SECRETARY OF LABOR, |
|
Complainant, |
|
v. |
OSHRC Docket No. 97-1839 |
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., |
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Respondent. |
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Before: RAILTON, Chairman; STEPHENS and ROGERS,
Commissioners.
BY
THE COMMISSION:
This
case arises out of citations charging that Froedtert Memorial Lutheran
Hospital, Inc. (Froedtert), willfully violated the Occupational Safety and
Health Act of 1970 (OSH Act), 29 U.S.C. §§ 651-678. The Secretary alleges that
Froedtert failed to comply with standards pertaining to bloodborne pathogens
(BBPs), hazard communication (hazcom), and recordkeeping relating to temporary
housekeepers (temps) who worked at the hospital on referral from temporary
employment agencies. The citation proposed a total penalty of $193,000. Administrative Law
Judge Stanley M. Schwartz affirmed all of the citation items as non-willful,
and assessed a total penalty of $17,680.
Froedtert does not dispute that it did not comply with
the cited standards, but argues that it was not required to comply because the
temporary housekeepers were not its employees. For the reasons that follow, the
Commission affirms the judge’s conclusion that Froedtert was the temporary
housekeepers’ common law employer. Accordingly, we conclude that Froedtert was
subject to the requirements of the Act with respect to the temporary employees.
We also affirm the judge’s conclusions that Froedtert did not effectively
delegate its compliance obligations to the temporary agencies, and did not
establish that compliance with the hepatitis B virus (HBV) vaccine standard was
infeasible. In addition, we affirm the judge’s decision that the cited
violations were not willful.
Froedtert obtained temporary workers from FlexiForce,
later named AccuStaff (referred to hereafter as FlexiForce/AccuStaff), until
September 1996, when it began to rely on the StaffWorks agency for temporary
housekeeping staff. Froedtert established its relationships with the temporary
help agencies through a series of phone calls and meetings, never entering into
a written agreement with either agency. Temporary housekeepers from both
agencies worked at Froedtert during the period covered by the October 8, 1997
OSHA citation, though Froedtert ceased all use of temporary housekeepers on
July 14, 1997.
Evidence of Froedtert’s initial use of
FlexiForce/AccuStaff temporary workers, though it predates the citation period
here, shows that Froedtert asked the agency to provide only basic housekeeping
training to the temps, such as vacuum cleaner operation, dusting, and cleaning
product use. As part of its orientation program, Froedtert showed the temps a
film on how to clean office areas, identified what cleaning products to use,
instructed them in the use of scrubs and gloves, and paired the temporary
housekeepers with an experienced housekeeper for on-the-job instructions.
Froedtert also told the temporary temps of the potential for contact with
blood, but assured them not to be afraid and to use gloves and the proper
chemicals for cleaning. Contrary to Froedtert’s characterization of the record,
former Froedtert Environmental Services (EVS) director William Herrick stated
that he never discussed with FlexiForce/AccuStaff the need for temps to be
offered the HBV vaccine.
Addressing the period commencing in early 1995,
FlexiForce/AccuStaff manager Cindi Gutbrod testified that Froedtert did not
request that any training or information be provided by FlexiForce/AccuStaff to
the temps assigned to Froedtert. She specifically stated that no one from
Froedtert ever discussed with her any need for the temps to receive BBP or
hazcom training, or showed her the chemicals used at Froedtert or their
material safety data sheets. Apparently just prior to learning from
Froedtert that the housekeepers would be exposed to blood, Gutbrod contacted
OSHA about whether the temp housekeepers needed the HBV vaccine and was
purportedly told that the housekeepers did not. On this basis,
FlexiForce/AccuStaff decided not to offer the vaccine to the temps. Gutbrod
learned from Froedtert that it offered the HBV vaccine to its own employees and
asked whether Froedtert would do so for the temps, one of whom wanted it.
Froedtert responded that it would not vaccinate the FlexiForce/AccuStaff temps.
Upon initial assignment to Froedtert,
FlexiForce/AccuStaff told the housekeepers where to report and to whom, how to
dress, that work schedules would be posted at Froedtert, and instructed them in
proper time card procedures and pay arrangements. The record shows that
FlexiForce/AccuStaff had little contact with the housekeepers thereafter.
Froedtert personnel placed orders for temps and advised FlexiForce/AccuStaff if
a particular housekeeper’s performance was unacceptable, requesting removal and
replacement. FlexiForce/AccuStaff would not reassign a terminated EVS temp to
another Froedtert department without Froedtert’s approval, but might remove a
temp from a client on its own without the client’s permission, though Gutbrod
knew of no circumstance where that occurred at Froedtert. Only
FlexiForce/AccuStaff could terminate a temp from its own employment rolls and
“discipline” its own employees. Gutbrod acknowledged that there were occasions
when client supervisors disciplined temps, but normally FlexiForce/AccuStaff
would intervene to relay any of Froedtert’s concerns to the temps.
Once at Froedtert, the hospital gave the temps their
assignments, ordered any reassignments when necessary and, according to
Gutbrod, controlled the temps day-to-day activities, including the manner and
means of their work. Anthony Barzycki, Froedtert EVS director from April to
November 1996, testified that while he did not “manage” the temps or evaluate
their performance, he directed them to the location of their work and advised
them of the functions they were expected to perform. He stated that the temps
blended in with the Froedtert EVS staff and that Froedtert informally trained
them through the “buddy” system. Gina Kiedinger, Froedtert quality assurance
supervisor from August 1996 until September 1997, placed orders for temps when
requested by Froedtert EVS supervisors, and asked to have temps removed in
instances of poor performance, but testified that Froedtert could not
“supervise” the temps. Kiedinger conceded, however, that Froedtert controlled
the temps’ day-to-day activities “as far as assigning people, where they go,
yes.” She also never asked Cindi Gutbrod whether the temps were trained in BBP
or hazcom prior to working at Froedtert, did not know whether
FlexiForce/AccuStaff trained its temps, and “very rarely” saw
FlexiForce/AccuStaff representatives at Froedtert, as they came by only to pick
up time cards.
FlexiForce/AccuStaff filed injury
reports/workers’ compensation claims for injured temps, reported all injuries
to clients, and paid for job-related medical care. FlexiForce/AccuStaff paid
the temps directly, but its costs plus profit margin were built into the sum it
charged Froedtert. Agency-provided time cards for all temps were filled out and
signed weekly by Froedtert personnel. On the back of the client’s copy of the
time card was the following statement, which Gutbrod did not bring to anyone’s
attention:
The client will furnish
to our employees a safe place of employment in accordance with applicable OSHA
and other safety requirements. The client indemnifies us against and holds us
harmless from any violations of OSHA or other safety requirements.
B. StaffWorks
In
September 1996, Froedtert began to obtain EVS temps from the StaffWorks
employment agency to improve the quality of temp housekeepers. Froedtert’s
arrangements with StaffWorks were different from those with
Flexiforce/Accustaff in three principal ways:
1.
Froedtert specifically discussed with StaffWorks the agency’s ability to
provide BBP and hazcom training to the temps and offer them the HBV vaccine;
2. StaffWorks had
personnel on-site at Froedtert for a number of hours each week; and
3.
StaffWorks transmitted to the temps some infection control information, largely
received from Froedtert, and commenced documenting the workers’ receipt of that
information shortly after OSHA began its inspection.
Former Froedtert EVS director Barzycki
and EVS supervisor/coordinator Susan Bailey met with StaffWorks representative
Julia Chiger in late summer 1996 to discuss Froedtert’s need for temporary
housekeepers. As noted in the judge’s decision, Barzycki and Bailey testified
that they discussed StaffWorks’ providing training to the temps in BBP and
hazcom, and offering the HBV vaccine. Barzycki added that the discussion
included on-site supervision by StaffWorks. When asked whether Froedtert and
StaffWorks agreed that StaffWorks would provide these services, Bailey testified
that she “believed” that they would, and Barzycki stated that “[t]hey told me
that that’s what they do with their health care employees.” In later testimony
Bailey was more direct, stating that other than discussions about providing
those services, she was not aware of “an agreement that this would actually be
done.” Although Julia Chiger testified that StaffWorks and Froedtert never
discussed training or the HBV vaccine, the judge discredited this testimony
because he found it untrustworthy based on his observation of Chiger’s
demeanor.
As the judge also found, however, the
record establishes that prior to the OSHA inspection Froedtert did not directly
confirm whether StaffWorks ever provided these services. Barzycki did not
recall having received any documentation confirming that the StaffWorks temps
had been trained or vaccinated, he did not discuss training with any of the
temps, and he did not leave any written documentation to his successor delineating
the arrangements with StaffWorks. Barzycki did “think” that he asked for a
checklist from StaffWorks confirming that it provided training, which he never
received, but he stated that StaffWorks “indicated that they were functioning
in that manner where everything was documented.” Former EVS supervisor Bailey
testified that she had no knowledge that Froedtert was ever offered proof that
StaffWorks provided BBP or hazcom training or administered the HBV vaccine. She
did not remember seeing any documentation to that effect, nor did she ever
inquire about whether the StaffWorks temps were offered the shots. Former
Froedtert EVS supervisor Gina Kiedinger testified that although she believed
that StaffWorks was providing some training to the temps based on their
exchange of infection control information and her observation of the temps’
work habits, she did not recall whether she was ever told that the agency
provided training, she did not instruct StaffWorks account manager Sandra
Swenson to pass on the information to the temps, she did not discuss training
when placing temp orders with the agencies, and she never asked Swenson whether
she trained the temps in BBPs or hazcom. Froedtert Vice President of Human
Resources Nancy Heisler assumed that the temp agencies provided training, but
had no documentation. Thomas White, EVS director since December 1996, testified
that he “had the understanding” that StaffWorks trained the temps and
disseminated information to them because Froedtert provided StaffWorks with “many
materials” and included the StaffWorks representatives in an infection control
in-service held at the hospital. White conceded, however, that he did not know
whether this information was ever passed on to the StaffWorks temps prior to
the commencement of the OSHA inspection, nor did he ask StaffWorks whether the
temps had been offered the HBV vaccine.
StaffWorks required a written application from job
applicants and conducted personal interviews prior to placing them with a
client. The agency also paid the workers assigned to clients, withheld their
taxes, and processed workers’ compensation claims. StaffWorks increased a
temp’s salary when requested by client supervisors, increasing the client’s
bill accordingly. StaffWorks did not evaluate the quality of the temps’ work,
but disciplined or removed temps from Froedtert at the hospital’s request.
StaffWorks representative Sandra Swenson testified that Froedtert placed orders
by phone, indicating which of three shifts the temp would work, where in the hospital
the job was located, and whether the job was for a floor care, janitorial, or
housekeeping worker. Prior to placement at Froedtert, StaffWorks told the temps
the location of their hospital assignment and time sheets, the name of their
Froedtert supervisor, and where to report. Thereafter, Swenson might have
contact with the temps when she visited Froedtert approximately three days each
week for a “couple” of hours to pick up time sheets, drop off pay checks, show
temps the location of their time sheets, deal with “basic things” such as
inappropriate phone use, snacking, and other problems, or to terminate a temp
at Froedtert’s request.
Beginning in March 1997, one month prior to the OSHA
inspection, Swenson held monthly meetings with the temps at Froedtert to pass
on information and handouts from Froedtert regarding chemicals, rules, etc.
Swenson stated that Froedtert provided all tools, chemicals, supplies and
scrubs, and that Froedtert would change the temps’ shifts and add overtime
without Swenson’s knowledge. She also testified that Froedtert lead people and
supervisors directed the temps’ day-to-day activities at the hospital, which is
consistent with Julia Chiger’s testimony that Froedtert controlled the means
and manner of the temps’ work, and is consistent with Froedtert EVS
supervisor/coordinator Susan Bailey’s testimony that she directed the temps’
day-to-day activities.
In August 1996 Froedtert re-employed Bertha Bowen, an
eighteen-year Froedtert veteran and retiree, as a management-level housekeeping
coordinator in the EVS department. Bowen’s tenure, during which she supervised
up to thirty mostly temp workers at a time, continued beyond the OSHA
inspection and citation period. Bowen testified that she made shift and
department assignments and reassignments, sometimes in response to worker
concerns about blood exposure, and requested that the temp agencies terminate a
worker for poor performance on “several occasions.” She also explained sign-in
procedures, showed temps what chemicals to use, supplied gloves and equipment,
had some discussion regarding BBP issues and hazardous substances, and assigned
new temps to “buddy” with an experienced housekeeper. Bowen had contact with
Sandra Swenson about once each week, but she did not know whether the temp
agencies trained the workers they sent to Froedtert. Although Bowen was not
allowed to directly reprimand temps, she would intervene if she saw a temp
doing something that was unsafe. Bowen and Nancy Heisler testified that
Froedtert supervisors and lead people controlled the temps’ day-to-day
activities. Even Froedtert admits that it “controlled the activities that
occurred on-site at the [h]ospital (where the temporary workers performed their
tasks),” but contends that its lack of authority to hire, fire, discipline and
pay precluded it from becoming the temps’ employer.
A. Statutory Duty As Employer of Temporary
Housekeepers
The first issue before us is whether Froedtert is the
employer of the temporary housekeepers. The Act defines an employer as “a
person engaged in a business affecting commerce who has employees,” and defines
an employee as “an employee of an employer who is employed in a business of his
employer.” Section 3(5) and (6), 29 U.S.C. § 652 (5) and (6). Froedtert admits
that it is an employer - that it has its own employees. Froedtert argues,
however, that the temp housekeepers were not its employees but, rather, were
employees of their respective agencies, and that its non-compliance with the
cited OSHA standards as to this group of workers was consequently not
violative. We conclude that Judge Schwartz’ finding, that Froedtert had an
employment relationship with the temp housekeepers, is well supported by
long-standing legal precedent and the record evidence.
