Which item is NOT required by OSHA before launching an immunization program?

The item that is not required by OSHA before launching an immunization program is the creation of a network with local physicians. OSHA sets forth standards and requirements aimed primarily at ensuring worker safety and health, particularly concerning exposure to bloodborne pathogens and other occupational hazards. This includes ensuring safety measures like having safety devices available for vaccinators and implementing appropriate methods for sharps disposal to prevent injuries related to needle sticks.

Additionally, evaluating employee vaccination statuses for Hepatitis B is critical for protecting healthcare workers who may be at risk for exposure to bloodborne pathogens. While collaboration with local physicians could be beneficial in an immunization program, it is not mandated by OSHA, making it the correct choice in this context.