Oshaguard Risk Assessment Form PDF Details

The Oshaguard Risk Assessment Form serves as a comprehensive tool designed to ensure the safety and health standards within the workplace are met, in accordance with OSHA requirements. Spanning various aspects, it covers General Safety & Health, Bloodborne Pathogens, Tuberculosis Infection Control, Hazard Communications/GHS, and Biohazardous Waste, along with the evaluation of physical and/or chemical risks requiring Personal Protective Equipment (PPE). Each section includes a thorough checklist of yes/no questions aiming to establish the presence of essential safety measures, such as the adequacy of lighting, the condition of fire extinguishers, compliance with OSHA's training mandates, the implementation of infection control policies, and the correct labeling and handling of hazardous chemicals. Additionally, it mandates the annual reassessment of devices designed to minimize needlestick injuries and evaluates the protocols for dealing with biohazardous spills. This form not only seeks to ensure that vital safety protocols are in place but also emphasizes the importance of regular training for employees, the visibility and maintenance of safety equipment, and adherence to federal and state regulations concerning biohazardous waste management and hazard communication. Moreover, it encourages ongoing evaluation of physical and chemical risks, highlighting the necessity of using appropriate PPE and maintaining a safe, health-conscious work environment. The inclusion of sections on HIPAA Privacy and Security Rule compliance further underscores the form's role in comprehensive workplace safety and health evaluation.

QuestionAnswer
Form NameOshaguard Risk Assessment Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesget the oshaguard, risk assessment form, minimizing risk in the workplace, oshaguard assessment form

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RISK ASSESSMENT CHECKLIST

FOR _______________________________________________________________________________________

DATE________________________ INSPECTED BY_______________________________________________

GENERAL SAFETY & HEALTH

YES NO

Have medical records been set up for all employees?

Do they include records or declinations of Hepatitis B vaccinations?

Are NEW employees trained prior to assignment to tasks at risk of bloodborne exposure?

Are training records set up and kept for 3 years as required by OSHA?

Has annual training been completed (or scheduled) as required by OSHA?

Are all work areas adequately lighted?

Are floor surfaces dry and/or skid-resistant?

Are all exits properly marked with signs?

Are all doors that could be mistaken for an exit properly marked with signs?

Are all exits and paths to exits clear of obstruction, both inside and outside?

Are all exit doors kept unlocked during working hours so emergency egress does not require keys?

Have all employees been trained on fire and other emergency contingency plans?

Is the Federal or State OSHA poster displayed in your facility? New OSHA Poster 2015

Are other required posting displayed in your facility? Workers Compensation, labor laws etc.

Is the inspection tag on the extinguisher(s) current?

Is there an eyewash station located in your facility?

Is it in good working condition?

Does it allow only cool or tepid water to flow when used to flush eyes?

Does a sign designate its location?

Are all compressed gas containers securely fastened in an upright position?

Are empty and/or unused gas cylinders capped and properly labeled?

Do employees know where all fire extinguishers are located?

Are articles stored on shelves in such a way that they can’t fall on employees?

Are areas under sinks or where trash in stored clean and orderly?

Are machines and equipment in good working order and equipped with adequate safety guards?

Are all electrical cords in good condition?

Are circuit breakers properly labeled?

Have employees been advised to report all safety concerns to management?

In areas where monitors are used, are they adjusted to reduce glare and eye strain?

Are all chairs used by employees in good condition?

COMMENTS:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

___________________________________________________________________________________________

Oshaguard Risk Assessment Form

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RISK ASSESSMENT CHECKLIST

BLOODBORNE PATHOGENS

YES NO

Is your written plan up-to-date based on current OSHA regulations?

Have all employees at risk of exposure been identified in the plan?

Have all at-risk employees been offered the Hepatitis B vaccination at no charge to them?

If the vaccination is declined, has the Declination Form been completed and signed?

Is post-vaccination testing for adequate HBV antibodies offered per current CDC guidelines?

Is re-vaccination provided at no charge to all nonresponders?

Is appropriate Personal Protective Equipment (PPE) provided?

Are employees aware of the location of PPE and have they been trained on its proper use?

Is the laundry policy in compliance with OSHA regulations?

Has training been completed on the risks of bloodborne pathogens and how to minimize the risk of infection?

Does training include modes of transmission, epidemiology and symptoms of bloodborne diseases? Have employees been trained on the concept of Universal Precautions?

Do employees know exactly what to do if they have an exposure incident?

Is the wearing of all required personal protective equipment (PPE) being enforced?

Are all biohazardous containers and/or areas properly labeled?

Are all work areas orderly and easy to clean and disinfect when necessary?

Do you routinely evaluate safer devices that are designed to reduce the danger of needlestick injuries as required by the amended bloodborne pathogen standard? (Must be done AT LEAST annually.)

As required by OSHA, do all employees who use the devices participate in the evaluation process?

Are the results of the safer needle evaluation added to your written plan as required by OSHA?

Do you investigate all exposure incidents and implement changes to reduce the likelihood of similar incidents?

Are food and/or beverages stored and/or consumed in areas where contamination cannot occur?

Do you use an EPA registered disinfectant to clean environmental surfaces?

