Please consider downloading the latest version of Internet Explorer
to experience this site as intended.
Meloria • Ever Better
Search Tools Main Menu

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. Responsibilities
    1. Deans, Administrators, and Department Heads
    2. Deans, Administrators and Department Heads have ultimate responsibility for administration and enforcement of safety within the University including this Exposure Control Plan.

    3. Supervisors and Principal Investigators
    4. Supervisors and principal investigators have primary responsibility for implementing the Exposure Control Plan in their area and ensuring that the employees under their supervision comply with the requirements of this plan. 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 direction, and assuring that personal protective equipment is available. In addition to assuring PPE is available, the supervisor is responsible for enforcing use of PPE for high risk patient care.

    5. Occupational Safety Unit, Environmental Health & Safety
    6. An industrial hygienist within Environmental Health & Safety will oversee the Bloodborne Pathogens Plan. The industrial hygienist’s responsibilities include participation in annual updates of the Exposure Control Plan including the Exposure Determination, providing BBP training to applicable groups, identification of OSHA requirements under the standard, providing necessary guidance to maintain compliance with OSHA requirements, and provision of support and encouragement for University staff programs and initiatives to reduce blood exposures.

    7. Infection Prevention and Control, Strong Memorial Hospital (SMH)
    8. The SMH Infection Prevention and Control Program, under the direction of the Hospital Epidemiologist, assists in the development and implementation of the Exposure Control Plan in Strong Memorial Hospital.

    9. Infection Control, Eastman Institute for Oral Health
    10. The Eastman Institute for Oral Health Infection Control Program, under the direction of the Office of Clinical Affairs which is overseen by the Associate Director for Clinical Affairs, assists in the development and implementation of the Exposure Control Plan in Eastman Dental Center. Infection Control staff participate in training and consultation to Office of Clinical Affairs on infection control methods and strategies.

    11. University Health Service
    12. The University Health Service has responsibility for occupational health of all University employees. Their responsibilities include but are not limited to first aid, HBV vaccination, infectious disease monitoring and follow-up treatment, and exposure data collection. UHS is also responsible for annual health updates and recordkeeping for University employees (excluding Division 5).

    13. SMH Employee Health
    14. SMH Employee Health, the designated healthcare provider for University of Rochester Medical Center (URMC) employees, has the responsibility for HBV vaccination, compliance immunizations and physicals, annual health updates, and medical recordkeeping of those employees.

    15. Environment of Care Council
    16. The Environment of Care Council, through oversight of the Hazardous Materials and Waste Management Plan, is responsible for advising the University on the proper handling of regulated medical waste, assuring that the University is in compliance with all federal and state regulations, informing the University Biosafety Officer and SMH Administration of any regulation changes which may affect the instructions given in this Exposure Control Plan.

    17. All Employees Identified in the Exposure Determination
    18. All employees identified in the exposure determination are required to comply with the Exposure Control Plan. The requirements include attending training, planning and conducting 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.

  2. Exposure Determination
  3. University has determined which of its employees/volunteers are at risk of occupational exposure to bloodborne pathogens. Those identified include full-time and part-time faculty, staff, temporary services personnel, time-as-reported staff, graduate and undergraduate student employees.

    The results of this exposure determination can be found in Appendix 4.

Continue to Section IV - Methods of Compliance


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

This page last updated 8/12/2016. Disclaimer