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From Your Regulatory Compliance – Linda Cannon Tenth Coronavirus Update

Staff of MSDS wish you to Stay Safe, De-Stress and Stay Active! 
Linda, Anee, Saba, Ifra, Chelsie and Gaetan (no photo)
       Quick News Flash on Product Material:

Anesthetic, Prophy cups, Dam Material, Nitrile Gloves.  These will all become limited if not available due to the product needs for the vaccine.
 Tenth Coronavirus Update 

I want to thank all of you for working so hard as Dental Healthcare Providers and keeping us in Phase 3!  Maybe some caveats, but one step backward only make MSDS’s clients push two steps forward!!   

I want all of you to understand, each state is different now.  So when WHO Makes a statement, it means throughout the world they are looking at the highest areas affected.  All National Agencies are the same.  So who do we follow?  

Who cites you is the Answer.    The Board of Dentistry and OSHA.  Even OSHA says to look at your local Health Dept.  They know they have to look at the Nations (worse case) areas.  

Dental Healthcare Providers – Most have malpractice insurance.  Everyone I’ve spoken to tells me that your malpractice will answer questions that you have without raising your fees. So don’t forget about asking them any concerns you have.  You don’t have to just listen to MSDS.  

After reviewing all the documents from OSHA.  And I have reviewed the newest VDA and ADA documents.  My suggestion?  Review OSHA.  My clients should have everything they need from these newsletters to have their protocol together.  

Just don’t forget to take pictures of your office in Covid-19 time!   Take pictures of staff in PPE, Fit testing pictures.  

Charting:  quote the patients!  We do not know what tomorrow will bring.  But if any issue arises, the proof is in your pictures  and your documentations.  Then get all the screening docs.  Policies, etc.  throw it all in a binder neatly, and save it on your computer.  it will be hard for an ex-staff or patient to say you weren’t in compliance if you have documentation with pictures.  

Finally; You are all DENTAL HEALTHCARE PROVIDERS.  Own this!! If not, we will be in this same situation next time.  You can’t blame the governors or FEMA if we call ourselves dental.  You must add Healthcare Providers!  

Enjoy the current newsletter.  Everyone has worked hard at submitting information and Saba has worked even harder putting it all to gather.   
If you live in one of these states and travel, you must self-quarantine (check out the list)

As July 4 approaches and more state economies open up, many Americans may want to get on the road following the months of pandemic lockdowns. Many are already driving more, according to recent Apple Mobility Trends reports.While worries persist over the safety of traveling by plane, domestic road trips may be a good alternative. If you’re seeking a change of scenery or want to see out-of-town family or friends, not every state is prepared to accept you with arms wide open.Seventeen states have some kind of restrictions on traveling to their states, and there’s often an extra layer of caution for people traveling from COVID-19 hotbeds. Before you take to the open road, check to see if your destination has restrictions that could alter or derail your plans.

             (Two senior women in a convertible car, arms outstretched, side view)
AlabamaDo I have to self-quarantine? No.

AlaskaDo I have to self-quarantine? Yes, for 14 days.Unless: Traveler can produce a negative PCR test for COVID-19 within 72 hours prior to departure to Alaska; a negative PCR test for COVID-19 within five days of your travel date and then a second test upon arrival and minimize interactions until the second test result is received and confirmed negative.

ArizonaDo I have to self-quarantine? No.
 ArkansasDo I have to self-quarantine? No.
 CaliforniaDo I have to self-quarantine? No.
As the COVID-19 pandemic continues through the summer vacation season, domestic trips are on the rise but not every state is welcoming to visitors.

ColoradoDo I have to self-quarantine? No.
 ConnecticutDo I have to self-quarantine? No.

DelawareDo I have to self-quarantine? No.

FloridaDo I have to self-quarantine? It depends. If you are coming from Connecticut, New Jersey, or New York, you must self-quarantine for 14 days. Visitors from other locations are not required to self-quarantine.

GeorgiaDo I have to self-quarantine? No.

HawaiiDo I have to self-quarantine? Yes, for 14 days.

Do I have to self-quarantine? It depends. Those coming from another country or “from an area outside Idaho with substantial community spread or case rates higher than Idaho are strongly encouraged to self-quarantine,” per Idaho’s official state website.

