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44C, March 6, 1992), employees who manage medical waste are considered to have occupational direct exposure. In basic, the rules need companies to develop exposure control strategies, to adopt engineering controls and work practices that minimize exposures, to provide handwashing facilities and personal protective equipment, to supply training to employees, to offer hepatitis B vaccines complimentary of charge, to supply medical evaluation and follow-up to exposed workers, and to keep medical and training records.

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Blood means human blood, blood products, or blood parts. Other possibly contagious materials include all body fluids in scenarios where it is challenging or impossible to differentiate in between body fluids. Direct Exposure Control Strategy Covered employers should prepare an "Direct exposure Control Strategy." This plan must contain separate lists of job categories where some or all of the employees might be exposed and a list of job tasks and treatments in which direct exposure might take place (whether or not personal protective devices is used).

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The plan must be made available to all staff members. Techniques of Compliance Section (d) of 1910. 1030 defines the treatments that must be followed by all employers to abide by the guideline. " Reference ," an approach to infection control that presumes that all blood and specific body fluids are contagious for HIV (Human Immunodeficiency Virus which causes AIDS), HBV (Hepatitis B Infection), and other bloodborne pathogens, should be followed.

Employers are needed to use "engineering and workplace controls" any place possible to reduce or get rid of worker direct exposure. Engineering controls either get rid of the danger or separate the employee from exposure. An example of an engineering control is the use of an aerated taxi on earth-moving equipment to secure workers from dust and aerosols.

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Employers are needed to take a look at, keep, and replace engineering controls on a routine basis to insure their effectiveness. Individual Protective Equipment Suitable individual protective devices should be used to reduce threat of worker exposure. Employers need to make readily available at no expense to employees proper specialized clothes or equipment to protect against direct exposure to blood and other potentially contagious materials.