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Page 1 of 3UNIVERSITY OF PITTSBURGH BSL3 WORKER HEALTH SCREENING QUESTIONNAIRE NameGenderDate MaleFemaleWhat is your current position? (or position you are applying for?) Pitt ID#Job/Position: Date
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How to fill out bsl-3 worker health screening

01
To fill out the BSL-3 worker health screening form, follow these steps:
02
Gather all the necessary information, including the worker's name, contact details, and relevant medical history.
03
Start by entering the worker's personal information in the designated fields, such as name, date of birth, and contact information.
04
Next, provide details about the worker's current employment, including their job title, department, and supervisor's name.
05
Answer the screening questions regarding the worker's health, including any recent illnesses, symptoms, or possible exposures.
06
If the worker has any pre-existing medical conditions, ensure to note them down accurately.
07
Provide information about any relevant immunizations the worker has received, including dates and types of vaccines.
08
Finally, review the completed form for accuracy and completeness before submitting it for processing.

Who needs bsl-3 worker health screening?

01
Any individual working in a Biosafety Level 3 (BSL-3) facility needs to undergo BSL-3 worker health screening.
02
This includes laboratory personnel, researchers, technicians, and other workers handling potentially infectious materials at BSL-3 facilities.
03
The screening is necessary to ensure the safety and well-being of both the worker and the surrounding environment by identifying any potential health risks.
04
It helps in preventing the spread of infectious diseases and maintaining a secure working environment within the BSL-3 facility.
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BSL-3 worker health screening is a process to assess and monitor the health status of individuals who work in laboratories designated as Biosafety Level 3.
Individuals who work in laboratories designated as Biosafety Level 3 are required to file BSL-3 worker health screening.
BSL-3 worker health screening forms can typically be filled out by the individual themselves, with guidance from their employer or healthcare provider.
The purpose of BSL-3 worker health screening is to ensure the safety and well-being of individuals working in high-risk laboratory environments.
BSL-3 worker health screening may require information such as medical history, exposure to hazardous materials, previous vaccinations, and any relevant health conditions.
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