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POST-EXPOSURE EVALUATION AND FOLLOW-UP CHECKLIST
SAFETY AND HEALTH MANAGEMENT SYSTEM
Doc No: SHMS
Initial Issue Date 10/03/2017
Revision Date: 05/08/2020 Revision No. 2 Next Review Date: 05/08/2021 Page: 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
