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EXPOSURE CONTROL PLAN TABLE OF CONTENTS

(Updated August 2011)

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1. PURPOSE/DEFINITIONS 2-4

2. EXPOSURE DETERMINATION (includes job classification list) 5-7

3. COMPLIANCE METHOD 8-14

4. HEPATITIS B VACCINATION 15-16

5. POST EXPOSURE EVALUATION AND FOLLOW-UP 17-20

6. INFORMATION AND TRAINING 21-23

7. RECORD ACCESS 24

8. EXPOSURE CONTROL PLAN IMPLEMENTATION 25-27

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THE SCHOOL DISTRICT OF PALM BEACH COUNTY BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN

1. PURPOSE/DEFINITIONS PURPOSE The purpose of this Exposure Control Plan is to establish a program that will eliminate or minimize employee occupational exposure to blood or other potentially infectious materials, as directed by the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens Standard, 29 CFR 1910.1030. (Appendix 1) DEFINITIONS - Apply throughout the plan: "BLOOD" means human blood, human blood components, and products made from human blood. "BLOODBORNE PATHOGENS" refers to pathogenic microorganisms that are present in human blood and can cause disease in humans. These pathogens include, but are not limited to, Hepatitis B Virus (HBV) and Human Immunodeficiency Virus (HIV). "CONTAMINATED" means the presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface. "CONTAMINATED LAUNDRY" means laundry which has been soiled with blood or other potentially infectious materials. "CONTAMINATED SHARPS" means any contaminated object that can penetrate the skin. "DECONTAMINATE" means the use of physical or chemical process to remove, inactivate, or destroy bloodborne pathogens on a surface or item to the point where they are no longer capable of transmitting infectious particles and the surface or item is rendered safe for handling, use or disposal. "DISINFECT" means to cleanse of harmful microorganisms. "ENGINEERING CONTROLS" are those controls which isolate or remove the bloodborne pathogens hazard from the work place. Examples of engineering controls include puncture-resistant sharps containers, disposable airway equipment, and disposable CPR pocket masks.

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"EXPOSURE INCIDENT" means a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that result from the performance of an employee's duty. "HBV" means Hepatitis B Virus. "HIV" means Human Immunodeficiency Virus. "OCCUPATIONAL EXPOSURE" means reasonably anticipated skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's job duties. "OTHER POTENTIALLY INFECTIOUS MATERIAL" (OPIM) means:

(1) The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids.

(2) Any unfixed tissue or organ (other than intact skin) from a human

(living or dead); and

(3) HIV-containing cell or tissue cultures, organ cultures, and HIV-or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.

"PARENTERAL" means piercing mucous membranes or the skin barrier through such events as punctures, human bites, cuts and abrasions. "PERSONAL PROTECTIVE EQUIPMENT" means specialized clothing or equipment worn by an employee for protection against a hazard. General work clothes (e.g., uniforms, pants, shirts or blouses) not intended to function as protection against a hazard are not considered to be personal protective equipment. "REGULATED BIOHAZARDOUS WASTE" means solid waste or liquid waste which may present a threat of infection to humans. The term includes, but is not limited to, non liquid human tissue and body parts; laboratory and veterinary waste which contain human disease- causing agents; discarded sharps; human blood, human blood products and body fluid. The following are also included:

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(a) Used, absorbent materials as bandages, gauze, or sponges supersaturated, having the potential to drip or splash, with blood or body fluids from areas such as operating rooms, delivery rooms, trauma centers, emergency rooms or autopsy rooms.

(b) Devices which retain visible blood adhering to inner surfaces after

use and rinsing such as intravenous tubing, hemodialysis filters, and catheters. Medical devices used in the treatment of Hepatitis B Virus or Human Immunodeficiency Virus suspected or positive patients shall be segregated as biohazardous waste.

(c) Other contaminated solid waste materials which represent a

significant risk of infection because they are generated in medical facilities which care for persons suffering from diseases requiring strict isolation criteria and listed by the U.S. Department of Health and Human Services, Center for Disease Control, " CDC Guideline for Isolation Precautions in Hospitals," July/August 1983.

