reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-820 - Wildfire Smoke › Section 296-820-835 - Exposure controls

Current through Register Vol. 24-14, July 15, 2024
(1) Where the
			 current PM2.5 is 20.5
			 µg/m3 (AQI 69) or more, the employer is
			 encouraged to implement exposure controls.
(2) Where the current
			 PM2.5 is 35.5 µg/m3
			 (AQI 101) or more, the employer must implement effective exposure controls
			 whenever feasible.
(3) Such
			 controls include, but are not limited to:
(a)
			 Providing enclosed buildings, structures, or vehicles where the air is
			 adequately filtered;
(b) Providing
			 portable HEPA filters in enclosed areas;
(c) Relocating work to a location with a
			 lower ambient air concentration of PM2.5;
(d) Changing work schedules to a time with a
			 lower ambient air concentration of PM2.5;
(e) Avoiding or reducing work that creates
			 additional exposures to dust, fumes, or smoke;
(f) Reducing work intensity; and
(g) Providing additional rest
			 periods.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-820 - Wildfire Smoke › Section 296-820-840 - Respiratory protection

Current through Register Vol. 24-14, July 15, 2024
(1) Where the
			 current PM2.5 is 20.5
			 µg/m3 (AQI 69) to 35.4
			 µg/m3 (AQI 100), the employer is encouraged to
			 provide N95 filtering-facepiece respirators at no cost to employees upon
			 request. Employees may provide and wear their own respiratory protection as
			 long as voluntary use of these respirators does not introduce hazards to the
			 work environment.
(2) Where the
			 current PM2.5 is 35.5
			 µg/m3 (AQI 101) to 250.4
			 µg/m3 (AQI 300), the employer must provide N95
			 filtering-facepiece respirators at no cost to all exposed employees, and must
			 encourage respirator use. Employers must provide respirators by either of the
			 following methods:
(a) Directly distribute to
			 each exposed employee; or
(b)
			 Maintain a sufficient supply for all exposed employees at each work location
			 where exposure occurs. Such respirator supply availability and locations must
			 be made known, and be readily accessible, to all exposed employees in a manner
			 that does not restrict or hinder employee access to obtain and replace
			 respirators when needed.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-820 - Wildfire Smoke › Section 296-820-845 - Measuring PM[2.5] levels at the worksite

Current through Register Vol. 24-14, July 15, 2024
(1) An employer
			 may use a direct-reading particulate sensor to identify harmful exposures as
			 required by WAC 296-820-815, if the employer can demonstrate that it has
			 complied with this section (WAC 296-820-845) and selected a direct-reading
			 particulate sensor that:
(a) Does not
			 underestimate employee exposures to wildfire smoke; or
(b) May underestimate wildfire smoke
			 exposures, but the employer has obtained information on the possible error of
			 the sensor from the manufacturer or other published literature and has
			 accounted for the error of the sensor when determining exposures to
			 PM2.5 to ensure that employee exposure levels not be
			 underestimated.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-820 - Wildfire Smoke › Section 296-820-860 - Appendix B: Calculating the Air Quality Index for PM(nonmandatory)

Current through Register Vol. 24-14, July 15, 2024
The Air Quality Index (AQI) for PM2.5 is
				calculated as follows:
Click
				to view image
PM2.5
						  THRESHOLDS1
AQI1
AQI
						  CATEGORY1
WA DOH HEALTH
						  MESSAGING2
0.0-12.0
0-50
Good
It is a great day to be active outside and a good time
						  to make a plan if worse air quality is in the forecast.
12.1-35.4
51-100
Moderate
Some people are especially sensitive to lower levels of
						  particle pollution and should reduce exposure. For example, limit time outside
						  and avoid strenuous outdoor activity. All sensitive groups should watch for
						  symptoms.
35.5-55.4
101-150
Unhealthy for sensitive groups
Sensitive groups should take steps to reduce exposure.
						  Limit time outside, avoid strenuous outdoor activity, and follow tips for
						  cleaner indoor air. Everyone should watch for symptoms as a sign to reduce
						  exposure.
55.5-150.4
151-200
Unhealthy
Everyone should reduce exposure. Limit time outside,
						  avoid strenuous outdoor activity, and follow tips for cleaner indoor
						  air.
150.5-250.4
201-300
Very unhealthy
Everyone should reduce exposure. Stay inside and filter
						  indoor air to keep it cleaner. Go elsewhere for cleaner air, if needed.
250.5-350.4
301-400
Hazardous
Everyone should reduce exposure. Stay inside and filter
						  indoor air to keep it cleaner. Go elsewhere for cleaner air, if needed.
350.5-500.4
401-500
Hazardous
Everyone should reduce exposure. Stay inside and filter
						  indoor air to keep it cleaner. Go elsewhere for cleaner air, if needed.
[GREATER THAN] 500.4
Beyond the AQI
Hazardous (beyond the AQI)
1 U.S. EPA. September 2018.
				Technical Assistance Document for the Reporting of Daily Air Quality - The Air
				Quality Index (AQI). EPA 454/B-18-007. Research Triangle Park, North
				Carolina.
2 Washington Department of Health.
				April 2022, accessed April 2023. Washington Air Quality Guide for Particle
				Pollution:
https://doh.wa.gov/sites/default/files/legacy/Documents/4300/waqa%20infographic%5fEnglish.pdf?uid=64384c71c8715
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-100 - Scope

