Dear Investigator:

You have successfully downloaded and opened the Exposure Control Plan
(ECP) development template. To save you time and effort, EHS has
developed a generic ECP which you can modify to meet the compliance
requirements for the Blood Borne Pathogen Exposure Control Standard
issued by OSHA. This Standard sets forth the requirements for personnel
and environmental protection from pathogens that may contaminate human
blood and blood associated materials. While it is highly unlikely that
the human source materials you may work with contain these pathogens,
OSHA requires that we adopt a conservative approach to risk management.
In essence, LBNL and all other organizations that have developed
compliance programs manage human blood and blood associated materials as
if they did contain pathogens.

To complete the ECP, you will need to answer the questions marked with
[Red Text]{.underline}. We have provide you with sample text in blue to
complete the questions which you will need to customize to your specific
situation.

Should you need assistance in the development of your Plan please
contact Paul Blodgett, EH&S Biosafety Officer, ext. 6218. Once you have
completed your plan, please forward a copy to Paul Blodgett,
PMCBlodgett@lbl.gov or M/S: 75-123, and a copy will be forwarded to the
Institutional Biosafety Committee for review. Since OSHA requires that
the Plan be readily available to your staff, please make a copy for your
laboratory.

Please eliminated these instructions prior to sending to the EH&S
Biosafety Officer.

**EXPOSURE CONTROL PLAN**

For Joe Principal Investigator(s)

Project Title

Prepared on: January 1, 1999

**EXPOSURE CONTROL PLAN**

Table of Contents

Statement of Purpose

Exposure Determination

Definitions

Responsibilities

Methods of Compliance

-   General

-   Engineering and Work Practice Controls

-   Personal Protective Equipment

-   Housekeeping

-   HIV and HBV Research Laboratories

-   Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-Up

-   Communication of Hazards to Employees

-   Recordkeeping

**Statement of Purpose**

This exposure control plan has been prepared to minimize or eliminate
employee exposure to bloodborne pathogens. This plan was developed in
accordance with the ***OSHA \"Occupational Exposure to Bloodborne
Pathogens***; Final Rule\" contained in 29 CFR Part 1910.1030.

**Exposure Determination**

The Standard requires that each organization to assess whether or not
employees are subject to occupational exposure\* to blood associated
pathogenic microorganisms without regard to personal protective clothing
and equipment.

The exposure determination is made by reviewing job classifications
within the work environment, and listing exposures into 2 groups. The
first group includes job classifications in which all of the employees
have occupational exposure, such as occupational health nurses,
phlebotomists, researchers who work with human blood and blood cells,
emergency response personnel, etc. Where all employees have occupational
exposure, it is not necessary to list specific work tasks. The second
group includes those classifications in which some of the employees have
occupational exposure. Specific tasks and procedures causing
occupational exposure must be listed. An example would be in a
laboratory where some of the workers might be assigned the task of
handling blood or other potentially infectious materials while other
workers would not.

**JOB CLASSIFICATIONS SPECIFIC TASKS & PROCEDURES**

*[Please list all employees and provide a brief description of their
tasks/procedures.]{.underline}*

> John Doe - Draws human blood
>
> Fred Krueger - Isolates human DNA from lymphocytes using ficol hypaque
> gradient technique

## **Mary Smith -- Performs human DNA sequence analysis** 

-   Occupational Exposure: Reasonably anticipated skin, eye, mucous
    membrane, or parenteral contact (i.e., needle stick) with blood or
    other potentially infectious materials that may result from the
    performance of an employee\'s duties.

**Responsibilities**

Supervisors are to ensure that the provisions of this plan are followed
by all employee\'s with occupational exposure. This includes providing a
copy of this exposure control plan to employees, enforcing compliance
with this plan, ensuring new employees are properly trained, ensuring
all employees attend an annual training session, and performing
follow-up procedures for all exposure incidents.

