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Environmental Health & Safety

In Compliance with 29 CFR 1910.1030 OSHA Standard for Occupational Exposure to Bloodborne Pathogens

Bloodborne Pathogens Exposure Control Plan

Printable files are available in two parts with Adobe Acrobat Reader:


  1. General Principles
  2. The Occupational Safety and Health Administration (OSHA) promulgated the Occupational Exposure to Bloodborne Pathogens Standard (29 CFR 1910.1030) in December 1991. This Exposure Control Plan (the Plan) is written to comply with the regulation and includes the following information:

    • Exposure Determinations
    • Methods of Compliance
    • HIV/HBV Laboratories
    • Hepatitis B Vaccination
    • Communication of Hazards
    • Procedures for Evaluation of Circumstances Surrounding Exposure

    OSHA recognizes that the potential for exposure to bloodborne pathogens extends beyond healthcare professionals and thus defines the scope of this standard to include all personnel at risk for occupational exposures to blood or other potentially infectious materials. This Plan covers all healthcare professionals, laboratory personnel, housekeepers, facilities staff, and any other University employees with the potential for exposure to bloodborne pathogens. All employees identified in the Exposure Determination are required to comply with this policy. The Exposure Control Plan is designed to protect employees from infection with bloodborne pathogens, including but not limited to hepatitis B virus (HBV) which causes hepatitis B; HIV, which causes acquired immunodeficiency syndrome (AIDS); hepatitis C virus (HCV); and human T-cell lymphotropic viruses. On rare occasions various other bacterial, viral, and parasitic pathogens may also be transmitted by blood exposure.

    The Plan will be implemented in Strong Memorial Hospital (SMH) by the Directors' Office in conjunction with the Infection Prevention Program, SMH Employee Health and the University Health Service (UHS); in Eastman Dental Center (Eastman Institute for Oral Health) by the Office of Clinical Affairs in conjunction with the Eastman Institute for Oral Health Infection Control Program and UHS; throughout the rest of the University the Plan will be implemented by appropriate Deans and Department Heads in conjunction with Environmental Health & Safety (EH&S) and University Health Service. Copies of both the Exposure Control Plan and the Infection Control Manual can be found online at the Strong Health Infection Control Program (http://intranet.urmc-sh.rochester.edu/policy/infcontrol) and at Environmental Health & Safety (http://www.safety.rochester.edu/ih/bbp/bbpindex.html). Online copies of the plan are available throughout the University including all nursing units, in all clinical, ancillary and support services departments, in laboratories, offices and research locations.

    This Plan will be reviewed and updated annually to assure that any new hazards and/or exposure-prone tasks are recognized and sufficiently covered by the Plan.

Continue to Section II Responsibilities


QUESTIONS? Contact EH&S at (585) 275-3241 or e-mail EH&S Questions.

This page last updated 8/21/2019. Disclaimer