Current through Register Vol. 24-14, July 15, 2024
This chapter provides requirements to protect employees from
				exposure to blood or other potentially infectious materials (OPIM) that may
				contain bloodborne pathogens. Examples of bloodborne pathogens are the human
				immunodeficiency virus (HIV) and hepatitis B virus (HBV).
This chapter applies to you if you have employees with
				occupational exposure to blood or OPIM, even if no actual exposure incidents
				have occurred.
Occupations that are typically covered by this
				chapter.
The following list illustrates a number of jobs typically
				associated with tasks that involve occupational exposure to blood or OPIM. The
				absence of a particular job from the list does not suggest that it falls
				outside the scope of this chapter. At the same time, employees in jobs found on
				the list are covered only if they have occupational exposure.
(1)
Health care occupations.
(a) Physicians and physicians
			 assistants.
(b) Nurses, nurse
			 practitioners, dental hygienists, and other health care employees in clinics
			 and offices.
(c) Employees of
			 clinical, dental, and diagnostic laboratories.
(d) Housekeepers in health care
			 facilities.
(e) Staff in laundries
			 that provide service to health care facilities.
(f) Tissue bank personnel.
(g) Employees in blood banks and plasma
			 centers who collect, transport, and test blood.
(h) Freestanding clinic employees (for
			 example, hemodialysis clinics, urgent care clinics, health maintenance
			 organization (HMO) clinics, and family planning clinics).
(i) Employees in clinics in industrial,
			 educational, and correctional facilities.
(j) Staff of institutions for the
			 developmentally disabled.
(k)
			 Hospice employees.
(l) Home health
			 care workers.
(m) Staff of nursing
			 homes and long-term care facilities.
(n) HIV and HBV research laboratory and
			 production facility workers.
(o)
			 Medical equipment service and repair personnel.
(p) Emergency medical technicians,
			 paramedics, and other emergency medical service providers.
(q) Nuclear medical technologists.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-110 - Planning

Current through Register Vol. 24-14, July 15, 2024
Summary
Your responsibility:
To plan ways to protect your employees from the risk of
				exposure to blood or other potentially infectious materials.
You must meet the requirements ...
in this section:
Determine if you have employees with occupational exposure
WAC
						296-823-11005
Develop and implement a written exposure control plan
WAC
						296-823-11010
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-110, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-11005 - Determine if you have employees with occupational exposure

Current through Register Vol. 24-14, July 15, 2024
(1) You must
			 prepare a written exposure determination if your employees have occupational
			 exposure to blood or other potentially infectious materials (OPIM).
This determination must be made without considering the use of
				personal protective equipment (PPE).
(2) You must make sure the exposure
			 determination contains:
(a) A list of job
			 classifications where all employees have occupational exposure;
(b) A list of job classifications where some
			 employees have occupational exposure and a description of all tasks and
			 procedures or groups of related tasks and procedures with occupational exposure
			 for these employees.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-11010 - Develop and implement a written exposure control plan