The law is well settled that the housekeepers’ status
as temp agency employees is not determinative of whether the temps were
also Froedtert employees. Under traditional principles of agency law, two
unrelated employers may each have an employment relationship with a particular
employee acting in the service of both, or working as a loaned servant of one
and as the borrowed servant of the other. Restatement
(Second) of Agency § 226
cmt. a, and § 227 cmt. a, illus. 3 (1957); N.L.R.B. v. Town &
Country Elec., Inc., 516 U.S. 85 (1995) (holding that union-paid organizer
also may be employee of company union seeks to organize); Kelley v. Southern
Pacific Co., 419 U.S. 255 (1974) (stating that “under common law, plaintiff
can establish employment by rail carrier while nominally employed by another as
borrowed servant, as servant of two masters, or as subservant”).
The Commission has addressed co-employment issues in a
number of cases over the years. In some cases the evidence established an
employment relationship between the loaned workers and the borrowing entity. E.g.,
MLB Industries, Inc., 12 BNA OSHC 1525, 1984-85 CCH OSHD ¶ 27,408 (No.
83-231, 1985) (vacating citation to supplying employer based on finding that
borrowing company was the workers’ statutory employer); Griffin & Brand
of McAllen, Inc., 6 BNA OSHC 1702, 1978 CCH OSHD ¶ 22,829 (No. 14801, 1978)
(finding company that harvests and markets fruit crop is statutory employer of
temporary migrant crew hired, disciplined, directed, and paid by farm labor
contractor); Joseph Bucheit and Sons Co., 2 BNA OSHC 1001, 1973-74 CCH
OSHD ¶ 17,946 (No. 2684, 1974) (consolidated) (imposing OSH Act obligations on
borrowing employer during time of loan arrangement regarding employee loaned by
other contractor working on same construction project). In other cases, the
Commission has found that no employment relationship exists between a borrowing
employer and worker. E.g., Vergona Crane, 15 BNA OSHC 1782,
1991-93 CCH OSHD ¶ 29,775 (No. 88-1745, 1992) (finding that cited crane lessor
was employer of experienced crane operator and oiler where borrowing entity
only showed workers which load to move and where to locate it, and put workers
on its payroll at lessor’s request); Rockwell Int’l Corp., 17 BNA OSHC
1801, 1995-97 CCH OSHD ¶ 31,150 (No. 9354, 1996) (consolidated) (finding NASA
not employer of highly trained and experienced workers who volunteered to
participate in NASA project and were paid and trained by contractors for whom
they worked full time, where NASA tightly controlled sequence of activities but
did not direct the specific activities performed by workers who “ ‘kn[e]w where
to go’ and ‘exactly what to do’ ”).
Applying contemporary court precedent developed under
analogous statutes, the Commission has most recently evaluated questions of OSH
Act employment status utilizing the common-law agency doctrine to determine
whether a conventional master-servant relationship exists. Don Davis, 19
BNA OSHC 1477, 1479-80, 2001 CCH OSHD ¶ 32,402, pp. 49,896-97 (No. 96-1378,
2001), citing Nationwide Mut. Ins. Co. v. Darden, 503 U.S. 318, 322-23
(1992); Community for Creative Non-Violence v. Reid, 490 U.S. 730,
739-40 (1989). In these latter cases, the Supreme Court interpreted federal
statutes in which Congress either had not specifically defined the term
“employee” or had utilized essentially a circular definition. In the absence of
a specific definition, the Court held that Congress was presumed to have
adopted the common-law definition as derived from the Restatement (Second) of
Agency. See Restatement (Second) of Agency § 220.
Although section 220 generally envisions a two-dimensional focus – whether the
worker relates to a putative employer as an employee or as an independent
contractor – its multifaceted test does have relevance in the three-dimensional
situation such as here, involving Froedtert as the hiring party, the temporary
employment agencies, and the hired workers who were provided to Froedtert by
the agencies. Id. §227 cmt. c (“factors … which determine that a person
is a servant are also useful in determining whether a lent servant has become
the servant of the borrowing employer”). See, e.g., Vizcaino v. Microsoft
Corp., 173 F.3d 713, 723-24 (9th Cir. 1999) (finding that temp agency
employment does not preclude common law employment relationship with borrowing
company (Microsoft), and concluding that determination of whether temps were
Microsoft employees is based “not on whether they were also employees of an
agency but rather on application of the Darden factors to the relationship
with Microsoft”), amended by, rehearing denied, 184 F.3d 1070 (9th Cir.
1999), cert. denied, 528 U.S. 1105 (2000); Richardson v. Century
Products, Inc., 163 F. Supp. 2d 771 (ND Ohio 2001)(worker who was referred
by employment agency on a temporary basis to a customer company could file
Title VII claim against latter as an employer under common law principles of
agency). Cf. Doe v. Allied-Signal, Inc., 925 F.2d 1007 (7th Cir. 1991)
(finding janitor an employee of both company for whom she performed services
and of janitorial services firm, court concluded that workers’ compensation is
sole remedy for job injuries).
Relying upon the analysis enunciated in Reid, supra,
the Darden Court articulated the following factors for determining
whether an employment relationship exists:
In
determining whether a hired party is an employee under the general common law
of agency, we consider the hiring party’s right to control the manner and means
by which the product is accomplished. Among the other factors relevant to this
inquiry are the skill required; the source of the instrumentalities and tools;
the location of the work; the duration of the relationship between the parties;
whether the hiring party has the right to assign additional projects to the
hired party; the extent of the hired party’s discretion over when and how long
to work; the method of payment; the hired party’s role in hiring and paying
assistants; whether the work is part of the regular business of the hiring
party; whether the hiring party is in business; the provision of employee
benefits; and the tax treatment of the hired party.
503
U.S. at 323-24 (citation omitted). As Froedtert correctly notes, the Court has
emphasized that all of these factors must be considered, and no one factor is
decisive. Id. at 324. Yet, as reflected in the Supreme Court’s most
recent analysis of the common law meaning of “employee” in the context of a
federal labor statute, the control exercised over a worker remains a “principal
guidepost.” Clackamas Gastroenterology Assocs., P.C. v. Wells, 123 S.Ct.
1673, 1679 (2003) (issue of whether physician-shareholders of an employer could
be counted as “employees” for purposes of small employer exemption of the
Americans With Disabilities Act, 42 U.C.S. §12101 et seq.). Further, Clackamas
teaches that the relational context in which the issue arises has a bearing on
how the multiple factors derived from the common law are to be applied and
weighed. With these precepts in mind and on the basis of the record before us,
we consider the evidence pertaining to the Darden factors, together with
their respective legal significance.
The record amply supports the judge’s finding that the
weight of the evidence indicates that Froedtert controlled the manner and means
of the temps’ daily work. The product accomplished by the temp housekeepers was
cleaning the assigned areas of Froedtert Hospital, which is an essential part
of Froedtert’s regular business of operating a hospital. The record is clear
that only Froedtert knew and directed the way in which it wanted its facility
cleaned, and also directed and provided the means, i.e., the tools and
products, by which it wanted the job done. Froedtert also directed the
housekeepers to the areas it needed cleaned, including “stat” cleanings
required on an emergency basis, and reassigned the temps to different locations
and shifts as needed. While there is evidence that Froedtert asked the temp
agencies to send workers with “basic” training in general cleaning methods, the
work remained relatively unskilled manual labor and Froedtert directed the
housekeepers in which methods and products to use in the variety of particular
cleaning jobs present in the hospital.
Froedtert also corrected the temps when their work was
unsafe or wrong, assigned the temps a “buddy” to provide on-the-job
instruction, and provided the only significant on-site “supervision.”
FlexiForce/AccuStaff had no personnel assigned to the hospital, and Sandra
Swenson of StaffWorks spent only a “couple” of hours at Froedtert three days
each week during which she handled mostly time sheet/pay issues and addressed
disciplinary matters as requested by Froedtert. Froedtert asked the temp
agencies to intervene on its behalf to correct inappropriate behavior and to
remove a temp whose work was unacceptable to the hospital. The evidence
indicates that neither Froedtert nor the temp agencies evaluated the temps’
performance. See MLB Industries, Inc., 12 BNA OSHC at 1529, 1984-85 CCH
OSHD at pp. 35,510-11 (borrowing employer provided sole supervision,
instructing workers in what to do, how to do it, when to take breaks, and
supplier’s role largely indirect or theoretical).
Although the temps’ placement at Froedtert was often
of short duration, the record evidence of the temps’ work at Froedtert is
incomplete. The evidence we do have shows that thirty-three temps worked as
little as one week, at least two housekeepers worked for one year, and numerous
temps worked for many months. For the limited period of time covered by
Froedtert’s data, our computations show that the average work duration was over
five weeks for StaffWorks temps and was seven weeks for FlexiForce/AccuStaff
temps.
Nevertheless, we do not think that the relatively
short duration of employment for a number of the temps does anything to
diminish their status as employees of Froedtert. A comment to section 220 of
the Restatement (Second) of Agency explains the significance of the time of
employment as follows: “The time of employment and the method of payment are
important. If the time of employment is short, the worker is less apt to
subject himself to control as to details and the job is more likely to be
considered his job than the job of the one employing him.” Restatement
(Second) of Agency
§ 220 cmt. j. In other words, duration of employment is
regarded as only a corroborating fact that sheds additional light on the nature
of the control that a putative employer exercises over a worker; as a matter of
general experience, a shorter employment tenure has tended to go hand in hand
with less control exercised over the worker. However, in the context of the
employment referral business, where temporary hiring is the norm, the weight
normally assigned to duration of employment as an indicia of control has little
corroborating influence. As the record here unquestionably demonstrates,
Froedtert exercised extensive control over the activities of the temps no
matter the length of their individual employment. See Amarnare v. Merrill
Lynch, Pierce, Fenner & Smith, Inc., 611 F. Supp. 344, 1984 U.S. Dist.
LEXIS 22888 (S.D.N.Y. 1984), aff’d without published opinion, 770 F.2d
157 (2d Cir. 1985) (finding Title VII plaintiff employee of both temp agency
and borrowing employer for whom she worked only two weeks prior to being
fired).
With respect to the temps’ discretion over when and
how long to work, the evidence suggests that Froedtert assigned the temps to
work one of three eight-hour shifts and that, aside from preferring a
particular shift, calling in sick, or just not showing up for work, the
housekeepers had little, if any, control over their schedules. This reinforces
the conclusion that the temps were not working independently of Froedtert’s
direction and control. We disregard the factor pertaining to hiring assistants,
as Froedtert’s regular staffing structure included a large staff of
housekeepers, obviating the need for hiring any assistants. See Eisenberg v.
Advance Relocation & Storage, Inc., 237 F.3d 111,118 (2d Cir. 2000)
(disregarding ninth Reid factor as “irrelevant to th[e] case: Eisenberg
hired no one to assist her with her work at Advance, and Advance hired no
assistants for Eisenberg” (citation omitted)).
The pay/benefits/taxes factors all show a direct
connection between the agencies and temp workers, but also show indirect
involvement by Froedtert, as the agencies’ costs were passed on to the hospital
in the rates the agencies charged. The Commission and some courts have
discounted the effect of this factor on evaluating the employer status of a
using employer. MLB Industries, Inc., 12 BNA OSHC at 1529, 1984-85 CCH
OSHD at p. 35,511 (characterizing supplying employer as merely “conduit for
labor”); Richardson v. Century Products, Inc., supra, 163 F.
Supp. 2d at 775 (even though employment agency was responsible for paying the
worker and withholding all taxes and deductions, this was not conclusive that
worker was solely the agency’s employee; the court noting that the employing
customer company paid agency enough to compensate for the employee’s wage and
for additional fee); Amarnare v. Merrill Lynch, Pierce, Fenner & Smith
Inc., 611 F. Supp. at 349 (payment by temp agency found not conclusive that
worker was solely temp agency’s employee). Cf. N.L.R.B. v. Western Temporary
Services, Inc., 821 F.2d 1258, 1267 (7th Cir. 1987)(finding using employer
and temp agency joint employers, court characterized agency’s
pay/benefits/taxes responsibilities as “administrative”).
We
recognize that there is no precision to the weighing of all of these factors,
and that there is evidence showing that Froedtert did not directly
control all aspects of the housekeepers’ placement at the hospital or their
working conditions. We find, however, that the weight of the evidence, in light
of extensive court precedent, supports the judge’s conclusion that the temp
housekeepers were employees of Froedtert under the OSH Act.
B. Delegation of Duty
We also agree with the judge that Froedtert did not
effectively delegate its compliance obligations to the temp agencies. “An
employer may carry out its statutory duties through its own private arrangements
with third parties, but if it does so and if those duties are neglected, it is
up to the employer to show why he cannot enforce the arrangements he has made.”
Central of Georgia R.R. Co. v. OSHRC, 576 F.2d 620, 624 (5th Cir. 1978).
See also, REA Express, 495 F.2d 822 (2d Cir. 1974); Weicker Transfer,
2 BNA OSHC 1493, 1974-75 CCH OSHD ¶ 19,215 (No. 1362, 1975); Bayside
Pipe Coaters, 2 BNA OSHC 1206, 1974-75 CCH OSHD ¶ 18,677 (No. 1953,
1974). In Baker Tank Co./Altech, 17 BNA OSHC 1177, 1180, 1993-95 CCH
OSHD ¶ 30,734, p. 42,684 (No. 90-1786-S, 1995), the Commission noted that even
if Baker’s contract with a plant owner provided for the plant owner to instruct
Baker’s own employees, “Baker could not contract away its legal duties to its
employees or its ultimate responsibility under the Act by requiring another
party to perform them.” Accord Brock v. City Oil Well Serv., 795 F.2d
507, 512 (5th Cir. 1986); Dun-Par Engineered Form Co. v. Marshall, 676
F.2d 1333 (10th Cir. 1982).
