Get Michigan State University Sharps Injury Log 2017-2025

This guide provides detailed instructions on how to fill out the Michigan State University Sharps Injury Log for reporting a bloodborne pathogens exposure incident. By following these steps, users can ensure that all necessary information is accurately documented.

Follow the steps to complete the Sharps Injury Log

1. Press the ‘Get Form’ button to access the Sharps Injury Log. This will allow you to open the document and begin filling it out online.
2. Start by entering the claimant’s name and Net ID in the designated fields. This information is crucial to identify the individual involved in the incident.
3. Next, fill in the supervisor's name and their telephone number. Providing this contact information helps facilitate any necessary follow-up.
4. Input the date of birth of the claimant to verify their age. This information can be relevant for medical and legal purposes.
5. Select the gender of the claimant by filling in the appropriate circle for Male or Female.
6. Document the department where the incident occurred. This identifies the location associated with the exposure.
7. Enter the building and specific area where the injury took place to further detail the location of the incident.
8. Record the date and time of the injury. Please indicate a.m. or p.m. to provide precise timing.
9. Provide a thorough description of the exposure incident. This narrative should detail what happened and how the incident occurred.
10. Choose the procedure during which the exposure took place by selecting the appropriate option from the list provided.
11. Indicate which body parts were affected by checking all that apply. Be thorough to ensure complete documentation.
12. Select the job classification of the claimant from the provided categories to help understand the context of the exposure.
13. Identify the department/location where the exposure incident occurred by checking the relevant options.
14. Clarify how and when the exposure occurred by selecting from the options presented in the checklist.
15. If known, identify the sharp involved, including its type, brand, and model for accurate reporting.
16. Indicate whether the device had engineered sharps injury protection and whether the protective mechanism was activated during the exposure incident.
17. Answer questions regarding whether the injury protection could have prevented the injury or if other controls could have been useful. Provide explanations where necessary.
18. Once all fields are completed, save your changes. You may also choose to download, print, or share the form as needed.

Complete the Michigan State University Sharps Injury Log online today to ensure accurate reporting of exposure incidents.