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					ABM                                                         Bloodborne Pathogen Exposure Control Plan




   EXPOSURE CONTROL PLAN
                                  FOR
                          BLOODBORNE PATHOGENS




             ACCORDING TO OSHA 29 CFR 1910.1030
                                           Revised: February 2012

To be kept in back of MSDS Book. Employees may obtain a separate copy by requesting one from their
Regional Safety Administrator




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ABM                                                 Bloodborne Pathogen Exposure Control Plan




                             EXPOSURE CONTROL PLAN
                               TABLE OF CONTENTS


                                                                                Page #

Section A     Introduction to OSHA Standard 29 CFR Part 1910.1030                   1

Section B     Exposure Control Plan                                                 3

              I.      Communicating Hazards                                        3
              II.     Exposure Determination                                       4
              III.    Compliance Methods                                           5
              IV.     Hand Washing Facilities                                      6
              V.      Contaminated Sharps                                          6
              VI.     Needles                                                      6
              VII.    Splashing Controls                                           6
              VIII.   Specimens                                                    7
              IX.     Contaminated Equipment                                       7
              X.      Personal Protective Equipment                                7
              XI.     Disposal of Contaminated PPE                                 8
              XII.    Gloves                                                       8
              XIII.   Masks/Protective Equipment & Clothing                        9
              XIV.    Contaminated Surfaces                                        9
              XV.     Laundry Procedures                                           9
              XVI.    Regulated Waste Disposal                                    10

Section C     Hepatitis B Vaccine                                                 11

Section D     Exposure Reporting, Evaluation & Follow-up                          12

Section E     Interaction with Healthcare Professionals                           14

Section F     Employee Bloodborne Pathogen Training                               15

Section G     Recordkeeping                                                       16

Section H     Glossary of Terms                                                   17

Appendices            A.      Information on Hepatitis B                          20
                      B.      Hepatitis B Vaccination Form                        21
                      C.      Exposure Incident Report                            22




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ABM                                                    Bloodborne Pathogen Exposure Control Plan


                                           SECTION A

      INTRODUCTION TO OSHA STANDARD 29 CFR PART 1910.1030

Acquired Immunodeficiency Syndrome (AIDS) and Hepatitis B merit serious concern for
workers occupationally exposed to blood, other potentially infectious materials, and
certain other body fluids that contain bloodborne pathogens such as the human
immunodeficiency virus (HIV), and the Hepatitis B virus (HBV). According to
Occupational Safety and Health Administration (OSHA) estimates, more than 5.6
million workers in health care and public safety occupations could be potentially
exposed to these viruses.

These workers include, but are not limited to, physicians, dentists, dental employees,
phlebotomists, nurses, morticians, paramedics, medical examiners, laboratory and
blood bank technologists and technicians, housekeeping personnel, laundry workers,
employees in long-term care facilities, and home care workers. Other workers who may
be occupationally exposed to blood or other potentially infectious materials, depending
on their work assignments, include research laboratory workers, and public safety
personnel (fire, police, rescue, correctional officers, etc.).

Exposure to bloodborne pathogens may occur in many ways. Although needlestick
injuries are the most common means of exposure for health care workers, bloodborne
pathogens also can be transmitted through contact with the mucous membranes and
non-intact skin of workers.

OSHA recognizes the need for a regulation that prescribes safeguards to protect
workers against the health hazards related to bloodborne pathogens. Thus, with the full
implementation of its standard, OSHA aims to reduce the risk of occupational exposure
to bloodborne diseases.

 ABM has developed the Exposure Control Plan to comply with this federal law. All
employees who are reasonably anticipated to have occupational exposure to
bloodborne pathogens will be trained according to the regulations set forth in 29 CFR
Part 1910.1030.

This Exposure Control Plan shall be reviewed and updated as necessary to reflect
new or modified tasks and procedures which affect occupational exposure and to
reflect new or revised employee positions with occupational exposure. The review
and update of such plans shall also:
Reflect changes in technology that eliminate or reduce exposure to bloodborne
pathogens to our employees.
 ABM solicits input from non-managerial employees who are potentially exposed to
injuries from contaminated sharps in the identification, evaluation, and selection of



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ABM                                                   Bloodborne Pathogen Exposure Control Plan


effective engineering and work practice controls and shall document the solicitation
in the Exposure Control Plan.
Additionally, this document is reviewed annually by the Facility Division’s Director of
Safety. This review process includes the solicitation of input from Industries’ Vice
President of Safety Services.

