Occupational Health Care Professionals: Qualifications and Services, Slides of Workplace Safety

Download Occupational Health Care Professionals: Qualifications and Services and more Slides Workplace Safety in PDF only on Docsity! The Occupational Health Professional’s Services and Qualifications: Questions and Answers U.S. Department of Labor Occupational Safety and Health Administration OSHA 3160 1999 (Revised) Occupational Health Professional’s Services and Qualifications: Questions and Answers This informational booklet is intended to provide a generic, non-exhaustive overview of a particular standards-related topic. This publication does not itself alter or determine compliance responsibilities, which are set forth in OSHA standards them- selves and the Occupational Safety and Health Act. Moreover, because interpretations and enforcement policy may change over time, for additional guidance on OSHA compliance require- ments, the reader should consult current and administrative inter- pretations and decisions by the Occupational Safety and Health Review Commission and the Courts. Material contained in this publica- tion is in the public domain and may be reproduced, fully or partially, without permission of the Federal Government. Source credit is requested but not required. This information will be made available to sensory impaired individuals upon request. Voice phone: (202) 693-2120; Occupational Health Professional’s Services and Qualifications: Questions and Answers What Is the Difference Between Occupational Health Care Professionals and Other Occupational Safety and Health Professionals ................................................... 13 Industrial Hygienists ........................................................ 13 Industrial Engineers ......................................................... 14 Safety Professionals ......................................................... 14 What OSHA Standards for General Industry Require Screening and Surveillance or Occupational Health Services? ................................................................ 15 General Industry Standards ............................................. 15 Some OSHA Standards that Require Occupational Health Services? ......................................................... 16 Resources ........................................................................... 17 Medical Doctors .............................................................. 17 Osteopathic Doctors ........................................................ 18 Occupational Health Nurses ............................................ 18 Nurse Practitioners .......................................................... 18 Registered Nurses ............................................................ 18 Physician Assistants ........................................................ 19 Emergency Medical Technicians..................................... 19 Industrial Hygienists ........................................................ 20 Safety Professionals ......................................................... 20 References ......................................................................... 21 Related OSHA Publications ................................................ 22 States with Approved Plans ............................................... 23 OSHA Consultation Project Directory ................................. 27 OSHA Area Offices .............................................................. 29 iv Controlling occupational injuries and illnesses and related expen- ditures is a top priority in most companies. Selecting a qualified health care professional to participate in the workplace safety and health activities can be a vital step in this process. The following questions and answers are to provide guidance and serve as a re- source for those considering such a selection. The Occupational Health Professional’s Services and Qualifications: Questions and Answers 1 Occupational Health Professional’s Services and Qualifications: Questions and Answers Occupational Health Professional’s Services and Qualifications: Questions and Answers A variety of health care professionals are available to employers. Selecting an appropriate provider for the worksite depends on a number of factors, including: • The Occupational Safety and Health Administration’s (OSHA) screening and surveil- lance requirements for specific substances or hazards associated with the worksite; • The number, diversity, size, and seriousness of the hazards involved at the worksite(s); and • The level of resources committed to an occupational health care service as part of a comprehensive safety and health program; and • Distance to the closest trauma center or health care facility. At a minimum, workplace safety and health involves management support, employee involvement, worksite analysis, hazard prevention and control, occupational health care management (including screen- ing and surveillance for disease and injury), and training and educa- tion. Qualified occupational health care professionals can assist the employer in achieving a safe and healthful work environment. Along with other safety and health professionals, health care profes- sionals work collaboratively with labor and management to: • Identify potential hazards and to find ways to prevent, elimi- nate, minimize, or reduce hazards; • Develop and manage training programs to promote workplace health and safety; and • Enhance the accuracy of OSHA recordkeeping. 