ESH100.2.OTH.3

Policy Area

ESH-Environment Safety & Health

Procedure Number

ESH100.2.OTH.3

Procedure Title

Control Exposure to Bloodborne Pathogens

Procedure Manager

DECOSTE, ANNAMARIE

Status

Active

Subject Matter Expert

Linda Manke
Gail Bachman—CA Contact

Applicability, Exceptions, and Consequences

This corporate procedure applies to all Members of the Workforce whose job duties include performing tasks that involve an inherent potential for mucous membrane, skin, or parenteral contact with human blood or other potentially infectious material (OPIM).

Exceptions to, or deviations from this procedure must be approved through the Executive Policy Sponsor or Policy Area Manager, if delegated. Click here to view Contacts for Corporate Policies, Processes, and Procedures. See CG100.1.7, Request an Exception to a Policy, Process, or Procedure, for directions on how to obtain an exception to this procedure.

Granting or permitting exceptions or violations of policy, process, or procedure without authority, regardless of position or title, may be cause for disciplinary action up to and including termination of employment. Violating a policy, process, or procedure may be cause for disciplinary action up to and including termination of employment.

IMPORTANT NOTICE: A printed copy of this document may not be the document currently in effect. The official version is located on the Sandia National Laboratories Sandia Restricted Network (SRN).

Procedure Overview

This procedure the requirements that must be followed for performing tasks that involve an inherent potential for mucous membrane, skin, or parenteral contact with human blood or other potentially infectious material (OPIM).

Procedure Requirements

Activity	Responsible Individual	Required Action
Control Exposure to Bloodborne Pathogens	Members of the Workforce, including Managers, whose job duties include performing tasks that involve an inherent potential for mucous membrane, skin, or parenteral contact with human blood or other potentially infectious material (OPIM)	Follow the safety requirements detailed in GN470086, SNL Bloodborne Pathogens Exposure Control Plan.

Additional Drivers

10 CFR 851, Worker Safety and Health Program.
20 NMAC 9.1, New Mexico Administrative Code, Title 20, Chapter 9, Part 1, "Solid Waste Management."
29 CFR 1910.1030, Bloodborne Pathogens.
66 FR 5317, Occupational Exposure to Bloodborne Pathogens; Needlestick and other Sharps Injuries.
California Environmental Protection Agency, Title 22, California Code of Regulations, Division 4.5, "Environmental Health Standards for the Management of Hazardous Waste," latest edition.
California Medical Waste Management Act, California Health and Safety Code Sections 117600 - 118360.

Training Requirements

Responsible Individual	Required	Recommended
Non-medical Members of the Workforce who perform tasks with a potential for occupational exposure to bloodborne pathogens	Complete MED113, Bloodborne Pathogens Training for Non-Medical Personnel, with a live instructor when they take the course for the first time. Complete either MED113 (with a live instructor) or MED113R (computer-based training) annually thereafter.	N/A
Center 3300 medical professional Members of the Workforce	Complete MED115, Bloodborne Pathogens Training for Medical Personnel: Within 10 days of initial assignment for tasks with risk occupational exposure. At least annually thereafter.	N/A

Related Processes and Procedures

Process

ESH100.2, Analyze and Control Hazards.

Change Summary

Date	Summary
12/07/2010	*Administrative* Modified Changed procedure manager from Robert Petro to AnnaMarie DeCoste (Anna Miller). Updated all dictionary terms to contain term identification numbers for system consistency.
11/09/2010	Administrative Modified Responsible Individual was changed from "Members of the Workforce" to "Members of the Workforce," including Managers. (Requirements & Instructions) Reason for change This change does not modify any responsibilities, but simply emphasizes that managers are included as responsible individuals. Modified Html code for the "Important Notice" was changed to format text correctly. (Applicability) Updated SAPLE links of subject matter experts for system consistency. (Contacts)
05/19/2010	*Administrative* Modified Information—from Nancy Vrabel to Linda Manke in Subject Matter Experts.
05/12/2010	Substantive Modified Changed training requirements section to reflect the requirements in GN470086, SNL Bloodborne Pathogens Exposure Control Plan. Reason for change GN470086, SNL Bloodborne Pathogens Exposure Control Plan, contains the current training requirements for Members of the Workforce who perform tasks with the potential for occupational exposure to bloodborne pathogens. ESH100.2.OTH.3 was updated to reflect those existing requirements.
05/13/2010	Administrative Updated links to laws and regulations under "Additional Drivers."