Note: Any revisions made to this general control plan at a specific site, must be
      notated below. The most recent additions and modifications to this
      document include:
           1. November 22, 2004: Significant general review and revision.
           2. October 20, 2005: Improvements to Control Plan appendices.
           3. April 20, 2006: Formalizing the review process within the Control Plan.
           4. February 28, 2007:           Updating   the    Hepatitis   B    Vaccination
              Consent/Waiver Form.
           5. June 2, 2008: Clarifying the responsibilities related to the employee
              communication and training. Proper handling of blood of OPIMs.
              Clarifying recordkeeping responsibilities and requirements.




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ABM                                                    Bloodborne Pathogen Exposure Control Plan




                                           SECTION B

                             EXPOSURE CONTROL PLAN

I.     COMMUNICATION OF HAZARDS

 ABM shall ensure that all employees with occupational exposure participate in a
training program which must be provided at no cost to the employee and during working
hours.

Training shall be provided at the time of initial assignment to tasks where occupational
exposure may take place. Refresher training will then take place at least annually
thereafter as all employees shall be provided training within one year of their previous
training.

Employers shall provide additional training when changes such as modification of tasks
or procedures or institution of new tasks or procedures affect the employee's
occupational exposure. The additional training may be limited to addressing the new
exposures created.

The training program shall contain at a minimum the following elements:
             I.     An accessible copy of the regulatory text of this standard and an
                    explanation of its contents;
             II.    A general explanation of the epidemiology and symptoms of
                    bloodborne diseases;
             III.   An explanation of the modes of transmission of bloodborne
                    pathogens;
             IV.    An explanation of the employer's exposure control plan and the
                    means by which the employee can obtain a copy of the written
                    plan;
             V.     An explanation of the appropriate methods for recognizing tasks
                    and other activities that may involve exposure to blood and other
                    potentially infectious materials;
             VI.    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;
             VII.   Information on the types, proper use, location, removal, handling,
                    decontamination and disposal of personal protective equipment;
             VIII.  An explanation of the basis for selection of personal protective
                    equipment;
             IX.    Information on the hepatitis B vaccine, including information on its
                    efficacy, safety, method of administration, the benefits of being
                    vaccinated, and that the vaccine and vaccination will be offered
                    free of charge;



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ABM                                                 Bloodborne Pathogen Exposure Control Plan


              X.      Information on the appropriate actions to take and persons to
                      contact in an emergency involving blood or other potentially
                      infectious materials;
              XI.     An explanation of the procedure to follow if an exposure incident
                      occurs, including the method of reporting the incident and the
                      medical follow-up that will be made available;
              XII.    Information on the post-exposure evaluation and follow-up that the
                      employer is required to provide for the employee following an
                      exposure incident;
              XIII.   An explanation of the signs and labels and/or color coding required
                      by paragraph (g)(1); and
              XIV.    An opportunity for interactive questions and answers with the
                      person conducting the training session.

II.    EXPOSURE DETERMINATION

       The following job classifications and duties are reasonably anticipated to have
       exposure to bloodborne pathogens.

       A.     Supervisors - Chance of exposure is extremely rare when demonstrating
              procedures or assisting in maintenance or custodial tasks.

       B.     Maintenance/ Custodial Worker - Chance of exposure is rare when
              disposing trash into dumpsters, cleaning public garage/ surface lots and
              cleaning office facilities.

       C.     Medical Facility Valet Attendant - Chance of exposure is extremely rare
              preforming normal job duties.

       D.     All Workers - Chance of exposure is occasional when any employee
              attempts to clean blood or other potentially infectious material or broken
              glass in general work areas. Personal Protective Equipment (PPE- gloves,
              eye protection) must be worn at all times in these instances.




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ABM                                                 Bloodborne Pathogen Exposure Control Plan


III.   COMPLIANCE METHODS

        A.     Universal Precautions shall be observed at all of our facilities. All blood
               or other potential infectious material (OPIM) will be considered to be
               infectious regardless of the perceived status of the source individual.