"SANITARY" means free from elements, as filth or bacteria that endangers health. "SANITIZE" means to make sanitary. "SOURCE INDIVIDUAL" means any person, living or dead, whose blood or other potentially infectious materials may be a source of occupational exposure to the employee. "STERILIZE" means the use of a physical or chemical procedure to destroy all microbial life. "UNIVERSAL PRECAUTIONS" means an approach to infection control in which all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV and other bloodborne pathogens. See Appendix 2 for a more thorough definition and specific work practices. "WORK PRACTICE CONTROLS" means controls that reduce the likelihood of employee exposure to blood or other potentially infectious materials by altering the manner in which a task is performed.

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2. EXPOSURE DETERMINATION (BBP Program Job Classification List)

In order to establish the roster of employees included in this plan, the School District of Palm Beach County is required to determine which employees have the probability to incur occupational exposure to blood or other potentially infectious materials. This exposure determination is made without regard to the use of personal protective equipment.

A. Category 1 includes job classifications in which all employees in the job classification are considered to be at risk for exposure to bloodborne disease as a result of performing their duties.

All employees in the following job classifications are included in Category 1: - Adult Vocational Education Instructors in Health Care Field - Behavioral Intervention Assistants - Bus Attendants - Coordinator-Teacher/ESE - CORE Team Members - Custodians (all) - Electricians - ESE/Speech Language Impairment - ESE/Speech Pathology - Manager – FHESC Bldg. - Paraprofessional I/II (working with ESE) - Paraprofessional I/II (working with Pre-K) - Plumbers - Pre-K Early Intervention Child Development Associates - Principals/Assistant Principals - School Clinic Volunteers - School Nurses/Nurse Aides - School Police Officer - First Aid/CPR responders - School-based personnel who staff school clinics - Teacher – Elem/Physical Education - Teacher – ESE/Crisis Intervention - Teacher – ESE/EH - Teacher – ESE/Physically Impaired - Teacher – ESE/PMH - Teacher – ESE/SEH - Teacher – ESE/TMH - Teacher – ESE/VE - Teacher – Physical/Occupational Therapist - Teacher – School Psychologist

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- Teacher – Sec/Physical Education - Teacher – Voc/Family & Consumer Science (Home Economics) - Teacher – Voc/Cosmetology - Worker – Window & Lock Repair

B. Category 2 includes job classifications in which only those

employees who perform certain tasks or procedures are considered to be at risk for occupational exposure to bloodborne disease.

Employees in the following job classifications who perform the tasks listed below are included in Category 2:

Category 2 Task Alternative Education Individuals acting as First

Responders or have 1-on-1 duties with students

Bus Drivers ESE Drivers, Bus Driver II’s, Radio Drivers

School After-Care Workers Directors & Assistant Directors (SACC) acting as First Responders

Coaches Providing first aid to students

participating in the following sports: Football, Basketball, Baseball, Soccer, Wrestling, Softball, & Lacrosse

Building Mechanic If required to perform duties of plumber

Trades Helper If required to perform duties of plumber

Crisis Response Team Members - Individuals who have completed team training & act as First Responders and will be directly responsible to intervene in an emergency. Does NOT include perimeter media spokesperson, and other CRT classifications.

Mail Couriers Transporting biohazardous waste NOTE: All Category 1 and 2 employees will be offered the Hepatitis B vaccine at no cost to the employee. Employees who decline the vaccine will sign a declination statement. Employees remaining in job classifications covered by this plan who initially decline the vaccine but who wish to have it at a later date may then have the vaccine at no cost.

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C. Category 3 includes all other School District of Palm Beach County

employees who are not reasonably anticipated to be at risk of occupational exposure to bloodborne disease. Category 3 employees will be offered the Hepatitis B vaccination and medical follow up in the event of a reported exposure to blood or other potentially infectious materials during performance of job duties (for example, exposure resulting from accident, violence or other unforeseeable event). (See Section 5)

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3. COMPLIANCE METHODS Universal Precautions, hand washing, and other engineering and work practice controls will be in place to eliminate or minimize exposure of School District employees. Where occupational exposure remains after instituting these controls, personal protective equipment will be used. All School District employees will comply with exposure controls. Employees who do not utilize prescribed work procedures, controls, or protective equipment are subject to disciplinary action. The following methods of compliance will be observed:

A. Universal Precautions

Shall be observed by each School District employee with occupational exposure to prevent contact with blood or OPIM. All body fluids shall be considered infectious. (For additional specifics, see Appendix 2)

B. Handwashing

1. Readily accessible hand washing facilities with soap, water

and paper towels are located in each school building in restrooms and designated health service clinic areas.

