Ebola
Standards
This section highlights OSHA standards, directives, and other related information that may be applicable in the event of possible worker exposure to ebolavirus. Workers have the right to file a complaint to address exposure to a serious health or safety hazard. Workers may also contact their local OSHA area office to discuss workplace situations and options such as filing a complaint or requesting an onsite inspection. In addition to complying with this guidance, Section 11(c) of the OSH Act, 29 USC 660(c), prohibits employers from retaliating against workers for raising concerns about safety and health conditions. OSHA encourages workers who suffer such retaliation to submit a complaint to OSHA. Workers have 30 days to file their complaints.
OSHA Standards
OSHA requires employers to protect workers from occupational exposure and hazards including ebolaviruses, the chemicals used for cleaning and disinfecting surfaces potentially contaminated with ebolavirus, and other related hazards.
There is no specific OSHA Standard covering exposure to ebolaviruses. Where there is no OSHA standard applicable to a specific hazardous exposure, OSHA requires employers to furnish to each worker "employment and a place of employment, which are free from recognized hazards that are causing or are likely to cause death or serious physical harm" as indicated in the General Duty Clause, Section 5(a)(1), of the Occupational Safety and Health (OSH) Act of 1970, 29 USC 654(a)(1).
Where there is occupational exposure to ebolavirus, employers must meet the following OSHA standards, as applicable:
- Bloodborne Pathogens (BBP) standard (29 CFR 1910.1030). The BBP standard requires employers to, among other things, implement an Exposure Control Plan (ECP) and provide appropriate personal protective equipment when workers may be occupationally exposed to human blood or other potentially infectious materials. It is important to note that the BBP standard does not apply to animal blood containing ebolavirus. However, the provisions of the standard offer a framework that may help control some sources of the virus that aren't covered by the BBP standard.
- Personal Protective Equipment (PPE) standards (29 CFR 1910 Subpart I and 29 CFR 1926 Subpart E). Similar to the BBP standard, the PPE standards require employers to provide and ensure workers use protective equipment, including items such as gloves, goggles, and face shields, when necessary to protect workers from hazards.
- Respiratory Protection standards (29 CFR 1910.134 and 1926.103). Apply to situations in which workers may be exposed to aerosolized body fluids containing ebolavirus.
Under the BBP and PPE standards, employers must protect healthcare and other workers who may be exposed to blood and body fluids. CDC guidance contains useful information on how to protect workers exposed to ebolaviruses, including recommendations for PPE and infection control practices on the CDC's Ebola webpage. Employers would likely need to comply with provisions from a combination of OSHA standards and CDC guidance to implement a comprehensive worker protection program for workers who may be exposed to blood and body fluids containing ebolaviruses.
Employers must comply with OSHA's Hazard Communication standard (29 CFR 1910.1200) and other applicable OSHA chemical standards where workers are exposed to hazardous chemicals including, but not limited to, disinfectants, sanitizers, and cleaning agents.
Employers with workers who are exposed to ebolavirus and subsequently have an inpatient hospitalization or death from EVD are required to record these incidents and report them to OSHA per the General Recording Criteria requirements (29 CFR 1904.7) and the regulations for reporting fatalities and hospitalizations (29 CFR 1904.39). For information about recording, posting, and reporting occupational injuries and illnesses as required by 29 CFR 1904, see OSHA Injury and Illness Recordkeeping and Reporting Requirements.
Depending on the specific work task, setting, and exposure to biological or chemical agents, applicable OSHA regulatory requirements may include:
Recordkeeping and Reporting Occupational Injuries and Illness (29 CFR 1904) |
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General Industry (29 CFR 1910) |
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1910 Subpart I - Personal Protective Equipment | ||
1910.132, General requirements. |
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1910.134, Respiratory protection. |
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1910 Subpart J - General Environmental Controls | ||
1910.141, Sanitation. |
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1910 Subpart Z - Toxic and Hazardous Substances | ||
1910.1020, Access to employee exposure and medical records. |
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1910.1030, Bloodborne pathogens. |
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1910.1200, Hazard Communication. |
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Construction (29 CFR 1926) |
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1926 Subpart C - General Safety and Health Provisions | ||
1926.33, Access to employee exposure and medical records. |
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1926 Subpart D - Occupational Health and Environmental Controls | ||
1926.51, Sanitation. |
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1926 Subpart E - Personal Protective and Life Saving Equipment | ||
1926.95, Criteria for personal protective equipment. |
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1926.102, Eye and face protection. |
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1926.103, Respiratory protection. |
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Federal Agencies (29 CFR 1960) |
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State Plan Standards
There are 29 OSHA-approved State Plans operating state-wide occupational safety and health programs. State Plans are required to have standards and enforcement programs that are at least as effective as OSHA's and may have different or more stringent requirements.
The California Division of Occupational Safety and Health (Cal/OSHA) has two directives specifically for Ebola: Cal/OSHA Interim Guidance on Ebola Virus and Cal/OSHA Interim Guidance on Ebola Virus in Inpatient Hospital Settings as well as the Aerosol Transmissible Diseases (ATD) standard that is aimed at preventing worker illness from infectious diseases that can be transmitted by inhaling air that contains viruses (including Ebola), bacteria or other disease-causing organisms that may become aerosolized during certain medical or laboratory procedures. While the Cal/OSHA ATD standard is only mandatory for certain healthcare employers in California, it may provide useful guidance for protecting other workers exposed to ebolavirus.
Preambles to Final Rules
Preambles are statements of basis and purpose for Final Rules, or regulations.
Additional Directives
Note: The directives in this list provide additional information that is not necessarily connected to a specific OSHA standard highlighted on this Safety and Health Topics page.
- Inspection Procedures for the Hazard Communication Standard (HCS 2012). CPL 02-02-079, (July 09, 2015).
- Inspection procedures for the Respiratory Protection Standard. CPL 02-00-158, (June 26, 2014).
- 29 CFR Part 1910, Subpart I, Enforcement Guidance for Personal Protective Equipment in General Industry. CPL 02-01-050, (February 10, 2011).
- Rules of agency practice and procedure concerning OSHA access to employee medical records. CPL 02-02-072, (August 22, 2007).
- Recordkeeping Policies and Procedures Manual. CPL 02-00-135, (December 30, 2004).
- Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens. CPL 02-02-069, (November 27, 2001).
Additional Letters of Interpretation
Note: The letters in this list provide additional information that is not necessarily connected to a specific OSHA standard highlighted on this Safety and Health Topics page.
- Bloodborne Pathogens Standard (December 13, 2010).
- Applicability of Bloodborne Pathogens Standard to HCV. (March 25, 1999).
- Most frequently asked questions concerning the bloodborne pathogens standard (February 01, 1993).