1. Senior Loss Control Consultant
Bloodborne Pathogens
Presentation By:
Mike Pettit,
Senior Loss Control Consultant
Tallahassee, Florida
Welcome, everyone My name is Mike Pettit, and I am a Senior Loss Control Consultant based in Tallahassee, FL I greatly appreciate the opportunity to present to you today. Should you have any questions, the opportunity to ask questions will be provided at the end of the presentation. This Webinar will be available on the Summit website, within the next few weeks to allow future training of your employees.

2. Bloodborne Pathogens:
Protecting Yourself & Your Co-Workers
Today, we will be discussing Bloodborne Pathogens, focusing on Protecting Yourself and Your Co-Workers . . .

3. What We Will Cover What are Bloodborne Pathogens?
Facts and Statistics
Types of Bloodborne Pathogens
How is it Transmitted?
How Do I Protect Myself?
Training
Personal Protective Equipment
Decontamination
Hygiene
Knowing your BBP Kit
So, what are we going to cover today?
What are BloodBorne Pathogens?
Facts and Statistics
Types of BloodBorne Pathogens
How is it Transmitted?
How Do I Protect Myself?
Personal Protective Equipment
Decontamination
Hygiene
Knowing your BBP Kit
Identifying and Handling Sharps

4. What Are Bloodborne Pathogens (BBP)?
Bloodborne Pathogen are microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people.
Types of BBP:
Malaria
Syphilis
Brucellosis
Hepatitis B (HBV)
Human Immunodeficiency Virus (HIV)
The two diseases specifically addressed by the OSHA Bloodborne Pathogen Standard.
So, What exactly are bloodborne pathogens?
By definition, Bloodborne Pathogens are microorganisms such as viruses or bacteria that are carried in blood and can cause disease in people.
There are many different types of BBP but there are 2 types that OSHA specifically has in mind in regards to the Bloodborne Pathogen Standard. They are:
Hepatitis B (HBV)
Human Immunodeficiency Virus (HIV)
The reason for the focus here of course is because of the severity of these 2 diseases.

5. Hepatitis B (HBV)
Over 300K people are infected with Hepatitis B each year in the US
This virus is transmitted primarily through “blood to blood” contact
There is no cure for this disease
Let’s take the time to look at these two bloodborne pathogens.
As far as statistics are concerned, over 300,000 people are infected with Hepatitis B each year in the US alone. That is far too many people.
The primary way that this disease is transmitted is through “blood to blood” contact. If you have ever had your blood drawn or received a shot, this is why the nurses take such caution with the used needles. It is not because they are afraid of getting stuck. It is because they are working to avoid coming into contact with a bloodborne pathogen. There have been many advances in the medical field with “Safe” needle devices that enclose the needle before and after an injection. A great deal of time and money has been spent coming up with products that help minimize this hazard.
Most importantly, and as the 3rd bullet point indicates, there is no cure or specific treatment for Hepatitis B. Again, this is the reason for OSHA’s focus.

6. Need To Know Facts of HBV
This virus is very durable...it will survive in dried blood for up to seven (7) days.
Based on the duration of 7 days, employees such housekeepers and custodians should wear personal protective equipment (gloves, mask, etc).
There are some things that everyone needs to know when talking about Hepatitis B.
First of all, this virus is very durable - it will survive in dried blood for up to seven (7) days. That is why, no matter what, when attempting to clean up or disinfect an area that has been possibly exposed to a bloodborne pathogen, you must use extreme caution.
Responders should wear personal protective equipment (such as gloves, mask, etc.) that has been provided, as well as the safe work practices we will talk about today.

7. HBV Symptoms: Fatigue Stomach pains Nausea
Symptoms are like mild “flu”.
Note - It can take 1 to 9 months before
symptoms become noticeable
So what are the symptoms of Hepatitis B exposure?
Fatigue
Stomach pains
Nausea
Symptoms of a hepatitis B exposure act like a mild “flu” bug.
Now these are just basic symptoms. Any employee that believes they have come into contact with a blood borne pathogen should consult a physician immediately for proper diagnosis:
After exposure, it can take 1 to 9 months before symptoms even become noticeable. If you wait for symptoms to appear, it may be too late for treatment. That is why you have to seek medical attention after any exposure to make sure you receive the necessary treatment, if necessary.