2. Employees shall wash their hands with soap and water

immediately, or as soon as feasible, after removal of gloves or other personal protective equipment, or following contact of body areas that may be contaminated with blood or other potentially infectious materials.

3. When the use of handwashing facilities is not feasible, for

example, on buses, employees shall use and properly discard germicidal towelettes. Thereafter, employees shall wash their hands with soap and running water as soon as feasible.

C. Needles

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

D. Containers for Sharps

All contaminated sharps (including needle and syringes, lancets, broken glass, etc.) are to be discarded immediately or as soon as

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feasible in puncture resistant, leak proof sharps containers which are labeled with the biohazard symbol and warning. The containers shall be placed in all areas where these items are routinely generated, such as school clinics. See Appendix 3 for instructions on obtaining, using, and disposing of sharps containers.

E. Contaminated Supplies and Regulated Biomedical Waste

Items used for minor first aid care, personal care, or cleanup of minor body fluid spills that are not saturated with body fluids shall be handled with universal precautions as if they were infectious. Examples include, but are not limited to, soiled bandages, swabs, wipes, diapers, sanitary napkins and spill sorbents. These items do not require disposal as biohazardous waste. They will be contained in plastic lined containers, closed, and disposed of with daily trash in a larger, heavy-duty plastic bag of sufficient strength to preclude bursting and tearing during handling, storage or transport. See Appendix 3 for the definition of regulated biohazardous waste and complete instructions for management and disposal.

F. Work Area Restrictions

1. In work areas such as the school Health Room or other

designated areas where there is reasonable likelihood of exposure to blood or other potentially infectious materials, employees are not to eat, drink, apply cosmetics or lip balm, smoke or handle contact lenses. Food and beverages may not be kept in the same refrigerators, freezers, shelves, cabinets or on counter tops where blood or OPIM are present.

2. In all procedures involving blood or OPIM, exposure will be

minimized by the techniques used and by performing all health care procedures in a way that minimizes splashing, spraying, and spattering. Mouth pipetting/suctioning of blood or other potentially infectious materials is prohibited.

G. Specimens

Specimens of blood or OPIM will be placed in a container which prevents leakage during the collection, handling, processing, storage and transport or shipment. Containers will be labeled or color-coded according to OSHA standards. If outside contamination of the primary container occurs, it shall be placed

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within a second leak-proof, appropriately labeled or color-coded container.

H. Contaminated Equipment

1. The school Principal or Principal's designee is responsible

for ensuring that equipment which has become contaminated with blood or other potentially infectious materials is examined prior to servicing or shipping and decontaminated as necessary.

2. Medical equipment (such as equipment used in health

screening or equipment used with students who require technology to support their school attendance) that cannot be completely decontaminated before shipping must be labeled with a biohazard label. Such labels will contain information as to what surfaces or portions of the equipment are still contaminated.

NOTE: Labels can be obtained from the Department of Risk & Benefits Management at 434-8176 or PX 48176.

I. Personal Protective Equipment (PPE)

1. PPE Selection

A list of PPE that shall be provided for various school locations and employee job categories is included as Appendix 4. Additional PPE shall be provided where deemed necessary and appropriate for performance of specific tasks. Selection of additional items is the responsibility of the school Principal or Department Head. Technical assistance for PPE selection may be obtained from the Department of Risk & Benefits Management.

NOTE: PPE shall be considered "appropriate" only if it does not permit blood or other potentially infectious materials to pass through to or reach the wearer'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.

The School District Purchasing Department and the Department of Risk & Benefits Management will jointly ensure that appropriate types of PPE are placed in warehouse stores.

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2. PPE Provision

Each school Principal and Department Head is responsible for ensuring that funds are budgeted and PPE required for staff use is purchased in quantities sufficient to supply anticipated need. Sharps containers and red bags will be funded through the Department of Risk & Benefits Management.

3. PPE Accessibility

Each school Principal and Department Head (or designee) shall ensure that appropriate PPE in the correct sizes is readily accessible at each site or is issued to designated staff and repaired or replaced as necessary to maintain its effectiveness.

4. PPE Use

Employees shall use appropriate PPE whenever there is a potential for occupational exposure.

Each school is responsible for the monitoring of school-based personnel to insure that PPE is used appropriately and supply is adequate.