Employees are to perform tasks and procedures in a manner that minimizes
or eliminates employee exposure and perform duties as established in
this exposure control plan and as trained.

EHS provides the OSHA-mandated bloodborne pathogen information and
training sessions at least annually to each LBNL supervisor and employee
with occupational exposure.

**Methods of Compliance**

**General**

Universal Precautions are observed to prevent contact with blood or
other potentially infectious materials. Under circumstances in which
differentiation between body fluid types is difficult or impossible, all
body fluids are considered potentially infectious materials.

**Engineering and Work Practice Controls**

Engineering and work practice controls are to be used to eliminate or
minimize employee exposure for each task within the work area. Where
occupational exposure remains after institution of these controls,
personal protective equipment is used. Engineering controls are used
where there is a reasonable likelihood of occupational exposure.

*[Please list engineering controls utilized such as sharps containers,
biosafety cabinets, etc.]{.underline}*

**All viral transformation experiments are conducted in biological
safety cabinet. There is a sharps container in the cabinet for pipet
tips and syringes. All glass pipettes are placed in a pipet container
that is filled with a quarternary ammonium disinfectant solution.
Lymphocyte isolation using Ficol -- Hypaque mini columns is performed in
biosafety cabinet to minimize lymphocyte exposure to contaminants in the
air.**

Engineering controls are examined and maintained or replaced on a
regular schedule by the supervisor and employee to ensure their
effectiveness.

*[Please list the schedule for examining and maintaining these controls
such as daily, once weekly, etc., and who is responsible for reviewing
the effectiveness of these controls (supervisors, etc.).]{.underline}*

**Mary Smith checks the each biological waste container (solid, sharps,
re-usable pipets, etc.) in the morning to see if the waste log is
complete and whether any of the waste containers are full, have leaked,
etc. She checks the magnehelic gauge on the biosafety cabinet to see if
the cabinet is working properly and turns off the UV light. Once a week
she prepares a summary report for the lab supervisor John Doe.**

The following minimum requirements are followed:

Hands are washed immediately or as soon as feasible after removal of
gloves or other personal protective equipment.

Following contact with blood or other potentially infectious materials,
hands and

any other skin will be washed with soap and water. Mucous membranes are
flushed with water. List the locations of hand washing facilities.

When hand washing facilities are not available, the supervisor will
provide antiseptic hand cleanser and paper towels or antiseptic
towlettes. Hands are washed with soap and water as soon as feasible.

*[List the location and who is responsible for ensuring maintenance and
accessibility of these alternatives.]{.underline}*

**There is a sink at the end of each lab bench. Adjacent to each exit
door (inside the laboratory) is an eyewash station and an emergency
shower. Facilities tests the eyewash showers quarterly and there is a
tag on the shower pull chain on which the date of the test is recorded.
John Krueger tests each eyewash station, at least monthly, to insure
that the water flow is uninterrupted. He marks the date of the test on
the tag.**

Contaminated needles and other contaminated sharps are not to be bent,
sheared or broken.

Recapping needles by hand is prohibited. Recapping and needle removal
must be accomplished through the use of a mechanical device or a
one-handed technique. List procedures where needle recapping is
permitted and the mechanical device to be used, or if a one-handed
technique will be used.

Immediately or as soon as possible after use, contaminated sharps must
be placed in puncture resistant, labeled, leakproof containers. List
where sharps containers are located as well as who has responsibility
for removing them and how often they will be checked.

Eating (chewing gum, use of throat lozenges) drinking, smoking, applying
facial cosmetics (including lip balm) and handling contact lenses are
prohibited in all work areas. Prior to the consumption of any food after
handling potentially infectious materials, employees will remove
potentially contaminated PPE, wash hands, and exit the work area.

Food and drink are prohibited from lab or work areas, (i.e.,
refrigerators, freezers, shelves, cabinets, on counter tops or bench
tops where blood or other potentially infectious materials are present.

All procedures involving blood or other potentially infectious materials
are performed in a manner that minimizes splashing, spraying,
spattering, and generation of droplets of these substances.

*[List methods used to minimize splashing, spraying, splattering and
generation of droplets of blood or other potentially infectious
materials (centrifuge covers, benchtop safety shields,
etc.]{.underline}).*

All procedures which could generate aerosols or splashes are conducted
in the biosafety cabinet or chemical fume hood. When samples are
centrifuged, the microfuge or clinical centrifuge is placed in fume hood
or biosafety cabinet. When refrigerated centrifuge is used sample are
placed in screw capped tubes (tubes are checked for leakage prior to
start-up.)

Workers wear goggles when working with blood, blood cells or other
materials of human origin.

Mouth pipetting/suctioning is prohibited.

Specimens of blood or other potentially infectious materials are placed
in a container which prevents leakage during collection, handling,
processing, storage, transport or shipping. The container is closed
prior to storing, transporting or shipping. Specimens are labeled when
leaving the facility. The standard provides for an exemption to this
requirement, provided that the facility utilizes universal precautions
in the handling of all specimens and the containers are recognizable as
containing specimens. The exemption applies only when specimens remain
in the facility.

[*If an exemption is claimed, it must be stated here.*]{.underline}

If outside contamination of the primary container occurs, the primary
container is placed within a secondary container which prevents leakage
during handling, processing, storage, transport or shipping. If a
specimen could puncture the primary container, the primary container is
then placed within a secondary puncture-resistant container.

*[Specify how the use of secondary specimen containers will be carried
out, which specimens, if any, could puncture a primary container, which
containers can be used as secondary containers and where the secondary
containers are located at the facility.]{.underline}*

Secondary containers are used whenever human samples are transported
from one laboratory to another. We use plastic (Tupperware) containers
which have press sealed lids. All contaminated materials which could
puncture a primary waste container (trash liners, biowaste bags, etc.
are placed in a puncture resistant cardboard (burn box) or plastic
(re-useable) container. Such containers are in each laboratory and in
the Biowaste Storage Area.

Equipment which may become contaminated with blood or other potentially
infectious materials are examined by the employee prior to servicing or
shipping and will be decontaminated as necessary, unless demonstrated
that decontamination of the equipment or portions of such equipment is
not feasible. A readily observable label with the Universal Biohazard
symbol is attached to the equipment stating which portions remain
contaminated. This information is conveyed to all affected employees,
the servicing representative, and/or the manufacturer, as appropriate,
prior to handling, servicing, or shipping so that appropriate
precautions are taken.

Standard cleaning, disinfection and sterilization procedures currently
recommended in a variety of Health Care settings are adequate to clean,
disinfect or sterilize instruments, devices or other items contaminated
with body fluids. Medical devices or instrument that require
disinfection or sterilization must be thoroughly cleaned before being
exposed to the germicide and the manufacturer's instructions for the use
of the germicide will be followed. Instruments or devices that enter
sterile tissue of any patient shall be sterilized or receive high level
disinfection.

*[List any equipment which cannot be decontaminated prior to servicing
or shipping.]{.underline}*

**Personal Protective Equipment (PPE)**

Personal protective equipment is provided by the supervisor, at no cost
to the employee, when there is a chance of occupational exposure.

Appropriate personal protective equipment may consist of, but is not
limited to, gloves, gowns, lab coats, face shields, masks, eye
protection, and mouthpieces, resuscitation bags, pocket masks, or other
ventilation devices. PPE is considered appropriate if it does not permit
blood or other potentially infectious material to pass through to the
employee's work clothes, street clothes or undergarments, skin, eyes, or
other mucous membranes under normal working conditions and for the
duration of time that PPE shall be used. All personal protective
equipment is to be readily accessible and in the appropriate sizes. It
is the employee\'s responsibility, when there is occupational exposure,
to use the appropriate personal protective equipment.

