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Click ‘Get Form’ to open the sharps injury log template in the editor.
Begin by filling in the 'Facility/Location' and 'Year' fields at the top of the form. This information is crucial for identifying where and when the incident occurred.
Next, provide the 'Address' of the facility. This ensures that all records are accurately linked to their respective locations.
In the 'Date/Time' section, enter when the injury took place. Accurate timestamps are essential for compliance and tracking purposes.
Fill in details about the 'Type, Brand, Model of Device' involved in the incident. This helps in analyzing trends related to specific devices.
Specify the 'Department or Work Area' where the incident occurred. This information aids in identifying high-risk areas within your facility.
Finally, describe how the incident occurred in detail. Providing a thorough account can help prevent future occurrences and improve safety protocols.

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Does OSHA require a sharps injury log?

You must record all work-related needlestick injuries and cuts from sharp objects that are contaminated with another persons blood or other potentially infectious material (as defined by 29 CFR 1910.1030). You must enter the case on the OSHA 300 Log as an injury.

What is required on OSHA sharps log?

The sharps injury log should include all sharps injuries occurring in a calendar year and must be kept for five years following the end of the year to which it relates. The log must be kept in a manner the preserves the confidentiality of the affected individual.

How do you write a needlestick injury report?

An establishment may keep sharps logs with employees names on them. However, if the log is made available to any other persons, the establishment must withhold any information that directly identifies an employee or that could reasonably be used to identify the employee.

What should a sharps injury log contain?

9) Date of injury: 10) Time of injury: 13) Type of Sharp: Needle. Surgical instrument (non glass) Glass. 16) Job classification of injured person: 17) Employment status of injured person: 18) Type of location/facility/agency where sharps injury occurred: 19) Work area where sharps injury occurred (select best choice):

osha needlestick incident report form

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