Text For Citation: 01 Item/Group: 001D Hazard:

29 CFR 1910.134(k)(1): The employer did not provide effective training that covered the required elements in 1910.134(k)(1)(i) through 1910.134(k)(1)(vii): a) East Orange General Hospital Emergency Department - 300 Central Ave., East Orange, NJ The employer did not provide respirator training to employees, including physician assistants and nurse practitioners, who were provided and required to wear N-95 respirators while caring for COVID-19 positive patients and COVID-19 patients under investigation. The training did not include: a) Why the respirator is necessary and how improper fit, usage, or maintenance can compromise the protective effect of the respirator; b) What the limitations and capabilities of the respirator are; c) How to use the respirator effectively in emergency situations, including situations in which the respirator malfunctions; d) How to inspect, put on and remove, use, and check the seals of the respirator; e) What the procedures are for maintenance and storage of the respirator; and f) How to recognize medical signs and symptoms that may limit or prevent the effective use of respirators. Violation occurred on or about 4/20/2020 and thereafter.