Appendix B. Tuberculosis (TB) risk assessment worksheet 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the facility name and the date completed at the top of the form.
3. Fill in your name in the 'Completed by' section, ensuring accurate identification of who conducted the assessment.
4. Indicate whether the assessment is for the entire facility, a specific area, or an occupational group by checking the appropriate box and providing any necessary specifications.
5. Record the time interval for conducting the TB risk assessment, typically for the previous calendar year.
6. Gather background information on TB cases in your community and enter this data along with counties included in your risk assessment.
7. Select your facility size/type from the options provided, ensuring you accurately reflect your setting.
8. Answer the series of questions regarding potential transmission risks; based on your responses, determine if your facility falls under low, medium, or potential ongoing transmission risk categories.

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