Current through Register Vol. 24-14, July 15, 2024
(1) You must establish a written exposure
			 control plan designed to eliminate or minimize employee exposure in your
			 workplace.
Note:
The elements of your exposure control plan may be
						  located in other documents such as policies and procedures. Make sure to
						  reference their location in your plan.
(2) You
			 must make sure the plan contains at least the following elements:
(a) The exposure determination, WAC
			 296-823-11005;
(b) A procedure for evaluating the
			 circumstances surrounding exposure incidents, including documentation of the
			 routes of exposure, and the circumstances under which the exposure incident
			 happened;
(c) How and when you will
			 implement applicable requirements of this rule.
Note:
The implementation dates need to be included only
						  until your exposure control plan is fully implemented or when you are adding
						  new requirements to your plan.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-120 - Training

Current through Register Vol. 24-14, July 15, 2024
Summary
Your responsibility:
To train your employees about their risk of exposure to
				bloodborne pathogens and ways to protect themselves.
You must meet the requirements ...
in this section:
Provide training to your employees
WAC
						296-823-12005
Provide additional training
WAC
						296-823-12010
Maintain training records
WAC
						296-823-12015
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-120, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-12005 - Provide training to your employees

Current through Register Vol. 24-14, July 15, 2024
(1) You must make sure all employees with
			 occupational exposure participate in a training program that is:
(a) Provided at no cost to them;
			 and
(b) Conducted during
			 compensated working hours.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-12010 - Provide additional training

Current through Register Vol. 24-14, July 15, 2024
You must provide additional training when you add or change
				tasks or procedures that affect the employee's occupational exposure.
Note:
This training may be limited to the changes in tasks
							 and procedures.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-12010, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-12010,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-12015 - Maintain training records

Current through Register Vol. 24-14, July 15, 2024
(1)
			 You must maintain training records for three years from the date of the
			 training.
(2) You must include the
			 following information in your training records:
(a) Dates of the training sessions;
(b) Contents or a summary of the training
			 sessions;
(c) Names and
			 qualifications of persons conducting the training;
(d) Names and job titles of all persons
			 attending the training sessions.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-130 - Hepatitis B virus (HBV) vaccinations

Current through Register Vol. 24-14, July 15, 2024
Summary
Your responsibility:
To make the vaccination available to your employees so they are
				protected from the hepatitis B virus (HBV).
You must meet the requirements ...
in this section:
Make hepatitis B vaccination available to employees
WAC
						296-823-13005
Obtain a copy of the health care professional's written
						opinion for hepatitis B vaccination and provide it to the employee
WAC
						296-823-13010
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-130, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-13005 - Make hepatitis B vaccination available to employees

Current through Register Vol. 24-14, July 15, 2024
(1) Employers must make sure that the
			 hepatitis B vaccination series is available to all employees who have
			 occupational exposure and that it is:
(a)
			 Available at no cost to the employee;
(b) Available to the employee at a reasonable
			 time and location;
(c) Administered
			 by or under the supervision of a licensed physician or by another licensed
			 health care professional;
(d)
			 Provided according to recommendations of the United States Public Health
			 Service that are current at the time these evaluations and procedures take
			 place;
(e) Available to any
			 employee who initially declines the vaccination but later decides to accept it
			 while they are still covered by this chapter;
(f) Made available after the employee has
			 received training required by this chapter and within ten working days of
			 initial assignment.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-13010 - Obtain a copy of the health care professional's written opinion for hepatitis B vaccination and provide it to the employee

Current through Register Vol. 24-14, July 15, 2024
(1) You must obtain and provide the employee
			 a copy of the evaluating health care professional's written opinion for
			 hepatitis B vaccination within fifteen days of the employee's evaluation.
Note:
1. If the health care professional provides the written
						  opinion directly to the employee, you do not need to do so.
2. If the employee's personal health care professional
						  completes the evaluation, you are not required to obtain the health care
						  professional's written opinion.
(2)
			 You must make sure the health care professional's written opinion is limited to
			 whether a hepatitis B vaccination is indicated and if the employee has received
			 this vaccination.
(3) You must make
			 sure that all other findings or diagnoses remain confidential and are
not
included in the written report.
Reference:
Requirements for the health care professional's
						  written opinion on post-exposure evaluation can be found in WAC
						  296-823-16030.
Helpful tool:
Health care professional's written opinion for
				post-exposure evaluation and health care provider's written opinion for
				hepatitis B vaccination.
These forms are available for your use in the resource section
				of this chapter.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-13010, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-140 - Control employee exposure