5. PPE Cleaning, Laundering and Disposal

a. All PPE will be laundered or disposed of by the

employer at no cost to the employees. All repairs or replacements will be made by the employer at no cost to the employees.

b. If a garment is penetrated by blood or other potentially

infectious materials, the garment shall be removed immediately or as soon as feasible.

Note: Cleaning, Laundering or Disposal of Uniforms. Any employee’s uniform issued by the District which

becomes contaminated by blood or other potentially infectious material shall be removed immediately or as soon as possible and will be handled as follows;

Depending on the severity of the contamination,

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(1). Slightly Soiled - Uniform will be collected in a bio-hazardous red bag and laundered by a commercial cleaners at no cost to the employee.

(2). Moderately Soiled – Uniform will be collected in a bio-hazardous red bag and laundered by an OSHA approved commercial cleaners at no cost to the employee.

(3). Heavily Soiled - Uniform will be collected in a bio-hazardous red bag and shall be disposed of by Risk Management and replaced at no cost to the employee.

This determination shall be made by the Risk/Safety Manager in cooperation with the affected employee’s Department Head.

c. All PPE will be removed prior to leaving the work area

and placed in designated containers for storage, washing, decontamination or disposal.

d. Disposable gloves will be used for all procedures

other than for utility purposes. Disposable gloves are not to be washed or decontaminated for re-use and are to be replaced as necessary.

e. So long as ability to function as a protective barrier is

not compromised, rubber utility gloves may be reused after decontaminating by rinsing in an approved disinfectant cleaning product (see Section J.2 below). Utility gloves shall be discarded if they are cracked, peeling, torn, punctured or show other signs of deterioration.

J. Housekeeping

1. All schools in the School District of Palm Beach County will

be inspected and cleaned with an EPA approved disinfectant cleaning product.

AREA SCHEDULE

Health Service Daily

All bathrooms Daily

2. All contaminated work surfaces will be decontaminated after completion of procedure(s) and immediately or as soon as feasible following the occurrence of any blood or OPIM spill,

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as well as at the end of the work shift if surfaces have become contaminated since the last cleaning.

3. Materials used for decontamination include the following:

a. EPA approved, tuberculocidal, viricidal disinfectant

cleaner, mixed according to label directions.

b. Carpet cannot be effectively disinfected but can be cleaned and sanitized using an appropriate cleaning agent labeled for such use.

4. All housekeeping bins, pails, cans, waste containers and similar receptacles and cleaning equipment are inspected following each use, and cleaned and decontaminated as necessary by the user.

5. Broken glassware which may be contaminated with blood or OPIM will be picked up with dustpans and hand brooms to avoid personal contact and discarded in a sharps container.

K. Laundry Procedures

1. Gloves shall be worn whenever handling soiled laundry.

2. Student's personal clothing items replaced because they are

soiled with urine, feces or vomit will be handled with precautions, bagged in a closed plastic bag and sent home with the student for home care.

L. Labels and Biohazard Warnings

Warning labels shall be affixed to sharps containers, regulated waste containers, refrigerators containing specimens of blood or other potentially infectious materials, and other containers used for storage or transport, according to the following requirements. NOTE: Labels may be obtained from the Department of Risk & Benefits Management at 434-8176 or PX 48176.

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1. Labels shall include the following legend:

2. Labels shall be fluorescent orange or orange-red or predominantly so, with lettering or symbols in a contrasting color.

3. Labels shall be closely fastened to the container by string,

wire, adhesive, or other method that prevents their loss or unintentional removal.

4. Containers sealed in preparation for off-site transport shall

be labeled in accordance with 1 through 3 above, and label must also include name and address of the school or facility that generated the waste.

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4. HEPATITIS B VACCINATION

As authorized by the Superintendent and approved by the School Board, the School District of Palm Beach County offers the Hepatitis B vaccination series at no cost to those designated employees who are considered to have potential occupational exposure, and in conjunction with post-exposure follow-up for all other employees who have an occupational exposure involving blood or OPIM. A. Pre-Exposure Vaccination

1. For employees in Categories 1 and 2 (see Paragraph III -

Exposure Determination), the vaccine will be offered after training but within ten (10) working days of their initial assignment to job duties which may involve the potential for occupational exposure to blood or other potentially infectious materials (OPIM) unless the employee has previously had the vaccine or wishes to submit results of antibody testing which shows the employee to have sufficient immunity. Employees who decline the vaccine will be required to sign a PBSD 1503 in the declination box. Any Category 1 or 2 employee can request immunization at any future time without cost, as long as the employee continues to perform job duties covered by this Exposure Control Plan.

