TB RISK ASSESSMENT WORKSHEET - dss sd 2026

1. Click ‘Get Form’ to open the TB RISK ASSESSMENT WORKSHEET in our editor.
2. Begin by filling in the 'Facility Name' and 'Date Completed' fields at the top of the form. Ensure that your name is entered in the 'Completed by' section.
3. Indicate whether the assessment is for the entire facility, a specific area, or an occupational group by selecting the appropriate checkbox and providing any necessary specifications.
4. Enter the time interval for conducting the TB risk assessment, typically for the previous calendar year, in the designated fields.
5. In the 'Background Information' section, compile and input data regarding TB cases from your community. This information can be sourced from your local Department of Health website.
6. Select applicable options regarding facility size/type and potential transmission risks based on your findings. Circle 'Yes' or 'No' as appropriate for each question.
7. Review your selections to determine if your facility falls under low risk, medium risk, or potential ongoing transmission categories based on CDC guidelines.

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