The record evidence shows that Froedtert never
discussed hazcom and BBP training or HBV vaccination with Flexiforce/Accustaff,
but that it did discuss with StaffWorks the possibility of providing these
services, though it never confirmed with the agency or the housekeepers that
StaffWorks actually would or did provide the required training or vaccine.
Early in Froedtert’s arrangements with FlexiForce/AccuStaff, it requested that
the agency provide only “basic” housekeeping training, and former Froedtert EVS
Director William Herrick’s testimony, that he never discussed with the agency
the need for the temps to be offered the HBV vaccine, is unrebutted. Moreover,
according to FlexiForce/AccuStaff manager Cindi Gutbrod, Froedtert’s
housekeeper work orders did not change, and no one from Froedtert ever
discussed with her any need for BBP or hazcom training. Former Froedtert
quality assurance supervisor Gina Kiedinger confirmed that she never asked
Gutbrod about BBP or hazcom training and did not know whether the temps were
trained. Accordingly, we find that Froedtert did not effect a delegation of its
statutory responsibilities to FlexiForce/AccuStaff.
Nor does the record show that Froedtert effectively
delegated its statutory responsibilities to StaffWorks. There is no dispute
that StaffWorks did not offer the temp housekeepers the HBV vaccine and did not
provide the training required under the hazcom and BBP standards. Although
Froedtert argues that it reasonably believed otherwise, the evidence supports
the judge’s finding that Froedtert did not follow up on any belief that
StaffWorks would provide these services; it neither inquired of StaffWorks’
personnel whether the housekeepers were trained and offered the vaccine, nor
did it ask the workers themselves whether they received these services. In
these circumstances, legal precedent supports the judge’s conclusion that
Froedtert did not effectively delegate its statutory obligations to StaffWorks.
E.g., R.P. Carbone Constr. Co. v. OSHRC, 18 BNA OSHC 1551, 1554 (6th
Cir. 1998) (unpublished) (finding employer’s reliance on subcontractor’s safety
efforts unjustified where employer “failed to inform itself as to what safety
measures [subcontractor] had implemented”); Central of Georgia R.R. Co. v.
OSHRC, 576 F.2d at 624 (employer acts at its peril by contracting out
statutory responsibilities where it cannot show inability to enforce third
party agreement).
Although Froedtert admits that it did not comply with
the cited standards, it contends that it lacked notice that it was required to
comply, and that compliance with the vaccination requirement was infeasible.
The Commission has long held that the knowledge required to establish a
violation is not directed “to the requirements of the law, but to the physical
conditions which constitute a violation of [the Act].” Southwestern
Acoustics & Specialty, Inc., 5 BNA OSHC 1091, 1092, 1977-78 CCH OSHD ¶
21,582 (No. 12174, 1977). Accord , e.g., Midwest Masonry, Inc., 19 BNA
OSHC 1540, 1544 n.6, 2001 CCH OSHD ¶ 32,428, p. 49,994 n.6 (No. 00-0322, 2001)
(“ ‘[w]hether or not employers are in fact aware of each OSHA regulation and
fully understand it, they are charged with this knowledge and are responsible
for compliance . . . . [i]t is no defense that they did
not understand the reasonable interpretation of a regulation’ ” quoting Ed
Taylor Constr. Co. v. OSHRC, 938 F.2d 1265, 1272 (11th Cir. 1991)); Phoenix
Roofing, Inc., 17 BNA OSHC 1076, 1079-80, 1993-95 CCH OSHD ¶ 30,699,
p. 42,606 (No. 90-2148, 1995) (“[e]mployer knowledge is established by a
showing of employer awareness of the physical conditions constituting the
violation [-] [i]t need not . . . be shown that the employer understood or
acknowledged that the physical conditions were actually hazardous”), aff’d
without published opinion, 17 BNA OSHC 1628 (5th Cir. 1996); Peterson
Bros. Steel Erection Co., 16 BNA OSHC 1196, 1199, 1993-95 CCH OSHD ¶
30,052, p. 41,299 (No. 90-2304, 1993), aff’d, 26 F.3d 573 (5th Cir.
1994); George C. Christopher & Sons, Inc., 10 BNA OSHC 1436, 1445,
1982 CCH OSHD ¶ 25,956, p. 32,533 (No. 76-647, 1982).
Froedtert argues that it did not “believe” that the
cited standards applied to it “because it did not consider itself the workers’
‘employer.’ ” Under the foregoing precedent, however, any misunderstanding of
law would not be relevant to whether a violation is established, especially
where the statute plainly states that it applies to an “employer,” and case law
interpreting the meaning of that term under the OSH Act predates the 1997
citation. See Pitt-Des Moines, 168 F.3d 976, 984 (7th Cir. 1999)
(applying multi-employer doctrine to criminal OSH Act violation, court found
fair warning of potential criminal multi-employer liability provided by “clear
language of the statute, combined with the doctrine’s wide acceptance and long
history” in civil penalty cases).
Froedtert also contends that provision of the HBV
vaccine to the temp housekeepers was infeasible because the short duration of
their work at Froedtert made it impossible to provide the entire three-shot
series necessary for full sero-immunity. The judge found that “Froedtert
succeeded in establishing that its provision of the HBV vaccine would be
unreasonable or senseless[.]” He rejected the defense, however, concluding that
by failing to specifically delegate to the temp agencies the responsibility for
providing the vaccine, Froedtert failed to “make any attempt to ensure the
protection of employees who worked under its control” and thereby “failed to
show that it availed itself of all available means of protecting its
employees[.]” Citing Seibel Modern Mfg. & Welding Corp., 15 BNA OSHC
1218, 1226-28, 1991-93 CCH OSHD ¶ 29,442, p. 39,685 (No. 88-821, 1991) (holding
that excuse from compliance with standard’s abatement measure requires employer
to establish that alternative protective measure was used or that there was no
feasible alternative measure).
The cited standard, 29 C.F.R. § 1910.1030(f)(2)(i),
provides that the
[h]epatitis B
vaccination shall be made available after the employee has received the
training required . . . and within 10 working days of initial assignment to all
employees who have occupational exposure unless the employee has previously
received the complete hepatitis B vaccination series, antibody testing has
revealed that the employee is immune, or the vaccine is contraindicated for
medical reasons.
The
usual three-dose protocol of the HBV vaccine involves an initial injection,
followed one month later by a second dose, and a final injection six months
after the initial injection. The standard, however, requires only that the
vaccine be “made available” to exposed employees within ten days of initial
assignment. It does not require that immunity be achieved prior to exposure,
that exposed employees agree to receive the entire three-shot course of vaccine
or any vaccine at all, or that the vaccine be made available to individuals no
longer covered by the standard. See 29 C.F.R.
§ 1910.1030(f)(2)(iii). In these circumstances, we fail to see how Froedtert
could not comply with the standard’s requirements for short-term personnel or
abate any violation for its non-compliance. Accordingly, we reject its
infeasibility defense to this citation item.
D. Characterization
In
general, Commission precedent establishes that “[a] willful violation is
characterized by an intentional or knowing disregard for the requirements of
the Act or a ‘plain indifference’ to employee safety, in which the employer
manifests a ‘heightened awareness’ that its conduct violates the Act or that
the conditions at its workplace present a hazard.” Weirton Steel Corp.,
20 BNA OSHC 1255, 1261, 2003 CCH OSHD ¶ 32,672 (No. 98-0701, 2003) (citations
omitted). Numerous cases also make clear that willfulness will be obviated by a
good faith, albeit mistaken, belief that particular conduct is permissible. E.g.,
General Motors Corp., Electro-Motive Div., 14 BNA OSHC 2064, 2068-69,
1991-93 CCH OSHD ¶ 29,240, pp. 39,168-69 (No. 82-630, 1991) (consolidated)
(employer’s non-compliance with OSHA records access rule not willful where
employer had mistaken though good-faith belief that pending workers
compensation claim, for which requested records could not be lawfully obtained,
invalidated applicability of the OSHA rule). Accord American Wrecking Corp.
v. Secretary of Labor, No. 02-1379, 2003 U.S. App. LEXIS 25778, at *19-20
(D.C. Cir. Dec. 19, 2003).
Chairman
Railton and Commissioner Stephens agree with the judge that the Secretary
failed to establish that these violations were willful. As a threshold matter, in their view Froedtert’s efforts to structure
an arms-length business arrangement with the temp agencies in order to have
them assume certain employment responsibilities is not evidence of “ ‘an
intentional disregard of, or plain indifference to, the Act’s
requirements.’ ” Kaspar Wire Works, Inc. v. Sec’y of Labor, 268
F.3d 1123, 1127 (D.C. Cir. 2001) (citation omitted). The Secretary herself has
recognized the propriety of such arrangements, as evidenced by the interpretations
provided to Froedtert during the inspection. Those interpretative documents
explain that responsibility for OSH Act compliance under the BBP and hazcom
standards can be shared between a host employer and personnel agencies. See
OSHA Interpretation, Most Frequently Asked Questions Concerning the
Bloodborne Pathogens Standard (2/1/93) (primary responsibility for
compliance regarding contract healthcare workers rests with client employer,
but responsibility is shared with personnel providers who must provide general
training and required vaccinations); OSHA Interpretation, Employers’
Responsibilities Towards Temporary Employees (2/3/94) (responsibility for
hazcom training of temporary employee is shared by agency and client, with
client having primary responsibility; lessor employer is expected to provide
training and information under 29 C.F.R. § 1910.1200(h)(1), and client is
responsible for providing site-specific training and exposure control).
Chairman
Railton and Commissiner Stephens also find that Froedtert believed in good
faith that the temporary housekeepers were not its employees, and that
Froedtert’s belief in the lawfulness and effectiveness of its business
arrangements with the temporary agencies was reasonable. In this regard, there
is evidence showing that the EEOC dismissed a discrimination charge against
Froedtert after Froedtert successfully argued that it was not the worker’s
employer. Moreover, former EVS director Barzycki, human resources VP Heisler,
and EVS supervisor Kiedinger all testified that they thought Froedtert was not
the temps’ employer and had no OSH Act obligations with respect to them. In the
absence of prior OSHA citations or other evidence to establish that Froedtert
knew of its duty to the temporary housekeepers, Chairman Railton and
Commissioner Stephens find no basis in the record upon which to question
Froedtert’s veracity. See McLaughlin v. Union Oil Co., 869 F.2d 1039,
1047 (7th Cir. 1989) (finding OSHA violation for failure to provide employees fireproof
clothing not willful where “[i]t was not obvious that the general regulation
would be extended to operating employees in oil refineries, given that a
colorable argument existed that even members of the fire brigades at such
refineries are not required to be issued fireproof
clothing . . . [–] [a] violation is not willful when it is based
on a nonfrivolous interpretation of OSHA’s regulations”) (citations omitted).
Indeed,
in addition to the uncertainties created by a thirteen-part fact-specific legal
test of employment status, Froedtert’s belief in the plausibility of its legal
position finds support in the Secretary’s own instruction, provided to
Froedtert during the inspection, which states that the determination of
employer status “may be a very complex question, in which case the Area
Director may seek the advice of the Regional Solicitor.” OSHA Instruction CPL
2.103, 9/26/94. See Johnson Controls, Inc., 16 BNA OSHC 1048, 1051,
1993-95 CCH OSHD ¶ 30,018, pp. 41,142-43 (No. 90-2179, 1993) (finding failure
to comply with known OSHA regulatory interpretation non-willful where employer
held erroneous but good faith belief that its “plausible” interpretation was
correct). These circumstances stand in stark contrast to those in Calang
Corp., 14 BNA OSHC 1789, 1790, 1987-90 CCH OSHD ¶ 29,080, pp.
38,870-71 (No. 85-0319, 1990), where the Commission affirmed a willful
violation of the trenching standards, finding that the employer could not, in
good faith, have believed that it complied with standards after the compliance
officer correctly explained the standards’ requirements and pointed out
deficiencies that the employer failed to correct.
Chairman Railton and Commissioner Stephens
acknowledge that the term “willful” has been characterized as “notoriously
slippery,” U.S. v. Ladish Malting Co., 135 F.3d 484, 487 (7th Cir. 1998), and subject to inconsistent
legal interpretation, McLaughlin v. Richland Shoe Co., 486 U.S. 128, 133
(1988). Nonetheless, based on the record evidence in this case, they take issue
with Commissioner Rogers’ assertion that Froedtert could not have believed in
good faith that it owed no duty to the temporary housekeepers. In their view,
she blurs the distinction between conscious disregard and mere negligence,
particularly in light of the Supreme Court’s admonition in McLaughlin v.
Richland Shoe Co., that a good faith belief obviates willfulness where it
is non-reckless, even if it is unreasonable. 486 U.S. at 134-35, n.13. See
also McLaughlin v. Union Oil, 869 F.2d at 1047 (“a negligent violation of
the statute is merely ‘serious,’ . . . and for a ‘willful’ violation more is
necessary”). While Froedtert’s belief that it was not the temps’ employer was
mistaken, it was surely sufficiently plausible to obviate willfulness. Accordingly, based on their finding that Froedtert
believed in good faith that it owed no legal duty to the temp housekeepers,
Chairman Railton and Commissioner Stephens affirm the violations as
non-willful.