2. After training, vaccinations may be obtained by appointment

with any of the area medical care providers designated to provide pre-placement physicals for the School District of Palm Beach County. A signed form PBSD 1503 "Bloodborne Pathogens Training Program" is required by the care provider as authorization for the vaccinations. This form is issued at the training class and signed by the employee.

B. Post-Exposure Vaccination

1. For Category 1 and 2 employees who decline the

vaccination and for all Category 3 employees, the vaccine will be offered (unless medically contraindicated) if the employee incurs an occupational exposure in any situation involving the presence of blood or OPIM. In these cases, the vaccination will be offered along with counseling and preventive therapy during the post-exposure medical follow-up described in Section VI below. Employees who decline

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the Hepatitis B vaccine will sign a declination statement. Employees who initially decline the vaccine but who later wish to have it may then have the vaccine provided at no cost.

C. Records of Vaccination Status

Records of employee vaccination status shall be maintained as described below (see Section VI, Paragraph D - Medical Records).

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5. POST EXPOSURE EVALUATION AND FOLLOW-UP

A. Exposure Incident Reporting

1. The standard defines as "exposure incident" as specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood other than one's own or other potentially infectious materials that results from the performance of an employee's duties. When the employee incurs an exposure incident, it shall be reported to the senior site administrator (usually the school Principal or their designee) immediately or as soon as feasible, but in no case later than the end of the work shift in which the incident occurred.

2. Exposure incident reports shall include the following

information:

- circumstances of incident - routes of exposure - source individual, if known

3. The senior site administrator (school Principal, Department

Head, or designee) shall ensure that the exposure incident is reported to the Department of Risk & Benefits Management - Workers' Compensation Section and that the exposed employee is sent for medical evaluation and appropriate follow-up care as soon as possible, according to current procedures for Workers' Compensation. Post-exposure medical evaluation and follow-up must be initiated no later than 24 hours after the exposure incident, per OSHA requirements. Forms included as Appendix 5 and 6 must be sent to the physician or hospital along with the completed Medical Authorization Form.

B. Medical Evaluation of Exposure Incidents

Medical evaluation of exposure incidents and follow-up will be accomplished as delineated below.

1. The exposed individual's blood will be collected by the health

care provider as soon as feasible after the exposure incident.

2. The employee will be offered the option of having their blood collected for testing of HIV/HBV status. In the event that the employee does not consent to HIV serological testing, the

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blood sample will be preserved by the laboratory for 90 days to allow the employee to decide if they want the blood test.

3. Medical follow-up for reported exposure to blood/OPIM shall

be performed according to the protocol established in the OSHA Regulation 29 CFR 1910.1030, with post-exposure prophylaxis when medically indicated as recommended by the U.S. Public Health Service. This will include offering the Hepatitis B vaccination unless medically contradicted. Hepatitis B immune globulin may also be indicated in some cases.

When blood testing is performed as part of the evaluation, pre- and post test counseling shall be conducted in accordance with Florida Administrative Code 10D-93.070, including training of the individual performing counseling.

Results of blood test and patient HIV/HBV status shall be kept confidential and shall not be reported back to the School District. The source individual's blood will be tested for HIV/HBV status, with written consent, unless written documentation of current status is provided by the source individual's health care provider. Counseling shall be conducted by the school administrator/supervisor in accordance with Florida Administrative Code 10D-93.070.

4. The employee will be offered post exposure HBV treatment

in accordance with the current recommendations of the U.S. Public Health Service (Appendix 7). Pre- and post-test HIV counseling will be provided in accordance with Florida Statutes.

5. The employee will be given appropriate counseling

concerning precautions to take during the period after the exposure incident. The employee will also be given information on what potential illnesses to be alert for and to report any related experiences to appropriate personnel.

6. A written opinion shall be obtained from the health care

professional who evaluates the School District employee as a result of an exposure incident. Written opinions will be obtained by the Department of Risk & Benefits Management within seven days. The Department of Risk & Benefits Management shall forward a copy of this report to the employee within 15 days after completion of the medical evaluation.