If that applies to you, you’re strongly encouraged to self-quarantine for 14 days.

Do I have to self-quarantine? No, except if you’re coming from China, Iran, Italy, or South Korea.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? It depends. If you live in Kansas and you’re returning home from the following states, then you must self-quarantine for 14 days.

Maryland (on or after May 12)
Alabama, Arizona, Arkansas (on or after June 17)
If you’ve traveled internationally or by cruise ship on or after March 15, you must also self-quarantine for 14 days.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? Yes. All out-of-state travelers coming into Maine, as well as Mainers returning to Maine, must complete a 14-day quarantine upon arrival.

Do I have to self-quarantine? No.

People are seen on Oludeniz Beach complying with social distance rules as a precaution against COVID-19 during the summer season in the Fethiye district of Mugla, Turkey on June 15, 2020.

Do I have to self-quarantine? Yes. All travelers arriving in Massachusetts are instructed to self-quarantine for 14 days.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Visitors wear protective masks and social distance on a walk along a popular hiking trail along with the Santa Monica mountain range in the Encino section of Los Angeles on May 16, 2020.

Do I have to self-quarantine? It depends. If you live in Nebraska and you’re returning home from abroad, then you should self-quarantine for 14 days.

Do I have to self-quarantine? No. However, if you tested positive for COVID-19 and have not recovered, if you have been presumptively diagnosed with COVID-19, or if you exhibit COVID-19 symptoms, the state discourages you from visiting.

New Hampshire
Do I have to self-quarantine? No.

New Jersey
Do I have to self-quarantine? No.

Summer 2020 will look different as strict mandates prevent domestic travel for some Americans.

New Mexico
Do I have to self-quarantine? Yes, for 14 days if you traveled by air.

Unless: You identify as an airline employee on travel for work; emergency first responder; health care worker; military personnel; employed by a federal agency or national defense contractor; performing public safety or public health functions; arriving in New Mexico pursuant to a court order, or to conduct business.

New York
Do I have to self-quarantine? No.

North Carolina
Do I have to self-quarantine? No.

North Dakota
Do I have to self-quarantine? It depends. If you’re arriving in North Dakota from another country, you must self-quarantine for 14 days.

Do I have to self-quarantine? No.

Typical outdoor summer activities and sports will have to change to mitigate the spread of the pandemic.

Do I have to self-quarantine? No.

Do I have to self-quarantine? It depends. The state recommends a 14-day self-quarantine for people returning to Oregon from areas where COVID-19 is widespread and for people who have been in close, prolonged contact with someone ill with COVID-19.

Do I have to self-quarantine? No.

Rhode Island
Do I have to self-quarantine? It depends. A 14-day self-quarantine is only in place for Rhode Island residents returning home from an area still under stay-at-home orders.

South Carolina
Do I have to self-quarantine? It depends. For those coming to South Carolina from international locations or areas of a widespread outbreak, the state recommends you self-quarantine for 14 days.

Nolan Jones fly-fishes on the Chagrin River, Tuesday, June 9, 2020, in Gates Mills, Ohio.South Dakota
Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

Do I have to self-quarantine? It depends. The state requires all visitors to self-quarantine for 14 days before traveling to Vermont and then drive in your own personal vehicle and not make any stops along the way. Visitors to the Green Mountain state can also self-quarantine for 14 days in a Vermont lodging establishment if traveling by plane, train, bus, or other means of transportation if you made stops along the way.

States have different requirements for visitors as a measure to adhere to social distancing mandates from the pandemic.

Do I have to self-quarantine? No.

Do I have to self-quarantine? No.

West Virginia
Do I have to self-quarantine? No.

Do I have to self-quarantine? It depends. The state recommends canceling or postponing all travel in Wisconsin, especially those traveling to remote areas that have fewer hospitals and doctors. If you’re traveling from certain cities and counties in the state, you may be subject to a 14-day self-quarantine.

Do I have to self-quarantine? No.

