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Common OSHA Standards and Occupational Safety Best Practices for Hospitals & Healthcare

Accident Investigation & Medical Services and First Aid

Standard(s)
Accident Investigation -  29 CFR 1960.29                 
Medical Services and First Aid - 29 CFR 1910.151
Resource(s)
Importance of Root Cause Analysis During Incident Investigation - OSHA
Enforcement
Field Operations Manual (FOM) – CPL 02-00-164 - OSHA

Bloodborne Pathogens

Standard(s)
Bloodborne Pathogens -  29 CFR 1910.1030
Resource(s) 
Model Exposure Control Plan (with sample Sharps Log on page 13) – OSHA
OSHA Fact Sheet – OSHA’s Bloodborne Pathogens Standard – OSHA
Bloodborne Pathogens – Self Inspection Checklist – NIOSH & CDC
Tips for Improving Your Exposure Control Plan – NIOSH & CDC
Enforcement  
Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens - OSHA

COVID-19 Emergency Temporary Standard

Standard(s)
COVID-19 Healthcare ETS  Subpart U – COVID-19 Emergency Temporary Standard
Resource(s)
7/8/2021 OSHA ETS IRMS/ICT Webinar Slide Presentation
7/8/2021 OSHA ETS IRMS/ICT Webinar Recording    (password bW9Mx3J2)
IRMS/ICT COVID-19 ETS Reference Guide
COVID-19 Healthcare Worksite Checklist & Employee Job Hazard Analysis
COVID-19 Plan Template
ETS FAQs (Frequently Asked Questions)
Employee Training Presentation – Healthcare ETS
Employee Training Presentation – Mini Respiratory Protection Program
OSHA Fact Sheet and Sample COVID-19 Log
ETS OSHA Recordkeeping Rule for Reporting Work Related COVID-19 Fatalities and In-Patient Hospitalizations
Enforcement
OSHA Inspection Procedures for COVID-19 Emergency Temporary Standard

Electrical Safety

Standard(s)
Electrical Safety –   29 CFR 1910 Subpart S - Electrical
Resource(s)
CONTROLLING ELECTRICAL HAZARDS - OSHA
Enforcement
Electrical Safety-Related Work Practices - Inspection Procedures and Interpretation Guidelines

Emergency Action Plans

Standard(s)
Emergency Action Plans – 20 CFR 1910.38
Resource(s)
Hospitals and Community Emergency Response – What You Need to Know - OSHA
Emergency Preparedness and Response - OSHA
Enforcement
Compliance Policy for Emergency Action Plans and Fire Prevention Plans – CPL 2-1.037

Fire Protection

Standard(s)
Fire Protection – 29 CFR 1926.150
Fire Prevention Plans – 29 CFR 1910.39
Resource(s)
Fire Prevention Plan Requirements - OSHA                                                                                                                                           
Enforcement   
Compliance Policy for Emergency Action Plans and Fire Prevention Plans – CPL 2-1.037

Hazard Communication - Toxic and Hazardous Substances

Standard(s)
Hazard Communication Standard 
Resource(s) 
Model Hazard Communication Plan (starts on page 18) - OSHA
Enforcement
Inspection Procedures for the Hazard Communication Standard (HCS 2012) - CPL 02-02-079

Ionizing Radiation

Standard(s)
Radiation Safety
Resource(s)
IONIZING RADIATION – OSHA
Enforcement  
Memorandum of Understanding Between OSHA & the U.S. Nuclear Regulatory Commission – CPL 02-00-086

Lasers

Standard(s)
Nonionizing Radiation – 29 CFR 1926.54
Resource(s)
Laser Safety – Surgical Suite – Use of Medical Lasers – OSHA Hospital eTool
Enforcement
OSHA Technical Manual (OTM) Section III:  Chapter 6 – Laser Hazards

Personal Protective Equipment

Standard(s)
Personal Protective Equipment – 1910.132
Resource(s) 
Personal Protective Equipment – OSHA
PPE Hazard Assessment Form – Duke Occupational & Environmental Safety Office
Enforcement   
Enforcement Guidance for Personal Protective Equipment – CPL 02-01-050

Respiratory Protection Program

Standard(s)
Respiratory Protection Program    29 CFR 1910.134
Resource(s)
Hospital Respiratory Protection Program Toolkit - OSHA 3767
Enforcement  
Inspection Procedures for the Respiratory Protection Standard – CPL 02-00-158

Recordkeeping & Reporting

Standard(s)
OSHA Recordkeeping Compliance     29 CFR 1904.7
Resource(s)
IRMS/ICT OSHA Recordingkeeping & Recording in the Healthcare Setting
IRMS/ICT OSHA Recordkeeping Presentation Recording (password fPqm7Fpp)
IRMS/ICT OSHA Recordkeeping Presentation Slides
OSHA Injury and Illness Recordkeeping and Reporting Requirements
OSHA – Injury Tracking Application (ITA) Login – Electronic Reporting of OSHA 300A TO OSHA
BLS Survey of Occupational Injuries & Illnesses - Login - Internet Data Collection Facility (IDCF)
OSHA – Report a Fatality or Severe Injury - Website
Enforcement
OSHA Instruction CPL 02-00-135, Recordkeeping Policies and Procedures Manual (RKM)
Revised Interim Enforcement Procedures for Reporting Requirements under 29 C.F.R. 1904.39

Safe Patient Handling

Standard(s)
IL Health Facilities Member Act (SPH Policy) 210 ILCS 85/6.25 P.A. 96-389 
Resource(s) 
Safe Patient Handling – A Self Assessment - OSHA
Safe Patient Handling (SPH) – Safe Patient Handling Program Checklist - OSHA
Enforcement   
Inspection Guidance Memo for Inpatient Healthcare Settings (safe patient handling section in Attachment 2)

Slips, Trips & Falls  aka - Walking-Working Surfaces

Standard(s)
Walking-Working Surfaces - 29 CFR 1910.22
Ladders - 29 CFR 1910.23
Stairways - 29 CFR 1910.25
Resource(s)
Slip, Trip, and Fall Prevention for Healthcare Workers - NIOSH
Stairways and Ladders (A Guide to OSHA Rules) – OSHA
Enforcement   
CPL 03-00-016 - Pages 23 & 24

Workplace Violence

Standard(s) 
Healthcare Violence Prevention Act (IL Only) – 210 ILCS 160 - 2019
Resource(s)  
Preventing Workplace Violence: A Roadmap for Healthcare Facilities
Guidelines for Preventing WP Violence for Health & Social Svc Workers - 3148 - 2016 - OSHA
Hospital eTool: Healthcare Wide Hazards - Workplace Violence
Workplace Violence in Hospitals: A Toolkit for Prevention and Management - OREGON ASSOC OF Hospitals Research & Education Foundation
Workplace Violence Prevention Course for Nurses - NIOSH
Healthcare Violence Prevention Act 210 ILCS 160 - 2019
Physical & Verbal Violence Against Healthcare Workers - SENTINEL EVENT - JC
Assault Halt - Guidance & Resources to Curb WPV - JOINT COMMISSION & OSHA
Workplace Violence Prevention - New and Revised Requirements - Joint Commission Standards

Enforcement
Enforcement Procedures for Investigating or Inspecting Workplace Violence Incidents – CPL 02-01-058