8. HEPATITIS B … IS PREVENTABLE
Prevention – safe practices and IMMUNIZATION
Pre exposure – series of 3 vaccinations
90% effective for up to
7 YEARS
Hepatitis B is preventable before and after exposure.
You can be immunized before exposure with a series of 3 shots which, as you can see here, is 90% effective for up to 7 years.

9. HEPATITIS B … POST-EXPOSURE
Initiate vaccination series (70-88% effective)
Give immune globulin within 1 WEEK of exposure
90% effective if given in
combination
Hepatitis B can also be combated after exposure with a 2 step process.
The first step is the vaccination series
The second step is the immune globulin, which must be administered within one week of exposure.
This is another example of why you must seek medical attention right away if exposed.
Together, these steps are 90% effective in controlling the disease.

10. What Is Human Immunodeficiency Virus (HIV)?
AIDS is caused by a virus called HIV
It may take many years to develop AIDS.
HIV attacks the body’s
immune system
The other main bloodborne pathogen that OSHA is concerned with is HIV.
AIDS, or immune deficiency syndrome, is caused by the virus HIV. Once a person is infected with HIV, it may take many years before they develop AIDS. The way that HIV works is that it attacks the body’s immune system and weakens it to the point it cannot fight other diseases.

11. Human Immunodeficiency Virus (HIV)
Over 35K people are infected every year.
There is no known cure.
Seek Medical attention immediately
Here are some facts associated with HIV
Over 35,000 people are infected every year in the United States.
AIDS is a fatal disease because there is no known cure at this time - there have been a great deal of
advancements made to extend your life span, but, again, there are no cures.
9939 universal blvd 32819
Seek Medical attention immediately if you believe you may have contracted this virus.

12. HIV INFORMATION:
HIV virus is very fragile and will not survive very long outside of the human body.
The primary concern to employees providing first aid or medical care in situations involving fresh blood or other potentially infectious materials.
It is estimated that the chances of contracting HIV in the workplace is only 0.4%. However, all precautions must still be taken.
Unlike Hepatitis B, HIV is very fragile and cannot survive very long outside the human body. Remember, Hepatitis B can last up to 7 days outside the human body.
Providing medical care such as first aid is a situation where the HIV virus could be transmitted should the person in need or even the person administering the treatment have HIV.
It is not likely for aids transmission to occur in the workplace. As you can see there is only a .4% chance of this happening. However, given the consequences, all precautions must be taken.

13. HIV SYMPTOMS:
These are basic symptoms and all employees should consult a physician for proper diagnosis:
Symptoms can vary but often include weakness, fever, sore throat, nausea, headaches, diarrhea, a white coating on the tongue, weight loss, and swollen lymph glands.
CONSULT YOUR DOCTOR IMMEDIATELY IF YOU BELIEVE YOU MAY HAVE HIV.
Some of the basic symptoms from HIV infection include:
weakness, fever, sore throat, nausea, headaches, diarrhea, a white coating on the tongue, weight loss, and swollen lymph glands.
If you remember from Hepatitis B, they sound very similar - almost flu-like
Again, these symptoms may take weeks to show. Only a doctor can determine whether or not you have been infected.

14. MEANS OF TRANSMISSION
HBV, HIV and other blood borne pathogens may be present in:
Blood, vaginal secretions, semen and certain other body fluids;
Body tissues or organs.
So what are some of the ways these bloodborne pathogens can be transmitted?
First of all, HBV, HIV, and other blood borne pathogens may be present in Blood and
other body fluids, as well as body tissues or organs

15. MEANS OF TRANSMISSION
To cause infection, the virus must enter your body. Some likely ways are:
Sexual contact with an infected partner;
Sharing infected needles;
Cutting yourself with a sharp object that is contaminated with infected blood or fluids
But, in order to cause infection, the virus must have a way to enter your body. Some likely ways are:
Sexual contact with an infected partner;
Sharing infected needles;
Cutting yourself with a sharp object that is contaminated with infected blood or fluids
Getting infected blood or fluids on your skin if you have open sores, nicks or cuts;
Getting contaminated blood or fluids in the mucous membranes in your eyes, nose or mouth. (This is where proper hygiene comes into play in avoiding these exposures)
Your skin is normally a protective barrier to keep viruses out, but if you have dermatitis, acne, chapped hands or broken cuticles, you have ways for the HIV or HBV to enter your body

16. TRAINING 29CFR1910.1030 (g)(2)(i) states training is to be provided:
At the time of initial assignment to tasks where occupational exposure to blood or other potential infectious materials (OPIM) may take place
Annually, thereafter
As we see in this slide, the OSHA Standard requires training
At time of initial assignment were exposure to blood or other potential infectious materials
may take place
Retraining efforts should then be provided every year, thereafter
Training must also (next slide) . . .