If items have to be autoclaved are you using spore tests to ensure the equipment is working properly?

OSHA requires annual training. Is this being done?

COMMENTS:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Oshaguard Risk Assessment Form

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RISK ASSESSMENT CHECKLIST

TUBERCULOSIS INFECTION CONTROL

YES NO

Is the policy on TB Infection Control based on current CDC recommendations?

If required, have all employees received the PPD tuberculin skin test?

Are your plans based on OSHA’s revised TB proposal dated 12/30/2005 per current CDC guidelines?

Are patients required to complete a medical history form that includes questions about TB?

Are employees trained on symptoms of TB and how it is spread?

Does your written plan include administrative controls, specific for your workplace, which address TB infection control?

Have you completed a risk assessment based on the prevalence of TB in the community you serve and the number of patients with infectious TB that were treated in the facility during the past year?

COMMENTS:

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

______________________________________________________________________________________________________

HAZARD COMMUNICATIONS / GHS

YES NO

Do you have Safety Data Sheets (SDS’) for all hazardous products used by employees, including injectable pharmaceuticals? Required by June 2016

Is the file being maintained correctly by adding new SDS’ whenever new products are ordered?

Do you have a “master list” of hazardous chemicals and is it updated when new SDS’ are received?

Are all chemicals stored properly (i.e., tightly capped, away from heat source if flammable, etc.)?

Are all containers labeled so contents and hazards are properly identified?

Are labels on secondary containers legible? GHS Rating System, required by June 2016

Have employees been trained on your Hazard Communications plan and Globally Harmonized System (GHS)? Mandated since December 1, 2013

Did the training include the Hazard Rating system you use to convey chemical hazards and the new Pictograms?

Do all employees know where the SDS book is kept?

If the use of certain chemicals requires the user to wear appropriate personal protective equipment, is that equipment provided and readily available?

COMMENTS:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Oshaguard Risk Assessment Form

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RISK ASSESSMENT CHECKLIST

BIOHAZARDOUS WASTE

YES NO

Is your written plan based on current State and Federal regulations?

Does it clearly define all biohazardous waste generated in your facility?

Are all bags and containers properly labeled with phrases and symbols indicating that the contents are biohazardous and/or infectious waste?

Is this waste disposed of at “point-of-origin” locations (or as close as feasible to the location)?

Look at all sharps containers. Are the contents below the “fill line” (or about 1” from the top?)

Are the containers set up so the biohazard symbol is visible?

Are they set up so there is no risk to employees when they discard needles, syringes or other sharps? (easy to reach; fill line visible; not too high if wall mounted, etc.)

Do you have a contingency plan in case there is a spill of biohazardous materials and have employees been trained to follow its guidelines?

Is the storage area for biohazardous waste located in a restricted “employees only” area that is out of the general traffic flow?

Is the storage area maintained in a clean and orderly manner?

Is the surface under the storage box (or container) non-absorbent and easy to disinfect in case the container leaks?

Are all licensed biomedical waste transporter receipts, manifests or “certificates of destruction” kept on file (for 3 years) as required by current state regulations?

Have employees been trained on your biohazardous waste plan?

COMMENTS:

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

__________________________________________________________________________________

EVALUATION OF PHYSICAL AND/OR CHEMICAL RISKS

Pursuant to 29 CFR 1910.132 a risk assessment must be performed for hazards, which are present or likely to be

present, that would require the use of Personal Protective Equipment.

The use of the following equipment, tools, instruments and/or machinery requires the use of personal protective equipment (PPE) as designated below:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

Oshaguard Risk Assessment Form

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RISK ASSESSMENT CHECKLIST

The following liquid chemicals (such as glutaraldehyde, acids, X-ray chemicals, disinfectants) require the use of PPE as designated below. (If you aren’t sure, check MSDS for products for specific requIREMENTS.)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

The following chemical gases or vapors may be present in workareas and require the use of PPE as designated below:

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

The following equipment, tools or chemicals (such as acids and other strong corrosive or caustic chemicals) could cause burns. The use of PPE as designated below is required.

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

The following high intensity light, laser, dental curing lights, radioactive materials or radiation equipment requires the use of PPE as designated:

____________________________________________________________________________________________

____________________________________________________________________________________________

Personal Protective Equipment (PPE) must be provided by the facility and employees must be trained on what PPE is required and when and where it must be worn. Has this training been done?

Yes ______ No ______

HITECH OMNIBUS RULE COMLIANT? YOU BETTER BE!

Does your practice have current written plans that address both the HIPAA Privacy Rule and the HIPAA Security Rule? Effective March 26, 2013 increased penalties for improper disclosures:

VIOLATION TYPE

EACH VIOLATION

REPEAT VIOLATIONS/YR

 

 

 

Did Not Know

$100 – $50,000

$1,500,000

 

 

 

Reasonable Cause

$1,000 – $50,000

$1,500,000

 

 

 

Willful Neglect – Corrected

$10,000 – $50,000

$1,500,000

 

 

 

Willful Neglect – Not Corrected

$50,000

$1,500,000

 

 

 

ORDER HIPAA MANUALS AT OSHAGUARD.COM

Oshaguard Risk Assessment Form

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