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OSHA BLOODBORNE PATHOGENS STANDARD TRAINING RECORDDr. Doe DentalName of Dental Office/Practice/Facility000 Apple StreetAnytown USA 12345Address00/00/0000 Dr. John Doe, Jane DoeDate of trainingName(s)attended several seminars, etc., trainerQualifications* of person conducting trainingFORMSIGNATUREName of persons attending this training session:POSITION/TITLE4sCindy R.Michael T.Jane D.Erik B.Connie S.Jessica F.Dental AssistantDental AssistantDental AssistantDental HygienistDental HygienistReceptionistSAMPLEThis training record must be maintained for three years from the date of the training session.*Qualifications include: degrees, training experience, courses given and attended etc.OSHA EXPOSURE CONTROL PLAN…a member benefit from the WDA 32FORUSE IN
OSHA BLOODBORNE PATHOGENS STANDARD TRAINING RECORDFor use in this dental office/practice/facilityName of Dental Office/Practice/FacilityAddressDate of trainingQualifications* of person conducting trainingName(s)FORMSIGNATUREName of persons attending this training session:POSITION/TITLE4FORUSE INOFFICEThis training record must be maintained for three years from the date of the training session.*Qualifications include: degrees, training experience, courses given and attended etc.OSHA EXPOSURE CONTROL PLAN…a member benefit from the WDA 33
Page 4 and 5: TABLE OF CONTENTSHEPATITIS B VACCIN
Page 6 and 7: EXPOSURE CONTROL PLAN, PURPOSE AND
Page 8 and 9: EXPOSURE DETERMINATIONDEFINITIONOSH
Page 10 and 11: EXPOSURE DETERMINATION FORMFor use
Page 12 and 13: ENGINEERING AND WORK PRACTICE CONTR
Page 14 and 15: NEEDLESTICK SAFETY AND PREVENTION A
Page 20 and 21: PERSONAL PROTECTIVE EQUIPMENTThe pe
Page 22 and 23: PERSONAL PROTECTIVE EQUIPMENT CONTI
Page 24 and 25: HOUSEKEEPING CONTINUEDC. IN-HOUSE L
Page 26 and 27: HEPATITIS B VACCINATION AND ANTIBOD
Page 28 and 29: HEPATITIS B VACCINATION DECLINATION
Page 30 and 31: POST-EXPOSURE EVALUATION AND FOLLOW
Page 32 and 33: OCCUPATIONAL EXPOSURE INCIDENT REPO
Page 34 and 35: INFORMATION AND TRAININGIn this Den
Page 38 and 39: RECORD KEEPINGIn this Dental Office
Page 40 and 41: APPENDIXEMPLOYER REFERENCE PAGESOCC
Page 42 and 43: APPENDIXThe Hepatitis B vaccine doe
Page 44 and 45: APPENDIXEMPLOYER FREQUENTLY ASKED Q
Page 46 and 47: APPENDIXWEB SITES FOR REFERENCE DOC
Page 48 and 49: APPENDIXOSHA EXPOSURE CONTROL PLAN
Page 50 and 51: APPENDIXONLY FOR EMPLOYERS HIRING M
Page 52 and 53: OSHA EXPOSURE CONTROL PLAN…a memb

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