17. TRAINING 29CFR1910.1030 (g)(2)(vii) states training is to include:
Hepatitis B vaccine information
Explanations of symptoms
Post-Exposure follow-up procedures
Means of transmission
Location and handling of PPE
Hepatitis B vaccine information - Explanation of related symptoms – post-exposure follow-up
procedures - means of transmission – the location and handling of personal
protective equipment
We have already reviewed HIV and Hepatitis B information, symptoms, and post-exposure
follow-up procedures, and will include the remaining and additional aspects during the
remainder of this presentation

18. PREVENTION Always take time to put on a pair of leak-proof gloves
Make sure you are wearing eye protection to prevent the transmission of blood borne pathogens through the eyes.
If you get blood or other potentially infectious materials on your skin, immediately wash with soap and water.
Now we will discuss some of the ways for prevention
If you choose to help an injured co-worker, always take time to put on a pair of leak-proof gloves and wear them under your regular work gloves. Also, make sure you are wearing eye protection to prevent the transmission of blood borne pathogens through the eyes.
If you get blood or other potentially infectious materials on your skin, immediately wash with soap and water

19. PREVENTION
If potentially infectious materials get in your eyes, nose or mouth, immediately flush with running water at a sink or eyewash fountain
Any unprotected contact with blood or other bodily fluids to your supervisor so proper medical follow-up can be made.
If potentially infectious materials get in your eyes, nose or mouth, immediately flush with running water at a sink or eyewash fountain.
You should report any unprotected contact with blood or other bodily fluids to your supervisor so proper medical follow-up can be made.

20. CLEAN-UP When blood or body fluids are cleaned up after an accident:
Restrict access to the area
Wear two pairs of leak-proof gloves;
avoid tearing gloves
Wear a leak-proof apron to protect your clothes
Do not pick up contaminated sharp objects (glass, nails, sharp metal, etc.) with your hands--sharp objects might cut both your glove and your hands.
Use disposable towels to soak up most of the blood
When blood or body fluids are being cleaned up after an accident:
Restrict access to the area – this is to keep others from becoming exposed
Wear two pairs of leak-proof gloves – do everything possible to avoid tearing the gloves
Wear a leak-proof apron to protect your clothes
Do not pick up contaminated sharp objects (glass, nails, sharp metal, etc.) with your hands--sharp objects might cut both your glove and your hands. Use brooms and dust pans or tongs to pick up these objects.
Use disposable towels to soak up most of the blood – you must also (next slide) . . .

21. CLEAN-UP When blood or body fluids are cleaned up after an accident:
Place all contaminated towels and waste in sealed, color-coded or labeled leak-proof container
Dispose of as a regulated waste.
Clean with an appropriate disinfecting solution.
After cleaning, promptly disinfect mops and any other cleaning equipment.
Place all contaminated towels and waste in sealed, color-coded or labeled leak-proof container - these are
included in BBP kits
Dispose of as a regulated waste - Don’t just toss it in the dumpster, as you may need to contact you sanitation provider on how they would want you to handle this effort
Clean with an appropriate disinfecting solution - A solution of 10 parts water to 1 part bleach will kill both HIV and HBV;
After cleaning, promptly disinfect mops and any other cleaning equipment – otherwise, you may spread viruses to other areas of the facility.