2 What Issues Should be Considered in Selecting a Health Care Professional? Health care professionals qualified to design, manage, supervise, and deliver health care in occupational settings include a variety of practitio- ners. It is imperative, however, that the legal “scope of practice” unique to each state be consid- ered prior to hiring or contracting for services. The “scope of practice” refers to the credentials, responsibilities, and legally authorized practice of health care professionals. Physicians, physician assistants, and registered nurses, including nurse practitioners, receive standardized educations with core curricula (individualized to their profession) necessary to pass national or state boards and to be licensed in a particular state. Physicians and registered nurses are then eligible to become certified in a specialty practice, such as occupational medicine (physicians and physician assistants) or occupational health nursing (registered nurses and nurse practitioners), through a combination of additional specific education and experience. The additional educational training in occupational health typically includes course work in epidemiology, toxicology, industrial hygiene, recognition and management of occupational illnesses and injuries, research, and general management of a comprehensive occupational health program. Physicians Medical Doctors (MDs) have completed study at the college level and training at an accredited school. Licensed MDs have passed the National Medical Board Exam or equivalent examina- tions and have a license to practice within a given state(s). Doctors of Osteopathy (DOs) graduate from college and an osteopathic school approved by the American Osteopathic Asso- ciation. They must pass a state board examination to qualify for a license to practice within a given state(s). Occupational Medicine Physicians are medical doctors or 5Who Are Qualified Occupational Health Care Professionals? Who are Qualified Occupational Health Care Professionals? Occupational Health Professional’s Services and Qualifications: Questions and Answers doctors of osteopathy who have completed additional occupational medicine training or acquired on-site experience. Completion of additional residency training and further practice in occupational medicine enables physicians to pursue certification in occupational medicine after meeting rigorous qualifying standards and success- fully completing an examination in occupational medicine given by the American Board of Preventive Medicine (ABPM). Registered Nurses Registered Nurses (RNs) receive training and education at the college level and graduate from a state-approved school of nursing. They pass a state board examination and are granted a license to practice within a given state(s). Nurse Practitioners (NPs) are registered nurses who are licensed in their state and have completed formal advanced education, usually at the master’s level. NPs practice under their state Nurse Practice Act. Some NPs are certified in occupational health as a specialty area. NPs independently perform many health evaluation and care activities—including physical exams, common diagnostic and laboratory tests—and diagnose and treat employees who are ill or injured. They also can prescribe medications in most states. Addi- tionally, NPs work collaboratively with physicians. Occupational Health Nurses (OHNs) are registered nurses and nurse practitioners with experience and additional education in occupational health. Certified occupational health nurses (COHN or COHN-S) obtain certification from the American Board for Occupa- tional Health Nurses after meeting rigorous qualifying educational and experience standards and successfully passing an occupational health nursing examination. 6 Physician Assistants Physician Assistants (PAs) provide services with the supervision of a doctor of medicine or osteopathy. PAs may perform physical examinations, diagnose and treat illnesses, order and interpret tests, prescribe medications in most states, and plan and implement therapeutic interventions. PAs must graduate from an accredited physician assistant’s program, pass a national certification exam, and be licensed by the state. Some PAs specialize in occupational medicine. Other Health Care Providers Other health care providers include licensed practical or voca- tional nurses and emergency medical technicians. Traditionally, these individuals are not licensed to practice independently. They have specific training and are usually certified or licensed by the educational institution where they received the training. Sometimes the state licenses or certifies these providers and usually the state’s scope of practice outlines the specific work restrictions for these individuals. For example, usually these providers are required to work under the supervision of, or implement orders given by, licensed health care professionals such as MDs, DOs, RNs, PAs, and NPs, except when delivering first aid. Licensed Practical/Vocational Nurses (LPN/LVNs) graduate from a program of practical nursing and must pass the state board examination. They are licensed by the state to