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Bloodborne Pathogens
Self-Inspection Checklist


Guidelines: This checklist covers regulations issued by the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) under the general industry standard 29 CFR 1910.1030. It applies to work activities that may result in exposure to blood or other potentially infectious materials. Such activities might include students learning how to take blood tests or teachers who are trained in first aid and are required to render first aid in case of emergency. This checklist does not cover acts that result in exposure to blood or other potentially infectious materials when someone voluntarily helps others in an emergency. The regulations cited apply only to private employers and their employees, unless adopted by a State agency and applied to other groups such as public employees. A yes answer to a question indicates that this portion of the inspection complies with the OSHA or U.S. Environmental Protection Agency (EPA) standard, or with a nonregulatory recommendation. Definitions of underlined terms are provided at the end of the checklist to help you understand some of the questions.

  Please Circle
Exposure Control Plan
  1. Has a written exposure control plan

    2. been developed?
    [29 CFR 1910.1030(c)(1)(i), (c)(1)(ii), and (c)(2)]

    Note: The exposure control plan must include
    (a) a list of tasks identified as having a potential for
    exposure to bloodborne pathogens; (b) methods
    to protect students and employees; (c) dates and
    procedures for providing hepatitis B vaccinations;
    (d) procedures for post-exposure evaluation and
    followup in case of exposure; (e) content and
    methods for training students and employees;
    and (f) procedures for maintaining records.
 Y   N   N/A   ?? 
  1. Is the written exposure control plan available

    2. on request for examination or copying?
    [29 CFR 1910.1030(c)(1)(iii)]
 Y   N   N/A   ?? 
  1. Is the written exposure control plan

    2. updated yearly?
    [29 CFR 1910.1030(c)(1)(iv)]
 Y   N   N/A   ?? 
Engineering and Work Practice Controls
  1. Do students and employees follow universal

    2. precautions to prevent contact with blood or
    other potentially infectious materials?
    [29 CFR 1910.1030(d)(1)]
 Y   N   N/A   ?? 
  1. Are engineering and work practice controls

    2. implemented before personal protective
    equipment is used?
    [29 CFR 1910.1030(d)(2)(i)]
 Y   N   N/A   ?? 
  1. Are engineering controls examined and

    2. maintained on a regular schedule to ensure
    their effectiveness?
    [29 CFR 1910.1030(d)(2)(ii)]
 Y   N   N/A   ?? 
  1. Are handwashing facilities readily accessible?

    2. [29 CFR 1910.1030(d)(2)(iii),(iv)]

    Note: If providing handwashing facilities is
    not possible, an appropriate antiseptic hand
    cleanser and clean cloth, paper towels, or
    antiseptic towelettes may be substituted. When
    antiseptic hand cleansers or towelettes are
    used, wash hands with soap and running
    water as soon as possible.
 Y   N   N/A   ?? 
  1. Do students and employees wash their hands

    2. immediately after removing gloves or other
    personal protective equipment?
    [29 CFR 1910.1030(d)(2)(v)]
 Y   N   N/A   ?? 
  1. Do students and employees wash or flush

    2. hands or other skin areas with soap and
    water after contact with blood or other
    potentially infectious materials?
    [29 CFR 1910.1030(d)(2)(vi)]
 Y   N   N/A   ?? 
  1. Is it prohibited to bend, recap, or remove
    contaminated needles or sharps except as
    noted below?
    [29 CFR 1910.1030(d)(2)(vii)]

    2. Note: NIOSH recommends avoiding needle recapping.

    Note: When no feasible alternatives are available,
    OSHA permits     recapping or needle removal only
    through the use of a mechanical device     or a
    one-handed technique. Such procedures
    could involve the one-handed "scoop"
    technique: using the needle itself to pick up the
    cap, and pushing cap and sharp together
    against a hard surface to ensure a tight fit.
    Or, the sharp might also be recapped by
    holding the cap with tongs or forceps to place
    it on the needle.
 Y   N   N/A   ?? 
  1. Can it be assured that the shearing and breaking

    2. of contaminated needles does not occur?
    [29 CFR 1910.1030(d)(2)(vii)]
 Y   N   N/A   ?? 
  1. Is it prohibited to eat, drink, smoke, apply

