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BBP-1 EXPOSURE INCIDENT REPORT FORM Employee Name UIN Department Date Supervisor Name please print Description of Incident be specific and include date approximate time and place Use back of sheet if needed Immediate Actions Taken Source of Blood or OPIMs include name of source individual if known Personal Protective Equipment Worn Hepatitis B Vaccination Status declined vaccine complete 1st shot 2nd shot Employee Signature Date.

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Employers must tell the employee what to do if an exposure incident occurs. Medical Evaluation and Follow-up. ... Written Opinion. ... Confidentiality. ... Recordkeeping.

Exposure Incident Reporting An exposure incident should include the following: The time, date, and location of the exposure. An account of all the people involved, including the exposed person, names of their first aid providers, and if possible, the name of the source individual.

When an exposure incident occurs, immediate action must be taken to expedite medical treatment for the exposed employee and to assure compliance with the OSHA Bloodborne Pathogen Standard. The OSHA bloodborne pathogen standard requires dentists to establish a written Exposure Control Plan (ECP).

An exposure incident is any eye, mouth, mucous membrane, non-intact skin, or other parenteral contact with blood or other potentially infectious material (OPIM). (For example, a puncture from a contaminated sharp such as an injection needle or a cut from a scalpel blade or suture needle.)

Step 1, provide immediate care to the exposure site: this includes washing the puncture area for 15 minutes with soap and water. Remember, do not force bleed the wound! Splashes to the mucous membranes (eyes, nose, mouth, or non-intact skin) should also be flushed thoroughly for 15 minutes with water.

These include the use of Universal Precautions, Engineering Controls, Work Practice Controls, PPE, and Housekeeping Procedures.

An exposure incident is a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials (OPIM), as defined in the standard that results from the performance of a worker's duties.

1. Provide immediate care to the exposure site. Wash wounds and skin with soap and water. Flush mucous membranes with water. DO NOT USE instrument involved on patient! Employee must report incident immediately to supervisor/employer.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232