Sharps Injury Log Form PDF Details

In the realm of workplace safety, particularly within healthcare settings, maintaining rigorous documentation is a cornerstone for ensuring a secure environment for both employees and employers. Among these critical documents is the Sharps Injury Log, a meticulously designed record-keeping tool mandated by the Occupational Safety and Health Administration (OSHA) under the 1910.1030 Bloodborne Pathogens standard. This form serves a pivotal role in tracking injuries caused by needles and other sharp medical instruments that may be contaminated, helping prevent future incidents and safeguard workers. The log details specifics such as the date and time of the incident, the type, brand, and model of the device involved, along with the department or work area where the injury occurred, and a description of how the event unfolded. Revised in February 2016, the format of the Sharps Injury Log underscores the importance of confidentiality, ensuring sensitive information about the injured worker is meticulously protected, reflecting a commitment to both employee safety and privacy rights.

QuestionAnswer
Form NameSharps Injury Log Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesblank workout log pdf, coaguchek log form, downloadable osha sharps injury log, sharps injury log

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OSHA

Sharps Injury Log

Facility/Location:_____________________________________________________________ Year:_________________________________________________________

Address:____________________________________________________________________

1910.1030 Bloodborne Pathogens standard states that the employer shall establish and maintain a Sharps Injury Log for the recording of percutaneous injuries from contaminated sharps. The information in the Sharps Injury Log shall be recorded and maintained in such manner as to protect the confidentiality of the injured worker.

 

Date/Time

Type, Brand, Model, of Device

Department or Work Area

 

Describe How the Incident Occurred

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revised 2/2016

Revised 2/2016