perform certain specific health care activities, under the direct supervision of a physician or registered nurse. Emergency Medical Technicians/Paramedics (EMTs) are pre- hospital providers trained to provide specific and limited emergency care. Some EMTs receive advanced training to become paramedics, which allows them to perform more advanced emergency proce- dures. EMTs are authorized to perform their duties by standing orders or protocols from physicians. They respond primarily to injuries and acute illnesses on a temporary basis and are not inde- pendently licensed to provide other medical care. 7 Who are Qualified Occupational Health Care Professionals? Occupational Health Professional’s Services and Qualifications: Questions and Answers An occupational health care professional evalu- ates the interactions between employees’ work and health in the workplace. To do this effectively, the occupational health care professional should possess the following skills and competencies: • General knowledge of the work environment, including worksite operations; familiarity with the toxic properties of materials used by employees as well as the potential hazards and stressors of work processes and jobs or tasks. • Ability to determine an employee’s physical and emotional fitness for work. • Ability to recognize, evaluate, treat, and/or refer occupational illnesses and injuries. • Knowledge of workers’ compensation laws; local, state, and federal regulatory requirements; and systems for maintaining health records. • Ability to organize and manage the delivery of health care services. • Knowledge of legal and ethical issues related to occupational health care practice. In addition to administering the health care program and supervis- ing health care personnel, the occupational health care professional should communicate with workers and managers at all levels. Most importantly, the health care professional must maintain confidenti- ality between the health care professional and the employee as required by OSHA, professional ethics codes, and individual state privacy acts. Management should only be provided the necessary information to make an informed and competent decision on occupa- tional health and safety issues. 10 What Qualifications Should an Employer Look for in an Occupational Health Care Professional? During the interview process, the following kinds of questions and issues are appropriate to evaluate prospective occupational health care professionals: 11 Is There a Good Way to Evaluate the Qualifications of an Occupational Health Care Professional? Is There a Good Way to Evaluate the Qualifica- tions of an Occupational Health Care Professional? • What type of education/training does the candidate have? - Note graduation date and all degrees and type of specialty certification; - Titles of continuing education courses taken in the last 2 years; - Where and when licensed, registered, or certified (ask for documentation); and - Years of experience in occupational health. • In what type of industries has the candidate had experience? • What kind of management experience(s) has the candidate had? For how long? • What does the candidate know about OSHA recordkeeping requirements? • Has the candidate ever prepared for and/or participated in an OSHA inspection? • Does the candidate know about workers’ compensation laws in your state? • Is the candidate familiar with the Americans with Disabilities Act? • What kind of information does the candidate want to know about your business? • How can the candidate develop or improve your safety and health program? Occupational Health Professional’s Services and Qualifications: Questions and Answers You should expect the candidate to ask you about the following: - Facilities (type, location) - Number of employees - Work processes - Known or potential hazards - Application of standards and/or regulations - Current method of providing occupational health care services - Other health care providers involved in providing services - Existence and specifics of a safety and health program - Medical surveillance programs - Collective bargaining contracts - Previous OSHA citations • References from current/previous employers or educational institutions should be requested. 12 The following OSHA General Industry Stan- dards regulating toxic and hazardous substances have specific medical surveillance requirements in Title 29 Code of Federal Regulations, Part 1910. Copies of OSHA regulations are available at cost from the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402. Please be advised that this list is subject to revision and expansion. It is the employer’s responsibility to know the general and specific OSHA standards that apply to the industry and workplace. General Industry Standards 2-Acetylaminofluorene 1910.1014 Acrylonitrile 1910.1045 alpha-Naphthylamine 1910.1004 4-Aminodiphenyl 1910.1011 Arsenic, Inorganic 1910.1018 Asbestos 1910.1001 Benzene 1910.1028 Benzidine 1910.1010 beta-Naphthylamine 1910.1009 beta-Propiolactone 1910.1013 bis-Chloromethyl Ether 1910.1008 Bloodborne Pathogens 1910.1030 1,3 Butadiene 1910.1051 Cadmium 1910.1027 Coke Ovens 1910.1029 Cotton Dust 1910.1043 1,2-dibromo-3-chloropropane 1910.1044 3,3' Dichlorobenzidiene 1910.1007 (and its salts) 4-Dimethylaminoazobenzene 1910.1015 Ethylene Oxide 1910.1047 Ethyleneimine 1910.1012 Formaldehyde 1910.1048 Hazard Communication 1910.1200 What OSHA Standards for General Industry Require Screening and Surveillance or Occupational Health Services? What OSHA Standards for General Industry Require Screening and Surveillance or Occupational Health Services? 