Sources of Leaks Within the Anesthesia Machine and Breathing System.Gas Flow in the Anesthesia Machine and Breathing System.OSHA Directorate of Technical Support and Emergency Management Citations can only be based on standards, regulations, and the General Duty Clause. However, failure to implement these guidelines is not, in itself, a violation of the General Duty Clause. Employers can be cited for violating the General Duty Clause if there is a recognized hazard and they do not take steps to prevent or abate the hazard. In addition, employers must provide their employees with a workplace free from recognized hazards likely to cause death or serious physical harm under Section 5(a)(1), the General Duty Clause of the Act. The Occupational Safety and Health Act requires employers to comply with hazard-specific safety and health standards. These guidelines are not intended to address issues to patient care. The guidelines are advisory in nature, informational in content, and are intended to assist employers in providing a safe and healthful workplace through effective prevention programs adapted to the needs of each place of employment. These guidelines are not a new standard or regulation, and they create no new legal obligations.