With
respect to penalties, the judge took into account Froedtert’s large size, the gravity
of the violations, and absence of any prior violations. Froedtert does not
contest the appropriateness of the penalty amounts, nor does the Secretary
object to the amounts based on a non-willful characterization. See
Section 17(j), 29 U.S.C. § 666(j). We conclude that the penalty amounts
assessed by the judge are appropriate in light of the statutory factors, and
affirm those assessments, as follows.
Citation
2, Item 1, 29 C.F.R. § 1904.2(a), affirmed as other-than-serious: $180
Citation
2, Item 2, 29 C.F.R. § 1910.1030(f)(2)(i), affirmed as serious: $6,300
Citation
2, Item 3, 29 C.F.R. § 1910.1030(g)(2)(i), affirmed as serious: $6,300
Citation
2, Item 4, 29 C.F.R. § 1910.1200(h), affirmed as serious: $4,900
SO ORDERED.
/s/
W.
Scott Railton
Chairman
/s/
James
M. Stephens
Commissioner
/s/
Thomasina
V. Rogers
Commissioner
Dated: January 15,
2004
RAILTON,
Chairman, concurring:
While I agree with my colleagues concerning the
disposition of this case, I believe it raises an issue worthy of comment that
was not addressed by the parties or the judge – the question of compliance
responsibilities where workers are jointly employed by a referral agency and
borrowing employer. It is common knowledge that in recent years employers have
increasingly relied on temporary and contract employees to augment their
workforces when necessary rather than hiring new permanent employees. This
practice has resulted in the creation of an industry specializing in providing
client employers with both unskilled temporary workers and with workers having
specialized skills, e.g., accountants, lawyers, medical specialists, word
processing specialists and a slew of other skilled workers. Here, presented
with an immediate need to augment its housekeeping staff upon acquisition of
the new adjacent facility, Froedtert utilized the services of two temporary
help agencies to expediently provide it with workers for whom, it thought, the
agencies would retain sole employment responsibility. These factual
circumstances have been found, under other federal labor statutes, to present
the question whether the borrowing employer was a joint employer with the
agencies who supplied the temporary workers, resulting in shared employment
responsibility among the two employing entities. E.g., N.L.R.B. v. Western
Temporary Services, Inc., 821 F.2d 1258 (7th Cir. 1987)
(upholding joint employer status of production facility and temporary help
agency that supplied it with part-time temporary employees during peak
production periods). Although that issue was not litigated here and presents a
number of subsidiary issues under the Occupational Safety and Health Act (Act)
which cannot be resolved on the record before the Commission, it is one that
warrants consideration in light of the ever-increasing trend of American
companies to utilize the services of workers referred by temporary help
agencies.
The
Secretary laid the scene by following her usual practice of citing everybody in
sight. She issued duplicate citations for certain conditions to Froedtert and
to the two agencies, citing the hospital and both temporary agencies under the
bloodborne pathogen (BBP) standard for alleged willful violations for failure
to provide the hepatitis B virus (HBV) vaccine to the housekeepers, and for
willful violations for failure to train the housekeepers under the BBP
standard. StaffWorks, like the hospital, was also cited under the hazard
communications (hazcom) standard. Thus, on the face of it, OSHA treated the
three employers as if each had primary responsibility for abatement of the
cited conditions. The Seventh Circuit, in a multi-employer worksite case
arising under the OSH Act, has questioned this practice, commenting that it
might prove counter productive or confusing, and could result in subsequent
litigation between parties to affix liability. See Anning-Johnson Co. v.
O.S.H.R.C., 516 F.2d 1081, 1089 (7th Cir. 1975). See also
U.S. v. Pitt-Des Moines, Inc., 168 F.3d 976, 984 (7th Cir. 1999)
(upholding application of multi-employer worksite doctrine with respect to
employer that created hazardous condition, court questioned appropriateness of
“overlapping liability”).
The
Secretary cited only Froedtert for its failure to record needlestick injuries suffered
by six temporary housekeepers working at the hospital. Four of the needlestick
injuries were incurred by FlexiForce/AccuStaff workers, and two were incurred
by StaffWorks housekeepers. Although FlexiForce/AccuStaff made and maintained
OSHA illness/injury logs for the housekeepers assigned to Froedtert, it is
important to note that at the time this case arose, OSHA exempted temporary
employment agencies from making and maintaining the OSHA logs. See 29
C.F.R. § 1904.16. Accordingly, the Secretary’s policies in regard to
recordkeeping at that time did not treat the hospital and the temporary
agencies on the same level for citation purposes. The Secretary subsequently
amended her recordkeeping requirements and policy; temporary employment
agencies, rather than the borrowing employer, are now required to make and
maintain OSHA injury/illness logs if they provide the “day-to-day supervision”
to the loaned workers . See 29 C.F.R. § 1904.2, Appendix A and
§ 1904.31(b)(3) and (4).
It seems to me that under the circumstances extant at
the time OSHA made its inspections of these three employers, Froedtert could
not transfer the recordkeeping obligation to the employment agencies. In other
words the responsibilities for OSHA compliance could not be shared equally
among the three employers. I note, however, that OSHA has indicated that employers can share some
obligations under the BBP standard. See OSHA Interpretation, Most
Frequently Asked Questions Concerning the Bloodborne Pathogens Standard
(2/1/93) (primary responsibility for compliance regarding contract healthcare
workers rests with client employer, but responsibility is shared with personnel
providers who must provide general training and required vaccinations).
Similarly, OSHA admits that employers can share compliance responsibilities
under the hazcom standard. See OSHA Interpretation, Employers’
Responsibilities Towards Temporary Employees (2/3/94) (responsibility for
hazcom training of temporary employee is shared by agency and client, with
client having primary responsibility; lessor employer is expected to provide
training and information under section (h)(1), and client is responsible for
providing site-specific training and exposure control). The concept of shared
employment responsibilities raises the question of abatement allocation, which
has been addressed by the NLRB in the joint employer context as well. See
Capitol-EMI Music, 311 NLRB 997 (1993), enfd. 23 F.3d 399 (4th Cir.
1994).
Where, as here, multiple putative employers
potentially share OSH Act responsibilities with respect to a particular
employee or group of employees, the joint employer doctrine may provide a more
coordinated vehicle by which to assess abatement responsibility and ensure
compliance. In my view, the record here arguably shows that Froedtert was a
joint employer of FlexiForce/AccuStaff, and of StaffWorks.
A joint employer test acknowledges that two entities
are separate, but looks to whether they co-determine the essential terms and
conditions of employment. See, e.g., Graves v. Lowery, 117 F.3d 723,
727-28 (3d Cir. 1997); Virgo v. Riviera Beach Assocs., Ltd., 30 F.3d
1350, 1359-61 (11th Cir. 1994); Rivas Federacion de Associaciones Pecuarias
de Puerto Rico, 929 F.2d 814, 819-21 (1st Cir. 1991). The two employers
must meaningfully affect matters relating to the employment relationship such
as hiring, firing, discipline, supervision, and direction. See, e.g.,
Riverdale Nursing Home, 317 N.L.R.B. 881, 882 (1995), citing TLI, Inc.,
271 NLRB 798 (1984). In other words, courts look to whether both entities
exercise significant control over the same employees. N.L.R.B. v. Western
Temporary Services, 821 F.2d at 1266; Graves v. Lowry, 117 F.3d at
727 (applying the joint-employer test to determine if state-court clerks were
employees of the county as well as the judicial branch); see also Virgo v.
Riviera Beach, 30 F.3d at 1360 (looking to control to determine whether a
hotel and the partnership that owned it were “joint employers” under Title
VII).
The Seventh Circuit has recognized joint employer
status between a temporary services agency and its client in the labor law
context, where “two employers ‘exert significant control over the same
employees.’” N.L.R.B. v. Western Temporary Services, Inc., 821
F.2d at 1266 (citations omitted). However, the question of whether a joint
employer theory is applicable to discrimination cases is an unsettled one in
the Seventh Circuit. See Alexander v. Rush North Shore Med. Ctr., 101
F.3d 487, 493 n.2 (7th Cir. 1997). In discrimination cases in which the issue
is merely whether an individual is an employee or an independent contractor,
the Seventh Circuit emphasizes the amount of control that the putative employer
exercises over the individual. In such cases, the Court considers five factors,
with the employer’s right to control being the most important:
(1) the extent of the
employer’s control and supervision over the worker, including directions on
scheduling and performance of work; (2) the kind of occupation and nature of
skill required, including whether skills are obtained in the work place; (3)
responsibility for the costs of operation, such as equipment, supplies, fees,
licenses, workplace, and maintenance of operations (4) method and form of
payment and benefits; and (5) length of job commitment and/or expectations.
Knight v.
United Farm Bureau Mut. Ins. Co., 950
F.2d 377, 378-79 (7th Cir. 1991).
The
record in this case can arguably be said to demonstrate that Froedtert and the
respective temporary employment agency that assigned a temporary employee to
work at the hospital “share[d] or codetermine[d] matters governing essential
terms and conditions of employment.” M.B. Sturgis, Inc., et. al v. N.L.R.B.,
331 NLRB 1298, 1301 (2000) (finding borrowing entity and supplier of contingent
workers joint employers - borrowing employer assigned, directed, and oversaw
daily work, had authority to discipline, and was responsible to monitor time); N.L.R.B.
v. Western Temporary Services, Inc., 821 F.2d 1258 (upholding joint
employer status of production facility and temporary employment agency that
supplied it with part-time temporary employees during peak production periods).
Both Froedtert and the temporary employment agency also could be said to have
meaningfully affected matters relating to the employment relationship such as
hiring, firing, discipline, supervision, and direction. Froedtert determined
the level of skill required for the nature of the work performed by the
temporary employees. Froedtert was responsible for daily supervision of the temporary
employees assigned to work there. Froedtert supervised the performance of the
temporary employees’ work. Froedtert assigned shifts, hours, and daily
assignments to the temporary employees. Froedtert supplied the temporary
employees with the necessary equipment and supplies in the workplace, including
chemicals and scrubs, and was responsible for maintaining the operations of the
hospital.
In
addition, the record evidence could be said to establish that the temporary
agency that assigned a temporary employee to the hospital had sufficient
authority over the workers to be deemed a joint employer of the temporary
employees. When Froedtert placed an order for more temporary employees, the
temporary agencies had candidates fill out applications and the agencies
conducted the interviews and hiring. The temporary agencies paid the temporary
employees directly, provided time cards, and filed workers compensation claims
for injured temporary employees and provided medical services to employees
injured on the job at the hospital. In addition, the temporary agencies were
responsible for issuing discipline to temporary employees, including
terminating their employment. I think this record contains ample evidence that
both Froedtert and the temporary agencies were joint employers because they
co-determined the essential terms and conditions of employment for the
temporary employees assigned to work at the hospital.
Notwithstanding,
the record in this case is not sufficient for, and the arguments of the parties
do not address, important questions which arise under the Act. For example,
Froedtert controlled the work of the housekeepers and therefore their exposures
to BBP and hazardous chemicals. One housekeeper suffered a needlestick injury
from a sharp that was left in the linens that should have been disposed of in a
sharp’s container. 29 C.F.R. § 1910.1030(d)(2)(viii). The hospital was
responsible for disposal of the sharp and therefore responsible for the
exposure to the housekeeper. One can easily conceive of other possible
exposures which the temporary agencies as joint employers could not control.
The question thus presented under the Act for the joint employer situation
concerns the extent to which a joint employer who controls the exposure to
occupational hazards can shift its compliance obligations (hazard abatement) to
another joint employer. The record does not permit an answer in this case. See
e.g., American Dental Ass’n v. Martin, 984 F.2d 823, 829-30 (7th
Cir. 1993) (upholding validity of BBP standard regarding medical personnel
agencies only where the cited employer controls the worksite or where the
controlling employer “is itself subject to the . . . rule”).
However,
it is clear that Froedtert should have been able to push the compliance
responsibilities onto the employment agencies to provide training and to
provide the HBV vaccine to the exposed temporary workers. As my colleagues
conclude and the judge concluded, Froedtert simply did not do enough in this
regard. Indeed, the record shows that Froedtert did essentially nothing in its
relationship with FlexiForce/AccuStaff to assure itself that the housekeepers
were trained and had been offered the vaccination series. That alone is enough
to sustain the citations. The record is not as clear with respect to
StaffWorks, but again I agree that more could have been done by Froedtert to
determine whether the employment agency had satisfied the training and
vaccination requirements of the cited standards. At the very least the hospital
could have interrogated the housekeepers upon assignment to assure that the
compliance obligations had been satisfied or it might have required and
obtained certifications to that effect from the temporary agencies.
I
concur also in my colleagues’ conclusion that we do not need to decide the
thorny issue of the application of the Secretary’s multi-employer workplace
policy in this case. I also join in Commissioner Stephens’ characterization of the
violations as non-willful for the reasons discussed in our portion of the
principal decision, and concur in the penalty assessments made therein.
/s/
W.
Scott Railton
Chairman
Dated: January 15,
2004
|
|
Complainant, |
|
v. |
OSHRC DOCKET NO. 97-1839 |
FROEDTERT MEMORIAL LUTHERAN HOSPITAL, INC., |
|
Respondent. |
|
For
the Complainant:
Steve Walanka, Esq., Lisa R. Williams, Esq., U.S.
Department of Labor, Office of the Solicitor, Chicago, Illinois
For
the Respondent:
Eric Hobbs, Esq, Brenda Kasper, Esq, Michael Best
& Fredrich, L.L.P., Terrance E. Nilles, Esq., Von Briesen, Purtell and
Roper, S.C., Milwaukee, Wisconsin
Before:
Administrative
Law Judge: Stanley M. Schwartz
DECISION
AND ORDER
This
proceeding arises under the Occupational Safety and Health Act of 1970 (29
U.S.C. Section 651 et seq.; hereafter called the AAct@).