*[Please specify how protective clothing will be provided to employee\'s
(who is responsible for distribution, etc.) and list which procedures
would require the protective clothing and type of protection
required.]{.underline}*

Every one who works in the laboratory must wear eye protection and a
laboratory coat. Latex or non latex gloves are worn whenever blood or
blood derived materials are handled. Face shields are worn whenever
there is a risk of splashes to the face or when large volumes of
potentially hazardous fluids are handled.

> Mary Smith is responsible for ordering replacement materials whenever
> the supplies are running low.
>
> All visitors to the laboratory are provided with safety goggles prior
> to entry. If they are to work in the laboratory they are provided a
> disposable lab coat and gloves.

Personal protective garments that are contaminated are to be removed
immediately, or as soon as feasible, and prior to leaving the work area.
When removed, garments are to be bagged and placed in the appropriately
designated containers for decontamination (autoclaving) and disposal.

*[Please list procedures and where employees are expected to place the
personal protective equipment prior to leaving the work
area.]{.underline}*

> When leaving the laboratory, workers remove their gloves and wash
> their hands with soap and water. Lab coats are hung on the coat rack
> and goggles are placed on the shelf beside the coat rack. In the event
> that the lab coat is visibly contaminated, the coat is placed in the
> laundry bin located next to the coat rack before the gloves are
> removed. After removal of the gloves hands are then washed with soap
> and water.

Gloves are worn when it can be reasonably anticipated that the employee
may have hand contact with blood, other potentially infectious
materials, mucous membranes, and non-intact skin; when performing
vascular access procedures and when handling or touching contaminated
items or surfaces.

Hypoallergenic gloves, glove liners, and similar alternatives are
available to employees who have documented allergy to the gloves that
are usually supplied to their work area.

*[Please specify the location and/or person who will be responsible for
glove distribution.]{.underline}*

> Boxes of gloves (small, medium and large) are kept on each lab bench.
> Mary Smith checks these boxes each morning and reorders supplies when
> low.

*[List procedures where gloves will be used.]{.underline}*

> Gloves are worn when drawing blood, preparing gradient tubes, adding
> blood to the gradients and operating the separation columns.
>
> Gloves are worn during the isolation and purification of the DNA
> samples and whenever the DNA is handled during the sequencing run.

Disposable gloves are be replaced as soon as practical when contaminated
or as soon as feasible if they are torn, punctured, or when their
ability to function as a barrier is compromised.

Disposable gloves are not washed or decontaminated for re-use. Utility
gloves (i.e., rubber household gloves) for housekeeping chores involving
potential blood contact and for instrument cleaning and decontamination
procedures can be used. Utility gloves may be decontaminated and reused,
but should be discarded if they are peeling, cracked, or discolored, or
if they have puncture, tears or other evidence of deterioration or their
ability to function as a barrier is compromised.

Masks in combination with eye protection devices, such as goggles or
glasses with solid side shields, or chin-length face shields, are worn
whenever splashes, spray, spatter or droplets of blood or other
potentially infectious materials may be generated and eye, nose or mouth
contamination can be reasonably anticipated.

Appropriate protective clothing such as, but not limited to, gowns,
aprons, lab coats, clinic jackets, or similar outer garments are worn in
occupational exposure situations.

**Housekeeping**

The work site is maintained in a clean and sanitary condition according
to a written schedule for cleaning and method(s) of decontamination. The
schedule is based upon the location within the facility, type of surface
to be cleaned, type of soil present, and tasks or procedures being
performed in the area.

*[Please provide a written schedule.]{.underline}*

> Once a day all waste is autoclaved or placed in burn boxes, prior to
> disposal.
>
> Lab benches are cleaned by the lab staff prior to starting their work
> and upon completion of their work at the end of the day. Once a month
> the laboratory floors are washed.

