DRAFT

SAMPLE WRITTEN

BLOODBORNE PATHOGEN

EXPOSURE CONTROL PLAN

For Compliance With OSHA Standard

1910.1030

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ACKNOWLEDGEMENTS

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�BLOODBORNE PATHOGENS

EXPOSURE CONTROL PLAN

TABLE OF CONTENTS

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BLOODBORNE PATHOGENS

EXPOSURE CONTROL PLAN

Facility Name: _____________________________________

Date of Preparation: ___________________________

In accordance with the OSHA Bloodborne Pathogens Standard, 1910.1030,
the following exposure control plan has been developed:

A. Purpose.

The purpose of this exposure control plan is
to:

1. �Eliminate or minimize employee occupational exposure to blood or
certain other body fluids;

2.�Comply with the OSHA Bloodborne Pathogens Standard,
1910.1030.

B. Exposure Determination.

OSHA requires employers to perform an exposure
determination concerning which employees may incur occupational exposure
to blood or other potentially infectious materials.� The exposure
determination is made without regard to the use of personal protective
equipment (i.e. employees are considered to be exposed even if they
wear personal protective equipment).� This exposure determination
is required to list all job classifications in which all employees may
be expected to incur such occupational exposure, regardless of frequency.�
At this facility the following job classifications are in this category:

(list job classifications) ___________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

In addition, OSHA requires a listing of job classifications
in which some employees may have occupational exposure.� Since
not all the employees in these categories would be expected to incur
exposure to blood or other potentially infectious materials, task or
procedures that would cause these employees to have occupational exposure
are also required to be listed in order to clearly understand which
employees in these categories are considered to have occupational exposure.�
The job classifications and associated tasks for these categories are
as follows (or place in appendix):

Job Classification���Task/Procedure

___________________________�_____________________

___________________________�_____________________

___________________________�_____________________

___________________________�_____________________

C. Implementation Schedule
and Methodology.

OSHA also requires that this plan include a schedule
and method of implementation for the various requirements of the standard.�
The following complies with this requirement:

1. Compliance
Methods.

Universal precautions will be observed at this
facility in order to prevent contact with blood or other potentially
infectious materials.� All blood or other potentially infectious
material will be considered infectious regardless of the perceived status
of the source individual.

Engineering and work practice controls will be
utilized to eliminate or minimize exposure to employees at this facility.�
Where occupational exposure remains after institution of these controls,
personal protective equipment shall also be utilized.� At this
facility the following engineering controls will be utilized:� (list controls, such as sharps containers, bio-safety cabinets, etc.)

_______________________________________________________

_______________________________________________________

_______________________________________________________

The above controls will be examined and maintained
on a regular schedule.� The schedule for reviewing the effectiveness
of the controls is as follows:� (list schedule such as daily, once/week, etc.
as well as list who has the responsibility to review the effectiveness
of the individual controls, such as the supervisor for each department,
etc.)

_______________________________________________________

_______________________________________________________

_______________________________________________________

Hand washing facilities shall be made available
to the employees who incur exposure to blood or other potentially infectious
materials. OSHA requires that these facilities be readily accessible
after incurring exposure.� (If hand-washing facilities are not feasible,
the employer is required to provide either an antiseptic cleanser in
conjunction with clean cloth/paper towels or antiseptic towelettes.�
If these alternatives are used then the hands are to be washed with
soap and running water as soon as feasible.� Employers who must
provide alternatives to readily accessible hand washing facilities should
list the location, tasks, and responsibilities to ensure maintenance
and accessibility of these alternatives.)

____________________ (insert name of position/person, e.g. supervisors)
shall ensure that after the removal of personal protective gloves, employees
shall wash hands and any other potentially contaminated skin area immediately
or as soon as feasible with soap and water.

____________________ (insert name of position/person, e.g. supervisors)
shall ensure that if employees incur exposure to their skin or mucous
membranes then those areas shall be washed or flushed with water as
soon as feasible following contact.

2. Needles.

Contaminated needles and other contaminated sharps
will not be bent, recapped, removed, sheared or purposely