        B.     The following Engineering or Work Practice Controls have been
               established to eliminate or minimize exposure. These are extremely
               important in preventing the spread of infection.

                1.    Hand washing facilities and/or antiseptic soap dispensers are
                      provided for immediate use after contamination.

                2.    All affected employees will wash their hands as soon as possible
                      after any exposure, after removal of any personal protective
                      equipment and before leaving the medical facility area.

                3.    Disposable latex gloves will be worn when handling or working
                      around all potentially contaminated areas.

                4.    All potentially contaminated areas and equipment will be cleaned
                      and disinfected routinely using a qualified disinfectant.

                5.    Puncture-resistant disposal containers for contaminated sharp
                      instruments must be utilized in all medical areas.

                6.    Use caution when cleaning countertops, behind objects on
                      countertops and when changing trash liners as needles are often
                      found accidentally hidden in these areas.

                7.    Caution must be used when cleaning sinks as needles may have
                      slipped down into the drain.

                8.    Notify your supervisor if you locate any broken glassware that may
                      be contaminated. Do not pick up directly with your hands; medical
                      personnel only should clean it up with a brush and dustpan, tongs,
                      cotton swabs or forceps.

                9.    Contaminated clothing or personal protective equipment shall not
                      be worn outside the medical work area. The clothing shall be
                      placed and transported in bags or containers to be decontaminated
                      before laundered.

                10.   Food and drink must not be stored in any refrigerator, freezer, and
                      cabinet or counter top where blood or OPIM is stored or may come
                      in contact with.



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ABM                                                  Bloodborne Pathogen Exposure Control Plan




                11.   Eating, drinking, smoking, applying cosmetics or lip balm and the
                      handling of cosmetics or contact lenses will be strictly prohibited in
                      work areas where there is the potential for occupational exposure.

                12.   When handling garbage, always be aware of improperly disposed
                      of needles or other sharp objects. Never use your hands to
                      compact the garbage and always carry trash away from your body.
                      To empty garbage first double-tie the bag then lift only by pulling
                      topknot, do not hold bag from underneath.

                13.   Be aware of the biohazard signs posted in infectious areas or on
                      storage containers. (See Appendix E Section 10 for sample).

       These engineering or work practice controls will be updated as new information
       becomes available (such as a change in procedures) and must be reviewed at
       least annually. Medical personnel, not Employees, are responsible for
       inspection and maintenance of all medical tools and equipment.

IV.    HAND WASHING FACILITIES

       After removal of personal protective gloves, employees must wash hands and
       any other potentially contaminated skin area with soap and water immediately, or
       as soon as feasible. If an employee incurs skin or mucous membrane exposure,
       these areas shall be washed or flushed with water as appropriate as soon as
       possible following contact.

       Each employee will learn the exact location of all hand washing facilities in his or
       her working area on the first day of employment. If hand washing facilities are
       not available, we are required to provide either an antiseptic cleanser in
       conjunction with clean cloth/paper towels or antiseptic toilettes to be followed as
       soon as possible by the washing with soap and running water.

V.     CONTAMINATED SHARPS

       Any sharps are not to be touched by Employees, notify your supervisor if found.
       Disposal of contaminated sharp containers is to be performed by medical
       personnel only, not Employees.

VI.    NEEDLES

        Employees do not use needles for any part of their job.




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ABM                                                Bloodborne Pathogen Exposure Control Plan


VII.   SPLASHING CONTROLS

       Food and beverages are not to be kept in shelves, cabinets or on counter tops
       or bench tops where blood or OPIM may be present due to splashing.

       Medical personnel are responsible for reducing the possibility of splashing of
       blood or OPIM.

VIII. SPECIMENS

       If possible, specimens of blood or OPIM should not be handled by employees.
       However, if special circumstances require it, requires that all blood specimens,
       blood soaked bandages, or other potentially infectious material must be place in
       leak proof bags for handling, storage and transport to the pre-determine
       collection area at the job site. employees shall never dispose of any red bag or
       bag containing blood or OPIMs.

IX.    CONTAMINATED EQUIPMENT

       Contaminated medical equipment is decontaminated by medical personnel only.

X.     PERSONAL PROTECTIVE EQUIPMENT (PPE)

        A.     Any personal protective equipment necessary based on the anticipated
               exposure to blood or OPIM will be provided without cost to all
               occupationally exposed employees.

