2018-574-E Emergency Svc - South orange Rescue Squad operational agreement

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DocuSign Envelope ID:79C5D167-B6CA-4E59-B4AC-AA38CC1 B20BD "effective." EC 9: Annual Review Exposure Control Plan (Continued): For purposes of this standard, an "effective"safer medical device is a device that, based on reasonable judgment, will make an exposure incident involving a contaminated sharp less likely to occur in the application in which it is used. If no engineering control is available, work practice controls shall be used and, if occupational exposure still remains, personal protective equipment must also be used.) • Employee Input: o Input will be solicited from non-managerial employees responsible for direct patient care regarding the identification, evaluation, and selection of effective engineering controls, including safer medical devices. o The employees providing input will represent the range of exposure situations encountered in the workplace, such as those in the health department, substance abuse, or EMS, along with others involved in direct care of patients. (OSHA will check for compliance with this provision during inspections by questioning a representative number of employees to determine if and how their input was requested. No specific procedures for obtaining employee input are prescribed. This provides the employer with flexibility to solicit employee input in any manner appropriate to the circumstances of the workplace. A dental office employing two hygienists, for example, may choose to conduct periodic conversations to discuss identification, evaluation, and selection of controls. A large hospital, on the other hand, would likely find that an effective process for soliciting employee input requires the implementation of more formal procedures. The solicitation of input required by the standard requires employers to take reasonable steps to obtain employee input in the identification, evaluation, and selection of controls. Methods for soliciting employee input may include involvement in informal problem-solving groups;participation in safety audits, worksite inspections, or exposure incident investigations;participation in analysis of exposure incident data or in job or process hazard analysis;participation in the evaluation of devices through pilot testing.) • Documentation of Employee Input: o Employers are required to document, in the Exposure Control Plan, how they received input from employees. This obligation will be met by: ■ Listing the employees involved and describing the process by which input was requested; or ■ Presenting other documentation, including references to the minutes of meetings, copies of documents used to request employee participation, or records of responses received from employees. (Small medical offices may want to seek input from all employees when making their decisions. Larger facilities are not required to request input from all exposed employees; however, the employees selected should represent the range of exposure situations Revised July,2018