Get Send Sharps Injury Form California

Filling out the Send Sharps Injury Form is an essential step for documenting any exposure incidents involving sharp objects. This guide aims to provide you with a clear and user-friendly approach to complete the form online effectively.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to access the form and open it in the appropriate editor.
2. Begin by entering your department name in the designated field. Ensure that you capitalize the first letter of each word for clarity.
3. Fill in your city and state, ensuring accuracy in your entries to avoid any miscommunication.
4. Record the date when you are filling out the form. Include the month, day, and year, formatted correctly.
5. Indicate the time of injury by selecting either a.m. or p.m. depending on when the incident occurred.
6. Provide a detailed description of the exposure incident, highlighting key factors that led to the injury.
7. Select the gender of the affected individual by filling in the circle corresponding to the most appropriate answer.
8. Specify the location where the injury occurred by checking the relevant option from the provided list.
9. In the procedure section, choose all applicable options reflecting the nature of the incident involving sharps.
10. Check all body parts that were affected by the sharp exposure. Use “Other” for any parts not listed.
11. Identify the sharp involved if known, giving details such as the type, brand, and model.
12. Indicate when the exposure incident occurred, choosing from the options provided.
13. Answer whether the device used had any engineered sharps injury protection and whether it was activated.
14. Provide your opinion on whether additional safety mechanisms could have prevented the injury and include explanations where required.
15. Once all fields have been filled out accurately, users have the option to save changes, download the form, print a copy, or share it with relevant parties.

Complete your Send Sharps Injury Form online to ensure proper documentation and safety.