Respondent, Froedtert Memorial Lutheran Hospital, Inc. (Froedtert),
at all times relevant to this action maintained a place of business at 9200 W. Wisconsin Ave., Wauwatosa, Wisconsin, where it was engaged
in health care. Respondent admits it is an employer engaged in
a business affecting commerce and is subject to the requirements of the Act.
On April 11 through October 1, 1997 the Occupational Safety and
Health Administration (OSHA) conducted an inspection of Froedtert=s Wauwatosa
work site. As a result of that inspection, Froedtert was issued
citations alleging violations of the Act together with proposed penalties. By
filing a timely notice of contest Froedtert brought this
proceeding before the Occupational Safety and Health Review Commission
(Commission).
Prior to the
hearing, the parties agreed to settlement of some of the citations (Tr. 13); on
December 14, 1998 the Stipulation and Partial Settlement Agreement was filed
with this judge. That document is hereby adopted and made part of this record.
On October 14-21, 1998, a hearing was held in Milwaukee,
Wisconsin on the matters remaining at issue. The parties have submitted briefs
on the issues and this matter is ready for disposition.
Alleged
Violation of '1904.2(a)
Willful citation
2, item 1 alleges:
29 CFR 1904.2(a): The log and summary of
occupational injuries and illnesses (OSHA Form No. 200 or its equivalent) was
not completed in the detail provided in the form and the instructions contained
therein:
(a) The
employer did not include on the OSHA-200 log instances of injuries experienced
by temporary workers whose activities were controlled by the employer. Such
workers include those employed by temporary employment agencies who worked in
the Environmental Services Department of the employer and experienced injuries
such as, but not necessarily limited to, needle sticks. There were four such
recordable events in 1996 and two such recordable events in 1997.
The cited standard provides:
Each employer shall, except as provided in paragraph
(b) of this section, (1) maintain in each establishment a log and summary of
all recordable occupational injuries and illnesses for that establishment; and
(2) enter each recordable injury and illness on the log and summary as early as
practicable but no later than 6 working days after receiving information that a
recordable injjry or illness has occurred. . ..
Employer/Employee
Relationship
As a threshold
matter, Froedtert maintains that this and the other citations at issue should
be vacated because they concern temporary workers, not Froedtert employees.
Froedtert argues that the employment agencies who provided the temporary
workers, AccuStaff (then FlexiForce), and StaffWorks were the employers of the
subject workers, and were solely responsible for safeguarding those workers= safety and health and for
ensuring compliance with applicable OSHA regulations.
Facts
AccuStaff
interviews and hires the workers it sends out as temporary workers (Tr. 120-21,
Vol. 3). It pays all compensation and benefits for its employees; the cost of
such benefits is built into the client=s
bill rate (Tr. 119-20, 128, Vol. 3). While the client may request that an
AccuStaff employee be disciplined, or no longer be assigned to its facility,
only the temporary agency can terminate its own employees (Tr. 121-25, Vol. 3).
AccuStaff can, at any time, reassign its personnel to another facility (Tr.
133, Vol. 3). AccuStaff employees are obliged to comply with AccuStaff=s drug-testing policy, and
time-card procedures (Tr. 129-31, Vol. 3). All on the job injuries are reported
to AccuStaff for workmen=s
compensation purposes (Tr. 135, Vol. 3); it is AccuStaff=s practice to pay for medical evaluation and
follow-up for needle stick injuries (Tr. 139, Vol. 3). AccuStaff keeps an OSHA
200 log of injuries and illnesses suffered by its employees assigned to
Froedtert (Tr. 140, Vol. 3).
StaffWorks
similarly interviews and hires all its temporary workers (Tr. 201, Vol. 2).
Like AccuStaff, StaffWorks pays workers compensation premiums for its
employees, provides their benefits, withholds taxes from their pay (Tr.
199-200; Vol. 2). StaffWorks provides raises based on merit, though the client,
Froedtert, could also request a raise in pay, for which it would be billed (Tr.
202, Vol. 2).
When
temporary personnel are assigned to Froedtert, Froedtert controls their
day-to-day activities (Tr. 150, Vol. 3). Froedtert controls the hours the
temporary employees work when they are assigned to Froedtert, determines what
jobs will be performed and how, provides immediate supervision, and assigns a
more experienced employee or Abuddy@ to work with new temporary
employees (Tr. 17-18, 134, Vol. 6). Froedtert supervisory personnel will
correct the temporary employees if their behavior jeopardizes patients or
visitors, and then report them to their agency (Tr. 41, Vol. 6). Froedtert can,
at any time, for any reason, ask that a particular temporary worker be removed
from its premises (Tr. 72, Vol. 3). Froedtert provides personal protective
equipment, as well as uniforms, or scrubs, and equipment, i.e. mops,
buckets, rags, and chemicals (Tr. 190-92, Vol. 3, 16, 26-27, 75, Vol. 6).
The Bureau of
Labor Statistics (BLS) Recordkeeping Guidebook specifically addresses the question
of which employer bears the responsibility of tracking recordable illnesses
and/or injuries of temporary workers supplied by a personnel agency, assigning
the duty to record temporary employees=
occupational illnesses and injuries to the using, or client employer, unless
the temporary workers are subject primarily to the supervision of the personnel
supplier.
In Chapter IV. Employer
Decisionmaking, the BLS guidelines state:
Employee status generally exists when the employer
supervises not only the output, product, or result to be accomplished by the
person=s work, but
also the details, means, methods, and processes by which the work objective is
accomplished. This means that the employer who supervises the worker=s day-to-day activities is
responsible for recording his injuries and illnesses. . ..
*
* *
If the temporary workers are subject to the
supervision of the using firm, the temporary help supply service contract is
acting merely as a personnel department for the using firm, and the using firm
must keep the records for the personnel supplied by the service. If the
temporary workers remain subject primarily to the supervision of the supply
service, the records must be kept by the service.. . . In short, the records
should usually be kept by the firm responsible for the day-to-day direction of
the employee=s
activities.
(Tr. 49-50, Vol. 4; Tr. 133, Vol.
5; Exh. R-4, R-6).
Discussion
In Secretary
of Labor v. Vergona Crane Co., Inc. 15 BNA OSHC 1782, CCH OSHD &29,775 (No. 88-1745,
1992), the Commission adopted the position that the term Aemployee@ should be interpreted
under common law principals. The Commission stated that:
In determining whether a hired party is an employee
under the general common law of agency, we consider the hiring party=s right to control the
manner and means by which the product is accomplished. Among the other factors
relevant to this inquiry are the skill required; the source of the
instrumentalities and tools; the location of the work; the duration of the
relationship between the parties; whether the hiring party has the right to
assign additional projects to the hired party; the extent of the hired party=s discretion over when and
how long to work; the method of payment; the hired party=s role in hiring and paying assistants;
whether the work is part of the regular business of the hiring party; whether
the hiring party is in business; the provision of employee benefits; and the
tax treatment of the hired party.
citing the Supreme Court=s opinion in Nationwide
Mutual Insurance Co. V. Darden, 112 S.Ct. 1344, 1348, (1992)(citations
omitted). In determining an employee=s
employer, the Commission primarily relies upon its determination of who has
control over the work environment such that abatement of hazards can be
obtained. See, Abbonizio Contractors Inc. 16 BNA OSHC 2125, 1994 CCH
OSHD &30,615 (No.
91-2929, 1994).
It is clear that
in this case, Froedtert had the right to, and in fact did control the
day-to-day activities of temporary personnel assigned to its facility.
Froedtert supplied both personal protective equipment and uniforms as well as
all the tools and supplies to be used on the job. All work was performed at
Froedtert=s site, and
was part of its regular business. Froedtert had sole control over the work
environment, had the most immediate and comprehensive knowledge of any illness
and/or injury and so was best situated to identify reportable incidents and log
them, thus abating the violation.
Moreover the
Bureau of Labor Statistics (BLS) Recordkeeping Guidebook, using an analysis
similar to that enunciated by the Commission in Abbonizio, supra, assigns
the duty to record temporary employees=
occupational illnesses and injuries to the using, or client employer, where the
temporary employees are subject primarily to the supervision of that employer.
The BLS guidelines are intended to provide guidance to employers in maintaining
records required under the Act, and have been found by the Commission to
provide fair and reasonable warning of OSHA 200 recording requirements. Caterpillar
Inc., 15 BNA OSHC 2153, 1993 CCH OSHD &29,962
(No. 87-0922, 1993).
For purposes of
tracking illnesses and/or injuries, Froedtert is deemed the employer of its
temporary employees under both Commission precedent and OSHA guidelines.
The
Violation
The facts are
not disputed. Between March 1996 and January 1997, six temporary employees at
Froedtert suffered needle stick injuries requiring follow-up medical treatment
with prescription medications (Exh. C-1, C-3, C-12, C-26, C-27). Such injuries
are recordable under the Bureau of Labor Statistics guidelines, which state
that injuries requiring medical treatment are recordable no matter who provides
the treatment (Exh. C-23, p. 29, Chart 1; p. 44-45).
Froedtert admits
the cited injuries were not recorded. The violation is established.
Willful
Characterization
Froedtert argues
that the cited violation was, though deliberate, not Awillful,@
because Froedtert reasonably believed that it could avoid creating a
co-employer relationship with its personnel providers by distancing itself from
its temporary employees, thus limiting its obligations under Federal employment
statutes. (See, Respondent=s
Post-hearing Brief at p. 48).
Facts
Cathleen
Piermarini was a co-coordinator for occupational health at Froedtert from April
1996 through July 1998 (Tr. 109, 130, Vol. 5). Piermarini testified that it was
her responsibility to maintain the OSHA 200 log for Froedtert (Tr. 110, 130,
Vol. 5). Piermarini testified that in January or February 1997 she attended one
presentation concerning, inter alia, proper recording of occupational
illnesses and injuries in the 200 log (Tr. 130, Vol. 5). In addition, she
referred to the blue book, i.e. the BLS guidelines, to determine whether
an injury was recordable (Tr. 131-32, Vol. 5). Piermarini stated that she had contacted
OSHA regarding the recordability of needle sticks, and was told that they were
not recordable unless the stick was treated with more than first aid (Tr. 132,
Vol. 5; Exh. R-8, p. 6). Piermarini believed that because the personnel agency,
rather than Froedtert, provided all medical follow-up, her responsibility was
fulfilled by contacting the employment service and reporting the injury to them
for inclusion in their logs (Tr. 134-35, Vol. 5).
Piermarini=s belief was confirmed by
her boss, Nancy Heisler, vice president of human resources (Tr. 222, Vol. 5),
who told Piermarini that Froedtert=s
occupational health department provided no services for temporary employees
(Tr. 116, Vol. 5). Heisler=s
belief was based on a 1996 incident in which Froedtert was named in a suit
filed by a temporary employee alleging two charges of discrimination. Heisler
testified that Froedtert contacted the Equal Rights Division and the EEOC,
arguing, successfully, that it was not the employer of the temporary worker;
the charges were later dropped (Tr. 228-29, 253, Vol. 5; Exh. R-16, R-17). As a
direct result of that incident, in August 1996 Heisler issued a memorandum to
Froedtert managers and supervisors instructing them to avoid discussing
employment issues such as pay, bonuses, discipline, termination, and overall
job performance directly with temporary staff so as to avoid creating a
co-employment situation wherein Froedtert might become liable for the
employment decisions of the personnel agency (Tr. 227, Vol. 5; Exh. R-18).
Heisler testified that she did not know that Froedtert might be deemed the
employer of its temporary staff under OSHA regulations (Tr. 232, Vol. 5). She
did not consider that the employer/employee relation might be defined
differently outside the antidiscrimination context (Tr. 230, Vol. 5).
Piermarini
testified that she began recording injuries and illnesses for temporary workers
immediately after her deposition in July 1997, when she was asked to read the
relevant passage from the BLS guidelines out loud (Tr. 140-41, Vol. 5).
Discussion
In a recent case
the Commission stated that its precedent defines a willful violation as:
. . .one committed with intentional, knowing or
voluntary disregard for the requirements of the Act, or with plain indifference
to employee safety. [I]t is not enough for the Secretary to show that an
employer was aware of conduct or conditions constituting the alleged violation;
such evidence is already necessary to establish any violation. . .. A willful
violation is differentiated by heightened awareness of the illegality of the
conduct or conditions and by a state of mind of conscious disregard or plain
indifference. . .. The Secretary must show that the employer was actually
aware, at the time of the violative act, that the act was unlawful, or that it
possesed a state of mind such that if it were informed of the standard, it
would not care. [citations omitted]
Propellex Corporation
(Propellex), No. 96-0265, slip op. at 14 (March 30, 1999). The Commission went
on to note that it had found heightened awareness where an employer had been
previously cited for violations of the same standards, was aware of the
standards=
requirements, and was on notice of the existence of the violative conditions. Id.
In Propellex, the Commission found that the cited violation was not
willful, because even though the lead person was aware of the violative
conditions, and her supervisor failed to enforce work rules which would have
eliminated the hazard (employee smoking and use of a burn barrel near
explosives), neither appreciated the hazardous nature of the conditions.
The Commission held that neither negligence nor the exercise of poor judgment
demonstrates the heightened awareness of illegality required to establish
willfulness. Id. at pp. 14-15.
