waste bag/container, such as a red puncture
proof container for used syringes available at the District office, if you handle any
contaminated waste.

3. Handwashing:

Handwashing prevents transferring contamination from your hands to other areas of your
body or other surfaces you have contact with later.