Current through Register Vol. 24-14, July 15, 2024
Summary
Your responsibility:
To use feasible controls to eliminate or minimize occupational
				exposure to blood or other potentially infectious materials (OPIM).
Important:
If occupational exposure remains after implementing these
				controls, personal protective equipment must be used. See WAC
				296-823-150, Personal protective
				equipment.
You must meet the requirements ...
in this section:
Use feasible controls, including appropriate equipment and
						safer medical devices, to eliminate or minimize occupational exposure
WAC
						296-823-14005
Handle contaminated sharps properly and safely
WAC
						296-823-14010
Handle reusable sharps properly and safely
WAC
						296-823-14015
Minimize splashing, spraying, splattering and generation
						of droplets
WAC
						296-823-14020
Make sure items are appropriately labeled
WAC
						296-823-14025
Make sure employees clean their hands
WAC
						296-823-14030
Prohibit food, drink, and other personal activities in the
						work area
WAC
						296-823-14035
Prohibit pipetting or suc-tioning by mouth
WAC
						296-823-14040
Place specimens in an appropriate container
WAC
						296-823-14045
Examine and label contaminated equipment
WAC
						296-823-14050
Make sure your worksite is maintained in a clean and
						sanitary condition
WAC
						296-823-14055
Handle regulated waste properly and safely
WAC
						296-823-14060
Handle contaminated laundry properly and safely
WAC
						296-823-14065
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-140, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14005 - Use feasible controls, including appropriate equipment and safer medical devices, to eliminate or minimize occupational exposure

Current through Register Vol. 24-14, July 15, 2024
(1) You must use appropriate equipment and
			 safer medical devices to eliminate or minimize employee exposure.
(2) You must use work practices designed to
			 eliminate or minimize employee exposure.
(3) You must examine and maintain or replace
			 equipment and safer medical devices on a regular schedule to make sure they
			 remain effective.
Note:
1. Examples of appropriate equipment include:
a.Sharps containers;
b.Biosafety cabinets;
c.Splash guards;
d.Centrifuge cups;
e.Specimen storage and transport containers.
2. Examples of safer medical devices include:
a.Sharps with engineered sharps injury protections
							 (SESIP);
b.Needleless systems;
c.Blunt suture needles;
d.Plastic capillary tubes.
3. Examples of work practices include:
a.No-hands procedures in handling contaminated
							 sharps;
b.No hand-to-hand instrument passing.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-14005, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-14005,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14010 - Handle contaminated sharps properly and safely

Current through Register Vol. 24-14, July 15, 2024
(1) You must make sure that you don't bend,
			 recap, or remove contaminated needles or other contaminated sharps
unless
you can demonstrate that there is no feasible alternative
			 or that it's required by a specific medical or dental procedure.
Bending, recapping or needle removal must be done by using a
				mechanical device or a one-handed technique.
Note:
Demonstrating that no alternative to bending,
						  recapping, or removing contaminated sharps is feasible, may be accomplished
						  through written justification, supported by reliable evidence, in your exposure
						  control plan.
(2) You
			 must make sure you don't shear or break contaminated needles.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-14010, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14015 - Handle reusable sharps properly and safely

Current through Register Vol. 24-14, July 15, 2024
(1) You must place contaminated reusable
			 sharps immediately, or as soon as possible after use, in appropriate containers
			 until properly decontaminated. Containers must be all of the following:
(a) Puncture resistant;
(b) Labeled or color-coded as described in
			 this chapter;
(c) Leakproof on the
			 sides and bottom;
(d) Meet the same
			 requirements as the container for disposable sharps, except they do not need to
			 be closable.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14020 - Minimize splashing, spraying, splattering, and generation of droplets

Current through Register Vol. 24-14, July 15, 2024
You must make sure all procedures involving blood or OPIM are
				performed so splashing, spraying, spattering, and generation of droplets are
				minimized.
Examples include:
(1)
			 Appropriate operation and use of recommended controls for surgical power tools,
			 lasers and electrocautery devices.
(2) Use of personal protective equipment when
			 contact with blood or OPIM is reasonably anticipated.
(3) Making sure cleaning procedures do not
			 generate unnecessary splashes, spraying, spattering, or generation of
			 droplets.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-14020, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14025 - Make sure items are appropriately labeled