    2. cosmetics, and handle contact lenses in
    work areas where the potential exists for
    exposure to bloodborne pathogens?
    [29 CFR 1910.1030(d)(2)(ix)]
 Y   N   N/A   ?? 
  1. Are food and drink prohibited in refrigerators,

    2. freezers, shelves, cabinets, or on countertops
    or benchtops where blood or other potentially
    infectious materials are present?
    [29 CFR 1910.1030(d)(2)(x)]
 Y   N   N/A   ?? 
  1. Are tasks involving blood or other potentially

    2. infectious materials performed in a way
    that minimizes splashing and generating
    droplets of these substances?
    [29 CFR 1910.1030(d)(2)(xi)]
 Y   N   N/A   ?? 
  1. Is mouth pipetting and suctioning of blood

    2. or other potentially infectious agents prohibited?
    [29 CFR 1910.1030(d)(2)(xii)]
 Y   N   N/A   ?? 
  1. Are specimens of blood or other potentially

    2. infectious materials placed in an appropriate
    container that prevents leakage during
    collection, handling, processing, storage,
    or transport?
    [29 CFR 1910.1030(d)(2)(xiii)]
 Y   N   N/A   ?? 
Personal Protective Equipment
  1. Is personal protective equipment such as

    2. gloves, gowns, laboratory coats, face shields
    or masks, and eye protection provided free
    to persons potentially exposed to
    bloodborne pathogens?
    [29 CFR 1910.1030(d)(3)(i)]
 Y   N   N/A   ?? 
  1. Is personal protective equipment of

    2. appropriate sizes readily accessible or issued
    to all students and employees?
    [29 CFR 1910.1030(d)(3)(iii)]
 Y   N   N/A   ?? 
  1. Are hypoallergenic gloves, glove liners,

    2. powderless gloves, or other similar alternatives
    readily accessible to those who are allergic
    to the gloves normally provided?
    [29 CFR 1910.1030(d)(3)(iii)]
 Y   N   N/A   ?? 
  1. Is personal protective equipment repaired or

    2. replaced to maintain its effectiveness?
    [29 CFR 1910.1030(d)(3)(v)]
 Y   N   N/A   ?? 
  1. Do students and employees immediately

    2. remove garments that have been penetrated by
    blood or other potentially infectious materials?
    [29 CFR 1910.1030(d)(3)(vi)]
 Y   N   N/A   ?? 
  1. Do students and employees remove all

    2. personal protective equipment before
    leaving the work area?
    [29 CFR 1910.1030(d)(3)(vii)]
 Y   N   N/A   ?? 
  1. Do students and employees use an

    2. appropriately designated area or container
    for storage, washing, decontamination, or
    disposal of personal protective equipment?
    [29 CFR 1910.1030(d)(3)(viii)]
 Y   N   N/A   ?? 
  1. Do students and employees wear gloves

    2. whenever the possibility exists of hand
    contact with blood or other potentially
    infectious materials?
    [29 CFR 1910.1030(d)(3)(ix)]

    Note: This includes touching contaminated
    items or surfaces and persons receiving
    phlebotomy training.
 Y   N   N/A   ?? 
  1. Are disposable (single-use) gloves replaced

    2. as soon as they are contaminated, torn,
    punctured or cannot function as a barrier?
    [29 CFR 1910.1030(d)(3)(ix)(A)]
 Y   N   N/A   ?? 
  1. Is it prohibited to re-use disposable

    2. (single-use) gloves?
    [29 CFR 1910.1030(d)(3)(ix)(B)]
 Y   N   N/A   ?? 
  1. Are utility gloves decontaminated and re-used

    2. only if the integrity of the glove is not compromised?
    [29 CFR 1910.1030(d)(3)(ix)(C)]
 Y   N   N/A   ?? 
  1. Do students and employees wear masks and

    2. eye protection devices (such as goggles or
    glasses with solid side shields or chin-length
    face shields) whenever splashes or droplets of
    blood or other potentially infectious materials
    may be generated and eye, nose, or mouth
    contamination can be reasonably anticipated?
    [29 CFR 1910.1030(d)(3)(x)]
 Y   N   N/A   ?? 
  1. Are gowns, aprons, lab coats, clinic jackets,

