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:
- RESPONSIBILITIES
- Deans, Administrators, and Department Heads
- Supervisors and Principal Investigators
- Occupational Safety Unit, Environmental Health & Safety
- Infection Prevention and Control, Strong Memorial Hospital (SMH)
- Infection Control, Eastman Institute for Oral Health
- University Health Service
- SMH Employee Health
- Environment of Care Council
- All Employees Identified in the Exposure Determination
Deans, Administrators and Department Heads have ultimate responsibility for administration and enforcement of safety within the University including this Exposure Control Plan.
Supervisors and principal investigators have primary responsibility for implementing the Exposure Control Plan in their area and ensuring that the employees under their supervision follow the plan's requirements. These responsibilities include: identifying employees who have potential exposure to human blood or other potentially infectious body fluids, ensuring that these employees attend training, establishing exposure control procedures for all projects under their supervision, and assuring that personal protective equipment is available. The supervisor is responsible for enforcing use of PPE for high risk patient care in addition to ensuring that it is available.
The Bloodborne Pathogens Plan will be overseen by an industrial hygienist within Environmental Health & Safety. The industrial hygienist's responsibilities include updating the Exposure Control Plan including the Exposure Determination, providing BBP training to appropriate groups, identifying OSHA requirements under the standard, providing necessary guidance to maintain compliance with OSHA requirements, and providing support and encouragement for University staff programs and initiatives to reduce blood exposures.
Under the direction of the Hospital Epidemiologist, the SMH Infection Prevention and Control Program, assists in the development and implementation of the Strong Memorial Hospital Exposure Control Plan.
The Eastman Institute for Oral Health Infection Control Program, which is overseen by the Associate Director for Clinical Affairs, assists in the development and implementation of the Exposure Control Plan. Infection Control personnel assist the Office of Clinical Affairs with infection control methods and strategies through training and consultation.
The University Health Service (UHS) is in charge of the occupational health of all University employees and medical students. Their duties include but are not limited to first aid, HBV vaccination, infectious disease monitoring and follow-up treatment, and exposure data collection. UHS is also in charge of annual health checks and recordkeeping for University employees and medical students.
SMH Employee Health, the designated healthcare provider for University of Rochester Medical Center (URMC) employees, is responsible for HBV vaccination, compliance immunizations and physicals, annual health updates, and medical recordkeeping of those employees.
The Environment of Care Council is responsible for advising the University on the proper handling of regulated medical waste, ensuring that the University is in compliance with all federal and state regulations, and informing the University Biosafety Officer and SMH Administration of any regulation changes which may affect the instructions given in this Exposure Control Plan through oversight of the Hazardous Materials and Waste Management Plan.
The Exposure Control Plan must be followed by all employees identified in the exposure determination. Attending training, planning and carrying out procedures in accordance with the Exposure Control Plan, developing and maintaining good work habits, reporting incidents of exposure to human blood, body fluids, or tissues to UHS or SMH Employee Health are all requirements.
Continue to Section V - Procedures
QUESTIONS? Contact EH&S at (585) 275-3241 or e-mail EH&S Questions.
This page last updated 7/18/2025. Disclaimer