Current through Register Vol. 24-14, July 15, 2024
Exemptions:
The following are exempt from the labeling
							 requirements of this chapter:
1.Individual containers placed in an appropriately
							 labeled secondary container.
2. Regulated waste that has been
							 decontaminated.
3. Containers of blood, blood components, or blood
							 products that are labeled with their contents and have been released for
							 transfusion or other clinical use.
4. Extracted teeth, gallstones, kidney stones, or
							 other tissues and body substances that are given to patients.
(1) You must
			 attach appropriate labels to:
(a) Containers
			 used to store, transport, or ship blood or other potentially infectious
			 materials (OPIM) including:
(i)
			 Refrigerators;
(ii)
			 Freezers.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14030 - Make sure employees clean their hands

Current through Register Vol. 24-14, July 15, 2024
(1) You must provide handwashing facilities
			 that are readily accessible to employees, wherever feasible. If handwashing
			 facilities are not feasible, provide either one of the following:
(a) Antiseptic towelettes;
(b) Antiseptic hand rub product along with
			 clean cloth/paper towels.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14035 - Prohibit food, drink, and other personal activities in the work area

Current through Register Vol. 24-14, July 15, 2024
(1) You must make
			 sure eating, drinking, smoking, applying cosmetics or lip balm, and handling
			 contact lenses are prohibited in work areas where there is occupational
			 exposure.
(2) You must make sure
			 food and drink are not kept in refrigerators, freezers, shelves, cabinets, or
			 on countertops or benchtops where there is a potential for exposure to blood or
			 other potentially infectious materials (OPIM).
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-14035, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14040 - Prohibit pipetting or suctioning by mouth

Current through Register Vol. 24-14, July 15, 2024
You must prohibit mouth pipetting or suctioning of blood or
				other potentially infectious materials (OPIM).
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-14040, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14045 - Place specimens in an appropriate container

Current through Register Vol. 24-14, July 15, 2024
(1) You must place specimens of blood or
			 other potentially infectious materials (OPIM) in an appropriate container that
			 prevents leakage during collection, handling, processing, storage, transport,
			 or shipping.
(2) You must make sure
			 the container is properly labeled or color-coded and closed before being
			 stored, transported, or shipped.
(a) If
			 outside contamination of the container occurs, the container must be placed
			 inside a second container that prevents leakage and is properly labeled or
			 color-coded;
(b) If the specimen
			 could puncture the container, the container must be placed inside a second
			 container that:
(i) Is
			 puncture-resistant;
(ii) Prevents
			 leakage during handling, processing, storage, transport, or shipping;
(iii) Is properly labeled or color-coded.
Exemption:
1. When your facility handles all specimens using
							 universal precautions or other equivalent infection control systems, you don't
							 have to label/color-code specimens as long as the containers can be recognized
							 as containing specimens.
2.This exemption only applies while these specimens/
							 containers remain within the facility. Proper labeling or color-coding is
							 required when specimens/containers leave the facility.
Reference:
Requirements for appropriate labels and color-coding
							 are found in WAC
							 296-823-14025.
Helpful tool:
Guidance on the handling and storage of criminal
				evidence
This tool contains information about the handling and storage
				of criminal evidence. Criminal evidence contaminated with blood or OPIM is
				considered a specimen under the scope of this chapter. You can find a copy of
				this tool in the resource section of this chapter.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14050 - Examine and label contaminated equipment

Current through Register Vol. 24-14, July 15, 2024
(1) You must examine equipment which could
			 become contaminated with blood or other potentially infectious materials (OPIM)
			 before servicing or shipping.
(a)
			 Decontaminate this equipment and its parts as necessary unless you can
			 demonstrate that decontamination isn't feasible.
(b) Attach an easily seen biohazard label to
			 the equipment stating which portions remain contaminated.
Reference:
Requirements for appropriate labels and color-coding
							 are found in WAC
							 296-823-14025.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14055 - Make sure your worksite is maintained in a clean and sanitary condition

Current through Register Vol. 24-14, July 15, 2024
(1) You must
			 develop an appropriate written schedule for cleaning and decontamination based
			 upon the following:
(a) The location within
			 the facility;
(b) Type of surface
			 to be cleaned;
(c) Type of
			 contamination present;
(d) Tasks or
			 procedures being performed in the area.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14060 - Handle regulated waste properly and safely

