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  • Kamco Trocatr Form

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58 Fax: (614) 644-3133 Instructions: This form is to be used to report needlestick or sharps injuries by personnel in your organization responsible for reporting such incidents to the Public Employment Risk Reduction Program. It is preferred that the public employer submit all forms via the Internet. Public employer information 1) Employer: 2) Facility: Risk #: 3) Address: 4) City: OH 5) State: 6) ZIP code: 7) County: Address of reporter if different from facility.

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How to fill out the Kamco Trocatr Form online

Filling out the Kamco Trocatr Form online is a straightforward process that requires attention to detail. This guide will walk you through each section of the form, ensuring that you provide the necessary information accurately for efficient processing.

Follow the steps to fill out the Kamco Trocatr Form online with ease.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the public employer information. You will need to fill in the employer name, facility name, risk number, address, city, state, ZIP code, and county.
  3. Provide the address of the reporter if it differs from the facility where the injury occurred, along with the date reported, the name of the reporter, and their phone number.
  4. Next, fill in the injury information section. This includes the date of injury, time of injury, age and sex of the injured individual, and the type of sharp involved.
  5. Indicate the brand name of the sharp if available, along with the model number and job classification of the injured person.
  6. Determine the employment status of the injured person and identify the work area where the injury occurred.
  7. Input the original intended use of the sharp and describe the type of location or facility where the injury occurred.
  8. Continue by specifying when the injury occurred—before, after, or during the use of the sharp—and provide additional information about how the injury occurred.
  9. Complete the section regarding the involved body part and indicate whether the device used had any engineered sharps injury protection.
  10. Finally, confirm whether the injured person was wearing gloves, had completed a hepatitis B vaccination series, and whether a sharps container was readily available. Provide information regarding training on exposure control and any opinions on preventative measures.
  11. Once all sections are filled out, review the form for accuracy. Then, save your changes, and proceed to download, print, or share the completed form as needed.

Complete your Kamco Trocatr Form online today to ensure prompt reporting and compliance.

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Kamco Trocatr Form
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2020 OH BWC SH-12
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