YES

NO

1.The exposure control plan is located in each work center.

2.Employees at occupational risk for bloodborne pathogens exposure are

identified.

3.Employees comply with universal precautions when performing duties.

4. Employees appropriately use engineering controls in the work center.

5. Employees employ safe work practices in performance of duties.

6. Hand washing facilities are readily accessible in the work centers.

7. Employees regularly wash their hands, especially after glove removal.

8. Employees deposit contaminated sharps in biohazard containers

immediately after use.

9. Employees change filled biohazard containers when full.

10. Employees do not eat, drink, apply cosmetics or lip balm, smoke, or

handle contact lenses in the work area.

11. Food and beverages are not kept in close proximity to blood or bodily fluids.

12. Employees do not mouth pipette/suction blood or bodily fluids.

13. Employees place specimens in leak resistant containers after collection.

14. Employees place specimens in biohazard leak proof containers for

shipment.

15. Employees properly decontaminate equipment before servicing or shipping for repairs or place a biohazard label to inform others the equipment remains contaminated.

16. Employees wear the designated fluid resistant personal protective equipment/attire appropriate for the task at hand.

17. Employees place the contaminated personal protective equipment

in the appropriate receptacles.

18. Employees maintain a clean environment at all times.

19. Employees use an EPA approved germicide properly to decontaminate and clean the facility and equipment.

20. Employees know the safe procedure for contaminated, broken glass clean up.

21. Employees properly separate regulated medical waste and waste in

designated biohazard leak resistant receptacles and transport regulated

waste in leak proof containers.

22. Employees place wet laundry in leak resistant bags or containers and

transport used laundry in biohazard leak proof containers.

23. Each employee knows his documented hepatitis B vaccine status.

24. Employees know where and to whom to report exposure incidents.

25. An employee occupational exposure protocol is practiced in accordance

with U.S. Public Health Service.

26. Employees are oriented and receive annual training to the exposure

control plan.

27. Recording and reporting occupational exposures are conducted in

accordance with OSHA’s Bloodborne Pathogens Standard.

28. Medical and training records are maintained in accordance with OSHA’s

Bloodborne Pathogens Standard.