BLOODBORNE PATHOGEN INCIDENT (ACCIDENT) REPORT - co douglas or 2025

1. Click ‘Get Form’ to open the BLOODBORNE PATHOGEN INCIDENT (ACCIDENT) REPORT in the editor.
2. Begin by entering the employee's name in the first field. This identifies who reported the incident.
3. In the second field, input the name of the immediate supervisor responsible for overseeing the employee.
4. Fill in the date of the incident in section three, ensuring accuracy for record-keeping purposes.
5. Record the time of the incident in section four, which is crucial for tracking and investigation.
6. Provide a detailed description of the incident in section six, including exposure routes and safety measures that were in place.
7. In section seven, describe any injuries sustained by the employee, specifying body parts affected.
8. Document any first aid or medical treatment received by the employee in section eight.
9. Indicate when and to whom the incident was reported in section nine, along with reasons for any delays.
10. List witnesses' names in section ten to support your report with additional accounts of the incident.
11. Answer whether a source individual is known and provide their details if applicable in section eleven.
12. Outline corrective actions taken or planned to prevent future incidents in section twelve.
13. Finally, confirm if a medical referral was made and provide explanations if not, as required in section thirteen.

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