Get Safer Sharps Device Evaluation Form - The Orcbs - Orcbs Msu

Filling out the Safer Sharps Device Evaluation Form is an essential part of ensuring safety in the use of sharps devices. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully fill out the evaluation form.

1. Press the 'Get Form' button to obtain the form and open it for editing.
2. Begin by entering the evaluator's name in the designated field. This identifies who is completing the form.
3. Next, fill in your job title, which provides context about your role related to the evaluation.
4. Complete the department field to indicate where you work, establishing your affiliation.
5. Record the date of filling out the form to maintain a proper timeline for the evaluation.
6. Input the supervisor's name, which is important for accountability and follow-up.
7. Provide a contact telephone number for any necessary communication regarding the form.
8. In the section labeled 'Name of Device,' specify the name of the sharps device you are evaluating.
9. Fill in the name of the manufacturer to provide information about the source of the device.
10. Describe the applications of the device in the relevant field to understand its usage context.
11. Indicate the number of times this device has been used to help gauge its familiarity and reliability.
12. For each of the agreement statements provided, circle the number that best represents your level of agreement, using the scale from 1 (highest agreement) to 5 (lowest agreement). N/A may be used if a question does not apply.
13. Take special note of any problems related to the device in the comments section to address potential concerns.
14. Once all sections are complete, you can save your changes, download the completed form, print it, or share it as required.

Start filling out the Safer Sharps Device Evaluation Form online today!