22. “UNIVERSAL PRECAUTIONS”
METHODS OF COMPLIANCE
“UNIVERSAL PRECAUTIONS”
All human blood and certain human body fluids are to be treated as if KNOWN to be infected.
So, How do I know if what I am cleaning is infected with a BBP.
The best rule of thumb is to use Universal Precautions
Since you don’t know who might be infected, the safe thing to do is to use Universal Precautions: That is to treat all blood and body fluids as if they are infected.
It only takes one exposure to become infected--Don’t Take Chances.
Fortunately, HIV and HBV aren’t spread through the air like cold or flu germs. You can’t get either disease from working alongside someone who is infected or from casual contact.
Also, assume the worst when cleaning and properly protect yourself during these efforts

23. PERSONAL PROTECTIVE EQUIPMENT
You must do the following:
Always wear PPE in exposure
situation
Remove and/or Replace PPE that
is damaged (torn or punctured).
Remove PPE before leaving the
work area.
Now let’s talk about the various types of PPE
You must do the following:
Always wear PPE in exposure situation - this could be gloves, goggles, aprons and so on
Remove and/or Replace PPE that is damaged (those torn, punctured, showing signs of wear, etc.).
Removed PPE before leaving the work area - don’t risk exposing other areas or people

24. PPE ITEM - GLOVES
Gloves should be made of latex, nitril, rubber, or other water impervious materials – the fluid must not come into contact with your skin
Double gloving can provided an additional layer of protection.
Bandage any known cuts prior to putting on gloves
Inspect your gloves for tears or punctures before putting them on.
The first thing to do to protect yourself is to wear personal protective equipment such as latex or protective gloves. This prevents blood from coming in contact with your skin.
Before putting on latex gloves, it is also important to make sure that whoever is putting on the gloves does not have a latex allergy. In this case, another type of glove besides latex must be used.
GLOVES should be made of an impervious material - if gloves are thin or flimsy, double gloving can provided an additional layer of protection. Also, if you know you have cuts or sores on your hands, you should cover with a bandage or similar protection as an additional precaution before donning your gloves.
Also, inspect your gloves for tears or punctures before putting them on - If gloves are damaged, DO NOT USE THEM!
Take special precaution when removing gloves. Do not touch the outside of the gloves with any bare skin – you can carefully grasp the glove at the cusp, and then use the inside of the first glove to carefully remove the 2nd glove
And, be sure to dispose of them in proper container so that no one else will be exposed to them, either.

25. REMOVING CONTAMINATED GLOVES
Disinfect gloves in solution if possible
Grasp palm of glove with other hand
Remove that glove inside out
Slide finger at wrist of gloved hand
Remove second glove inside out
Dispose of both properly

26. PPE ITEM – EYE PROTECTION
Eye Protection: If there is a risk of splashing contaminated fluids, you should wear eye protection
Splashing can occur while:
cleaning up a spill
while providing first aid or medical assistance
The next type of PPE we will discuss concerns eye protection
Eye Protection - If there is a risk of splashing contaminated fluids, you should wear eye protection.
As you can see from this slide, splashing can occur while:
cleaning up a spill
while providing first aid or medical assistance.
Consideration should also be made to only allow trained employees to provide first aid to other employees.

27. PPE ITEMS—MASK & APRONS
Face Shields/Mask
Aprons/Gowns
Face shields, masks and gowns are other forms of PPE
Face Shields/Mask should be worn in addition to goggles/eye protection mask to provide additional face protections - these will
provide additional protection against splashes to the nose and mouth.
Aprons/Gowns may be worn to protect your clothing and to keep blood or other contaminated fluids from soaking through to your skin. If your clothes become contaminated, they should be laundered immediately. Contaminated laundry should be handled as little as possible and should be placed in an appropriate labeled bag or container until it is decontaminated, dispose of, or laundered.
With the exposures any employee could face, the extensive use of PPE will more than likely never occur. But, for educational reasons, we will still cover it.

28. DON’T TRUST IN LUCK ! PPE MUST BE … Appropriate to the task
Readily available
Readily accessible
Properly maintained
USED!!!
When it comes to PPE, it must be:
Appropriate to the task – don’t wear safety glasses when you need goggles, don’t wear cotton gloves that could soak up fluids when you should be wearing latex.
Readily available – You must have the equipment at your location
Readily accessible - If you can’t get to it to use it, what good is it.
Properly maintained – Damaged PPE provides no protection.
IS FREE TO OUR EMPLOYEES – Free is free; efforts have been made to keep everyone safe at work.
USED!!! – all the training in the world and all of the gloves and goggles you could find do no good if it is not used. Given what has been provided, there is no excuse for anyone to become infected.