The
Secretary failed to establish that Cathleen Piermarini had the requisite
heightened awareness that her actions were unlawful. Piermarini credibly
testified that she honestly believed Froedtert=s
temporary personnel were not employees of Froedtert, and that their injuries
were properly recorded on the OSHA 200 log of the personnel provider. Though
her analysis was faulty, and her conclusions contrary to the instructions
contained in the BLS guidelines, they were supported by Froedtert=s prior experience with the
EEOC and the state Equal Rights Division. Moreover, the personnel agencies did,
in fact, record the temporaries=
injuries on their own 200 logs. It is clear that Froedtert=s failure to record the
cited injuries arose from a shared misinterpretation of the standard=s requirements and not from
any deliberate attempt to conceal injury rates.
Penalty
A penalty of
$18,000.00 was proposed for this item.
The Secretary
does not argue that the cited violation gives rise to a substantial probability
of death or serious physical harm; citation 2, item 1 is affirmed, therefore,
as an Aother than
serious@ violation.
Six needlestick injuries were misreported; as noted above, the cited injuries
were recorded, though not in Froedtert=s
log.
Taking into
account Froedtert=s
size, the gravity of the violation and Froedtert=s
good faith and the absence of any history of previous violations, I find that a
penalty of $180.00 is appropriate.
Alleged
Violation of '1910.1030(f)(2)(i)
Willful citation
2, item 2 alleges:
29 CFR 1910.1040(f)(2)(i): Hepatitis B vaccination
was not made available after the employee had received the training required in
29 CFR 1910.1030(g)(2)(vii)(I) or within 10 working days of initial assignment
to employees who had occupational exposure to blood or other potentially
infectious materials:
(a) The
employer did not make the Hepatitis B vaccination series available to employees
of temporary employment agencies who were assigned by Froedtert Memorial
Lutheran Hospital to perform tasks and work in areas of the hospital where
there was exposure to blood or other potentially infectious materials. Tasks
performed by employees which entailed such exposure included, but were not
limited to, emptying of biohazardous waste receptacles, changing linens in
patient rooms and cleaning of contaminated surfaces. Areas to which employees
were assigned to work where such exposure would occur included, but were not
limited to, areas such as the operating rooms, emergency rooms, outpatient
clinics and patient care rooms.
The cited standard provides:
Hepatitis B vaccination shall be made available
after the employee has received the training required in paragraph
(g)(2)(vi)(I) and within 10 working days of initial assignment to all employees
who have occupational exposure. . ..
The
Violation
Facts
William Herrick,
director of environmental services (EVS) at Froedtert until May 1995, when he
was involuntarily separated (Tr. 12-13, Vol. 3), testified that EVS recommenced
using temporary workers on its general housekeeping staff during his tenure
(Tr. 14, Vol. 3). Herrick stated that EVS asked AccuStaff, then FlexiForce, to
supply the workers because Froedtert had dealt with that company in the past
(Tr. 15, Vol. 3). Herrick stated that around 1992 EVS began to assign temporary
workers to clean patient contact areas (Tr. 16, Vol. 3). Herrick testified that
at about that time he met with AccuStaff representatives (Tr. 16, Vol. 3).
Herrick stated that, among other things, he told the AccuStaff representative
that there was a possibility that their employees would be exposed to blood and
body fluids at times, and could come into contact with contaminated sharps
(syringes) in trash (Tr. 18-19, Vol. 3). Herrick stated that he assumed that
AccuStaff told the temporary workers of the risk of exposure to blood and body
fluids before they were sent to Froedtert (Tr. 38, Vol. 3). Herrick stated,
however, that he was sensitive to the fact that Froedtert could be exposing a
worker to bloodborne pathogens who did not have the training and experience of
his own staff, and so attempted to limit the exposure of temporary workers to
bloodborne pathogens by assigning them, whenever possible to public and office
areas (Tr. 47-48, Vol. 3).
Herrick
testified that he was familiar with the OSHA Bloodborne Pathogen Standard, and
knew that employees who were at high risk for exposure to blood and/or body
spills must have a TB test, and be offered a hepatitis B (HBV/HIV) vaccination
(Tr. 40, Vol. 3). Herrick admitted that no exposure determination was made for
temporary workers (Tr. 41, Vol. 3). Herrick testified that no HBV vaccinations
were offered to temporary workers, because the temporaries were not Froedtert
employees (Tr. 43, Vol. 3). Herrick did not ask AccuStaff whether they were
providing the required vaccinations (Tr. 43, Vol. 3).
Cindi Gutbrod,
an AccuStaff staffing manager (Tr. 50-53, Vol. 3), testified that AccuStaff had
changed over its computer system in 1993 or 1994, and that there was no record
that AccuStaff had provided housekeeping workers to Froedtert prior to 1995 (Tr. 56, 83-89, Vol. 3; Exh. C-6). Froedtert=s 1995 job orders describe
job duties as mopping floors, cleaning patient rooms, emptying and separating
trash, 50 pounds lifting. The job orders state that good work shoes are needed
and that the client will be training during the week for scheduled weekend work
(Tr. 60-61, Vol. 3; Exh. C-8, C-9). Gutbrod testified that at one point she was
asked to send someone with a strong stomach, as they would be working around
blood in operating and emergency rooms (Tr. 71, Vol. 3).
Gutbrod
testified that AccuStaff had no written agreement with Froedtert concerning
their respective responsibilities to protect the safety and health of the
temporary workers assigned to Froedtert (Tr. 158, Vol. 3). Gutbrod testified
that AccuStaff began giving workers assigned to Froedtert TB tests around April
1996 at Froedtert=s
request (Tr. 67, Vol. 3). Gutbrod maintained that AccuStaff was not asked to,
and did not provide hepatitis B vaccinations to the temporaries assigned to
Froedtert. AccuStaff knew Froedtert was not providing HBV vaccinations to
AccuStaff personnel (Tr. 69, 107, Vol. 3). Gutbrod stated that as she
understands the OSHA Bloodborne Pathogen Standard today, AccuStaff was
obligated to offer HBV vaccinations to employees who might be so exposed (Tr.
96, 148, Vol. 3).
Tony Barzycki
testified that during his tenure as Froedtert=s
director of environmental services from April to December 1996, he decided to
begin using a new temporary agency, StaffWorks (Tr. 67, Vol. 6). Barzycki
testified that his environmental services coordinator, Sue Bailey, recommended
he talk to StaffWorks (Tr. 68, Vol. 6). Ms. Bailey testified that she had heard
from a colleague at Columbia that StaffWorks was providing HBV vaccinations and
assisting in training the health care workers it was providing Columbia (Tr.
12, Vol. 6).
Barzycki,
Bailey, and Gina Keidinger, a quality assurance supervisor in EVS (Tr. 123,
Vol. 6), met with Julia Chiger, an area manager with StaffWorks, in September
1996 (Tr. 69, 145, Vol. 6). Barzycki testified that Chiger indicated that HBV
vaccinations could be provided to the StaffWorks health care workers (Tr. 70,
73, 96, Vol. 6). Barzycki testified that, though there was no specific written
agreement, he came away from the meeting with the impression that the
vaccinations discussed were automatically provided to all StaffWorks health
care personnel (Tr. 96, 106, Vol. 6). Sue Bailey similarly testified that
Chiger told them StaffWorks would be available to do HBV vaccinations (Tr. 15,
53, Vol. 6).
Chiger
denied knowing that any of the employees StaffWorks supplied would be working
in patient areas where they might be exposed to bloodborne pathogens, and never
discussed StaffWorks=
providing hepatitis B vaccinations (Tr. 156-57, 182-84, 186 Vol. 2).
Between March
1996 and January 1997, six temporary employees at Froedtert suffered needle
stick injuries requiring follow-up medical treatment with prescription
medications (Exh. C-1, C-3, C-12, C-26, C-27). Froedtert informed the personnel
agencies of needle stick incidents involving their workers (Tr. 193, 197, Vol
2; 100, 103, 136-38,Vol. 3; 134-35, Vol. 5; Tr. 143, Vol. 6 ), but never
inquired whether those, or other temporary employees had received the Hepatitis
B vaccine (Tr. 35, 106, Vol. 6; Tr. 213, Vol. 5).
Bernadette
Giddings, the OSHA Compliance Officer (CO) testified that, in its written
interpretations, OSHA has taken the position that personnel providers and their
clients bear a shared responsibility for compliance with the provisions of the
Bloodborne Pathogen standard (Tr. 45-46, Vol. 4; Exh. C-21). In a 1993
interpretation, the agency states:
. . .[T]here is a shared responsibility for assuring
that your employees are protected from workplace hazards. The client employer
has the primary responsibility for such protection but the Alessor employer@ likewise has a
responsibility under the Occupational Safety and Health Act. In the context of
OSHA=s standard on
Bloodborne Pathogens, 29 CFR 1910.1030, your company would be required, for
example, to provide the general training outlined in the standard; ensure that
employees are provided with the required vaccinations; and provide proper
follow-up evaluations following an exposure incident. Your clients would be
responsible, for example, for providing site-specific training and personal
protective equipment and would have the primary responsibility regarding the
control of potential exposure conditions. The client of course, may specify
what qualifications are required for supplied personnel, including vaccination
status. It is certainly in the interest of the lessor employer to ensure that
all steps required under the standard have been taken by the client employer to
ensure a safe and healthful workplace for leased employees. Towards that end,
your contracts with your clients should clearly describe the responsibilities
of both parties to ensure that all requirements of the regulation are met.
(Exh. C-21, R-7).
Cathleen
Piermarini testified that Froedtert did not offer HBV vaccines to temporary
personnel (Tr. 123-124, Vol. 5). Ms. Piermarini testified that the HBV
vaccination consists of a series of shots producing positive hepatitis B
antibodies in the host when given over a six month period (Tr. 124, Vol. 5).
Piermarini stated that the series must be started over if not completed within
six months, and that because every injection carries with it a risk of
infection and allergic or anaphylactic reaction, a reasonable clinician would
not begin the vaccination series unless she believed the patient would be able
to complete it (Tr. 126-29).
Expert reports
from Dr. Melvin Kramer and Dr. Angela Presson submitted after the hearing,
quote studies finding the hepatitis B vaccination safe, in that the risk to the
recipient of adverse reactions is low and, in general, outweighed by the
benefits of the vaccination. Both experts point out, however, that the rare
serious reaction can be fatal. Studies cited by Kramer and Presson found that
the levels of seroprotection provided by only one dose of the vaccine were
unacceptable. Only 5-17% of the recipients exhibited acceptable levels of
immune response. Studies showed that a second dose provided acceptable seroprotection
for between 50 and 71% of the recipients. (Exh. J-1, J-2).
Michael
Holzum, a supervisor in Froedtert=s
human resource services, testified that he is the custodian of Froedtert=s employment and billing
records for temporary workers supplied by AccuStaff and StaffWorks. Holzum
testified that he reviewed the records of such workers employed in Froedtert=s environmental services
department (EVS) during the calendar years 1996 and 1997 (Tr. 92-95, Vol. 5;
Exh. R-22). In reviewing those records, Holzum found that from January through
April 1997, AccuStaff workers had a turnover rate of between 4% and 50% per
week; the median stay was three weeks (Tr. 97, 99-100, Exh. R-20). From October
1996 to April 1997, Staff Works employees had an average turnover rate of 6%
and 21% per week and stayed at Froedtert an average of four weeks total (Tr.
98-99; Exh. R-21).
Discussion
Employer/Employee
Relationship. Froedtert admits that it did not offer HBV vaccinations to
temporary personnel, although it knew that such workers were exposed to blood
and other potentially infectious materals at its worksite. Froedtert maintains
that it had no duty to do so, as the temporary workers were not its employees.
As discussed
under item 1, above, Froedtert=s
relationship with its temporary workers exhibits a number of the indicia of Acontrol@ enunciated in Vergona
Crane. So long as the temporary workers were assigned to Froedtert, all
their work was performed at Froedtert=s
site, where the hazard was created. Froedtert controlled the day-to-day
activities of the temporary personnel, supplying both personal protective
equipment and uniforms as well as all the tools and supplies to be used on the
job. So
long as the temporaries were assigned to their facility, Froedtert controlled
their workplace, and bore the primary responsibility for assuring that those
employees received the protection provided for under the Act.
Infeasibility.
Froedtert, however, maintains that it was not feasible for Froedtert to
provide the vaccinations required by the cited standard. Froedtert argues that
temporary personnel do not, as a general rule, stay at Froedtert long enough
for Froedtert to provide a full HBV series, or for the employees to acquire
full seroimmunity. Thus Froedtert is unable to fully abate the hazard that the
cited standard addresses, and could, in providing an incomplete course of the
vaccine, expose temporary employees to a greater hazard.
In order to
establish the affirmative defense of infeasibility, the employer must show not
only that compliance with the standard was functionally impossible, but that
alternative means of employee protection were unavailable, i.e. that it
did as much as was capable of being done. Seibel Modern Mfg. & Welding
Corp., 15 BNA OSHC 1218, 1991-93 CCH OSHD &29,442
(No. 88-821, 1991).
In its 1993
interpretation, OSHA explicitly acknowldeges that the client employer is not
best placed to effect compliance with the cited standard. That interpretation
places the responsiblity for providing necessary vaccinations with the Alessor,@ or provider employer,
which maintains a long term relationship with the workers it places, short
term, with its client employers. The representatives from AccuStaff and
StaffWorks supplying temporary workers for Froedtert recognize that, under OSHA
guidelines, they were responsible for providing the vaccinations required under
'1910.1030(f)(2)(i).