        B.      shall ensure that all PPE is used by the employee in those areas where
               exposure to bloodborne pathogens is likely to occur.

        C.     Protective equipment will be considered appropriate only if it does not
               permit blood or OPIM to pass through or reach the employee's clothing,
               skin, eyes, mouth, nose under normal conditions and duration of use for
               its specific designed protection.

        D.      Shall ensure that the appropriate PPE in the proper sizes is readily
               accessible. (Employees should let be aware of any shortcomings with
               necessary PPE).

        E.     The building supervisor is responsible for ensuring all necessary PPE is
               available for the following everyday duties.

                1.    General cleaning and washroom cleaning requires the use of
                      gloves and eyewear.




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ABM                                                 Bloodborne Pathogen Exposure Control Plan


                2.    Undeterminable spills, vomit, urine, stool, blood or OPIM cleanup
                      requires the use of disposable gloves, eyewear, mask and apron.

                3.    Disposing of sealed biohazardous waste boxes requires the use of
                      puncture-resistant gloves.

               If an unusual task is assigned the supervisor must be certain the
               employee is both supplied with the appropriate PPE and trained for its
               proper use.

 XI.   DISPOSAL OF CONTAMINATED PPE

        A.     All PPE will be cleaned, laundered and disposed of by at no cost to the
               employees.

        B.      will repair or replace PPE as needed to maintain its effectiveness if it
               becomes damaged (torn, broken, leaks, etc.).

        C.     All garments that are penetrated by blood or OPIM shall be removed
               immediately or as soon as possible.

        D.     All PPE will be removed prior to leaving the work area and shall be placed
               in an appropriately designated area or container for storage, washing,
               decontamination or disposal.

        E.     Contaminated disposable gloves, masks and aprons should be thrown out
               in red bag garbage receptacles whenever possible. If disposable gloves,
               masks and aprons were not contaminated you may dispose of in regular
               waste containers.

        F.     Safety glasses should be returned to the assigned storage area after use.
               If glasses become contaminated they should be cleaned carefully with an
               appropriate disinfectant.

XII.   GLOVES

       Gloves must be worn where it is reasonably anticipated that employees could
       have hand contact with blood, OPIM, non-intact skin and mucous membranes
       and when handling or touching contaminated items or surfaces.

       Used disposable gloves are not to be washed or decontaminated for reuse and
       are to be replaced as soon as they become contaminated, torn, punctured, or
       when their ability to function as a barrier is compromised.

       Utility gloves may be decontaminated for re-use provided that the integrity of
       glove is not compromised. Utility gloves must be discarded if they are cracked,



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ABM                                               Bloodborne Pathogen Exposure Control Plan


       peeled, torn, punctured, or exhibit other signs of deterioration or when their
       ability to function as a barrier is compromised.
       Necessary uses of gloves are described previously in Section B, Part IX. on PPE
       in the Exposure Control Plan, please follow those requirements meticulously.

XIII. MASKS/PROTECTIVE EQUIPMENT AND CLOTHING

       Masks in combination with eye protection devices, such as goggles or glasses
       with solid side shield are required to be worn whenever splashes, spray, splatter
       or droplets or blood or OPIM may be generated and eye, nose, or mouth
       contamination can be reasonably anticipated.

       Protective clothing such as lab coats, gowns, aprons, or similar outer garments
       appropriate for a task must be used.

       Necessary uses of these articles are described previously in Section B, Part IX.
       on PPE in the Exposure Control Plan, please follow those requirements
       meticulously.

XIV. CONTAMINATED SURFACES

       Although all contaminated work surfaces should have been decontaminated after
       completion of a medical procedure or accident, it is your responsibility as an
       Employee to disinfect all designated work surfaces on a daily basis to ensure
       they are safely kept clean. If you come across an obvious oversight such as
       broken glass, a stray needle or sharp, used bandage, blood or OPIM - DO NOT
       TOUCH, carefully clean around the item and notify your supervisor. A note will
       be left so the proper medical personnel can remove the following day.

       Any equipment protective coverings, such as plastic wrap or aluminum foil will be
       disposed of by medical personnel, making it unnecessary to handle. All
       contaminated bins, pails, cans, receptacles, reusable sharps and other tools will
       be kept clean by medical personnel. Do not touch these items, but if you notice
       a possible source of contamination on protective coverings or any equipment
       that has not been decontaminated, please notify your supervisor.