Current through Register Vol. 24-14, July 15, 2024
(1) You must discard contaminated sharps
			 immediately, or as soon as possible, in containers that are all of the
			 following:
(a) Closable;
(b) Puncture resistant;
(c) Leakproof on sides and bottom;
(d) Appropriately labeled or
			 color-coded;
(e) Easily accessible
			 to personnel;
(f) Located as close
			 as feasible to the immediate area where sharps are used or areas sharps can be
			 reasonably anticipated to be found (for example, laundries);
(g) Maintained upright throughout
			 use;
(h) Replaced routinely and not
			 allowed to overfill.
Exemption:
Work areas such as correctional facilities,
							 psychiatric units, pediatric units, or residential homes may have difficulty
							 placing sharps containers in the immediate use area. In such situations,
							 alternatives such as using lock-able containers or bringing containers in and
							 out of the work area may be used.
Note:
For additional information on placement and use of
							 sharps containers see
Selecting, Evaluating, and Using Sharps Disposal
							 Containers
, NIOSH Publication 97-111, January 1998. You can obtain a
							 copy of this publication by calling 1-800-35-NIOSH or get an electronic version
							 in pdf at
http://www.cdc.gov/niosh/docs/97-111/
.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-14065 - Handle contaminated laundry properly and safely

Current through Register Vol. 24-14, July 15, 2024
(1) You must handle laundry contaminated with
			 blood or other potentially infectious material (OPIM) as little as possible and
			 with a minimum of agitation.
(2)
			 You must bag contaminated laundry or put it into a container at the location
			 where it was used.
(a) Do not sort or rinse
			 at the location of use.
(b) Place
			 and transport contaminated laundry in bags or containers that are properly
			 labeled or color-coded.
(c) If your
			 facility ships contaminated laundry off-site to a second facility that doesn't
			 use an infection control or isolation system when handling all of their soiled
			 laundry, your facility must place the laundry in red bags or containers that
			 are appropriately labeled.
Note:
If your facility uses an infection control or
							 isolation system in the handling of all soiled laundry, you can use alternative
							 labeling or color-coding so employees recognize that the containers need to be
							 handled using these precautions.
Reference:
Requirements for appropriate labels and color-coding
							 are found in WAC
							 296-823-14025 of this
							 chapter.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-150 - Personal protective equipment (PPE)

Current through Register Vol. 24-14, July 15, 2024
Summary
Your responsibility:
To provide and make sure personal protective equipment is used
				when work practices and controls will not fully protect your employees from the
				risk of exposure to blood or other potentially infectious materials.
You must meet the requirements ...
in this section:
Provide and make sure personal protective equipment is
						used when there is occupational exposure
WAC
						296-823-15005
Make sure gloves are worn
WAC
						296-823-15010
Make sure appropriate masks, eye protection, and face
						shields are worn
WAC
						296-823-15015
Wear appropriate protective clothing
WAC
						296-823-15020
Make resuscitator devices available
WAC
						296-823-15025
Maintain personal protective equipment
WAC
						296-823-15030
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-150, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-15005 - Provide and make sure personal protective equipment is used when there is occupational exposure

Current through Register Vol. 24-14, July 15, 2024
(1)
			 You must provide at no cost to employees, appropriate personal protective
			 equipment such as:
(a) Gloves;
(b) Gowns;
(c) Laboratory coats;
(d) Face shields or a combination of masks
			 and eye protection;
(e)
			 Mouthpieces;
(f) Resuscitation
			 bags;
(g) Pocket masks;
(h) Other ventilation devices.
Note:
PPE is considered "appropriate" only if it does NOT
							 permit blood or other potentially infectious materials (OPIM) to pass through
							 to or reach the employee's work clothes, street clothes, undergarments, skin,
							 eyes, mouth, or other mucous membranes under normal conditions of use and for
							 the duration of time which the protective equipment will be used.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-15010 - Make sure gloves are worn

Current through Register Vol. 24-14, July 15, 2024
(1)
			 You must make sure gloves appropriate to the situation are worn when:
(a) It can be reasonably anticipated that the
			 employee may have hand contact with blood, other potentially infectious
			 materials (OPIM), mucous membranes, or skin that is not intact;
(b) Handling or touching contaminated items
			 or surfaces;
(c) Performing
			 vascular access procedures, for example, drawing blood or inserting an
			 IV.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-15015 - Make sure appropriate masks, eye protection, and face shields are worn