    2. or similar outer garments worn whenever
    exposure to blood or other potentially infectious
    materials is anticipated?
    [29 CFR 1910.1030(d)(3)(xi)]
 Y   N   N/A   ?? 
  1. Is there a written method of decontamination

    2. and schedule for cleaning of all areas and
    surfaces that may become contaminated
    with blood or other potentially infectious
    materials?
    [29 CFR 1910.1030(d)(4)(i)]

 Y   N   N/A   ?? 
  1. Are all equipment and working surfaces

    2. cleaned and decontaminated immediately,
    or as soon as feasible, after contact with
    blood or other potentially infectious materials?
    [29 CFR 1910.1030(d)(4)(ii)]

 Y   N   N/A   ?? 
  1. Are protective covers used to cover equipment

    2. and surfaces removed and replaced as soon
    as feasible when they become overtly
    contaminated?
    [29 CFR 1910.1030(d)(4)(ii)(B)]

    Note: Examples of protective coverings include:
    plastic wrap, aluminum foil, or absorbent
    paper backed with impervious material.


 Y   N   N/A   ?? 
  1. Are all reusable receptacles such as bins,

    2. pails and cans that are likely to become
    contaminated with blood or other potentially
    infectious materials inspected and
    decontaminated on a regular schedule?
    [29 CFR 1910.1030(d)(4)(ii)(C)]

 Y   N   N/A   ?? 
  1. Are all reusable receptacles such as bins,

    2. pails and cans that are likely to become
    contaminated with blood or other potentially
    infectious materials cleaned and
    decontaminated immediately, or as soon as
    feasible, upon visible contamination?
    [29 CFR 1910.1030(d)(4)(ii)(C)]

 Y   N   N/A   ?? 
  1. Is picking up broken contaminated glassware

    2. with your hands prohibited?
    [29 CFR 1910.1030(d)(4)(ii)(D)]

 Y   N   N/A   ?? 
  1. Is broken contaminated glassware always

    2. cleaned up with mechanical means such
    as a brush and dust pan, tongs, or forceps?
    [29 CFR 1910.1030(d)(4)(ii)(D)]

 Y   N   N/A   ?? 
  1. Are contaminated sharps discarded immediately

    2. or as soon as feasible into containers?
    [29 CFR 1910.1030(d)(4)(iii)(A)(1)]

 Y   N   N/A   ?? 
  1. Are containers used for sharps disposal

    2. closable, puncture resistant, leakproof on
    sides and bottom, and labeled with a
    biohazard warning label or colored red?
    [29 CFR 1910.1030(d)(4)(iii)(A)(1)]

 Y   N   N/A   ?? 
  1. Are containers used for sharps disposal

    2. easily accessible and located in the area
    where sharps are used or can be reasonably
    anticipated to be found?
    [29 CFR 1910.1030(d)(4)(iii)(A)(2)]

 Y   N   N/A   ?? 
  1. Are containers used for sharps disposal

    2. maintained upright throughout use?
    [29 CFR 1910.1030(d)(4)(iii)(A)(2)(i)]

 Y   N   N/A   ?? 
  1. Are containers used for sharps disposal

    2. replaced routinely and not allowed to overfill?
    [29 CFR 1910.1030(d)(4)(iii)(A)(2)(ii)]

 Y   N   N/A   ?? 
  1. Are sharps containers closed immediately

    2. prior to removal or replacement to prevent
    spillage or protrusion of contents during handling,
    storage, transport, or shipping?
    [29 CFR 1910.1030(d)(4)(iii)(A)(3)(i)]

 Y   N   N/A   ?? 
  1. Are sharps containers placed in an appropriate

    2. secondary container if leakage is possible?
    [29 CFR 1910.1030(d)(4)(iii)(A)(3)(ii)]

 Y   N   N/A   ?? 
  1. Are reusable sharps that are contaminated

    2. with blood or other potentially infectious
    materials not stored or processed in a manner
    that requires a person to reach by hand into
    the containers where these sharps have
    been placed?
    [29 CFR 1910.1030(d)(4)(ii)(E)]

 Y   N   N/A   ?? 
  1. Are reusable containers not opened, emptied,

    2. or cleaned manually or in any other manner
    which might expose a person to the risk
    of skin puncture?
    [29 CFR 1910.1030(d)(4)(iii)(A)(4)]

 Y   N   N/A   ?? 
  1. Is regulated waste, other than sharps,

    2. placed into containers which are:
    [29 CFR 1910.1030(d)(4)(iii)(B)(1)]
     
    1. closable?

