Documents
- Exposure Control Program – Sample A (Word document)
- Exposure Control Program – Sample B (Word document)
Appendices for the sample programs are listed below:
- Appendix A: 1910.1030 Bloodborne Pathogens – OSHA Standard (website)
- Appendix B: Occupations at Risk (Word document)
- Appendix C: Sample Sharps Injury Log (Word document)
- Appendix D: Healthcare Professional’s Written Opinion for Hepatitis B Vaccination (Word document)
- Appendix E: Hepatitis B Vaccine Immunization Record (Word document)
- Appendix F: Declination Statement (Word document)
- Appendix G: Exposure Incident Report (Word document)
- Appendix H: Exposure Follow-Up Record (Word document)
- Appendix I: Written Opinion for Post-Exposure Evaluation and Follow-Up (Word document)
- Appendix J: Documentation of Source Individual (Word document)
- Appendix K: Request for Source Individual Evaluation (Word document)
- Appendix L: Employee Training Record (Word document)
- Appendix M: Safety Feature Evaluation Form (Word document)
- Appendix N: Resource List for Engineering Controls and Vaccine Safety (Word document)