Workplace Injuries Involving Exposure to Blood or OPIM
Forms
Exposure Incident Investigation Form
(AIP2040)
Report of Health Care Provider
(AIP2050)
Sharps Injury Log – Incident Report
(AIP2060)
Instructions
As described in the Workplace Injuries section, Cal/OSHA includes specific reporting requirements for serious workplace injuries and illnesses. Cal/OSHA includes additional reporting requirements for “exposure incidents” involving exposure to blood or other potentially infectious material (“OPIM”).
According to California’s Bloodborne Pathogen Standard, “exposure incident” means means specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious material that results from the performance of an employee’s duties. (8 C.C.R. § 5193(b).)
Pursuant to Cal/OSHA, employers must implement the following procedures after an exposure incident:
- Immediately make available a free and confidential medical evaluation to the exposed employee.
- Provide the evaluating healthcare professional with detailed information regarding the incident and obtain a written report from the evaluating healthcare professional. The evaluating healthcare professional must provide the written report to the employee within 15 days of the evaluation. (Purchase the Report of Healthcare Provider (Post Exposure Incident) using the button above.)
- Investigate and document how the exposure incident occurred. (Purchase the Bloodborne Pathogen Exposure Incident Investigation using the button above.)
- If the exposure incident involved a sharp object, fill out a report in the employer’s Sharps Injury Log. (Purchase the Sharps Injury Log — Incident Report using the button above.)
- Identify and document the individual who is the source of the exposure, unless the employer can establish that identification is not feasible or is prohibited by state or local law.
- Test the source individual’s blood to determine hepatitis and HIV infectivity (as soon as feasible after the individual’s consent is obtained), or establish and document that legally required consent could not be obtained.
- Make the results of the testing available to the exposed employee and inform the employee of applicable laws and regulations limiting disclosure of the identity of the source individual.
- Collect and test the exposed employee’s blood for hepatitis and HIV (as soon as feasible after the employee’s consent is obtained).
- Provide the exposed employee with post-exposure prophylaxis, when medically indicated, as recommended by the U.S. Public Health Service.
- Provide the exposed employee with counseling and evaluation of the reported illnesses.
The National Clinicians’ Post-Exposure Prophylaxis Hotline (PEPline) offers advice to treating clinicians on managing occupational exposure to HIV, hepatitis, and other blood-borne pathogens. This service, which is supported by the Centers for Disease Control and Prevention and the AIDS Education and Training Center, is available at (888) 448-4911 or at www.nccc.ucsf.edu
