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Sharps injuries are a significant injury and health hazard for health care workers and also result in a number of direct and indirect organizational costs. The facility where the injury occurred should complete the form and submit it to the local health authority where the facility is located.Learn more about the Contaminated Sharps Injury Reporting Instructions. Find how to report contaminated sharps injury and where to obtain a reporting form. Edit, sign, and share needle stick injury incident report sample online. No need to install software, just go to DocHub, and sign up instantly and for free. Sharps Injury Report. Page 1 of 2. Confidential. The International Safety Center reports on healthcare worker exposures in the workplace. Review ISC reports or request repots on data subsets.