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Nursing Homes and Personal Care Facilities |
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OSHA Standards |
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Nursing homes and personal care facilities hazards are addressed in specific standards
for the general industry. This page highlights OSHA standards, Federal Registers
(rules, proposed rules, and notices), directives (instructions for compliance
officers), standard interpretations (official letters of interpretation of
the standards), and ergonomic enforcement related to nursing homes and personal care facilities.
Section 5(a)(1) of the OSH Act, often referred to as the General Duty
Clause, requires employers to "furnish to each of his employees employment and a
place of employment which are free from recognized hazards that are causing or
are likely to cause death or serious physical harm to his employees". Section
5(a)(2) requires employers to "comply with occupational safety and health
standards promulgated under this Act".
Note: Twenty-four states, Puerto Rico and the Virgin Islands have
OSHA-approved State Plans and have adopted their own standards and
enforcement policies. For the most part, these States adopt standards that are
identical to Federal OSHA. However, some States have adopted different standards
applicable to this topic or may have different enforcement policies. |
Frequently Cited Standards
Nursing homes and personal care facilities must comply
with all the General Industry standards (29
CFR 1910). Of these, the following standards, in order, were the most frequently cited by Federal OSHA
from October 2006 through September 2007, in Nursing
and Personal Care Facilities Industry Group (SIC code 8050).
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1910.1030, Bloodborne pathogens [related
topic page]
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Appendix A, Hepatitis B vaccine declination (Mandatory)
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1904.29, Forms (Recordkeeping Forms and Recording Criteria) [related
topic page]
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1910.147, The control of hazardous energy (lockout/tagout) [related
topic page]
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1910.305, Wiring methods, components, and equipment for general use
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1910.1200, Hazard communication [related
topic page]
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Appendix A, Health hazard definitions (Mandatory)
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Appendix B, Hazard determination (Mandatory)
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Appendix E, Guidelines for employer compliance (Advisory)
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1910.303, General Requirements (Electrical) [related
topic page]
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1904.32, Annual summary (Other OSHA injury and illness recordkeeping
requirements)
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1910.151, Medical services and first aid [related
topic page]
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1910.132, General requirements (Personal protective equipment) [related
topic page]
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1910.37, Maintenance, safeguards, and operational features for exit routes
[related
topic page]
Federal Registers
Directives
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Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens.
CPL 02-02-069 [CPL 2-2.69], (2001, November 27). Includes revisions mandated by the
Needlestick
Safety and Prevention Act.
- Updated U.S. Public Health Service Guidelines for the Management of Occupational
Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. Centers for
Disease Control and Prevention (CDC), Morbidity and Mortality Weekly Report (MMWR) 50(RR11), (2001, June 29), 333 KB
PDF, 67 pages. Updates and consolidates recommendations for the management
of health-care personnel (HCP). Serves as Appendix E for CPL 02-02-069.
- Enforcement Procedures and Scheduling
for Occupational Exposure to Tuberculosis. CPL 02-00-106 [CPL 2.106], (1996,
February 9). Provides uniform inspection procedures and guidelines to be followed when conducting
inspections and issuing citations under Section 5(a)(1) of the OSH Act and
pertinent standards for employees who are occupationally exposed to TB.
- Search all available
directives.
Standard Interpretations
The following letters of interpretation explain OSHA's
requirements and how they apply in a particular situation. Note that enforcement
guidance may be updated in response to new information and affected by changes
to OSHA rules. To keep informed about such developments, you can visit OSHA's website.
Example letters are listed below.
Ergonomics Enforcement
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