Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program

Contents:

A-7 Blood and Body Fluid Exposure Report Form

The following form was developed to aid healthcare organizations in collecting information on occupational exposures to blood and body fluids. Information on exposure characteristics (e.g., exposure location, type of exposure, device involved, and procedure being performed) can be analyzed for better prevention planning. The first page of this form may meet the information requirements for an OSHA sharps injury log.

  Workbook Section Link for this Toolkit Product:
A-7 Worksheet (319 KB/5 pages) / A-7 Worksheet (246 KB/2 pages)

  Operational Processes
Implement Procedures for Reporting Sharps Injuries and Injury Hazards
Characteristics of a Report Form