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Regulatory Compliance Manual

This manual provides sample written plans and forms to assist a dental practice in Cal/OSHA compliance, and also contains information on waste management. It is designed to provide practical information in a summarized manner in regard to the subject matter covered. While regularly reviewed and updated as needed, it is provided with the understanding that the association and others that are associated with this publication are not engaged in rendering legal, technical or other professional service. You can order a bound copy of the entire manual online from the Practice Support Store.

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Regulatory Compliance Manual: Table of Contents and Use Instructions

Review the instructions for recommendations on how to best implement this program in your practice. Also download a table of contents for your binder.

Access To Employee Exposure and Medical Records

Dental practices must have this Cal/OSHA regulation available to employees. This copy is Appendix 2 of the Regulatory Compliance Manual.  Updated Sept 2019.

Bloodborne Pathogens Post Exposure Management Protocol

A checklist of actions a dental practice must take after an employee is exposed to blood or OPIM.  Updated Sept 2015, last reviewed Aug 2021

 

Bloodborne Pathogens Standard

Dental practices must have a copy of this regulation to provide to employees upon request. Updated Jan 2018, last reviewed Aug 2021.

Confirmation of Source Patient's Denial for Testing

Use form to document patient’s decision. The form is part of the Regulatory Compliance Manual. Updated Sept 2015.

COVID Addendum to the IIPP

This sample addendum to the injury and illness prevention plan has been updated for consistency with the Cal/OSHA nonemergency COVID-19 prevention regulation effective in 2023

Dental Board of California Infection Control Regulations

Copy of California Code of Regulations Title 16 Section 1005, which require written protocols for instrument processing, operatory cleanliness, and injury management. Updated Sept 2011.

Dental Sharps

Use form to document evaluation of sharps used in the practice and availability of sharps injury protection devices. The form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Employee Accident Form

Use this form to document employee exposures to bloodborne pathogens, sharps injuries and accidents as required by Cal/OSHA. Updated Aug 2015.

Employee Informed Refusal of Post-Exposure Medical Evaluation

Use this form to document an employee’s informed refusal of a medical evaluation following exposure to bloodborne pathogens. This form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Employee Injury Protocol

Use template to create a Dental Board-required written protocol for the management of injuries. This sample form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Employee Medical Record Form

Use form to record individual employee's workplace injuries, vaccinations, and exposure monitoring. This sample form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Ergonomics/Repetitive Motion Injury Prevention Plan

Customize sample plan to describe how your practice prevents repetitive motion injuries. This resource is part of the Regulatory Compliance Manual. Updated Sept 2015.

Exposure Control Plan

Customize sample plan to describe how your practice limits employee exposure to bloodborne pathogens. This resource is part of the Regulatory Compliance Manual. Updated Sept 2015.

Fire & Emergency Action Plan

Customize this sample plan to describe how employees should respond to fires and emergencies at the practice. This resource is part of the Regulatory Compliance Manual. Updated Feb 2017.

General Office Safety Plan

Customize this sample plan to describe the general office safety procedures at your practice. This resource is part of the Regulatory Compliance Manual. Updated Sept 2015.

Hazard Communication Plan

Customize this sample plan to describe how the practice communicates to employees about workplace hazardous chemicals. Print final plan on a color printer. Updated Oct 2016.

Hazardous Waste Management and Disposal Plan

Use sample plan to describe how to manage and dispose of hazardous waste in accordance with federal and state laws. This is part of the Regulatory Compliance Manual. Updated Feb 2016.

Housekeeping Schedule

Customize form to comply with Cal/OSHA and a Dental Board requirement to have a written protocol for operatory cleanliness. The form is part of the Regulatory Compliance Manual. Reviewed Sept 2015.

Identification, Evaluation and Selection of Engineering and Work Practice Controls

Staff must assess annually the effectiveness of the practice's safety procedures and devices and consider safety sharps. This form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Individual Training Documentation Form

Use this form to document individual employee's annual training on the control of exposures to bloodborne pathogens. This form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Infection Control and Cal/OSHA FAQ

FAQ on infection control, other Cal/OSHA regulations, training, personal protective equipment and inspections. This resource is part of the Regulatory Compliance Manual. Updated Dec 2018.

Informed Refusal for Hepatitis B Vaccination

Document employee’s refusal of employer's offer of the Hepatitis B vaccination on this form which has mandated language. This form is part of the Regulatory Compliance Manual. Updated Sept 2015.

Injury and Illness Prevention Plan

Customize sample plan to describe how the practice complies with safe work practices, communicates with staff and more. This resource is part of the Regulatory Compliance Manual. Updated Dec. 2022

Instrument Processing Protocol

Use this sample form to describe the practice’s sterilization protocol, as required by the Dental Board. This resource is part of the Regulatory Compliance Manual. Updated May 2014.

Medical Waste Management and Disposal Plan

Use sample plan to describe the practice’s medical waste management and disposal procedures as required by state law. This resource is part of the Regulatory Compliance Manual. Updated May 2015.

Physical Hazard Risk Assessment

Use this sample form to collect information annually for the dental practice workplace violence prevention plan. This resource is part of the Regulatory Compliance Manual. Created May 2024.

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