Nonetheless,
Froedtert, because it both creates the hazard and controls the cited employees,
bears the ultimate responsibility for ensuring that its temporary employees
actually receive the protection provided for under the cited standard. An
employer must exercise reasonable diligence to discover and eliminate hazards
by anticipating hazards to which employees may be exposed, and taking measures
to prevent their occurrence. Pride Oil Well Service, 15 BNA OSHC 1809,
1991-93 CCH OSHD &29,807
(No. 87-692, 1992). At a minimum Froedtert has a duty to clearly inform the
personnel agency supplying its workers of the workers= potential exposure to blood and/or body
spills, to specifically delegate the responsibility for providing the
HBV vaccination to the agency, and to confirm that the agency is, in fact,
complying with its obligations. This Froedtert failed to do.
William Herrick,
Froedtert=s EVS director,
knew that AccuStaff personnel could potentially be exposed to bloodborne
pathogens; he knew that employees who are at risk for exposure to blood and/or
body spills must be offered the hepatitis B vaccine. Herrick knew that it was
not Froedtert=s policy
to offer the HBV vaccinations to temporary employees. Nonetheless, Herrick
never discussed the issue with AccuStaff representatives or made any effort to
ascertain whether AccuStaff was, or would be offering the required vaccinations
to its personnel.
Froedtert=s next EVS director, Tony
Barzycki, did discuss the issue of hepatitis B vaccinations with a StaffWorks
representative, who assured him that StaffWorks could provide the vaccinations
as a service to Froedtert. Froedtert=s
evidence shows that Barzycki initially had reason to believe that StaffWorks
would provide the services discussed, including vaccinations. The record
establishes, however, that Barzycki made no effort to ensure that StaffWorks
lived up to their verbal agreement; the agreement was never set down in
writing; no one at Froedtert ever inquired whether StaffWorks was providing the
hepatitis B vaccine.
Ample evidence
was introduced establishing that AccuStaff and StaffWorks knew their employees
were working around blood, in operating and emergency rooms, and had actually
been exposed to bloodborne pathogens through needlesticks. It is undisputed
that the agencies should have offered the hepatitis B vaccine to personnel
being assigned to Froedtert. That those agencies failed to fulfill their own
duties under the Act, however, does not absolve Froedtert=s failure to make any
attempt to ensure the protection of employees who worked under its control. It
is well settled that an employer=s
responsibilities under the Act, though they may be delegated, cannot be
discharged by contractual agreement. Baker Tank Co./Altech,17 BNA OSHC
1177, 1995 CCH OSHD &30,734
(No. 90-1786-S, 1995); Bayside Pipe Coaters, Inc., 2 BNA OSHC 1206,
1974-75 OSHD &18,677
(No. 1974).
This judge finds
that Froedtert succeeded in establishing that its provision of the HBV vaccine
would be unreasonable or senseless under the cited circumstances. Froedtert,
however, failed to show that it availed itself of all available means of
protecting its employees, and, thus, failed to establish the affirmative
defense. The violation is established.
Willful
Characterization
It is clear
that, under well established common law principles and Commission precedent,
Froedtert was the employer of the temporary employees exposed to bloodborne
pathogens at its facility, and was ultimately responsible for compliance with
OSHA safety and health regulations applicable to those workers. Nonetheless, as
Froedtert argues, and as OSHA itself has stated in its interpretation of the
Bloodborne Pathogens standard, the personnel provider is better situated in
these circumstances to provide the vaccinations required by the cited standard.
Froedtert=s duty as
the personnel user is, as discussed above, limited to the exercise of
reasonable diligence in ensuring that the personnel provider is aware of its
duty to provide the required protection, contractually delegating that
responsibility if necessary. The record does not establish that Froedtert had a
heightened awareness of that duty.
In Propellex,
supra. the Commission noted that its has found a heightened awareness of
its responsibilities in cases where an employer had been cited previously for
the standards in question, or ignored warnings from city inspectors, and/or
compliance officers, Id. at 14-15. Froedtert, however, had not been
cited under the bloodborne pathogens standard before, or been otherwise alerted
to its responsibilities under the standard. No Commission cases have addressed
the application of the standard to personnel suppliers and their clients.
Moreover, OSHA=s 1993
interpretation fails to clearly apprise employers of their duties.
The 1993
interpretation states that the client employer Ashares@ responsibility for
providing the required protection with the lessor employer, and that it Amay@ specify the qualifications it requires for
its supplied personnel, including vaccination status. Such precatory language
fails to apprise the personnel user of its obligation to inquire about
vaccination status. On the contrary, when read in context, the provision may be
read as completely excusing the client employer from responsibility for
providing vaccinations. AShare@ is defined in WEBSTER=S
II NEW RIVERSIDE UNIVERSITY DICTIONARY as both, A1.
To separate and parcel out in shares: APPORTION,@ and A2. To take part in,
use, or have in common, <share responsibilities>.. . .@ The 1993 interpretation
seems to apportion responsibility, specifically assigning the duty to Aensure that employees are
provided with the required vaccinations@
to the personnel provider. Certainly no client employer could be accused of
having a heightened awareness of the standard=s
requirement that it retain primary responsibility for providing vaccinations
after reading OSHA=s
interpretation.
Because
Froedtert had no prior experience with OSHA and the Bloodborne Pathogens
standard, and because OSHA=s
own interpretation could be read to support Froedtert=s own conclusion, i.e. that it had no
duty to provide vaccinations required under the standard, I cannot find that
its violation of the cited standard was willful. See, Baker Concrete
Construction Company, __ BNA OSHC __, 1995 CCH OSHD &30,768, (No. 93-606, 1995)[OSHA=s inartful interpretive
pronouncements may deprive an employer of notice as to a standard=s scope and/or
application].
Penalty
A penalty of
$63,000.00 was proposed for this item.
It is undisputed
that temporary employees working in Froedtert=s
EVS were exposed to bloodborne pathogens and to the hazard of infection with
the HIV or Hepatitis B virus, which can result in death or serious injury. The
cited violation is, therefore, Aserious@ as defined by '17k of the Act. Six
employees actually suffered needlestick injuries requiring follow-up medical
treatment. Though none actually contracted a virus, the gravity of the violation
is high.
Taking into
account Froedtert=s
large size, the gravity of the violation and the absence of any history of
previous violations, I find that a penalty of $6,300.00 is appropriate.
Alleged
Violation of '1910.1030(g)(2)(i)
Willful citation
2, item 3 alleges:
29 CFR 1910.1030(g)(2)(i): The employer did not
ensure that employees with occupational exposure participated in a training
program.
(a) The
employer did not provide site specific training with regards to exposure to
blood or other potentially infectious materials to employees of temporary
employment agencies. Such employees included those assigned to work for the
Environmental Services Department of Froedtert Memorial Lutheran Hospital
which, in turn, assigned these people to work in areas where there was exposure
to blood and other potentially infectious materials during the performance of
their assigned tasks. Specific areas to which these workers were assigned
included, but were not limited to, the operating rooms, emergency rooms,
outpatient clinics and patient care rooms. Tasks assigned to these workers
included, but were not limited to, emptying of biohazardous waste receptacles,
changing linens in patient rooms and cleaning of contaminated surfaces. Such
training must include, but is not necessarily limited to, an explanation of the
hospital Exposure Control Plan and how to access a copy of it; tasks which may
involve exposure to blood or body fluids; information on the basis of
selection, availability, types, limitations and means of disposal of personal
protective equipment; a description of the appropriate actions to take and
follow up involved should an exposure incident occur; and an explanation of the
hospital policy on biohazard signs and labels.
The cited standard provides:
Information and Training. (i) Employers shall
ensure that all employees with occupational exposure participate in a training
program which must be provided at no cost to the employees during working
hours.
Alleged
Violation of '1910.1200(h)
Willful
citation 2, item 4 alleges:
29 CFR 1910.1200(h): Employees were not provided
information and training as specified in 29 CFR 1910.1200(h)(1) and (2) on
hazardous chemicals in their work area at the time of their initial assignment
and whenever a new hazard was introduced into their work area:
(a) The
employer did not provide site specific information and training regarding
chemicals to employees of temporary employment agencies. Such employees
included those assigned to work for the Environmental Services Department of
Froedtert Memorial Lutheran Hospital which, in turn, assigned these people to
work in areas where there was exposure to chemicals. Areas to which these
workers were assigned included, but were not limited to, the operating rooms,
emergency rooms, outpatient clinics and patient rooms. Tasks performed by these
workers included, but were not limited to cleaning of contaminated surfaces,
patient rooms and patient clinics. Chemicals routinely used by these workers
include, but were not limited to, cleaning products and disinfectants.
Hazardous ingredients of these products included phosphoric acid, 2-butoxyethanol,
hydrochloric acid and potassium hydroxide. Such information and training to be
provided to temporary workers must include, but is not necessarily limited to,
an explanation of the hospital hazard communication program, and its
availability; tasks which the employees may perform which involve use of
hazardous chemicals; the location of material safety data sheets and how to
access them; an explanation of the labeling system used for containers of
hazardous chemicals; and details of the hazards associated with exposure to
hazardous chemicals used in the work place.
The cited standard provides:
Employers shall provide employees with effective
information and training on hazardous chemicals in their work area at the time
of their initial assignment, and whenever a new physical or health hazard the
employees have not previously been trained about is introduced into their work
area.. . .
The
Violations
Facts
William Herrick
testified that in 1992, he met with AccuStaff representatives to discuss their
providing some basic training for the temporaries prior to the workers= assignment to Froedtert
(Tr. 16, Vol. 3). Herrick stated that he told the AccuStaff representatives
that he expected the workers they sent to Froedtert would be able to
distinguish the difference between a glass cleaner, a bowl cleaner, and a
general versus a quadrant disinfectant. Herrick didn=t want his staff to have to show the workers
how to turn on a vacuum cleaner (Tr. 18, Vol. 3). Herrick testified that he was
assured that training could be done, and left the meeting believing that
AccuStaff would be providing basic housekeeping training (Tr. 23, Vol. 3).
Herrick defined Abasic
skills@ as knowing how
to vacuum, how to clean (i.e., high-dust first, spot clean second, empty
trash third, and mop floor last), as well as knowing the difference between
cleaners (Tr. 32, Vol. 3). Herrick stated that when the temporaries arrived at
Froedtert he showed them a cleaning film, and told them what chemicals to use
on blood spills, assuring them that they needn=t
be afraid so long as they followed the proper procedures and used gloves (Tr.
38, Vol. 3).
Cindi
Gutbrod testified that Froedtert did not ask that AccuStaff provide any
training or information on OSHA=s
Bloodborne Pathogen to the workers AccuStaff was sending Froedtert, and that
AccuStaff provided none (Tr. 67-68, 72, Vol. 3). Gutbrod testified that
Froedtert did not ask AccuStaff to provide training required by OSHA=s Hazard Communication
standard; however, AccuStaff did provide its employees with a written general
overview of the standard, a sample Material Safety Data Sheet (MSDS) and
warning label. The overview states that, upon their arrival at their
assignment, a supervisor will conduct site specific training on the hazardous
chemicals with which they would be working (Tr. 68, 118-19, Vol. 3; Exh. R-46).
Gutbrod
testified that Froedtert phased out its orders for industrial housekeepers in
June, 1997 (Tr. 69, Vol. 3). Gutbrod stated that Gina Keidinger, a quality
assurance supervisor in EVS, told her that Froedtert would, in the future, be
using a service that would provide on-site supervision (Tr. 70).
As noted above,
Tony Barzycki testified he decided to begin using StaffWorks in 1996 based on
the recommendation of his environmental services coordinator, Sue Bailey (Tr.
68, Vol. 6), who had heard from a colleague at Columbia that StaffWorks was
assisting in training the health care workers it was providing Columbia (Tr.
12, Vol. 6).
Barzycki
testified that at a September 1996 meeting, he, Bailey, and Gina Keidinger
discussed Froedtert=s
need for qualified employees with Julia Chiger (Tr. 69-70, Vol. 6). Barzycki
stated that Chiger told him that StaffWorks could send a Amini-resume@ of the workers it would
supply (Tr. 70, 99; Vol. 6). Barzycki stated that Ms. Chiger brought up the
issue of training, telling him that StaffWorks provided training in both hazard
communication and bloodborne pathogens for the health care workers it sent out
to its other clients. Barzycki testified that, though there was no specific
written agreement, he came away from the meeting with the impression that the
training discussed was automatically provided to all StaffWorks health care
personnel (Tr. 96, 106, Vol. 6). Barzycki admitted that he never specifically
discussed site-specific training with StaffWorks, but stated that StaffWorks
had agreed to provide some on-site supervision of its employees (Tr. 99, Vol.
6).
Sue Bailey
similarly testified that Chiger told them that StaffWorks had project people
available who were already trained in standard universal precautions, hazard
communication and standard infection control procedures (Tr. 15, 53, Vol. 6).
Bailey testified that the temporary workers initially supplied by StaffWorks
seemed to be aware of both bloodborne pathogen and hazard communication issues
(Tr. 16, Vol. 6).
Julia Chiger
testified that she discussed Froedtert=s
need for workers who were experienced in floor care during an August 1996
meeting (Tr. 148, Vol. 2). Chiger stated that she told Bailey and Barzycki a
little about StaffWorks, and explained that they provided TB testing and
criminal background checks (Tr. 148, Vol. 2). Chiger denied discussing training
with Barzycki, or telling him that StaffWorks provided training for other
health care workers (Tr. 148-49, Vol. 2). Chiger testified that she met again
with Barzycki and Gina Keidinger in October 1996 after StaffWorks had already
begun supplying floor care workers to Froedtert (Tr. 150-52). Chiger testified
that there was no discussion of any type of training at all, and that
StaffWorks had no knowledge of, or experience with the Bloodborne Pathogen or
Hazard Communication standards (Tr. 152-55, 182, Vol. 2). Chiger testified she
believed Froedtert would be providing any necessary safety and health training;
though she admitted that Froedtert never told her they would be conducting any
training (Tr. 192, Vol. 2).