Current through Register Vol. 24-14, July 15, 2024
You must make sure either chin-length face shields or a
				combination of masks and eye protection are used, whenever splashes, spray,
				spatter, or droplets of blood or other potentially infectious materials (OPIM)
				may be generated and eyes, nose, or mouth contamination can be reasonably
				anticipated.
Note:
Examples of eye protection devices include goggles
							 and glasses with solid side shields.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-15015, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-15015,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-15020 - Wear appropriate protective clothing

Current through Register Vol. 24-14, July 15, 2024
(1) You must make sure appropriate protective
			 clothing is worn when splashes to skin or clothes are reasonably anticipated.
			 The type and characteristics will depend upon the sort of work being done and
			 how much exposure is anticipated.
Note:
Examples of protective clothing include:
1. Gowns
2. Aprons
3. Lab coats
4. Clinic jackets
5. Similar outer garments
6. Surgical caps or hoods
7. Shoe covers or boots.
(2)
			 You must remove a garment as soon as feasible if blood or other potentially
			 infectious materials (OPIM) penetrate it.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-15020, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-15020,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-15025 - Make resuscitator devices available

Current through Register Vol. 24-14, July 15, 2024
You must make resuscitator (emergency ventilation) devices
				readily available and accessible to employees who can reasonably be expected to
				perform resuscitation procedures.
Note:
Examples of resuscitator devices include:
1. Masks
2. Mouthpieces
3. Resuscitation bags
4. Shields/overlay barriers.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-15025, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-15030 - Maintain personal protective equipment

Current through Register Vol. 24-14, July 15, 2024
(1) You must clean, repair, replace, launder,
			 and dispose of personal protective equipment required by this chapter, at no
			 cost to the employee.
(2) You must
			 make sure when PPE is removed, it is placed in an appropriately designated area
			 or container for storage, washing, decontamination, or disposal.
Note:
Contaminated personal clothing is considered PPE for
							 the purposes of this section.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-15030, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-160 - Post-exposure requirements

Current through Register Vol. 24-14, July 15, 2024
Summary
Your responsibility:
To make sure employees who have been exposed to blood or other
				potentially infectious materials (OPIM) have appropriate post-exposure
				evaluation and follow-up available.
You must meet the requirements ...
in this section:
Make a confidential medical evaluation and follow-up
						available to employees who experience an exposure incident
WAC
						296-823-16005
Test the blood of the source person
WAC
						296-823-16010
Provide the results of the source person's blood test to
						the exposed employee
WAC
						296-823-16015
Collect and test the blood of the exposed employee
WAC
						296-823-16020
Provide information to the health care professional
						evaluating the employee
WAC
						296-823-16025
Obtain and provide a copy of the health care
						professional's written opinion on post-exposure evaluation to the employee
WAC
						296-823-16030
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-160, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-160,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-16005 - Make a confidential medical evaluation and follow-up available to employees who experience an exposure incident

Current through Register Vol. 24-14, July 15, 2024
(1) You must make immediately available a
			 confidential post-exposure evaluation and follow-up to all employees with
			 occupational exposure to blood or OPIM who report an exposure
			 incident.
(2) You must make sure
			 that the post-exposure medical evaluation and follow-up are all of the
			 following:
(a) Immediately available
			 following an exposure incident;
(b)
			 Confidential;
(c) At no cost to the
			 employee;
(d) At a reasonable time
			 and place;
(e) Administered by or
			 under the supervision of a licensed physician or by another licensed health
			 care professional;
(f) Provided
			 according to recommendations of the United States Public Health Service current
			 at the time these evaluations and procedures take place.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-16010 - Test the blood of the source person