Link Source:

Infectious Disease Plan
This is a great sample of an Infections Disease Plan.  Some of my clients wanted some help in designing one. This is prior to COVID, but the information is very valuable if you want to write one.  The only issue is that everything changes every 3 weeks. Once Covid-19 is completed, if there is still a need and the VDA, ADA, CDC or OSHA has not completed an Infectious Disease Plan, I will take a swing at it for my clients.   
Infectious Disease Emergency Response (IDER) PlanInfectious disease emergencies are circumstances caused by biological agents, including organisms such as bacteria, viruses, or toxins with the potential for significant illness or death in the population. The Infectious Disease Emergencies Response (IDER) Plan may be used in situations that include naturally occurring outbreaks (e.g., measles, mumps, meningococcal disease), emerging infectious diseases (e.g., SARS, pandemic influenza), and bioterrorism.The San Francisco Infectious Disease Emergency Response (IDER) Plan is composed of 3 parts:IDER Core Plan. The Core Plan provides guidance to all components of the response and is divided into modules, or chapters, that are based on the organizational chart. The use of modules provides responders with the information they need in short segments (they do not need to read the entire plan to begin implementation); allows for flexibility in response by allowing only required components to be activated without disrupting the flow of the plan; and, provides each module with clear information on their purpose, implementation approach, staffing needs, reporting, and available resources.Situation Specific Annexes. The 4 Annexes are designed to supplement the Core Plan with specific guidance on how to respond to particular events. The content in each Annex should be used in tandem with the general information in the Core Plan.Appendices. The Appendices contain reference material to assist in the response. Examples of appendix items include maps, pre-written Health Alerts, protocols, forms, reference materials, and equipment instructions. The IDER Plan is compliant with the State Emergency Management System (SEMS) and the National Incident Management System (NIMS) and is based on the Incident Command System (ICS).
IDER Core PlanThe Entire IDER Core Plan (Feb. 2011)Organizational Chart (Color Version)Organizational OverviewDownload parts of the plan:Table of ContentsIntroductionCommandPlans SectionOperations SectionInformation and Guidance BranchDisease Containment Implementation BranchMedical Treatment BranchEpidemiology and Surveillance BranchData BranchLogistics SectionFinance SectionIDER AnnexRespiratory Aerosol Transmissible Diseases (June 2008)Bioterrorism Event (March 2009)Biological Agent Detection in the Environment – available by request a. Indoor Sampling Detection – available by request b. Outdoor Sampling Detection – available by request c. Evaluation and Testing of Suspicious Substances or PackagesWaterborne Diseases – not available at this time
IDER AppendixAppendix Table of Contents (Feb. 2011) Incident Command System (ICS) Forms:Overview of ICS Forms Incident Action Plan Cover Sheet Incident Briefing Form # 201Incident Objectives and Update Form # 202Module Objectives and Update Form # 202bPersonnel and Communications List # 205Medical Plan Form # 206Personnel Sign-in Form # 211General Message Form # 213Resource Order Form # 308


San Francisco’s IDER Plan was identified as a national promising practice. To help other health departments prepare, the Plan was transformed into an easy to use Toolkit which includes a user’s guide, template, and training and exercise materials.

Link Source:

This is a great website.  I am showing just one of the many forms they have available.  This is a great website for additional help with your Dental Healthcare Providers Liability. They really look at OSHA and the rest to come up with their material, which is great!  

 All team members answer COVID-19 screening questions and have their temperatures taken with a contactless thermometer. NOTE: ≤100.0 ̊F for DHCP. Results are recorded daily. See Employee Screening Log for COVID-19 in the Resources and Tools section of this document.

YES:                                                                    N/A:                                                          Source: ALL

 DHCP who show signs and symptoms of COVID-19 are isolated from others before being sent home and referred to the medical providers or emergent care. Symptomatic healthcare workers are at high priority for COVID-19 testing.
YES:                                                                    N/A:                                                          Source: ALL
 Pregnant personnel is instructed to:
Seek and follow medical guidance regarding work.

YES                                                     N/A                                                        Source: CDC, ADA, ADHA

Avoid people who are sick or who have been exposed to the virus.

YES                                                      N/A                                                       Source: CDC, ADA, ADHA

Consider limiting exposure to suspected or confirmed COVID-19 patients especially during higher risk exposures (aerosol-generating procedures).