15 Occupational Health Professional’s Services and Qualifications: Questions and Answers Hazardous Waste and 1910.120 Emergency Response Lead 1910.1025 Methylene Chloride 1910.1052 Methyl Chloromethyl Ether 1910.1006 Methylenedianiline 1910.1050 4-Nitrobiphenyl 1910.1003 N-Nitrosodimethylamine 1910.1016 Occupational Exposure 1910.1456 to Hazardous Chemicals in Laboratories Respirators 1910.134 Vinyl Chloride 1910.1017 Some OSHA Standards that Require Occupational Health Services Access to Employee Exposure 1910.1020 and Medical Records Confined Space 1910.146 Fire Protection 1910.156 Labor Camps 1910.142 Medical Services/First Aid 1910.151 Noise 1910.95 Pulpwood Logging 1910.266 Telecommunications 1910.268 Textiles 1910.262 Welding 1910.152 16 The following resources may be useful for additional informa- tion on occupational health care professionals in your area. The associations are typically the professional organizations for members of the profession. They work to increase awareness of the profession, as well as offer educational, service, and placement benefits for the members. Most have local, state, and/or regional chapters. Boards are generally the certification bodies for occupa- tional health professionals and determine eligibility requirements. They also administer the certification exam and maintain directo- ries of all certified professionals in a particular specialty. All telephone and fax numbers are accurate as of the date of printing; however, changes can be verified by local telephone directory assistance. Medical Doctors American College of Occupational and Environmental Medicine 55 West Seegers Road Arlington Heights, IL 60005 Phone (708) 228-6850 Fax (708) 228-1856 www.acoem.org American Board of Preventive Medicine, Inc. 9950 West Lawrence Avenue, Suite 106 Schiller Park, IL 60176 Phone (847) 671-1750 Fax (847) 671-1751 www.abpremed.org Osteopathic Doctors American Osteopathic Association 142 E. Ontario Street Chicago, IL 60611 Phone (312) 202-8000 Fax (312) 280-5893 www.aoa-net.org/affiliatedorg/state.htm 17Resources Resources Occupational Health Professional’s Services and Qualifications: Questions and Answers Industrial Hygienists American Board of Industrial Hygiene 4600 W. Saginaw Street Suite 101 Lansing, MI 48917 Phone (517) 321-2638 www.aiha.org Safety Professionals Board of Certified Safety Professionals of America 208 Burwash Avenue Savory, Il 61874-9510 Phone (217) 359-9263 Fax (217) 359-0055 20 21 References References American Association of Occupational Health Nurses, Inc. (AAOHN). Occupational Health Nursing: The Answer to Health Care Cost Containment. Atlanta, GA: AAOHN. 1991. American Academy of Nurse Practitioners (AANP). Scope of Practice for Nurse Practitioners. Austin, TX: AANP. 1993 (Revised). American Academy of Physician Assistants (AAPA). Physician Assistants: State Laws & Regulations. 7th ed., Alexandria, VA:AAPA, 1998. ___________. “Various government and professional practice issue briefs.” Alexandria, VA:AAPA, 1999. Online at http:// www.aapa.org/. American College of Occupational and Environmental Medicine. “Scope of Occupational and Environmental Health Programs and Practices,” Journal of Occupational Medicine 34(4): 436-440, April 1992. American College of Occupational and Environmental Medicine. “Code of Ethical Conduct,” Journal of Occupational Medicine 36(1): 27-30, January, 1994. Burgel, B. Innovation at the Worksite. American Nurses Publish- ing, 600 Maryland Avenue, S.W., Washington, DC 20024, 1993. U.S. Department of Labor. Occupational Safety and Health Administration. OSHA Handbook for Small Businesses (OSHA 2209). Washington, DC: U.S. Government Printing Office, 1996 (Revised). Order Number 029-016-00176-0. $7.00 ___________. “Safety and Health Program Management Guide- lines; Issuance of Voluntary Guidelines Notice.” Federal Register 54(16):3904-3916, January 26, 1989. Occupational Health Professional’s Services and Qualifications: Questions and Answers 22 Related OSHA Publications Single, free copies of the following and other publications can be obtained from OSHA field offices or the OSHA Publications Office, 200 Constitution Avenue, NW, Room N3101, Washington, DC 20210, (202) 693-1888, (202) 693-2498 (Fax). All About OSHA - OSHA 2056 Access to Medical and Exposure Records - OSHA 3110 Asbestos Standards for General Industry - OSHA 3095 Chemical Hazard Communication - OSHA 3084 Consultation Services for the Employer - OSHA 3047 Employee Workplace Rights - OSHA 3021 Hearing Conservation - OSHA 3074 How to Prevent Needlestick Injuries: Answers to Some Important Questions - OSHA 3161 How to Prepare for Workplace Emergencies - OSHA 3088 Occupational Exposure to Bloodborne Pathogens - OSHA 3127 Occupational Exposure to Cadmium in the Construction Industry - OSHA 3139 Process Safety Management Guidelines for Compliance - OSHA 3133 Respiratory Protection - OSHA 3079 Working with Lead in the Construction Industry - OSHA 3142 The following publications are available from the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402, (202) 512-1800. Include GPO Order No. and make checks payable to Superintendent of Documents. OSHA Handbook for Small Businesses OSHA 2209 - Order Number 029-016-00176-0. $7.00. Principal Emergency Response and Preparedness Requirements in OSHA Standards and Guidance for Safety and Health Programs OSHA 3122 - Order No. 029-016-00154-9; Cost $3.75. Framework for a Comprehensive Health and Safety Program in the Hospital Environment - Order No.029-016-00149-2; Cost $3.50. Code of Federal Regulations (CFR) Title 29 - General Industry 1901.1 to 1910.999 - Order No. 869-034-00104-1; Cost $44.00. 