
(Type In your Company Name Here)





Bloodborne Pathogens Exposure 
Control Plan

for
 



(Type In The Job Name Here)


Located at 


(Type In The Job Site Address Here)


______________________________   


______________________________   


_______________________________   


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Table of Contents



Introduction	3
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Exposure Determination	4
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Methods of Compliance	4

     -Engineering Controls	5
     -Work Practice Controls	5
     -Personal Protective Equipment	6
     -Housekeeping	6
     -Hazardous Waste Disposal	6

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Hepatitis B Vaccinations	7

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Post-Exposure Evaluations	7

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Worker Information and Training	8

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Recordkeeping	8

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Introduction



(Type in your company name) has determined that its workers could be exposed to bloodborne pathogens while (type in a description of the work where potential exposure exists i.e. replacing drainpipes) at (type in the name of the job site). The purpose of this exposure control plan is to eliminate or minimize our workers’ exposure to bloodborne pathogens.

This exposure control plan applies to all company workers who work where exposure to bloodborne pathogens is reasonably anticipated. Before starting work in areas where exposure could occur these workers will be:

* informed about the potential for exposure to blood and other potentially infectious materials;
* informed about the specific bloodborne pathogens that could be contracted from such exposures; and
* instructed on how to protect themselves from bloodborne pathogens hazards in the workplace.

Exposure Determination

Company workers at this job site who are engaged in the following job classifications may be exposed to blood or potentially infectious materials.

(Using a bulleted format, type in the job classifications where workers may be exposed to BBP such as plumbing, pipefitting, service work, first aid responder, etc.). 

* 

* 

* 

* 

The tasks and procedures in which exposure to blood or other potentially infectious materials may occur are as follows.

(Using a bulleted format, type in the tasks and procedures that your workers will perform that could lead to exposure such as replacing drain pipes in hospitals, connecting new pipe to existing pipe in waste water treatment facilities, fixing drains or toilets in nursing homes, responding to an injury where blood is present, etc.). 

* 

* 

* 

* 

Methods of Compliance

All workers in this company who may be exposed to blood or other potentially infectious materials will be trained to use universal precautions in every situation where exposure could occur. The workers will be taught to treat all blood, body fluids and other potentially infectious materials as if they are known to be infectious.

Engineering Controls

(Type in your company name) has determined that engineering controls are not feasible for the work to be done at this job site. Due to the nature of mechanical work and first aid response if necessary, bloodborne pathogens hazards cannot be engineered out of this work environment. The company will rely on work practice controls and personal protective equipment for worker protection.

Work Practice Controls

All affected company workers will be trained to implement appropriate work practice controls as shown below. All training will take place before exposure occurs.

* Workers will be trained to use and will have immediate access to (type in hand washing facilities or antiseptic hand cleaner and cloth or paper towels or antiseptic towelettes).

* If you did not choose hand washing facilities for the bullet above state in this bullet that all workers will be trained to wash their hands with soap and running water as soon as possible after using antiseptic hand cleaner or antiseptic towelettes).

* Workers will be trained to wash their hands immediately after removing their gloves and other personal protective equipment.

* Workers will be trained to thoroughly wash any part of their skin that comes into contact with blood or other potentially infectious materials.

* Workers will be trained to thoroughly wash mucous membranes with water as soon as possible after there has been contact with blood or other potentially infectious materials.

* Workers will be trained not to eat, drink, smoke, apply cosmetics or lip balm or handle contact lenses in any work area where exposure could occur.

* Workers who are designated first aid responders for this company will be trained to place first aid materials that are contaminated with blood or other potentially infectious materials in leak proof biohazard bags provided by the company. The bags will be labeled “biohazard” and properly sealed to prevent leaking. All affected workers will be informed about the presence and location of the waste materials bag and how to identify it. 

Personal Protective Equipment

The company will issue each affected worker personal protective equipment designed to isolate the worker from contact with blood and other potentially infectious materials. The equipment that will be provided includes eye protection, a surgical mask that covers the nose and mouth, a disposable, impermeable coverall and a pair of gauntlet style utility gloves.

Each first aid kit will contain personal protective equipment designed to isolate first aid responders from contact with blood and other potentially infectious materials. The equipment that will be provided includes eye protection, a surgical mask that covers the nose and mouth, hypoallergenic surgical gloves, a pair of disposable coveralls and a resuscitation mask with a one-way valve.