YES:                                                    N/A:                                                      Source: CDC, ADA, ADHA

 For DHCP who are 65 years or older, or immunocompromised and may be at higher risk for COVID-19 disease consider obtaining a medical evaluation before returning to work. Every member of the dental team should receive the seasonal influenza vaccine.

Link Source:

As a dental community, we are stronger together. That’s why the American Dental Association continues to work with your state and local dental societies to help secure PPE through your governors’ offices and state/local EMA agencies. ADA also continues close coordination with the national FEMA agency to get PPE appropriated directly for you. We know PPE remains difficult to obtain in many areas, so we are offering PPE to our members in your state. FEMA has granted ADA an additional allotment of 3M-made KN95 masks, as well as Level 1 non-surgical polyester Isolation Gowns. You may request one or both of these by ordering online at the link below. Masks will be shipped in packs of 50. Masks currently in stock are 3M-made KN95 masks (model 9502+) and are FDA and NIOSH approved. These masks have headbands, not ear loops, making them more comfortable for most. The reimbursement fee* for masks will be $26.50. Gowns will be sent in separate packs of 25. Each pack will include a variety of sizes from Small – XXLarge. These gowns are washable/ reusable and are supplied during the COVID-19 pandemic subject to FDA docket 2020-D-1138. The reimbursement fee for gowns will be $31.25. To request your PPE, please complete this registration form.
Your ADA number is: 125860610
You will be asked to do the following:Enter your ADA number, Your ADA number is 125860610 (whether or not you are currently a member) and your Last Name.Confirm your information (pay close attention to the shipping address.)Confirm your request to receive an allotment of KN95 masks.Confirm your request to receive an allotment of gowns.Enter your payment information for your reimbursement fee(s)*.We strongly encourage you to complete your request immediately, as supplies are limited.

Orders will be processed in the order they are received. Once you complete your online request and pay the reimbursement fee(s), you will receive a confirmation email. Please allow up to 15 business days to receive your allotment. 

If an inventory is not available when you complete your request, you will be placed on a “waiting list” (backorder) and informed of such. ADA will then send your allotment if and when we receive more products from FEMA. If an additional inventory is not received, your reimbursement fee(s) will be reversed on your credit card.

We wish we were able to send more PPE but hope this helps in the short term. Based on many conversations with manufacturers, distributors, and federal agencies, we hope to see the supply and demand imbalance of PPE for dental professionals improve over the summer and be rectified by September/October.

We can’t do all of this without you! Thank you for your continued membership and support of the American Dental Association. Your membership supports these efforts and you can count on us to continue to advocate for you, your career, and the path forward.
Link Source:  Forwarded to MSDS from an ADA Member.  

PPE Currently Available from MSDS:Any refunds with MSDS can be taken off of your annual classes, or go towards any of the Products and Services below:N95 Respirator Mask 20/pack – #M9920.  $6.50/ea.  Price: $130.  Email [email protected] and request a $10.00 per pack coupon code when you purchase more than one pack.  This brings your N95’s to $6.00 each.  Limited supply and through the month of September only.
 Protective Procedure Isolation Gown 10/Pack #M9921.  $4.00ea. Price: $40.00.  Email [email protected] and request a $5.00 per pack coupon code when you purchase more than one pack.  This brings your isolation Gowns $35.00 per pack ($3.50/ea). Limited supply and through the month of September only.

 Digital Infrared Thermometer- #M1160528

 NITRILE GLOVES: Very limited supply.  For current clients only.  $15.00 Bx of 100.  No minimum needed.   If you would like to pre-order, MSDS will be putting together an order for a manufacturing company.  This will be a prepaid order with no cancellations.  If we have enough orders we can get the price lowered to under $10.00.  No payment needed until we get the order quantity.  Email [email protected] to get on the list!  This will take a minimum of 6 weeks, so think ahead.  We will be using the same company I purchase gowns and N95’s from.  KN95’s Whitelisted from NIOSH. (These are not in stock yet).  We haven’t finished negotiating on price and shipping.  I am getting the KN95’s with a headband.  Lysol Concentrate.  $19.95 Enough to make a Gallon of Lysol Spray.  This will be given free of charge at your office during any class or mailed when you schedule a teleconference  Clients only.  Otherwise, email [email protected].  The price is $20.00 per 2oz (this will make a gallon). All money from the sale of this product will go to our Therapeutic Mindful Meditation with horses at CannonRidge.  UV LIGHT with Remote, Motion Detection Shut-off.  This light is 365 rotation and within the Nanometers required.  260-280nm!  Price: $299.  MSDS Clients get a $50.00 coupon. This an amazing price!