1910.1000 to End - Order No. 869-034-00105-0; Cost $27.00. COMMISSIONER Virginia Department of Labor and Industry Powers-Taylor Building 13 South 13th Street Richmond, VA 23219 (804) 786-2377 COMMISSIONER Virgin Islands Department of Labor 2203 Church Street Christiansted St. Croix, VI 00820-4660 (340) 773-1990 DIRECTOR Washington Department of Labor and Industries P.O. Box 44001 Olympia, WA 98504-4001 (360) 902-4200 SECRETARY Puerto Rico Secretary of Labor and Human Resources DOL and Human Resources Prudencio Rivera Martinez Building 505 Munoz Rivera Avenue Hato Rey, PR 00918 (787) 754-2119 COMMISSIONER South Carolina Department of Labor Licensing and Regulation Koger Office Park Kingstree Building 110 Centerview Drive P.O. Box 11329 Columbia, SC 29210 (803) 896-4300 COMMISSIONER Tennessee Department of Labor 710 James Robertson Parkway Nashville, TN 37243-0659 (615) 741-2582 COMMISSIONER Labor Commission of Utah 160 East 300 Street 3rd Floor P.O. Box 146650 Salt Lake City, UT 84114-6650 (801) 530-6901 States with Approved Plans 25 COMMISSIONER Vermont Department of Labor and Industry National Life Building Drawer 20 120 State Street Montpelier, VT 05620-3401 (802) 828-2288 Occupational Health Professional’s Services and Qualifications: Questions and Answers 26 ADMINISTRATOR Worker’s Safety and Compensa- tion Division (WSC) Wyoming Department of Employment Herschler Building, 2nd Floor East 122 West 25th Street Cheyenne, WY 82002 (307) 777-7786 Consultation programs provide free services to employers who request help in identifying and correcting specific hazards, want to improve their safety and health programs, and/or need further assistance in training and education. Funded by OSHA and deliv- ered by well-trained professional staff of state governments, consultation services are comprehensive, and include an appraisal of all workplace hazards, practices, and job safety and health programs; conferences and agreements with management; assis- tance in implementing recommendations; and a follow-up ap- praisal to ensure that any required corrections are made. For more information on consultation programs, contact the appropriate office in your state listed below. State Telephone Alabama ............................................................. (205) 348-3033 Alaska ................................................................ (907) 269-4957 Arizona .............................................................. (602) 542-5795 Arkansas ............................................................(501) 682-4522 California ...........................................................(415) 703-5270 Colorado ............................................................(970) 491-6151 Connecticut ........................................................ (860) 566-4550 Delaware ............................................................(302) 761-8219 District of Columbia .......................................... (202) 576-6339 Florida ................................................................ (850) 922-8955 Georgia .............................................................. (404) 894-2643 Guam .................................................................011(671) 475-0136 Hawaii ................................................................ (808) 586-9100 Idaho .................................................................. (208) 426-3283 Illinois ................................................................ (312) 814-2337 Indiana ............................................................... (317) 232-2688 Iowa ................................................................... (515) 965-7162 Kansas ................................................................ (785) 296-7476 Kentucky ............................................................(502) 564-6895 Louisiana ...........................................................(225) 342-9601 Maine ................................................................. (207) 624-6460 Maryland ............................................................(410) 880-4970 OSHA Consultation Project Directory OSHA Consultation Project Directory 27 Occupational Health Professional’s Services and Qualifications: Questions and Answers 30 Fort Worth, TX .................................................. (817) 428-2470 Frankfort, KY .................................................... (502) 227-7024 Harrisburg, PA ................................................... (717) 782-3902 Hartford, CT ...................................................... (860) 240-3152 Hasbrouck Heights, NJ ...................................... (201) 288-1700 Guaynabo, PR .................................................... (787) 277-1560 Honolulu, HI ...................................................... (808) 541-2685 Houston, TX ...................................................... (281) 286-0583 Houston, TX ...................................................... (281) 591-2438 Indianapolis, IN ................................................. (317) 226-7290 Jackson, MS ....................................................... (601) 965-4606 Jacksonville, FL ................................................. (904) 232-2895 Kansas City, MO ...............................................