All personal protective equipment that is contaminated by blood or other potentially infectious materials will be disposed of in properly labeled biohazard bags as soon as it is feasible to do so. The personal protective equipment will be replaced immediately. All company workers will be informed about the presence and location of the contaminated equipment disposal bag and how to identify it.

Broken or damaged personal protective equipment will be discarded and replaced immediately.

All affected workers will remove their personal protective equipment before leaving the work area.  The designated storage area is (type in a designated storage area such as a specified job box, closet, shelf, etc.). 

Housekeeping

Work areas that are potentially contaminated with blood or other potentially infectious materials will be cleaned with disposable rags and  (type in the name of the disinfectant you will use such as a 1:10 solution of bleach) before work stops each day. Company workers responsible for cleanup will continue to wear their personal protective equipment throughout the process. Contaminated rags will be disposed of in properly labeled biohazard bags as soon as housekeeping tasks are completed. All company workers will be informed about the presence and location of the contaminated rag disposal bag and how to identify it.

Hazardous Waste Disposal

All biohazard waste bags will be disposed of by (type in your hazardous waste disposal method such as a hazardous waste removal company or a local hospital biohazard incinerator you have made arrangements to use).  

Hepatitis B Vaccinations

(Type in the name of your company) will make the hepatitis B vaccine available to all affected workers before they start work where a bloodborne pathogen exposure could occur during routine work. Those workers who initially decline the vaccine will be provided with the opportunity to receive it within 24 hours following an exposure or at any time. All affected workers who are exposed to blood or other potentially infectious materials who refuse the hepatitis B vaccine must read and sign a hepatitis B Vaccine Declination Form.

Designated first aid responders for this company will receive antibody testing approximately two months after finishing the vaccine series. When the testing shows that the responder does not have immunity to hepatitis B, CDC Guidelines will be followed regarding subsequent vaccines.

Post-Exposure Evaluation

(Type in the name of your company) will make a confidential medical evaluation and follow-up available to any company worker who has been exposed to blood or other potentially infectious materials. 

Affected workers and supervisors will be trained in the following post-exposure procedures.

* Affected workers will immediately report any exposure to their supervisor. 

* The supervisor will carefully document the route or routes of exposure and the location and circumstances under which the exposure occurred.

* The supervisor will determine whether the affected worker has received the hepatitis B vaccine. Where the worker has not received the vaccine, the supervisor will remind the worker about his or her option to receive it and the significance of receiving the first vaccine within 24 hours following the exposure.

* The supervisor will take the exposed worker to (type in the name of the physician or emergency room of your choice) immediately following the report.

* The supervisor will provide (type in the name of the physician or emergency room) with a copy of the bloodborne pathogens standard and request that he or she carefully follow the pertinent requirements regarding the hepatitis B vaccine series, post- exposure evaluation and follow-up. 

Worker Information and Training

All affected workers will receive training that will inform them about the presence of bloodborne pathogens in the workplace, the hazards associated with bloodborne pathogens, how and where bloodborne pathogen exposures can occur and how they can effectively protect themselves from the hazards. Training will take place before affected workers are exposed to bloodborne pathogen hazards and annually thereafter. Additional training will take place whenever changes to procedures or work tasks affect the workers’ occupational exposure. The training will include the following.

* The definition and description of bloodborne pathogens.

* The proper use of universal precautions.

* The proper use of work practice controls.

* The proper selection, use, care and maintenance of personal protective equipment.

* The availability, efficacy, safety, method of administration and benefits of the hepatitis B vaccine and that it will be provided at no cost to the workers.

* The proper disposal of contaminated materials such as personal protective equipment, first aid materials and clean up materials.

* The identification and location of the biohazard bags used for disposal of contaminated materials, including identification of the biohazard symbol. 

* The procedures to follow when an exposure occurs.

* The contents of this exposure control plan, the text of the bloodborne pathogens standard and an explanation of its contents.

All affected workers will be given a copy of this exposure control plan and will be made aware of their option to receive, at no cost, the hepatitis B vaccine. The affected workers will also be made aware that if they decline the hepatitis B vaccine following an exposure, they will be required to sign a hepatitis B Vaccine Declination Form. 

Recordkeeping

Medical records for all affected workers are kept on file at (type in the address). The records will be kept on file for 30 years following the worker’s last day of work with the company.

Training records for all affected workers are kept on file at (type in the address). The records will be kept on file for 3 years from the date on which the training occurred.
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