      2.  
    2. constructed to contain all contents

      3. and prevent leakage of fluid during
      handling, storage, transport or shipping?
       
    3. labeled with a biohazard warning

      4. label or colored red?
       
    4. closed prior to removal to prevent

      5. spillage or protrusion of contents
      during handling, storage, transport,
      or shipping?

 Y   N   N/A   ?? 
  1. Are containers of regulated waste, other

    2. than sharps, that have become contaminated
    on the outside placed into appropriate
    secondary containers as defined in (17) above?
    [29 CFR 1910.1030(d)(4)(iii)(B)(2)]

 Y   N   N/A   ?? 
  1. Is contaminated laundry handled as little

    2. as possible with a minimum of
    agitation or movement?
    [29 CFR 1910.1030(d)(4)(iv)(A)]

 Y   N   N/A   ?? 
  1. Is contaminated laundry bagged or put into

    2. other containers at the location it is used?
    [29 CFR 1910.1030(d)(4)(iv)(A)(1)]

 Y   N   N/A   ?? 
  1. Is contaminated laundry placed and transported

    2. in bags or containers labeled with the biohazard
    symbol or colored red?
    [29 CFR 1910.1030(d)(4)(iv)(A)(2)]

 Y   N   N/A   ?? 
  1. Is wet contaminated laundry placed and transported

    2. in bags or containers that will prevent soak-through
    and/or leakage of fluids to the exterior?
    [29 CFR 1910.1030(d)(4)(iv)(A)(3)]

 Y   N   N/A   ?? 
  1. Do persons who handle contaminated laundry

    2. wear protective gloves and other appropriate
    personal protective equipment?
    [29 CFR 1910.1030(d)(4)(iv)(B)]

 Y   N   N/A   ?? 
  1. Are garments which have been penetrated by

    2. blood or other potentially infectious materials
    removed immediately or as soon as
    possible by the user?
    [29 CFR 1910.1030(d)(3)(vi)]

 Y   N   N/A   ?? 
  1. Is the hepatitis B vaccination series made

    2. available to all persons who are reasonably
    anticipated to come in contact with blood or
    other potentially infectious materials through
    the performance of their job duties?
    [29 CFR 1910.1030(f)(1)]

 Y   N   N/A   ?? 
  1. Is the hepatitis B vaccination series made

    2. available to persons who have received the
    required bloodborne pathogen training?
    [29 CFR 1910.1030(f)(2)]

 Y   N   N/A   ?? 
  1. Within 10 days of initial assignment, is

    2. the hepatitis B vaccination series made
    available to persons whose job is reasonably
    anticipated to have contact with blood or
    other potentially infectious materials?
    [29 CFR 1910.1030(f)(2)(i)]

 Y   N   N/A   ?? 
  1. Have persons who refused to take the

    2. hepatitis B vaccination series signed a
    statement to that effect following the form
    prescribed by the OSHA standard?
    [29 CFR 1910.1030(f)(2)(iv)]

 Y   N   N/A   ?? 
  1. Is a confidential medical evaluation and

    2. follow-up made available to an exposed
    person following a report of an exposure incident?
    [29 CFR 1910.1030(f)(3) and (5)]

    Note: The medical evaluation and follow-up
    must include documentation of the route(s)
    of exposure and the circumstances under
    which the exposure incident occurred;
    identification and documentation of the
    source individual unless identification is
    infeasible or prohibited by state law; the
    HBV or HIV infectivity of the source individual
    if it can be legally determined; collection
    and testing of blood from the exposed
    individual for HBV and HIV serological status
    provided consent is given; post-exposure
    prophylaxis when medically indicated;
    counseling; evaluation of reported illnesses;
    and a written opinion from a healthcare
    professional.


 Y   N   N/A   ?? 
  1. Are containers of regulated waste labeled

    2. with a biohazard warning label?
    [29 CFR 1910.1030(g)(1)(i)]

    Note: Red bags or red containers may be
    substituted for a biohazard warning label.
    Containers include refrigerators and freezers
    containing blood or other potentially infectious
    materials, and other containers used to store,
    transport or ship blood or other potentially
    infectious materials.


