21 Bloodborne Pathogens Environmental Health and Safety Appendix I Supervisor Checklist for use of Human Blood or Other Potentially Infectious Materials Use this checklist to ensure that proper procedures have been followed before beginning any work with human blood or other potentially infectious materials. 1 Exposure Determination Click here to jump to this section of the manual 9A list has been prepared of individual personnel required to participate in the Bloodborne Pathogens Exposure Control Program. (see Section B) 2 Medical Surveillance Click here to jump to this section of the manual 9All affected personnel have either received Hepatitis B vaccinations or been offered the vaccinations and completed a Consent or Decline of Vaccination Form (Appendix II). 9Forms for personnel declining Hepatitis B vaccination are kept in department files. 9Procedures are in place to respond to an exposure incident (Post-exposure evaluation offered immediately at no cost to affected individual, incident reporting online, and all incidents evaluated to prevent repeat occurrences). 3 Training and Information Click here to jump to this section of the manual 9All personnel have completed a Hazard Inventory. 9All affected personnel have completed Bloodborne Pathogens and Sharps Safety training within the last year and all new affected personnel have completed the training prior to their first assignment involving potential exposure. 9All affected personnel have received training on work site specific practices. 9Records are kept documenting all training. 4 Safe Work Practices Click here to jump to this section of the manual 9All affected employees are following universal precautions. 9Appropriate personal protective equipment is provided at no cost to personnel. 9Handwashing and eyewash facilities, biohazard warning labels, and door signs are provided. 9Alternative safer sharps devices are used wherever it will reduce personnel exposure. 9Evaluations of alternative safer sharps devices are documented annually in writing using Safety Feature Evaluation Forms for Safer Sharps Devices (Appendix II).
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