Doc No:
O’Donnell Snider Construction
Initial Issue Date
10/03/2017
Revision Date:
05/08/2020
Revision No.
SAFETY AND HEALTH MANAGEMENT SYSTEM
SHMS
Next Review Date: Page:
2 05/08/2021 56 of 289
POST-EXPOSURE EVALUATION AND FOLLOW-UP CHECKLIST The following steps must be taken, and information transmitted, in the case of an employee's exposure to blood borne pathogens:
ACTIVITY
COMPLETION DATE
Employee furnished with documentation regarding exposure incident. Source individual identified. ( ) Source individual Appointment arranged for employee with healthcare professional. ( ) Professional's name Documentation forwarded to healthcare professional Blood borne Pathogens Standard Description of exposed employee's duties Description of exposure incident, including routes of exposure
Uncontrolled copy if printed. Valid on day of printing only.
Printed on: 17 August 2020
O’Donnell Snider Construction