XV.    LAUNDRY PROCEDURES

       In the event laundry becomes contaminated with blood or OPIM it should be
       handled as little as possible. Such laundry should be placed in appropriately
       marked bags in the laundry section. All employees who handle contaminated
       laundry should utilize gloves and other PPE to prevent contact with blood or
       OPIM.




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ABM                                             Bloodborne Pathogen Exposure Control Plan


XVI. REGULATED WASTE DISPOSAL

       All contaminated waste (sharps and non-sharps) is discarded in proper
       containers by medical personnel only. Do not touch any sharps containers, red
       bag biohazardous waste receptacles, and unsealed or unlabeled secondary
       container boxes.




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ABM                                                    Bloodborne Pathogen Exposure Control Plan


                                           SECTION C

HEPATITIS B VACCINE

All employees who have been identified as having occupational exposure to blood or
other potentially infectious materials will be offered the Hepatitis B Vaccine at no cost to
the employee.

An employee who chooses not to accept the vaccine must sign the attached statement
of declination of Hepatitis B Vaccination. The statement can only be signed by the
employee following appropriate training regarding HBV, Hepatitis B Vaccination, the
efficacy, safety, method of administration, and benefits of vaccination and that the
vaccine and vaccination are provided free of charge to the employee. This statement is
not a waiver; employees can request and receive the Hepatitis B Vaccination at a later
date if they remain occupationally at risk for Hepatitis B.


Information on Hepatitis B:           See Appendix A

Hepatitis Vaccine Refusal Form: See Appendix B




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ABM                                                    Bloodborne Pathogen Exposure Control Plan




                                           SECTION D

          EXPOSURE REPORTING, EVALUATION & FOLLOW-UP

An exposure incident is when an employee comes in direct contact with blood or OPIM
on an exposed eye, mouth, other mucus membrane, non-intact skin.

An employee who is accidentally exposed (needle stick, splashed, bumped against,
etc.) should do the following:
    1. Cleanse the area immediately with soap and water.
    2. If possible an attempt to collect the source (needle, scalpel, bandage, etc.) the
       employee was exposed with and bring it to the medical facility he or she visits.
       Use extreme care when isolating this item.
    3. Notify the supervisor.

The supervisor should fill out the exposure incident report (See Appendix C).

The Supervisor must report the incident within 12 hours to the branch office
safety director who will coordinate the post-exposure evaluation and follow-up
along with maintaining records of the exposure incident.

All employees who incur an exposure incident will be offered post-exposure evaluation
and follow-up in accordance with the OSHA standard. This follow-up will include the
following:

1.     Documentation of the route of exposure and the circumstances related to the
       incident.

2.     If possible, the identification of the source individual and if possible, the status of
       the source individual. The blood of the source individual will be collected as
       soon as possible and will be tested (if consent is obtained) for HIV/HBV infection.

3.     Results of the source individual testing will be made available to the exposed
       employee who will also be informed about the applicable laws and regulations
       concerning disclosure of the identity and infectivity of the source individual.

4.     If the exposed employee consents to having his or her blood collected but does
       not consent to HIV/HBV serological status testing, the blood sample will be
       preserved for at least 90 days to allow the employee to decide if the blood
       should be tested for HIV serological status. However, if the employee decides
       prior to that time that testing should be conducted, then the appropriate action
       should be taken.




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ABM                                                Bloodborne Pathogen Exposure Control Plan


5.     The employee will be consulted as to the prevention of or protective treatment
       for disease in accordance with current recommendations of the U.S. Public
       Health Service.

6.     Appropriate counseling concerning precautions to take during the post-incident
       period shall be made available to the employee along with information on
       symptoms for and the need to report any related experiences to appropriate
       personnel.

7.     The branch safety director has been designated as responsible for ensuring that
       the policy outlined here is effectively carried out and to maintain records related
       to this policy.




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ABM                                                    Bloodborne Pathogen Exposure Control Plan




                                           SECTION E

            INTERACTION WITH HEALTHCARE PROFESSIONALS

A written opinion should be obtained from the health care professional who evaluates
an employee of .