All equipment and working surfaces are to be cleaned and decontaminated
after contact with blood or other potentially infectious materials.
Contaminated work surfaces are to be decontaminated with an appropriate
disinfectant after completion of procedures, immediately or as soon as
feasible when surfaces are overtly contaminated or after any spill of
blood or other potentially infectious materials and at the end of the
work day.

Protective coverings (plastic wrap, aluminum foil, bench paper, etc.)
used to cover equipment and surfaces are to be removed and replaced as
soon as feasible when they become contaminated. Provide information
about any coverings used.

All reusable bins, pails, cans and similar receptacles which have a
reasonable likelihood for becoming contaminated with blood or other
potentially infectious materials are to be inspected and decontaminated
on a regular basis and cleaned and decontaminated immediately or as soon
as feasible upon visible contamination.

*[Please list frequency of inspection and decontamination and who
performs these tasks.]{.underline}*

**The laboratory is inspected weekly by John Doe, Monthly by Division
Safety Coordinator and at least annually by EH&S. The Laboratory would
be decontaminated following a major spill.**

Broken glassware will not be picked up directly with the hands.
Mechanical means, such as tongs, forceps, or a dustpan will be utilized.

*[Please describe procedures and identify where to find spill clean-up
materials, (tongs, etc.) for picking up broken contaminated
glassware.]{.underline}*

All workers in the lab have been advised that they must use tongs or an
autoclavable dust pan and brush to pick up broken glass. Tongs are
located near the sink and the dust pan and brush are located under the
sink. In the event that the area around the broken glass is
contaminated, then the area is to be flooded with the a 1/20 dilution of
bleach and allowed to stand for 10-15 minutes prior to clean up.

Contaminated sharps are discarded immediately or as soon as feasible in
covered, puncture-resistant, leak proof, labeled containers (extras
located where). These containers are accessible to personnel and located
as close as is feasible to the immediate area where sharps are used.
Containers will not be allowed to overfill. Containers are replaced when
they are 2/3 full.

Regulated waste (Medical and Sharps) is to be placed in covered leak
proof, labeled containers that are closed prior to removal. If outside
contamination of the container occurs, it is placed in a second
container which is also leakproof, labeled and closed prior to removal.
Specify locations of infectious waste containers.

When moving containers of contaminated sharps from the area of use, the
containers will be closed prior to removal and placed in a secondary
container if leakage is possible. The secondary container will be
covered, labeled and constructed to contain all contents and prevent
leakage during handling, storage, transport or shipping.

Disposal of all regulated waste is in accordance with LBNL's Medical and
Biohazardous Waste Generator's Guide. (Appendix C).

*[List the following: facility area, surface or equipment to clean
and/or decontaminate procedure for cleaning and/or decontaminating and
the frequency the cleaning agent and/or disinfectant used.]{.underline}*

> All benches and work surfaces are washed down before and after
> experimental activity with the quarternary ammonium solution.
> Centrifuges are decontaminated (wiped with a the disinfectant
> periodically (about once a month).

[*Please describe procedures for disposal of potentially infectious
materials*.]{.underline}

> All potentially infectious wastes are disposed of in accordance with
> LBNL Medical Waste Management procedures.

Contaminated laundry (i.e., lab coats, bedding and linens) is to be
bagged or placed in a leak proof, labeled, container at the location
where it was used and will not be sorted or rinsed in the location of
use. Employees who have contact with contaminated laundry will wear
gloves and other appropriate PPE.

*[Please specify where laundry will be cleaned and note if it will be
sent off-site.]{.underline}*

Laboratory coats that are to be laundered are placed in a bin located
next to the exit door from laboratory. Coats are picked up once a month
and laundered by contract agency.

Contaminated laundry shipped off-site to another facility is placed in
bags or containers labeled with the Universal Biohazard symbol.

**HIV and HBV Research Laboratories (omit if not relevant to your
work.)**

These are the minimum requirements that apply in addition to the other
requirements of the standard. These additional requirements apply to
research laboratories and production facilities engaged in the culture,
production, concentration, experimentation and manipulation of HIV and
HBV. These requirements do not apply to clinical and diagnostic labs.

