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Get 02 Sharps Injury Log 5-9-02 - Sisc - Sisc Kern
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How to use or fill out the 02 Sharps Injury Log 5-9-02 - SISC - Sisc Kern online
The 02 Sharps Injury Log 5-9-02 - SISC - Sisc Kern is an essential tool for documenting exposure incidents involving sharp objects. This guide will provide you with detailed, step-by-step instructions on how to fill out this important form online, ensuring that you capture all necessary information effectively.
Follow the steps to complete the form accurately.
- Press the ‘Get Form’ button to access the form and open it in your document editor.
- Begin by providing details about the incident. Fill in the 'School Site', 'Department', 'Address', 'City', 'State', 'Zip Code', and 'Phone No.' in the respective fields. Ensure that all information is accurate and up-to-date.
- Record the 'Date Filled Out' and the 'Date of Injury' using the format provided, ensuring the month, day, and year are correctly entered.
- Indicate the 'Time of Injury' by selecting either 'a.m.' or 'p.m.' and specify the exact time.
- Select the 'Sex' of the exposed individual by checking the corresponding box for 'M' or 'F'.
- Provide the 'Age' of the individual involved in the exposure incident.
- In the 'Description of the exposure incident' section, give a clear and concise description of what occurred.
- For 'Job Classification', check the box that best represents the role of the individual involved, such as 'Staff', 'School Nurse', 'Teacher', etc.
- Select the appropriate 'Department/Location' where the incident took place.
- In the 'Procedure' section, indicate which procedure was being performed at the time of the injury by checking the relevant box.
- Identify under which circumstances the exposure incident occurred by checking the applicable box in the 'Did the Exposure Incident Occur' section.
- Check all relevant body parts affected as described in the 'Body Part' section.
- Identify the sharp involved in the incident by completing the fields for 'Type', 'Brand', and 'Model', if known.
- Answer the questions regarding engineered sharps injury protection, indicating whether the device had such protection and if it was activated.
- Provide your opinion about whether the injury could have been prevented by an engineered sharps injury protection mechanism, using the space provided for explanations.
- Finally, save your changes to the document, and choose options to download, print, or share the completed form as needed.
Complete your documentation accurately by filling out the 02 Sharps Injury Log online today.
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