1.     Written opinion will be obtained in the following instances:

       A.      When our employees in sent to receive the Hepatitis B Vaccine.

       B.      When our employee is sent to a health care professional following an
               exposure incident.

2.     Health care professionals will be instructed to limit their opinions to:

       A.      Whether the Hepatitis B Vaccine is indicated and if the employee has
               received the vaccine, or for evaluation following an incident.

       B.      That the employee has been informed of the results of the evaluation.

       C.      That the employee has been told about any medical conditions resulting
               from exposure to blood or OPIM.

       NOTE THAT THE WRITTEN OPINION TO OUR COMPANY IN NOT TO
       REFERENCE ANY PERSONAL MEDICAL INFORMATION OR TEST
       RESULTS.




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ABM                                                    Bloodborne Pathogen Exposure Control Plan




                                           SECTION F

EMPLOYEE BLOODBORNE PATHOGEN TRAINING

All employees determined to have exposure in the course of performing their jobs need
to receive training coordinated by the branch safety director. Training can significantly
contribute to the overall reduction of risk to workers potentially exposed to infectious
materials.

A copy of the regulatory text from OSHA for bloodborne pathogens is located in
Appendix D.

A copy of the      Employee training booklet for bloodborne pathogens is located in
Appendix E.

The Training Booklet contains all necessary contents as required by the OSHA
standard for bloodborne pathogens including:

1.     An explanation of the OSHA's standard for Bloodborne Pathogens.
2.     Information (Epidemiology and Symtomatology) of Bloodborne Diseases.
3.     Modes of transmission of Bloodborne Pathogens.
4.     Explanation of this Exposure Control Plan.
5.     Recognizing possible exposure tasks and procedures.
6.     Methods of preventing or reducing exposure.
7.     Information on personal protective equipment.
8.     Information on Hepatitis B Vaccine.
9.     Procedures in the event of an exposure incident.
10.    Signs, labels and/or color-coding used at the facility.
11.    Interactive question and answer session.
       A.     Include list of all employees receiving this training, date of training,
              signature and date, month of annual refresher course, and instructor (See
              Appendix E Section 11).
       B.     Include list of all employees who participated in the video presentation,
              date of presentation, signature and date, which videos viewed, and
              instructor (See Appendix E Section 12).




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ABM                                                    Bloodborne Pathogen Exposure Control Plan




                                           SECTION G

RECORDKEEPING

Requirements
In accordance with 29 CFR 1910.20, all medical records relating to the bloodborne
pathogen standard (vaccination status, exposure incidents, follow-up exams, the
employer's copy of the healthcare professional's written opinion, a copy of the
information provided to the healthcare professional etc.) are to be maintained strictly
confidential for the duration of employment plus an additional 30 years. These records
must be kept confidential and should not be kept in the employee's personnel file.
These files are not disclosed or reported without the employee's express written
consent to any person within or outside the workplace except as required by law.

All training records relating to this standard shall be maintained for three years and
documented to include the name and social security number of the employee, the
content of education and training, programs, instructors, attendees, and methods used
to monitor compliance. When monitoring identifies non-compliance in work practice,
corrective action should be documented. These corrective actions include counseling,
education, and retraining.

Availability
 ABM shall ensure that all records required to be maintained shall be made available
upon request to the Assistant Secretary and the Director for examination and copying.

Employee training records required by this standard shall be provided upon request for
examination and copying to employees, to employee representatives, to the Director,
and to the Assistant Secretary.

Employee medical records required by this standard shall be provided upon request for
examination and copying to the subject employee, to anyone having written consent of
the subject employee, to the Director, and to the Assistant Secretary in accordance with
29 CFR 1910.1020.

Transfer of Records.
If ABM ceases to do business and there is no successor employer to receive and
retain the records for the prescribed period, shall notify the Director, at least three
months prior to their disposal and transmit them to the Director, if required by the
Director to do so, within that three month period.




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ABM                                                    Bloodborne Pathogen Exposure Control Plan


                                           SECTION H


                                 GLOSSARY OF TERMS

Blood                                 means human blood, human blood components, and
                                      products made from human blood.

Bloodborne Pathogens                  means pathogenic microorganisms that use 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 that has been soiled with blood or
                                      other potentially infectious materials or may contain
                                      sharps.