All regulated waste is incinerated or autoclaved.

Laboratory doors are kept closed when work involving HIV or HBV is in
progress.

Contaminated materials that are to be decontaminated at a site away from
the work area are placed in a durable, leak proof, labeled container
that is closed before removal from the work area.

Access to the work area is limited to authorized persons. Written
policies and procedures in Appendix D are established whereby only
persons who have been advised of the potential biohazard, who meet any
specific entry requirements and who comply with all entry and exit
procedures are allowed to enter the work areas and animal rooms.

*[Please specify procedures.]{.underline}*

All access doors to the work area or containment module are posted with
a hazard warning sign which includes the Universal Biohazard symbol.

No work will be conducted on the open bench. All activities involving
other potentially infectious materials are conducted in a biological
safety cabinet or other physical-containment device within the
containment module.

Lab coats, gowns, uniforms, or other appropriate protective clothing are
worn in the work area and animal rooms. Protective clothing is not to be
worn outside of the work area and will be decontaminated before being
laundered.

Gloves are worn when handling infected animals and when making hand
contact with other potentially infectious materials is unavoidable.

Vacuum lines are protected with liquid disinfectant traps and HEPA
filters which are checked routinely and maintained or replaced as
necessary.

Hypodermic needles and syringes are only used for parenteral injection
and aspiration of fluids from laboratory animals and diaphragm bottles.
Only needle-locking syringes or disposable syringe needle units are used
for the injection or aspiration of other potentially infectious
materials. Extreme caution is used when handling needles and syringes.
Needles are not to be bent, sheared, replaced in the sheath or guard, or
removed from the syringe following use. The needle and syringe are
promptly placed in a puncture-resistant container and autoclaved or
decontaminated before reuse or disposal.

All spills are immediately contained and cleaned up by properly trained
personnel equipped to work with potentially infectious materials.

[*Please outline spill containment and clean-up procedures and specify
persons properly trained and equipped to carry-out
clean-up.*]{.underline}

A spill or accident that results in an exposure incident is immediately
reported to the laboratory director or other responsible person.

[*Please identify person(s) to be notified.*]{.underline}

Certified biological safety cabinets (Class I, II, or III) or other
appropriate combinations of personal protection or physical containment
devices, such as special protective clothing, respirators, centrifuge
safety cups, sealed centrifuge rotors, and containment caging for
animals, are used for all activities with other potentially infectious
materials that pose a threat of exposure to droplets, splashes, spills
or aerosols.

Biological safety cabinets are certified when installed, whenever they
are moved, and at least annually.

*[Please specify frequency of certification.]{.underline}*

Attach one copy of the biosafety manual which was prepared for this
facility.

*[Please list location of hand wash sink and eye wash facility and
specify whether sink is floor, elbow or automatically
operated.]{.underline}*

*[Please specify mechanism and frequency by which proper direction of
facility airflow is verified.]{.underline}*

*[Please describe procedure(s) to advise personnel on potential hazards
and means of assessing compliance with instructions on practices and
procedures.]{.underline}*

**Hepatitis B Vaccination & Post-Exposure Evaluation/Follow-Up**

LBNL makes available the Hepatitis B Vaccine and vaccination series to
all employees who have occupational exposure, and post-exposure
evaluation and follow-up to all employees who have had an exposure
incident.

All medical evaluations and procedures including the hepatitis B vaccine
and vaccination series and post-exposure evaluation and follow-up,
including prophylaxis, are made available at no cost to the employee.

**Hepatitis B Vaccination**

Hepatitis B vaccination is made available to the employee after his or
her attendance at a bloodborne pathogen training and information
session, conducted by EHS. The vaccine is made available to all
employees with occupational exposure unless the employee has previously
received the complete hepatitis B vaccination series, antibody testing
has revealed that the employee is immune, or the vaccine is
contraindicated for medical reasons, or the individual declines. The
vaccine will be provided according to current recommendations of the
U.S. Public Health Service. There is no current recommendation for
booster doses. Pre-screening before receiving the hepatitis B
vaccination is not routinely performed at LBNL.

