An exposure and near-miss log with sections for the header, sequence of events, exposure details, immediate actions and medical referral, contributing factors, corrective actions, confidentiality, distribution and signatures, and a review rollup.
Notes on paper or in a file
Capture the near-miss and exposure notes your site wants on paper or in a file. It sits beside your records system and does not replace it. The form holds no medical or private data.
Get the kit
Buy the blank Word file. Your file is emailed within about an hour of purchase. 7-day refund.