Current through Register Vol. 24-14, July 15, 2024
You must arrange to test the source individual's blood for HBV
				and HIV as soon as feasible after getting their consent.
(1) If you do not get consent, you must
			 establish that legally required consent can not be obtained.
(2) When the law does not require the source
			 individual's consent, their blood, if available, must be tested and the results
			 documented.
(3) Exemption: When the
			 source individual is already known to be infected with HBV or HIV, you do not
			 need to test their status.
Note:
1. If a source individual refuses testing, a worker
							 may request that a local or state health officer order bloodborne pathogen
							 testing. Authority for health officer orders is given in
							 RCW
							  70.24.340.
2. Source testing: According to the Centers for
							 Disease Control and Prevention (CDC), hepatitis C virus (HCV) infection is the
							 most common chronic bloodborne infection in the United States. The CDC
							 recommends testing of the source person for the presence of anti-HCV antibody.
							 (Updated
U.S. Public Health Service Guidelines for the Management of
							 Occupational Exposures to HBV, HCV, and HIV and Recommendations for
							 Postexposure Prophylaxis,
MMWR, June 29, 2000/50(RR11); 1-42.)
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-16010, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-16010,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-16015 - Provide the results of the source person's blood test to the exposed employee

Current through Register Vol. 24-14, July 15, 2024
(1)
			 You must make sure the results of the source person's blood test are provided
			 to the exposed employee, if possible.
(2) You must make sure the exposed employee
			 is informed of applicable laws and regulations regarding disclosure of the
			 identity and infection status of the source person.
Note:
Law and regulations that currently apply are:
1. Chapter 70.02 RCW, Medical recordsHealth care
							 information access and disclosure.
2. Chapter 70.24 RCW, Control and treatment of
							 sexually transmitted diseases.
3. Both statutes can be found at
http://app.leg.wa.gov/rcw/
and
							 click on Title 70 RCW to find these statutes.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-16015, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-16015,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-16020 - Collect and test the blood of the exposed employee

Current through Register Vol. 24-14, July 15, 2024
You must arrange to have the exposed employee's blood
				collected and tested as soon as feasible after consent is obtained.
(1) If the employee consents to baseline
			 blood collection, but does not give consent at that time for HIV serologic
			 testing, the sample must be preserved for at least ninety days.
(2) If, within ninety days of the exposure
			 incident, the employee chooses to have the baseline sample tested, it must be
			 done as soon as possible.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 03-09-110, §
				  296-823-16020, filed 4/22/03, effective
				  8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-16025 - Provide information to the health care professional evaluating the employee

Current through Register Vol. 24-14, July 15, 2024
You must provide ALL of the following information to the
				health care professional evaluating an employee after an exposure
				incident:
(1) A copy of WAC
			 296-823-160;
(2) A description of the job duties the
			 exposed employee was performing when exposed;
(3) Documentation of the routes of exposure
			 and circumstances under which exposure occurred;
(4) Results of the source person's blood
			 testing, if available;
(5) All
			 medical records that you are responsible to maintain, including vaccination
			 status, relevant to the appropriate treatment of the employee.
Reference:
Requirements for the health care professional's
							 written opinion for hepatitis B vaccinations can be found in WAC
							 296-823-13010.
Note:
You may meet the requirement to provide a copy of WAC
							 296-823-160 to the health care
							 professional by giving them thehttp://www.lni.wa.gov/rules/, [File Link Not
							 Available] as long as their office has a computer and access to the labor and
							 industries' web site.
Statutory Authority:
				  RCW
				   49.17.010,
				  49.17.040,
				  49.17.050, and
				  49.17.060. 04-12-070, §
				  296-823-16025, filed 6/1/04, effective 9/1/04; 03-09-110, § 296-823-16025,
				  filed 4/22/03, effective 8/1/03.
Washington Administrative Code › Title 296 - Labor and Industries, Department of › Chapter 296-823 - Occupational exposure to bloodborne pathogens › Section 296-823-16030 - Obtain and provide a copy of the health care professional's written opinion on post-exposure evaluation to the employee

Current through Register Vol. 24-14, July 15, 2024
(1) You must obtain and provide to the
			 employee a copy of the evaluating health care professional's written opinion
			 within fifteen days of the completion of their evaluation.
Note:
1. If the health care professional provides the
							 written opinion directly to the employee, you do not need to do so
2. If the employee's personal health care
							 professional completes the evaluation, you are not required to obtain the
							 health care professional's written opinion.
(2) You
			 must make sure the health care professional's written opinion is limited to the
			 following information:
(a) That the employee
			 has been informed of the results of the evaluation;
(b) That the employee has been told about any
			 medical conditions resulting from exposure to blood or other potentially
			 infectious materials (OPIM) which need further evaluation or
			 treatment.