All employees who decline to accept hepatitis B vaccination offered by
LBNL will be required to sign a Hepatitis B Vaccine Declination form
(Appendix F). If an employee decides to accept the vaccination at a
later date, LBNL will make available hepatitis B vaccination at that
time.

Declination forms are found in Appendix H and are kept on file the
Health Service.

To receive the hepatitis B vaccine and vaccination series, contact the,
Health Service.

**Post-exposure Evaluation and Follow-up**

The LBNL Health Service will initiate a confidential medical evaluation
and follow-up to an employee, following a report of an exposure
incident. Employees with an exposure incident will report to the Health
Service, Building 26, first floor main desk.

For all exposure incidents, the route(s) of exposure and the
circumstances under which the exposure incident occurred (to include
details of the use or non-use of engineering controls, work practice
controls or PPE) are documented. The source individual is identified and
documented, unless identification is not feasible or prohibited by state
or local law. After consent is obtained, the source individual\'s blood
is tested for HBV and HIV status. If the exposed employee gives consent,
a baseline blood sample is collected immediately following the incident
with subsequent periodic samples taken at a later date. Results of the
source individual's testing will be made available to the exposed
employee and the employee will be informed of laws/regulations regarding
the privacy rights of the source individual. The results of the source
individual's blood test and employee's blood test are confidential and
will be known only to the exposure Nurse/Physician and the exposed
employee. Counseling and other features of post exposure evaluation will
be offered whether or not the employee elects to have baseline HIV/HBV
serological testing.

Current U.S. Public Health Service recommendations for post-exposure
prophylaxis are in Appendix I.

**Communication of Hazards to Employees**

**Information and Training**

Supervisors are to ensure that employees with occupational exposure
participate in a training program, provided at no cost to the employee
by EHS. Employees are to complete training at the time of initial
assignment to tasks where occupational exposure may take place and at
least annually thereafter.

Elements of the bloodborne pathogen training program are listed in
Appendix J.

Training aids utilized by EHS include videotapes, written materials and
slides. Additional training requirements apply to employees in HIV and
HBV laboratories and production facilities. The supervisor assures that
employees demonstrate proficiency in standard microbiological practices
and operations specific to the facility before being allowed to work
with HIV or HBV, and have prior experience in the handling of human
pathogens or tissue culture. The supervisor provides appropriate
training and assure that employees participate in work activities
involving infectious agents only after proficiency has been
demonstrated.

If you would like to schedule a training session please click (HERE)

**Labels and Signs**

Labeling requirements for waste, equipment, specimens, and laundry are
listed in ***Appendix K.*** Labels are available from EHS.

**Record keeping**

**Training Records**

Training records are kept by EHS for at least 3 years from the date on
which the training occurred.

All training sessions are documented in writing, with records kept by
EHS. The training record includes:

dates of training sessions

contents of training sessions

names/qualifications of persons conducting training

names/job titles of all persons attending training sessions

**Medical Records**

Confidential medical records for employees with occupational exposure
are kept by the Health Service for the duration of employment plus 30
years.

**Medical records include:**

employee\'s name and social security number

> employee\'s hepatitis B vaccination status including vaccination dates
> and any medical records related to the employee\'s ability to receive
> vaccinations
>
> results of examinations, medical testing, post-exposure evaluation and
> follow-up

procedures

health care professional\'s written opinion

a copy of the information provided to the health care professional

Health Services will ensure that employee medical records are kept
confidential and are not disclosed or reported without the employee's
written consent to any person within or outside the workplace except as
required by this Standard and by law. Medical records are retained and
coordinated by Health Services. Employee health records are maintained
for the duration of employment plus 30 years.