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OLD - DNU - Exposure Packet -- Updated 08.2016.pdf
Handle: Document-47242
Owner: Hanson, Jean (User-867, 07736:EVERETT)DS
Thursday, August 8, 2013 11:08:02 AM PDT
Wednesday, April 10, 2024 02:28:18 PM PDT
Modified By:
Locked By:
  • BLOODBORNE PATHOGEN EXPOSURE PACKET
Contains:1.
  • Exposure Procedures
2.
  • Incident Report Form
Complete even if employee does not seek medical attention.
  • The health care provider at
Conentra will determine if treatment is necessary.
  • YES _____ NO _____
Who was the source of the blood or other body fluid (please print name, address and phone number)If the source was a child, the building/department administrator must immediately notify the parent/guardian of the incident.
  • Information obtained by the testing of the student will not be
communicated with any employee of the district. I understand that I have the right to withdraw this autho...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
FILLABLE EXPOSURE PACKET Updated 07.2019.pdf
No
4
897457
No
Appears In: EMPLOYEE ON-THE-JOB INJURY FORMS
Preferred Version: FILLABLE EXPOSURE PACKET Updated 07.2019