29. DECONTAMINATE YOURSELF!
Wash thoroughly with soap and water.
Flush eyes for 15 MINUTES
After removing PPE, wash hands with soap and water
Hygiene is crucial when dealing with bloodborne pathogens!
Wash any area of the body that comes into contact with infectious materials thoroughly with soap and water.
For splashes into the eyes, flush eyes with running water for 15 MINUTES
After removing PPE, wash hands with soap and water – FOR AT LEAST 20 SECONDS!
Proper hygiene will help keep you from exposing yourself after the fact.

30. DECONTAMINATE THE AREA
Work surfaces
Pails, bins, receptacles
Labware
(decontaminate broken glassware BEFORE DISPOSAL)
Use plastic-backed absorbent paper; dispose of as biohazard waste
So now we must decontaminate the area.
What exactly needs to be decontaminated?
Any exposed Work surfaces - floors, counters, etc.
Any Pails, bins, receptacles that have come into contact
(decontaminate broken glassware BEFORE DISPOSAL)
Why do we clean it before we dispose of it? Remember, Hepatitis B can live for 7 days. We must make sure that in the event someone else down the road comes into contact with it, they are not at risk of becoming infected.

31. HOW TO DECONTAMINATE
Household bleach FRESHLY MADE; 10% V/V (¼ cup bleach to 1 gallon water)
Allow sufficient time (At least minutes; depends on surface/material)
Use after spills, at completion of task, and at the end of shift
So how do we decontaminate?
Here is a simple recipe that you can even use in your own home to decontaminate surfaces.
Add ¼ cup bleach to 1 gallon of water. Notice we are adding the bleach to the water. Why do we do it in that order? If we add the bleach first, we risk splashing bleach on ourselves. Always add the concentrate to the water, not the water to the concentrate.
Give the solution time to work - 10 minutes should do is a good rule of thumb
You should always decontaminate after spills, and at the completion of the task

32. OTHER HYGIENE PRACTICES
Never eat, drink, smoke, apply cosmetics, or handle contact lenses if you are working in an area where there is possible exposure.
No food or drink is permitted in laboratories or lab refrigerators designated for lab use.
Never eat, drink, smoke, apply cosmetics, or handle contact lenses if you are working in an area where there is possible exposure. Why is this?
You can become infected through the mucus membranes, such as the eyes and the mouth.
No food or drink is permitted in laboratories or lab refrigerators designated for lab use. Same as the other point - it can be spread and enter the body through our mouths

33. HAZARD COMMUNICATION Use warning labels Post the biohazard symbol
Use red bags / containers
Post signage – agent, entry requirement, contact info
Provide training
Use warning labels
Post the biohazard symbol
Use red bags / containers
Post signage – agent, entry requirement, contact info
All of these are included in BBP kits
Provide training – inform everyone of the hazards of BBP, and how to protect themselves and others

34. Where is your BBP Kit located?
If I were to visit your workplace and ask, “Where is your BBP kit located?,” could everyone provide an accurate answer?
Remember, it must be available and it must be accessible. Those performing the assistance must know where it is located.

35. What is available in your BBP Kit?
So, what all is available in the BBP Kit?
Gloves?
Bio hazard bags?
Antiseptic cleaners?
Are there goggles?
What else is available?

36. BROKEN GLASSWARE
Broken glassware that has been visibly contaminated with blood must be sterilized with an approved disinfectant solution before it is disturbed or cleaned up.
It must be disposed of in an
appropriate sharps container.
**ONLY EMPLOYEES WHO ARE CONSIDERED TRAINED RESPONDERS SHOULD BE HANDLING ANY OF THESE ITEMS.**
Broken glassware that has been visibly contaminated with blood must be sterilized with an approved disinfectant solution before it is disturbed or cleaned up. This can be the solution we spoke of earlier with the 10% bleach and 90% water mix.
It must be disposed of in an appropriate sharps container.
Please keep in mind, ONLY Those Considered Trained Responders should be handling these items.

37. SIGNS, LABELS, & COLOR CODING
Look for warning labels
The labels should be florescent red, orange, and/or orange-red
See your supervisor or the EPA for additional information or
LOOK for warning labels to be affixed to containers of regulated waste, refrigerators, and/or freezers containing blood or other potentially infectious material.
The labels should be florescent red, orange, and/or orange-red.
For additional information, you are encouraged to contact the EPA at the listed phone number or website
Again, this pertains more to OSHA’s standard for BBP training, and not necessarily something you would come across on a routine basis.

