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EXPOSURE INCIDENT REPORT Blood-borne Pathogen Exposure Control Program Texas Tech University Employee Name Date Completed TTU Department Date of Exposure: Job Title Time of Exposure: A.M. P.M. Where
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How to fill out exposure incident report

01
Gather all relevant information such as the date, time, and location of the exposure incident.
02
Start by providing your personal details such as your name, contact information, and job title.
03
Provide a detailed description of the exposure incident, including how it occurred and any contributing factors.
04
Include information about the individuals involved, such as their names, job titles, and contact information.
05
Describe the possible exposure hazards and the specific substances or agents involved.
06
Document any immediate actions taken following the exposure incident, such as first aid or medical treatment administered.
07
Include information about the necessary follow-up procedures or protocols to prevent future incidents.
08
Make sure to document any witnesses to the exposure incident and their statements.
09
Attach any supporting documents or evidence related to the incident, such as photographs or medical records.
10
Review the completed exposure incident report for accuracy and completeness before submitting it.

Who needs exposure incident report?

01
Any employee who has experienced or witnessed an exposure incident in the workplace.
02
Employers and supervisors who need to investigate and address exposure incidents.
03
Occupational health and safety professionals who are responsible for maintaining records and ensuring workplace safety.
04
Regulatory agencies or authorities that require exposure incident reports for compliance purposes.
05
Medical professionals who need to assess and treat individuals involved in exposure incidents.
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Exposure incident report is a document that details any exposure to potentially harmful materials or substances in the workplace.
Employers are required to file exposure incident reports for their employees.
Exposure incident reports can be filled out by providing details about the incident, including the date, time, location, and description of exposure.
The purpose of exposure incident report is to document any incidents of exposure and take necessary actions to prevent future occurrences.
Information such as the date, time, location, description of exposure, affected individuals, and any actions taken after the incident must be reported on exposure incident reports.
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