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Michigan State University Sharps Injury Log 2017-2025 free printable template

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APPENDIX K SHARPS INJURY LOG Employee Bloodborne Pathogens Exposure Involving A Sharp Name of Claimant Net ID Name of Supervisor Telephone Date of Birth Male Female Department Building and area of injury Date of Injury Time of Injury a.m p.m Fill in the one circle corresponding to the most appropriate answer. Description of the exposure incident Procedure Draw venous blood Draw arterial blood Injection through skin Start IV/set up heparin lock Unknown/not applicable Other Body Part check all...
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How to fill out Michigan State University Sharps Injury Log

01
Obtain the Michigan State University Sharps Injury Log form.
02
Fill in the date of the injury.
03
Provide details about the injured person, including their name and department.
04
Describe the type of sharp object involved in the injury.
05
Indicate the location where the injury occurred.
06
Document the circumstances surrounding the injury, including what the individual was doing at the time.
07
Record any first aid or medical treatment provided.
08
Sign and date the log once completed.

Who needs Michigan State University Sharps Injury Log?

01
Employees who handle sharp objects, such as those in healthcare, laboratories, or facilities services.
02
Supervisors and managers to track and manage workplace safety.
03
Health and safety officers for compliance with reporting requirements.
04
Any staff involved in incident investigations or safety evaluations.
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The sharps injury log shall contain, at a minimum: (A) The type and brand of device involved in the incident, (B) the department or work area where the exposure incident occurred, and (C) an explanation of how the incident occurred." The sharps injury log must be maintained for the period required by 29 CFR 1904.
The sharps injury log should include all sharps injuries occurring in a calendar year and must be kept for five years following the end of the year to which it relates. The log must be kept in a manner the preserves the confidentiality of the affected individual.
The purpose of the Log is to aid in the evaluation of devices being used in healthcare and other facilities and to identify problem devices or procedures requiring additional attention or review.
The sharps injury log must include the specified minimum information regarding the device involved (if known), the location of the incident, and the description of the events that resulted in the injury.
You must record all work-related needlestick injuries and cuts from sharp objects that are contaminated with another person's blood or other potentially infectious material (as defined by 29 CFR 1910.1030). You must enter the case on the OSHA 300 Log as an injury.
An establishment may keep sharps logs with employees' names on them. However, if the log is made available to any other persons, the establishment must withhold any information that directly identifies an employee or that could reasonably be used to identify the employee.

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The Michigan State University Sharps Injury Log is a documented record used to track incidents involving sharp objects such as needles and other instruments that can cause injuries in healthcare settings.
All healthcare personnel at Michigan State University who are involved in the handling of sharps and experience an injury from a sharp object are required to file the Sharps Injury Log.
To fill out the Michigan State University Sharps Injury Log, individuals must provide details about the injury, including the date and time of the incident, the type of sharp involved, the circumstances of the injury, and any follow-up actions taken.
The purpose of the Michigan State University Sharps Injury Log is to maintain a comprehensive record of sharp injury incidents to promote safety, identify trends, and implement preventive measures to reduce the risk of future injuries.
The information that must be reported on the Michigan State University Sharps Injury Log includes the date of the injury, time, type of device that caused the injury, the body part affected, circumstances of the injury, and any immediate actions taken following the incident.
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