 Y   N   N/A   ?? 
  1. Are individuals who are reasonably

    2. anticipated to have contact with blood or
    other potentially infectious materials in the
    course of their work or student activities
    provided training on bloodborne pathogens?
    [29 CFR 1910.1030(g)(2)]

    Note: The training must include an
    accessible copy of the OSHA standard; a
    general explanation of the epidemiology
    and symptoms of bloodborne diseases;
    an explanation of the modes of transmission
    of bloodborne pathogens; an explanation
    of the exposure control plan and how to
    obtain a copy; an explanation of how to
    recognize tasks and other activities that
    may involve exposure to blood and other
    other potentially infectious materials; an
    explanation of engineering controls, work
    practice controls and personal protective
    equipment; information on hepatitis B vaccine;
    emergency information and procedures;
    information on the post-exposure evaluation
    and follow-up; information on labels and
    color coding; and an opportunity for
    interactive questions and answers.


 Y   N   N/A   ?? 
  1. Is bloodborne pathogen training provided

    2. before or at the time of initial assignment where
    contact with blood or other potentially
    infectious materials is possible?
    [29 CFR 1910.1030(g)(2)(ii)(A)]

 Y   N   N/A   ?? 
  1. Is bloodborne pathogen refresher training

    2. provided at least annually?
    [29 CFR 1910.1030(g)(2)(ii)(C)]

 Y   N   N/A   ?? 
  1. Is additional bloodborne pathogen training

    2. provided when changes are instituted that
    might affect exposure such as modification
    of tasks or procedures or adoption of new
    tasks or procedures?
    [29 CFR 1910.1030(g)(2)(v)]

 Y   N   N/A   ?? 
  1. Is the bloodborne pathogen training material

    2. appropriate in content and vocabulary to
    the educational level, literacy, and language
    of people to be trained?
    [29 CFR 1910.1030(g)(2)(vi)]

 Y   N   N/A   ?? 
  1. Is the person(s) who conducts the bloodborne

    2. pathogen training knowledgeable in the
    subject matter?
    [29 CFR 1910.1030(g)(2)(viii)]

 Y   N   N/A   ?? 
  1. Are accurate medical records maintained

    2. regarding hepatitis B vaccinations, examinations,
    medical testing, follow-up procedures, and
    copies of written opinions given in response
    to exposure incidents?
    [29 CFR 1910.1030(h)(1)]

    Note: These records are confidential.


 Y   N   N/A   ?? 
  1. Are records maintained of training that

    2. shows the dates of the training sessions,
    the contents of the training session, the
    names and qualifications of person
    conducting the training, and the names
    of the persons attending the training sessions?
    [29 CFR 1910.1030(h)(2)(i)]

 Y   N   N/A   ?? 
  1. Are training records maintained for at

    2. least 3 years?
    [29 CFR 1910.1030(h)(2)(ii)]

 Y   N   N/A   ?? 

 
Definitions:
 
Bloodborne pathogens: pathogenic microorganisms that are present in human blood and cause disease in humans. These pathogens include hepatitis B virus (HBV) and human immunodeficiency virus (HIV).
Engineering controls: controls that isolate or remove the bloodborne pathogens hazard from the workplace (e.g., sharps disposal containers, self-sheathing needles).
Potentially infectious materials: include (a) the following human body fluids: blood, semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, and saliva in dental procedures; (b) any body fluid that is visibly contaminated with blood; (c) body fluids in situations in which it is difficult to differentiate between body fluids; (d) any unfixed tissue or organ (other than intact skin) from a human (living or dead); (e) HIV-containing cell or tissue cultures and organ cultures; (f) HIV- or HBV-containing culture medium or other solutions; and (g) blood, organs, or other tissues from experimental animals infected with HIV or HBV.
Universal precautions: an approach to infection control whereby all human blood and certain human body fluids are treated as if they were infectious for HIV, HBV, and other bloodborne pathogens.
Work practice controls: controls that reduce the likelihood of exposure by altering the manner in which a task is performed (e.g., prohibiting recapping of needles by a two-handed technique).
Comments/Corrective action:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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National Institute for Occupational Safety and Health