1910.1030(f)(2)(iv): Hepatitis B Vaccine Declination Form
Employers must make sure employees who decline the hepatitis B vaccination offered by the employer sign the declination statement in Appendix A of the bloodborne pathogens standard.
Key takeaways
- 1910.1030(f)(2)(iv) is part of OSHA's general industry standards (29 CFR Part 1910).
- OSHA cited it 132 times in the last 3 years, in 132 inspections, with $47,666 in current penalties.
- Most citations: NV (34), OR (18), IL (16).
- Related part: 1910.1030(f) Hepatitis B vaccination and post-exposure evaluation and follow-up (732 citations).
- Free 5-minute toolbox talk for your crew below.
In this article
What this rule covers
29 CFR 1910.1030(f)(2)(iv) is one requirement inside 1910.1030 Bloodborne pathogens, an OSHA general industry standard (Part 1910). The official text below is copied word for word from the Electronic Code of Federal Regulations (eCFR). The numbers, injury cases and training on this page show how OSHA enforces it on real job sites.
Official text
(iv) The employer shall assure that employees who decline to accept hepatitis B vaccination offered by the employer sign the statement in appendix A. 132 citations
Source: eCFR, text current as of 2026-10-15. Read all of 1910.1030.
Where and how often it was cited
| Year | Citations |
|---|---|
| 2023 | 8 |
| 2024 | 59 |
| 2025 | 48 |
| 2026 | 17 |
Top states: NV (34), OR (18), IL (16), KY (16), NC (7)
Largest penalties
| Employer | Location | Penalty for this rule |
|---|---|---|
| UNIVERSAL PROTECTION SERVICE, LP | LAS VEGAS, NV | $11,823 |
| LAS VENTANAS RETIREMENT COMMUNITY | LAS VEGAS, NV | $11,292 |
| STOCKTON UNIVERSITY | GALLOWAY, NJ | $5,000 |
| BEACON DENTAL | BEACON, NY | $4,965 |
| MOUNTAIN VIEW CARE CENTER | BOULDER CITY, NV | $4,839 |
Free toolbox talk
A 5-minute crew talk on 1910.1030(f)(2)(iv), plus alerts when this rule changes. Free.
OSHA interpretation letters
None exist. OSHA has not published a letter of interpretation for 1910.1030(f)(2)(iv).
Related parts of this rule
- 1910.1030(f) Hepatitis B vaccination and post-exposure evaluation and follow-up 732 citations
- 1910.1030(f)(2) Hepatitis B Vaccination 423 citations
- 1910.1030(f)(2)(i) 289 citations
- 1910.1030(f)(1) General 228 citations
- 1910.1030(f)(1)(i) 209 citations
- 1910.1030(f)(3) Post-exposure Evaluation and Follow-up 48 citations
- 1910.1030(f)(1)(ii) 19 citations
- 1910.1030(f)(5) Healthcare Professional's Written Opinion 17 citations
- 1910.1030(f)(3)(ii) 16 citations
- 1910.1030(f)(4) Information Provided to the Healthcare Professional 15 citations
- 1910.1030(f)(4)(ii) 13 citations
- 1910.1030(f)(3)(ii)(A) 9 citations
Get your crew competent
Trainers on Black Belt Safety: Marc Harvey, Dana Reyes
Trainers and suppliers: feature your business on this rule for $25/month.
Frequently asked questions
What happens if an employee declines the hepatitis B vaccine?
The employer must ensure the employee signs the statement in Appendix A.
Is the vaccine offered by the employer?
This rule applies to the hepatitis B vaccination offered by the employer.
Where is the declination statement found?
In Appendix A to 1910.1030.
About this page
Sources
- 29 CFR 1910.1030 (eCFR), text current as of 2026-10-15
- U.S. Department of Labor enforcement data: OSHA inspections, citations and accident records, copied nightly; data as of 2026-10-20
3-year window. Federal OSHA only; state-plan rules are not counted. Plain-language text is a summary, not legal advice; the official text controls. Black Belt Safety is not part of OSHA or the Department of Labor.