How to set up your new employee for OSHA success

Onboarding new employees with OSHA can be overwhelming.  We are here to help you get organized with this process, and make this requirement simpler in your practice.



Follow these 5 steps

1.  OSHA Training.  All new employees must receive OSHA training before the employee is put at risk for exposure.  This means that your new employee should receive their OSHA training before interacting with your patients, or being placed in a clinical setting.


2.  Exposure Risk Identification.  The practice must identify each employee’s occupational exposure while performing their job duties at the practice. 


3.  Hepatitis B Vaccination.  OSHA requires practice’s to offer the Hepatitis B immunization to each occupationally exposed employee after the employee receives their OSHA training and within 10 working days of their initial assignment.


4.  Tuberculosis Testing.  The CDC guidelines recommend TB testing to be done for all healthcare workers, but the CDC has no enforcement authority.  It is important for practices to note that OSHA does not have a formal standard for Tuberculosis; however OSHA will enforce the CDC guidelines under the General Duty Clause.


5.  Employee Medical File.  It is required for employees who have a risk for occupational exposure, to have an Employee Medical File or Documentation.  This file includes the name of the employee, Social Security Number, job title, HBV vaccination documentation (shot records, lab report, or signed declination) and exposure records.  Due to the sensitive nature of the contents, this file must be kept in a confidential manner.


For new employee success in your office, follow the checklist below, or visit the OSHA Onboarding Process Cheat Sheet here or here for other resources. 

      OSHA Training

      Exposure Risk Identification

      Hepatitis B Vaccination

      TB Testing

      Employee Medical File



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