(816) 483-9531 Lansing, MI ....................................................... (517) 377-1892 Linthicum, MD .................................................. (410) 865-2055 Little Rock, AR ................................................. (501) 324-6291 Lubbock, TX...................................................... (806) 472-7681 Madison, WI ...................................................... (608) 264-5388 Marlton, NJ ........................................................ (609) 757-5181 Methuen, MA .................................................... (617) 565-8110 Milwaukee, WI .................................................. (414) 297-3315 Minneapolis, MN ...............................................(612) 664-5460 Mobile, AL ........................................................ (334) 441-6131 Nashville, TN .................................................... (615) 781-5423 New York, NY................................................... (212) 466-2482 Norfolk, VA ....................................................... (757) 441-3820 North Aurora, IL ................................................(630) 896-8700 Oklahoma City, OK ........................................... (405) 231-5351 Omaha, NE ........................................................ (402) 221-3182 Parsippany, NJ ................................................... (973) 263-1003 Peoria, IL ...........................................................(309) 671-7033 Philadelphia, PA ................................................(215) 597-4955 Phoenix, AZ ....................................................... (602) 640-2007 Pittsburgh, PA.................................................... (412) 395-4903 Portland, OR ...................................................... (503) 326-2251 Providence, RI ................................................... (401) 528-4669 Raleigh, NC ....................................................... (919) 856-4770 Salt Lake City, UT ............................................. (801) 487-0680 San Diego, CA ................................................... (619) 557-2909 Savannah, GA .................................................... (912) 652-4393 Smyrna, GA ....................................................... (770) 984-8700 Springfield, MA ................................................. (413) 785-0123 St. Louis, MO .................................................... (314) 425-4249 Syracuse, NY ..................................................... (315) 451-0808 Tampa, FL ......................................................... (813) 626-1177 Tarrytown, NY .................................................. (914) 524-7510 Toledo, OH ........................................................ (419) 259-7542 Tucker, GA ........................................................ (770) 493-6644 Westbury, NY .................................................... (516) 334-3344 Wichita, KS ....................................................... (316) 269-6644 Wilkes-Barre, PA .............................................. (717) 826-6538 Wilmington, DE ................................................(302) 573-6115 31 OSHA Area Offices Region I (CT,* MA, ME, NH, RI, VT*) JFK Federal Building Room E-430 Boston, MA 02203 Telephone: (617) 565-9860 Region II (NJ, NY,* PR,* VI*) 201 Varick Street Room 670 New York, NY 10014 Telephone: (212) 337-2378 Region III (DC, DE, MD,* PA, VA,* WV) Gateway Building, Suite 2100 3535 Market Street Philadelphia, PA 19104 Telephone: (215) 596-1201 Region IV (AL, FL, GA, KY,* MS, NC,* SC,* TN*) Atlanta Federal Center 61 Forsyth Street, SW, Room 6T50 Atlanta, GA 30303 Telephone: (404) 562-2300 Region V (IL, IN,* MI,* MN,* OH, WI) 230 South Dearborn Street Room 3244 Chicago, IL 60604 Telephone: (312) 353-2220 Region VI (AR, LA, NM,* OK, TX) 525 Griffin Street Room 602 Dallas, TX 75202 Telephone: (214) 767-4731 Region VII (IA,* KS, MO, NE) City Center Square 1100 Main Street, Suite 800 Kansas City, MO 64105 Telephone: (816) 426-5861 Region VIII (CO, MT, ND, SD, UT,* WY*) 1999 Broadway, Suite 1690 Denver, CO 80202-5716 Telephone: (303) 844-1600 Region IX (American Samoa, AZ,* CA,* Guam, HI,* NV,* Trust Territories of the Pacific) 71 Stevenson Street Room 420 San Francisco, CA 94105 Telephone: (415) 975-4310 Region X (AK,* ID, OR,* WA*) 1111 Third Avenue Suite 715 Seattle, WA 98101-3212 Telephone: (206) 553-5930 *These states and territories operate their own OSHA-approved job safety and health programs (Connecticut and New York plans cover public employees only). States with approved programs must have a standard that is identical to, or at least as effective as, the federal standard. U.S. Department of Labor Occupational Safety and Health Administration Regional Offices