 Aluminum sheet (To Help reflect the UV light off a wall)


INITIAL FIT TESTING is required for wearing N95 or White Listed NIOSH approved KN95’s.  You are required to have the below three items.
 PERSONAL RESPIRATORY PROTECTION MANUAL for the Dental Healthcare Provider – #9926  Price: $499.00. ( If you are a current client (you are enrolled in safety classes with MSDS, please email [email protected] and let them know you are purchasing the respiratory protection manual and you will be issued a coupon code for 50% off.
 FIT TESTING N95’s for your Personalized Respiratory Protection Program for the Dental Healthcare Provider – #M9918 Price $50.00 each staff.
 OCCUPATIONAL HEALTH PHYSICIAN CLEARANCE & SECURE BACKUP of the Medical Questionnaire.  MSDS must Partner with Physicians in Occupational Health and Secure/Encrypt the back up For 30 years past the Employees’ last day of work.  #M9922.  $50/each staff’s first year.  Negotiating for additional years.  This includes our Physician emailing and speaking directly with the staff to help assure she is capable of fit testing.  99% of the staff will pass this stage.

 AMALGAM SEPARATOR: We are now past the regulation time to install an Amalgam Separator!
 PureWay ECO II Amalgam Separator 1 to 10 chairs. – #M9924 Price: $499.  Our rep will walk you through your paperwork if you purchase through MSDS!

 PureWay Amalgam and Hazardous Waste Containers – #M9925

 Covid-19 Return to Work Letter – #M9917

 MSDS has launched a partnership with an Employee Screening Company and a Water Testing Facility.  
Updates to follow soon 
Coronavirus Is Airborne, But That Doesn’t Mean You’re Always At Risk  Viruses need liquid to survive and spread. Once outside the body, they must remain in a watery solution such as snot or saliva so they don’t dry-out and eventually disintegrate. Every time you cough, sneeze, talk or even breathe, your fluids are expelled as droplets, which stay in the air for a certain amount of time and can settle on surfaces before they evaporate.Experts disagree over whether or not the SARS-CoV-2 coronavirus is airborne. The argument is central to health policy because if droplets can only travel two meters through the air before falling to the ground, for instance, it would help support the six-foot rule for physical distancing.As the size of a droplet influences how far it might fly, scientists also argue over the distinction between an ‘aerosol’ — a fine mist of liquid particles in the air — and a ‘droplet’. Some researchers think expiratory particles should be so tiny that anything wider than 0.005mm (five microns) is a droplet, while others believe 0.01mm is a better cut-off. The figure is arbitrary and the distinction is irrelevant to the average person, but it’s relevant to public health authorities: if a virus is carried via aerosols, you could conclude that it’s also ‘airborne’.

Authorities like the World Health Organization and US Centers for Disease Control often send mixed messages because they want to be scientifically accurate while also giving unambiguous advice. That isn’t always possible though, as science can involve fuzzy concepts and the general public just wants a clear answer to a question like ‘Is Coronavirus airborne, Yes or No?’ Meanwhile, news outlets sit on the fence with headlines like “Coronavirus Isn’t Airborne – But It’s Definitely Borne By Air.”As a trained biologist and science communicator, I’m going to give you a clear statement: Yes, Coronavirus is airborne. That comes with an important caveat, which is that whether a virus remains in the air long enough to worry about will depend on the environment — your surroundings and people it contains.