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7. As shown on the medical follow-up reporting form (Appendix

6), the health care professional shall limit the written opinion to: a. Whether the HBV vaccination is indicated for the

employee and if the employee has received the initial dose of such vaccine.

b. The medical professional's written opinion for post-

exposure follow-up consisting of the following information:

- A statement that the employee has been

informed of the results of this evaluation;

and

- A statement that the employee has been told about any medical condition resulting from exposure to blood or other potentially infectious materials which require further evaluation or treatment. (All other findings or diagnoses shall remain confidential and shall not be included in the written report)

C. Corrective Actions Following Exposure Incidents

Whenever an employee experiences an exposure incident, the cognizant school Principal or Department Head shall ensure that the circumstances surrounding the incident are evaluated, to identify and correct problems in order to prevent recurrence of similar incidents. The evaluation shall consider the following elements:

1. Engineering controls in place at the time of the exposure

incident.

2. Work practice controls in place at the time of the exposure incident.

3. Personal protective equipment and clothing utilized at the

time of the exposure incident.

4. Policy and control failures, if any.

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NOTE: Incident evaluations should be documented on the form included as Appendix 7. Physician gets the original and Risk and Benefits Management and the employee get a copy.

D. Medical Records

Accurate medical records shall be established and maintained for each employee with occupational exposure.

1. Medical records will be maintained by the Department of

Risk & Benefits Management.

2. These medical records shall include:

a. Employee's name and Social Security Number (last 4 digits)

b. A copy of employee's Hepatitis B vaccine record

c. A copy of the health care professional's written report/opinion

d A copy of the information provided to the evaluating

health care professional.

3. Copies of examination results, test results, and follow-up procedures will be maintained as confidential medical records by the medical care provider who provided the service. These records will not be reported or transmitted to the Department of Risk & Benefits Management.

4. Employee medical records shall be kept secure and

confidential. For access requirements see Paragraph VIII - Records Access.

5. Employee medical records shall be maintained for the

duration of employment plus thirty (30) years.

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6. INFORMATION AND TRAINING

A. All employees with occupational exposure shall participate in an infection control training program which will be provided as follows:

1. New hires assigned to job classifications or tasks having

occupational exposure (Categories 1 and 2) shall receive Bloodborne Pathogens paperwork. Initial Bloodborne Pathogens training is presented to all new employees during New Employee Orientation (NEO). A completed Form PBSD 1503, "Bloodborne Pathogens Training Program" (obtained at the class) will be given to all employees in a Category 1 or 2 job description. Form PBSD 1503 will be collected by a staff member. The detailed hiring process is described in Appendix 8.

NOTE: School Principals and Department Heads shall ensure that all Category 1 and 2 job descriptions are reviewed annually to reflect the potential for occupational exposure to bloodborne disease, to expedite in identifying training requirements of new employees.

2. Employees who are reassigned into job classifications or

tasks having occupational exposure (Categories 1 and 2) shall be trained prior to performance of duties where exposure may occur. Training content and schedule is the same as for new hire.

3. All Category 1 and 2 employees shall complete annual

refresher training. Refresher training will be coordinated by the Department of Risk & Benefits Management.

4. When tasks or procedures involving occupational exposure

are added or modified, additional specific training shall be provided by the school or organization. The cognizant school Principal or Department Head shall ensure that updated training is provided to all affected employees. Assistance with training content can be obtained from the Department of Risk & Benefits Management.

B. Training for all employees shall include:

1. Access to a copy of the OSHA Standard and an explanation

of its contents.

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2. A general explanation of the epidemiology and symptoms of bloodborne diseases.

3. An explanation of the modes of transmission of bloodborne

pathogens.

4. An explanation of this Exposure Control Plan and access to it.

5. An explanation of the appropriate methods for recognizing

tasks and other activities that may involve exposure to blood or other potentially infectious materials.

6. An explanation of the use and limitations of methods that will

prevent or reduce exposure, including appropriate engineering controls, work practices and personal protective equipment.

7. Information on the types, proper use, removal, location,

handling, decontamination and disposal of personal protective equipment and clean up kits, and proper handling and disposal of infectious waste and discarded sharps.

8. An explanation of the basis for selection of personal

protective equipment.

9. Information on the Hepatitis B vaccination and process to obtain vaccination.

10. Information on appropriate actions to take in the event of an

exposure incident, including:

a. What to do; b. Who to contact; c. Method of reporting the incident; and d. Post exposure evaluation and follow-up.