Contaminated Sharps                   means any contaminated object that can penetrate
                                      the skin including, but not limited to, needles,
                                      scalpels, broken glass, broken capillary tubes, and
                                      exposed ends of dental wires.

Decontamination                       means the use of physical or chemical means 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.

Engineering Controls                  means controls (e.g., sharps disposal containers,
                                      hand-washing facilities) that isolate or remove the
                                      bloodborne pathogens hazard from the workplace.

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 duties.
Hand Washing Facilities               means a facility providing an adequate supply of
                                      running potable water, soap and single use towels of
                                      hot air drying machines.



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ABM                                                     Bloodborne Pathogen Exposure Control Plan


Licensed Healthcare
Professional                          is a person whose legally permitted scope of practice
                                      allows him or her to independently perform the
                                      activities required by Sections C, D, & E for Hepatitis
                                      B Vaccination and Post-exposure Evaluation and
                                      Follow-up.

HBV                                   means hepatitis B virus.

HIV                                   means human immunodeficiency.

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 duties.

Other Potentially Infectious
Materials                             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, any body fluid 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 needlesticks, human
                                      bites, cuts and abrasions.

Personal Protective
Equipment                             is 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 is not considered to be personal protective
                                      equipment.

Source Individual                     means any individual, living or dead, whose blood or
                                      other potentially infectious materials may be a source
                                      of occupational exposure to the employee.


006ba87a-e4d8-4832-92a7-e392ec47031c.doc                                                  Page 18
ABM                                                   Bloodborne Pathogen Exposure Control Plan




Sterilize                             means the use of a physical or chemical procedure to
                                      destroy all microbial life including highly resistant
                                      bacterial endospores.

Universal Precautions                 is an approach to infection control. According to the
                                      concept of Universal Precautions, all human blood
                                      and certain human body fluids are treated as if known
                                      to be infectious for HIV, HBV, and other bloodborne
                                      pathogens.

Work Practice Controls                means controls that reduce the likelihood of exposure
                                      by altering the manner in which a task is performed
                                      (e.g., prohibiting eating, drinking, smoking, applying
                                      cosmetics or lip balm and the handling of cosmetics
                                      or contact lenses where there is the potential for
                                      occupational exposure).




006ba87a-e4d8-4832-92a7-e392ec47031c.doc                                               Page 19
ABM                                                      Bloodborne Pathogen Exposure Control Plan


                                           APPENDIX A

                      INFORMATION ON HEPATITIS B (HBV)
THE DISEASE

Hepatitis B is a viral infection caused by hepatitis B virus (HBV). Most people with hepatitis B
recover completely, but approximately 5 - 10% become chronic carriers of the virus. Most of
these people have no symptoms, but can continue to transmit the disease to others. Symptoms
of HBV infection range from no symptoms to flu like symptoms. HBV can cause death in 1-2%
of patients.

HBV may be present in body fluids such as blood, semen, saliva and other body fluids
contaminated with blood. Bloodborne diseases can be transmitted directly through cuts, skin
abrasions, dermatitis and mucous membranes (mouth, nose and eyes).

PREVENTION

Universal Precautions. You are required to treat all human blood and certain body fluids as if
they were infected with HIV, HBV and other bloodborne diseases.

Hand washing with soap is important to the prevention of the spread of infection. After the use
of gloves, hands must still be washed. You should be careful when removing gloves making
sure you do not touch the outside of the glove.

Personal protective equipment such as gowns and glasses is available for use when
anticipating an exposure to body fluids. Red bags are used for the disposal of bandages, spill
kits and other infectious materials.

THE VACCINE

The vaccine for hepatitis B is made from yeast using recombinant methods. People with
immune system abnormalities, such as dialysis patients, have less response to the vaccine, but
over half of those receiving it do develop antibodies. Full immunization requires 3 doses of
vaccine over a six-month period although some persons may not develop immunity even after 3
doses. There is no evidence that the vaccine has ever caused hepatitis B, however, persons
who have been infected with the HBV prior to receiving the vaccine may go on to develop
clinical hepatitis in spite of immunization. The duration of immunity is unknown at this time;
however, it is likely that a booster will be needed after five - ten years.