38. FOR ANY POTENTIAL BLOODBORNE PATHOGEN EXPOSURE …
Seek IMMEDIATE medical attention
Go to the NEAREST medical facility
So let’s start recapping what has been discussed . . .
If you suspect that you have potentially been exposed to any BBP, you must
Seek medical attention
Go to the nearest medical facility
The quicker you take action, the better you chances are of avoiding any life-long consequences.

39. RESPONDING TO AN EXPOSED WORKER
Arrange for immediate and confidential medical evaluation
Document how the exposure occurred
Identify and test the source individual, if possible
Arrange for an immediate and confidential medical evaluation
Document how the exposure occurred – this is for both medical needs, as well as future preventative measures
Identify and test the source individual, if possible – this is the person who is bleeding
You must also (next slide) . . .

40. RESPONDING TO AN EXPOSED WORKER
Test the exposed employee’s blood, if consent is obtained
Provide counseling
Evaluate any reported illness
Have the exposed employee’s blood tested - some of the medical attention received by the person exposed to the blood will depend on whether or not there has been an infectious exposure
Provide counseling
Evaluate any reported illness

41. POST-EXPOSURE EVALUATION & FOLLOW-UP
A confidential medical evaluation and
follow-up is available to employees
A confidential medical evaluation and follow-up is available – only the affected individual, the medical provider, and an assigned company representative have access to the information – it is not shared with other employees

42. Must be made available to employee
MEDICAL RECORDS
Must be made available to employee
Medical records are available to employees at all times, and can be provided to the employee at the conclusion of employment

43. MEDICAL RECORDS All medical records should include:
Employee name and social security number
Status of Hepatitis B
vaccination
Results of all exams,
testing, and follow-ups
The medical records provided to an employee must include the listed information
- Employee name and social security #
- Status of Hep B vaccination
- Results of all exams, testing, and follow-up efforts
The medical records should also include (next slide) . . .

44. MEDICAL RECORDS Should also include:
Copy of physician’s professional opinion
Copy of information
provided to healthcare
professional
Medical records should also include:
- A copy of the physician’s professional opinion, which would include diagnosis, treatment, etc.
- A copy of the information provided to the healthcare professional

45. REGULATORY COMPLIANCE
29 CFR (c)(1)(iii)
Exposure control plans
Due to the hazards recognized by OSHA in regards to BBP exposures, OSHA Standards
require exposure control plans for every employer
These plans must include (next slide) . . .

46. EXPOSURE CONTROL PLANS
Exposure control plans include:
Policy statement
Steps to the determination of employee exposure
Implementation of control methods including:
Universal Precautions
Engineering and work practice controls
Personal Protective Equipment (PPE)
Housekeeping
Exposure Control Plans must include:
- Policy statement
- The steps needed to be taken to determine employee exposure
- The implementation of control measures, such as
- Universal Precautions (again, this is treating all blood as though it is contaminated / infectious)
- Engineering and work practice controls (eliminating, when possible, all potential contamination)
- Personal Protective Equipment
- Housekeeping and post-exposure clean-up procedures
The Plans must also include (next slide) . . .

47. EXPOSURE CONTROL PLANS
Exposure control plans include:
Hepatitis B Vaccination
Post-exposure evaluation and follow – up
Communication of hazard to employees and training
Recordkeeping
Procedures for evaluating circumstances surrounding exposure incidents.
Exposure Plans Must Also Include:
- The offer to provide the Hep B vaccination (the employee has the option to decline vaccination, and should be
requested to sign a form of declination)
- The post-exposure evaluation and follow-up efforts
- Communicating the hazards to employees through training
- Maintaining required recordkeeping efforts
- The procedures for evaluating circumstances surrounding exposure incidents such as accident investigations

48. EXPOSURE CONTROL PLANS
At this website, a sample Exposure Control plan is available through OSHA

49. REMEMBER … For Successful Post-Exposure Treatment
TIME IS OF THE ESSENCE !
Remember, for an individual to receive the treatment necessary following an exposure, Time is of the Essence!
An employee should immediately inform his or her supervisor of a potential exposure, and the sequence
of events previously provided must be initiated

50. Mike Pettit, Senior Loss Control Consultant Tallahassee, Florida
Thank You
Mike Pettit,
Senior Loss Control Consultant
Tallahassee, Florida