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                Get Exposure Report Form
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How to fill out the Exposure Report Form online
This guide provides step-by-step instructions for completing the Exposure Report Form online. By following these detailed directions, users can ensure that all necessary information is accurately reported.
Follow the steps to complete the Exposure Report Form with ease.
- Click ‘Get Form’ button to access the Exposure Report Form and open it for editing.
 - Begin by entering the exposure event number at the top of the form. This number helps track and reference the incident.
 - Fill in the facility name, the name of the exposed worker (including last and first names), and their ID number.
 - Indicate the date and time of exposure. Ensure that the date is formatted correctly, using two digits for the day and month.
 - Enter the job title or occupation of the exposed worker, as well as the department or work unit.
 - Specify the location where the exposure occurred to provide context for the incident.
 - Complete Section I by checking all applicable types of exposure such as percutaneous, mucocutaneous, or bite.
 - If there was a percutaneous exposure, provide details about the needle or sharp device in Section II.
 - In Section III, although optional, provide a narrative describing how the exposure happened and any preventive measures that could have been taken.
 - Move to Section IV and check all applicable boxes regarding exposure details and body site of exposure.
 - In Section V, specify the percutaneous injury circumstances, including the type of device involved and how the injury occurred.
 - Complete Section VI by noting any barriers that were used during the exposure and the activity/event when it occurred.
 - After filling out all sections, review the entered information for accuracy. Once confirmed, save the changes, download, print, or share the form as needed.
 
Take action today and complete your Exposure Report Form online to ensure proper documentation of the incident.
After an exposure incident, it is essential to complete the Exposure Report Form, along with gathering any related medical documentation that supports the case. This could include medical evaluations, treatment records, and witness statements. Proper documentation serves not only to protect the employee but also to help employers improve workplace safety.
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