Completed by (name) - doh sd 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the facility name in the designated field at the top of the form.
  3. Fill in the date completed, ensuring it reflects when the assessment was finalized.
  4. In the 'Completed by (name)' section, input your name to indicate who conducted the assessment.
  5. Select whether the assessment was for the entire facility, a specific area, or an occupational group by checking the appropriate box and providing any necessary specifications.
  6. Indicate the time interval for conducting the TB risk assessment, typically for the previous calendar year.
  7. Gather background information on TB cases in your community and enter this data into the provided fields.
  8. Answer all relevant questions regarding potential transmission risks and select an applicable risk category based on your findings.

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2021 4.8 Satisfied (204 Votes)
2014 4.4 Satisfied (158 Votes)
2008 4.3 Satisfied (27 Votes)
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