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CONFIDENTIAL 5631F.3 FORM F EMPLOYEE EXPOSURE FOLLOW-UP RECORD BLOOD/BODY FLUIDS OCCUPATIONAL EXPOSURE FORM FOR WORKPLACE INCIDENTS Employee Name: Job Title: Incident Date: Incident Time: Reported
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How to fill out employee exposure follow-up record

How to fill out employee exposure follow-up record:
01
Start by gathering all the necessary information about the employee, such as their name, position, and contact details.
02
Next, document the date and time of the employee's exposure incident.
03
Describe the nature of the exposure incident, including the specific hazardous substance or condition involved.
04
Provide detailed information on the employee's exposure, such as the duration and intensity of the exposure.
05
Record any immediate actions taken by the employee or the employer to prevent further exposure or minimize its effects.
06
If the employee sought medical attention following the exposure incident, document the healthcare provider's name and contact details.
07
Include any medical tests or evaluations conducted as part of the follow-up process and record the results.
08
The employee's supervisor or a designated authority should review and sign off on the completed employee exposure follow-up record.
Who needs employee exposure follow-up record:
01
Occupational health and safety professionals: They require the employee exposure follow-up record to assess and manage workplace risks.
02
Human resources personnel: They may need this record to ensure compliance with regulations and to provide necessary documentation for any compensation or legal purposes.
03
Company management: They need this record to track and monitor employee exposure incidents, identify potential areas of improvement, and implement appropriate preventive measures.
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What is employee exposure follow-up record?
The employee exposure follow-up record is a document that tracks and records any potential exposure an employee may have had to hazardous substances or conditions in the workplace.
Who is required to file employee exposure follow-up record?
Employers are required to file the employee exposure follow-up record for any employee who may have been exposed to hazardous substances or conditions in the workplace.
How to fill out employee exposure follow-up record?
The employee exposure follow-up record should be filled out by documenting the details of the employee, including their name, job title, date of exposure, description of the exposure incident, and any actions taken as a result of the exposure.
What is the purpose of employee exposure follow-up record?
The purpose of the employee exposure follow-up record is to ensure that any potential exposure incidents are properly documented and that appropriate follow-up actions are taken to protect the health and safety of employees.
What information must be reported on employee exposure follow-up record?
The employee exposure follow-up record must include the employee's name, job title, date of exposure, description of the exposure incident, and any actions taken as a result of the exposure.
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