So how can you tell if an airborne virus poses a considerable risk to your health? One way is through some back-of-the-envelope calculations. Given that Coronavirus is airborne, we can estimate your risk of catching it (and possibly developing the disease) for various scenarios. Although several factors play a part in how long a virus can hang around in the air, the two key ones are:The boundary of the surroundings (B)The activity of people in the area (A)Both factors can be broken down further (surface area within your surroundings is influenced by furniture, for instance), but our aim is to keep things really simple, which is why we’ll score boundary (B) and activity (A) on a scale from 0 to 3.An open space effectively has zero boundaries (B=0), a large park or secluded beach is slightly enclosed (B=1), a supermarket or office building is more confined (B=2) and a crowded train carriage or hotel elevator is a closed box (B=3).
The frequency of people passing through that area over time — its activity — will be proportional to how many individuals may be carrying COVID-19 (including potential asymptomatic cases), which in turn determines the amount of virus in the air and on contaminated surfaces. We’ll score activity on the same scale, with no people (A=0), a quiet area (A=1), normal activity (A=2), or a busy area (A=3).R = A x BWe can now calculate the relative risk (R) for visiting an area using the above formula. Multiplying scores for the boundary of your surroundings (B) by the activity within it (A), we get a total for its risk, which has a maximum value of 9 (a score of 10 would be reserved for extremely risky situations, such as those faced by health workers who are exposed to viruses on a daily basis). I’ve compiled a table with a few scenarios below.

 Performing a risk calculation is a practical approach to making objective decisions on behavior, like whether you should wear a face mask outside. Unlike governments, which often shirk responsibility and expect citizens to use subjective ‘common sense’ (whatever that means), the risk score doesn’t lie and is less open to interpretation.If you think a scenario with R greater than 6 is too high, you might decide not to take the risk. When I go running through green spaces with my dog, for instance, it’s not really necessary to wear a mask because R = 0 (1 x 0) most of the time — we only need to be careful when approaching another jogger to avoid crossing paths. On the other hand, I’ll put on a mask before entering my local convenience store because it has a high footfall and the aisles are narrow (3 x 2 = 6).

While public health authorities like the WHO and CDC give ambiguous and contradictory guidelines, scientists continue to test the extent to which Coronavirus is airborne: studies of hospital rooms containing patients with COVID-19 have found traces of the virus in air samples, albeit at very low levels. Such research usually involves detecting genetic material, which is unreliable because the virus may be missing the outer shield and spike proteins that enable it to invade human cells. A shipwreck doesn’t count as a seaworthy vessel, and viral genes aren’t infectious on their own.
Coronavirus can’t infect you without bodily fluids. Regardless of whether it’s carried in aerosols or droplets, both will spend time in the air. Link Source:

Winner for this Newsletter!

Instead of the “Question of the week”; MSDS will be adding:
*Questions and concerns from our clients  
*Literature of Potential scam/spam
*Updates from the Board of Dentistry
*New Regulations from Federal or State
*And Grammar/Spelling Errors.  


   Winners will receive 2 oz of Lysol Concentrate along with a $10.00 Starbucks card.  
*2 oz of Lysol Concentrate will Make one Gallon of Lysol.
 Names are drawn by the app below.
Organizing your computer for MSDS:Make a folder on your desktop named MSDS.Double click the folder.Create Folders for each category. OSHA-BBP, OSHA Safety Classes, HIPAA, Medical Emergency, BLS-CPR, etc.In each folder, for example, HIPAA:You’ll have the Business Associate Agreement, Patient Consent Form, Office’s Privacy Practice, etc.    
We love our Clients
 OSHA-BBP Exposure Control Plan.Mandatory by Federal OSHA-BBPRequired to be PersonalizedReviewed Annually by all office staff involved in OPIM. (Other Potentially Infectious Materials)This manual is also called: The OSHA manual, The Exposure Control Plan or The Bloodborne Pathogen manual.  

If you want MSDS to help you with your Personalized manual.  The cost for non clients is $450.00.  Cost for Clients is $250.00 this gives you not only a personalized manual in binder form, but also in PDF which is the format the Inspectors will want you to have.  Best to know that we will not have you answer incorrectly vs. you writing your own manual and the manual is incorrect.  MSDS can boast that our manual has never been given anything less than an A+ from an OSHA inspector.  
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Linda L. Cannon
Director of Safety Compliance

Phone: 1-757-718-1515
Toll Free: 1-800-483-0223

Email: [email protected]

MSDS' best practices website is not a standard or regulation, and it creates no legal obligations, nor does it change any existing OSHA or other government standard or regulation. The guide is advisory in nature, informational in content, and is intended to assist employers in providing a safe and healthful workplace.