Chiger testified
that StaffWorks did provide some on-site supervision for its employees;
StaffWorks would personally introduce its employees to their Froedtert
supervisor; a few times a week a StaffWorks representative would visit
Froedtert to answer questions, but only about payroll and check-in, and to help
Froedtert with discipline problems (Tr. 188, Vol. 2). Chiger admitted, however,
that StaffWorks held monthly meetings with its employees to pass along any
information Froedtert had provided them, and that StaffWorks had offered to
help fit its employees for masks used in isolation control procedures (Tr. 188,
Vol. 2). In addition Chiger ordered a video addressing bloodborne pathogens
following two needle stick incidents involving StaffWorks= employees (Tr. 192, Vol.
2, 177-79, Vol. 3; Exh. C-13).
Sandra Swensen
was an account manager at StaffWorks in December 1996 (Tr. 165, Vol. 3).
Swensen testified that she conducted orientation programs for StaffWorks
employees assigned to Froedtert, providing general information on signing in
and out, payroll, and discipline (Tr. 170-74, 210, Vol. 3). Swensen testified
that when Julia Chiger turned the account over to her she was not told that she
would be providing safety and health training (Tr. 210, Vol. 3). Swensen
admitted that from February or March 1997 on, StaffWorks employees were no
longer allowed to attend staff meetings at Froedtert (Tr. 174, 231, Vol. 3).
Swensen stated that after that, Gina Kiedinger would give her safety
information which had been disseminated at staff meetings, such as Complainant=s Exhibit 14, ANew Changes in Isolation
Precautions;@ Swensen
was expected to go over the material with StaffWorks employees (Tr. 180,
220-24, 226, 233, Vol. 3). Swensen also stated that she gathered additional
training materials to hand out during interviews and at mandatory monthly
meetings for StaffWorks personnel (Tr. 175, 177-78, 224, 228, 231-32, Vol. 3).
At one point Swensen gave training materials to Gina Kiedinger for comment (Tr.
224, Vol 3). In May, after the OSHA inspection began, those materials were
compiled into a pamphlet to be used regularly in training StaffWorks health
care workers, AStaffWorks
Housekeeping/Janitorial Orientation@
(Tr. 228-29, Vol. 3, Exh. C-17). Around May 1997 Kiedinger gave Swensen a
safety checklist which Swensen was to go over with StaffWorks= temporaries before they
were assigned to Froedtert (Tr. 182, 188, Vol. 3; Exh. C-16, R-28 mandatory
meetings for StaffWorks personnel). Swensen maintained that although she handed
out the materials provided her, she had no training in industrial hygiene, was
not familiar with the OSHA Bloodborne Pathogens or Hazard Communication
standards and so did not believe that she was qualified to train employees in
those areas (Tr. 27, Vol. 5).
Gina Keidinger,
testified that she was hired in August 1996 to develop a training program for
the EVS staff (Tr. 126, Vol. 6). Keidinger understood that the temporary
employees supplied by StaffWorks, however, were trained by their agency (Tr.
134, Vol. 6). Keidinger testified that StaffWorks=
representatives were on site for an hour or two at least three or four times a
week (Tr. 167, Vol. 6). Keidinger stated that, several times, she set up rooms
for StaffWorks so that they could hold meetings on site with thier employees
(Tr. 167, Vol. 6). Keidinger testified that she gave documents and personal
protective equipment to Sandra Swensen to use in training the StaffWorks health
care workers assigned to Froedtert, and that Sandra, in return, provided her
with StaffWorks training documents to review (Tr. 136, 148-52, 190, Vol. 6).
Around April 1996, after the OSHA inspection had been initiated, Keidinger
testified that she provided Sandra Swensen with a checklist to go over with
StaffWorks= health
care workers prior to their beginning work at Froedtert (Tr. 162, 210, Vol. 6).
Keidinger believed that temporary workers who had signed off on the checklist
had been trained in the items contained therein, by the trainer signing the
form (Tr. 164-65, Vol. 6).
Thomas White
became director of environmental services at Froedtert in December 1996 (Tr.
165, Vol. 5). White testified that Gina Keidinger acted as the EVS liason with
StaffWorks and AccuStaff (Tr. 177, 197, Vol. 5). White stated that he routinely
saw Sandra Swensen on site, often with Keidinger (Tr. 180, Vol. 5). White
understood that Keidinger was providing Swensen with materials and information,
and that Swensen was training the temporary workers her agency provided (Tr.
181, 199, Vol. 5). In April, after the initiation of the OSHA investigation,
White asked Keidinger to document the temporary employees= training, using a
checklist compiled by Keidinger and Swensen (Tr. 182; Vol. 5).
White admitted
that he was aware of Froedtert=s
responsibility to provide site-specific training to temporary workers (Tr. 189,
Vol. 5). White testified that temporary employees were paired with a Abuddy@ who provided them with
site specific training including information on the chemicals they would be
working with and the personal protective equipment to be used (Tr. 185-87, Vol.
5). Keidinger affirmed that Froedtert provided some site specific on-the-job
training to temporary employees, i.e., the temporary worker=s buddy would show the
temporary the chemicals he or she would be using, and explain the difference
between clear and red waste (Tr. 134-35, Vol. 6). Keidinger admitted, however,
that she gave no specific directions on training the temporary workers to
Froedtert staff, and did not know what was being done (Tr. 178-80, Vol. 6).
Bertha Bowen became a housekeeping supervisor at Froedtert in August 1996 (Tr.
188, Vol. 1). Bowen testified that she was not given any specific instruction
on how to train temporary workers, but stated that she did, on occasion,
discuss the hazards of the chemicals they would be using, and the material
safety data sheets for those materials (Tr. 192-93, 202, Vol. 1).
April Gross,
Ricky Jones, Andrew Crayton, Robert Antony, Valerie Jackson, and Nodie Williams,
temporary employees assigned to the EVS from Accustaff (FlexiForce), all
testified that neither the temporary agency nor Froedtert gave them specific
information on the chemical hazards they would be exposed to, or told them
where to find the MSDS=s
for those chemicals (Tr. 61, 94, 139, 278, Vol. 1; Tr. 12, 40, 113, 116, Vol.
2). No one talked to them specifically about bloodborne pathogens, though they
were provided with masks and protective latex gloves (Tr. 58, 62, 95, Vol. 1;
Tr. 12, 41, 113, Vol. 2). Regina Ratzel and Lisa Blackwell, who were assigned
through StaffWorks, testified similarly (Tr. 149, 152-153, 165, Vol. 1; Tr.
63-64, 73, Vol. 2). Lisa Blackwell signed off on Froedtert=s Safety Checklist for Temp
Staff, but stated that she received no information or training on any of the
areas listed on the checklist except what was actually printed on the form (Tr.
79, 82, 85 Vol. 2; Exh. R-29). Blackwell stated that she had attended the
weekly staff meetings held by Sandra Swensen, but did not remember her speaking
on any bloodborne pathogens or hazard communication issues (Tr. 86, Vol. 2).
White testified
about the extensive EVS training materials and checklist which were first used
to train its own staff in July 1997 (Exh. R-31, R-32, R-33, R-55, R-56). The
training materials are intended to document that all staff members have not
only received information on chemical safety and isolation procedures, but have
demonstrated an understanding of those materials in a patient room environment
(Tr. 170-72, Vol. 5). White stated that the training program had been in
planning since December 1996, before the inception of the April 1997 OSHA
inspection (Tr. 169-70, 175, Vol. 5).
Discussion
Froedtert admits
that its temporary workers did not receive adequate site specific training
addressing either bloodborne pathogens or chemical hazards. The record
establishes that AccuStaff personnel were being phased out and fell between the
cracks, receiving none of the training intended for StaffWorks employees. Moreover,
StaffWorks= on-site
supervisor, Sandra Swensen, was inadequately prepared to conduct the intended
training, and did no more than pass along hand-outs to temporary personnel.
Froedtert=s buddy
system was ill defined and so did not ensure that required information was
supplied to temporary employees.
Froedtert=s argument that it had no
duty to its temporary workers is rejected based on Froedtert=s exercise of control over
those employees=
workplace. For purposes of the Act, Froedtert was the employer of its temporary
personnel. As discussed in the preceding item, Froedtert had a duty to exercise
reasonable diligence to discover and eliminate hazards by anticipating hazards
to which its employees may be exposed, and taking measures to prevent their
occurrence. Pride Oil Well Service, 15 BNA OSHC 1809, 1991-93 CCH OSHD &29,807 (No. 87-692,
1992). At a minimum Froedtert was responsible for clearly informing the
personnel agencies supplying its workers of the workers= potential exposure to blood and/or body spills
and hazardous chemicals, and for specifically delegating the responsibility for
providing training in bloodborne pathogens hazard communications. Froedtert
had a duty to confirm that the agencies were, in fact, complying with its
obligations. This Froedtert failed to do. The violations have been established.
Willful
Characterization
Froedtert argues
that the cited violation was not willful because Froedtert believed, in good
faith, that the personnel agencies were responsible for, and were providing the
required training. In addition, Froedtert did, in fact, attempt to provide
site-specific training through the use of the buddy system, assigning a more
experienced employee to show temporary workers the ropes.
This judge
agrees. The Secretary failed to present evidence that Froedtert had a
heightened awareness of its duty to provide OSHA required training for
temporary employees. See, Propellex, supra. As discussed in item 1, in
1996 Froedtert argued successfully before the Equal Rights Division and the
EEOC that it was not the employer of its temporary worker, and so believed that
it could avoid creating a co-employment situation wherein it would be liable
for ensuring the safety and health of employees of its personnel providers.
There is no evidence that any of Froedtert=s
managers or supervisors were aware of the common law principles of
employer/employee from which their duty under the Act arises.
Nor does the
evidence show that Froedtert had a heightened awareness of the hazardous
conditions. Froedtert did make some attempts to protect the temporary workers.
During his tenure, William Herrick provided on-site training on the chemicals,
proper methods and protective equipment to be used in cleaning blood spills.
Beginning in late 1996 Tony Barzycki began hiring its temporary personnel
through Staff Works, making the change solely because of its understanding that
StaffWorks could provide on-site supervision of its personnel, and would
provide training for such personnel in both hazard communication and bloodborne
pathogens. Froedtert had reason to believe that the training discussed was, in
fact, being provided. Sandra Swensen was frequently on site, held monthly
meetings with StaffWorks=
personnel, and exchanged safety information with Gina Kiedinger. When Thomas
White came on board in December 1996, he understood that training was being
provided by the personnel service, an understanding that was supported by his
observations of StaffWorks supervisory personnel on site. In addition to the
apparent on site training, Froedtert continued to provide experienced buddies
to work with new temporary employees.
The evidence
establishes that Froedtert=s
failure to verify the quality and content of the training temporary personnel
received was not due to a disregard for the Act, or for indifference to the
safety of the temporary employees, but rather to a high turnover in EVS
management, and Froedtert=s
misplaced confidence in StaffWorks=
services. There were at least three separate directors of Froedtert=s EVS during the period
covered in OSHA=s
inspection. None of the safety provisions made for training temporary employees
was formalized or reduced to writing, so the incoming directors relied on
verbal reports of prior arrangements, and made inaccurate assumptions
concerning the temporaries=
training. The record shows that Froedtert=s
inattention to the training of the temporary workers was at worst, the result
of negligence, rather than a disregard for those employees= safety. Froedtert=s efforts to arrange for
temporary personnel employees to receive separate training, and their
institution of training programs and organization of extensive training
materials for their permanent employees, demonstrates their good faith in
attempting to safeguard the safety and health of their employees. Based on the
record, I cannot say that Froedtert, if informed of the nature of its duty to
its temporary employees, would have continued to neglect its responsibilities,
or that the cited violation was willful in nature.
Penalty
A penalty of
$63,000.00 and $49,000.00, respectively, were proposed for these items.
It is undisputed
that temporary employees working in Froedtert=s
EVS were exposed to bloodborne pathogens and to the hazard of infection with
the HIV or Hepatitis B virus, which can result in death or serious injury.
Temporary employees were routinely exposed to hazardous chemicals including
phosphoric acid, 2-butoxyethanol, hydrochloric acid and potassium hydroxide
(Exh. C-30, C-37). The cited chemicals can cause eye, skin, ear, nose and
throat irritations, which may be severe if not treated properly. The cited
violations are, therefore, Aserious@ as defined by '17k of the Act.
Taking into account Froedtert=s large size, the gravity
of the violation and the absence of any history of previous violations, I find
that penalties of $6,300.00 and 4,900.00, respectively, are appropriate.
ORDER
1. Citation
2, item 1, alleging violation of '1904.2(a)
is AFFIRMED as an Aother
than serious@
violation of the Act, and a penalty of $180.00 is ASSESSED.
2. Citation
2, item 2, alleging violation of '1910.1030(f)(2)(i)
is AFFIRMED as a Aserious@ violation of the Act, and
a penalty of $6,300.00 is ASSESSED.
3. Citation
2, item 3, alleging violation of '1910.1030(g)(2)(i)
is AFFIRMED as a Aserious@ violation of the Act, and
a penalty of $6,300.00 is ASSESSED.
4. Citation
2, item 4, alleging violation of '1910.1200(h)
is AFFIRMED as a Aserious@ violation of the Act, and
a penalty of $4,900.00 is ASSESSED.
_/s/_____________
Judge, OSHRC
Dated: January 16,
2004