POTENTIAL SIDE EFFECTS

Potential side effects include fatigue, fever, nausea, vomiting, headache, and injection site
reactions. The possibility exists (as with other vaccines) that broad use could reveal adverse
reactions not observed in clinical trials. The vaccine is contraindicated if you are hypersensitive
to yeast.




006ba87a-e4d8-4832-92a7-e392ec47031c.doc                                                   Page 20
ABM                                                                    Bloodborne Pathogen Exposure Control Plan


                                                     APPENDIX B

                               HEPATITIS B VACCINATION FORM
   All employees: Print name and SSN and then sign and date one of the three options below (A/B/C).

_________________________________________________                                    _______________________
(Print Name of Employee)                                                             (Social Security Number)

A. Consent for Hepatitis B Vaccine
I, named above, have been informed that I am at risk of acquiring Hepatitis B because of the nature of my
professional responsibilities and the exposure to blood and other potentially infectious materials. I agree to be
immunized against Hepatitis B and that has given me information on where I can receive the vaccinations at no
cost to myself. I must receive three doses of vaccine over a six month period to receive optimal immunity. Although
some information was provided, I understand that it is my responsibility to discuss with a healthcare expert the
known benefits and side effects of the Hepatitis B vaccine before being vaccinated. There may be dangers in being
vaccinated such as while breast feeding or becoming pregnant during the six month vaccination period.

I understand that upon receiving the series of Hepatitis B vaccines that there is still no guarantee that I will not
experience an adverse reaction to the vaccine or that I will become immune. In the event that I experience adverse
side effects or do not become immune to Hepatitis B, I hereby hold harmless from any and all liability to the extent
permitted by law.

However, I may decide after further consideration not to receive any Hepatitis B vaccine or after receiving one or
more from the series of the vaccinations, to decline the remaining. I understand that if by changing my decision and
by declining to receive the entire series of vaccinations at this time, I continue to be at risk of acquiring Hepatitis B, a
serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious
materials and I want to be vaccinated with Hepatitis B vaccine, (while still in the employ of ) I can then receive the
vaccination series at no charge to me. I will first contact to receive updated paperwork for where to receive the
Hepatitis B vaccine. I have had my questions regarding the Hepatitis B vaccination answered to my satisfaction.

__________________________________________________                                     ______________________
(Signature of Employee)                                                                (Date)

B. Previous Immunization with Hepatitis B Vaccine
I, named above, have previously completed the entire three-dose series of the Hepatitis B vaccine in or around the
year ___________ . Because I am certain that I have already been immunized, I am not in need of this offer. I
have had my questions regarding the Hepatitis B vaccination answered to my satisfaction.

___________________________________________________                                     _____________________
(Signature of Employee)                                                                 (Date)

C. Refusal to Receive the Hepatitis B Vaccine
I, named above, understand that due to my occupational exposure to blood and other potentially infectious materials
I may be at risk of acquiring the Hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated
with Hepatitis B vaccine, at no charge to myself. However, I decline Hepatitis B vaccination at this time.

I understand that by declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease. If in
the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be
vaccinated with Hepatitis B vaccine (while still in the employ of ), I can receive the vaccination at no charge to me. I
have had my questions regarding the Hepatitis B vaccination answered to by satisfaction.

___________________________________________________                                     _____________________
(Signature of Employee)                                                                 (Date)

                                    THIS FORM MUST BE MAINTAINED FOR THE
                                   DURATION OF EMPLOYMENT PLUS 30 YEARS



006ba87a-e4d8-4832-92a7-e392ec47031c.doc                                                                          Page 21
ABM                                                 Bloodborne Pathogen Exposure Control Plan




                                           APPENDIX C

                           EXPOSURE INCIDENT REPORT

Employee Name:                        _____________________________________

Social Security Number:               _____________________________________

Branch Location:                      _____________________________________

Date of Incident:                     _____________________________________

Witnesses:                            _____________________________________

Exact Location of Incident:           _____________________________________


Description of Incident (How did it occur, what part of the body was affected, what was
the individual doing at the time of the incident, etc.):

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________


Was the sample of the infectious source saved?          _______ Yes   _______ No

If yes, where is the sample? _______________________________________

Source Patient's name if known: ____________________________________

HBV/HIV Source Antibody status if known: _____________________________




006ba87a-e4d8-4832-92a7-e392ec47031c.doc                                             Page 22

				
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