Get the free Contaminated Sharps Injury Reporting Form - wtamu

Department of State Health Services Infectious Disease Control Contaminated Sharps Injury Reporting Form Please complete a form for each exposure incident involving a sharp. NOTE: If injury occurred

How to fill out contaminated sharps injury reporting

How to fill out contaminated sharps injury reporting:

1. Obtain the necessary forms from your workplace or local health department.
2. Begin by providing your personal information, such as your name, contact information, and job title.
3. Identify the specific incident by providing details such as the date, time, and location of the injury.
4. Describe the details of the injury, including the type of sharp object involved and how the injury occurred.
5. Indicate if medical treatment was sought and provide information about the healthcare provider or facility.
6. Include any additional information relevant to the incident, such as witnesses or contributing factors.
7. Sign and date the form to certify the accuracy of the information provided.
8. Submit the completed form as instructed by your workplace or local health department.

Who needs contaminated sharps injury reporting:

1. Healthcare workers who have experienced an injury from contaminated sharps, such as needles or scalpels.
2. Employees in other industries where exposure to contaminated sharps is a potential risk, such as waste management or sanitation workers.
3. Employers who are responsible for maintaining a safe working environment and need to track and address incidents of contaminated sharps injuries.

For pdfFiller’s FAQs

What is contaminated sharps injury reporting?

Contaminated sharps injury reporting refers to the process of reporting incidents involving the accidental puncture, cut, or prick from a contaminated sharp object, such as needles or scalpel blades, that may expose individuals to infectious materials.

Who is required to file contaminated sharps injury reporting?

Healthcare facilities, laboratories, and other regulated entities where sharps injuries may occur are generally required to file contaminated sharps injury reporting.

How to fill out contaminated sharps injury reporting?

The specific process for filling out contaminated sharps injury reporting forms may vary depending on local regulations and requirements. Generally, it involves providing information about the incident, the individuals involved, the type of sharps object, and any potential exposure to infectious materials.

What is the purpose of contaminated sharps injury reporting?

The purpose of contaminated sharps injury reporting is to track and monitor incidents of sharps injuries, identify trends, implement preventive measures, and promote worker safety.

What information must be reported on contaminated sharps injury reporting?

The information that must be reported on contaminated sharps injury reporting forms typically includes details about the incident (date, location, circumstances), the individuals involved (name, occupation), the type of sharp object, and any known or suspected exposure to infectious materials.

How do I make changes in contaminated sharps injury reporting?

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