Exposure form record 2025

1. Click ‘Get Form’ to open the exposure form record in the editor.
2. Begin by entering the 'Name' and 'Date of Birth' in the designated fields. Ensure accuracy for proper identification.
3. Fill in the 'Social Security Number', 'Incident Number', and 'Incident Date'. These details are crucial for tracking and reporting purposes.
4. Provide information about the 'Officer in Charge' and 'Location of Incident'. This helps establish accountability and context.
5. In the 'Description of Incident' section, detail what occurred during the incident. Be as specific as possible.
6. Select the type of exposure from options like Inhalation, Direct Contact, or Ingestion. Specify any materials exposed to in the next field.
7. Indicate the type of decontamination performed and note the length of exposure time. Document any symptoms experienced if applicable.
8. Record treatment received at the scene, including the name of the medical facility and treatment rendered.
9. List protective clothing and equipment used during the incident for thorough documentation.
10. Complete additional information as necessary, followed by signatures from both Firefighter/EMS and Chief with dates.

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