11. An explanation of proper signs, labels and color-coding.

12. An opportunity for interactive questions and answers with the

person conducting the training. The trainer must be knowledgeable in the subject matter and the workplace addressed in the training.

13. Records of each training session shall be kept, including:

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a. Dates of the training sessions; b. The content or a summary of training; c. Names and qualifications of person(s) conducting the

training; d. Names and job titles of all persons attending training.

14. Training records shall be maintained for a period of three (3)

years from the date of training. Training records shall be maintained by the Department of Risk & Benefits Management.

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7. RECORD ACCESS

A. Employee's medical records shall be provided upon request to the employee or to anyone having the employee's specific written consent, in accordance with 29 CFR 1910.20.

B. All medical and training records shall be made available to the

Assistant Secretary of Labor for Occupational Safety and Health, the Director of the National Institute for Occupational Safety and Health.

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8. EXPOSURE CONTROL PLAN IMPLEMENTATION

A. Schedule All provisions required by this Plan were implemented April 1, 1994.

B. Responsibilities

1. School Principals and Department Heads shall:

a. Ensure that all employees in category 1 and 2 are identified and scheduled for training, and offered Hepatitis B vaccinations.

b. Evaluate job descriptions annually for category 1 and

2 employees to include potential for occupational exposure to bloodborne pathogens. Ensure that job descriptions are reviewed for exposure potential and categorized whenever created or revised.

c. Notify Personnel Information Management of changes

in employees' job classifications or significant job duties, so that personnel records reflect employees' current status.

d. Obtain and provide personal protective equipment

(PPE) to employees according to requirements in Paragraph IV.I., and ensure that employees utilize PPE as required to prevent exposure.

e. Ensure that necessary housekeeping measures and

custodial procedures are implemented in the workplace.

f. Provide all necessary containers and labels for

regulated biohazardous waste generated by the school or facility, and ensure that regulated biohazardous waste is properly segregated from all other solid waste and disposed of in accordance with state laws and School District policies. See Appendix 3.

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g. Ensure that all employees who are exposed to blood or OPIM in workplace incidents are referred for medical evaluation within 24 hours following the exposure incident, utilizing reporting procedures established by the Department of Risk & Benefits Management/Workers' Compensation section. Ensure that the forms included in Appendix 5, 6 and 7 are completed and provided to the examining physician at the time of employee referral.

h. Ensure that all exposure incidents are evaluated for

necessary corrective actions and that corrective actions are implemented. Incident evaluation shall be completed no later than seven days after the exposure incident. (See Section VI, Paragraph C for specifics)

i. Maintain a copy of this Exposure Control Plan at each

school or facility and ensure that employees are granted access to review the Plan on request.

j. Contact the Department of Risk & Benefits

Management to recommend necessary changes or updates to this Exposure Control Plan.

2. The Department of Risk & Benefits Management shall:

a. Provide annual review and any necessary updates to

this Exposure Control Plan.

b. Provide assistance to schools and facilities to coordinate implementation of the provisions of this plan.

c. Maintain employee training records required under

this plan.

d. Complete applications for any necessary permits for generation and disposal of regulated biohazardous waste.

e. Coordinate initial Bloodborne Pathogens Training with

New Employee Orientation (NEO).

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f. Maintain employee medical records, including records of employee vaccination status and medical evaluations of exposure incidents, in confidential personnel files.

g. Ensure that continuing medical service is provided for

Hepatitis B vaccinations for new hires that are covered by this plan.

3. The Department of Risk & Benefits Management will ensure

that all records of exposure incidents are placed in the appropriate employee medical files.

4. Procurement and Warehousing shall jointly assure that

personal protective equipment (PPE) items listed in Appendix 4 are purchased and maintained in warehouse stores at stocking levels adequate to meet District needs.

5. All School District employees shall:

a. Follow work practices specified in this Exposure

Control Plan and any protocols/procedures specific to the work site.

b. Wear all PPE supplied and required to prevent

exposure to blood or OPIM during performance of job duties.

c. Utilize sharps containers and other engineering

controls provided to prevent workplace exposure.

d. Report immediately to the school Principal or Department Head (or designee) any suspected workplace exposure to blood or OPIM, so that prompt medical treatment can be initiated.

e. Contact the Department of Risk & Benefits

Management to recommend any necessary changes or updates to this Exposure Control Plan.