Checklist of E/OHS Activities for Bloodborne Pathogens

Program Contact Person: Sue Wear

Is the Bloodborne Pathogens Written Plan in place? Yes No

Note: Plan is located in nurse’s office.
Has the Plan been reviewed this school year? Yes No

List job categories that may be at risk to exposure:

Nurse Playground supervisors
First aid providers Custodial/Maintenance
Special Ed. Staff Bus Drivers
P.E. Staff Coaches

What is this school’s policy regarding Hepatitis B vaccinations for employees

considered at risk versus employees considered not at risk in the Exposure Control
Plan? Vaccinations are offered to “at-risk” staff

Is training provided at this school on methods and techniques to reduce exposure

incidents? Yes. Training is provided at All-staff, meetings held each fall.

New Employees: Training is provided by the School Nurse within ten days of
employment.

Have the employees identified as first aid responders been given, at a minimum, Red
Cross First Aid Training? Yes No N/A

Are Exposure Control Kits available to staff? Yes No N/A

Location(s): All classrooms, Custodial carts, Art Rm., Wood Shop, Nurses office, Boiler
Rm. Chemistry lab, Custodial work area.

Status of Declination forms: Acceptance /Declination forms are maintained by the

School Nurse, Sue Wear. These records are stored in securely in the District Office
Records Room.

How is blood or bodily-fluid-containing materials handled at this facility?

Policy regarding cleanup: Custodians are required to respond to bodily fluid spills

Location of biohazard bags at school: Nurses office and the custodial storage area

Approved disposal location for biohazardous waste: