Form SH-12 (BWC-6611) Sharps Injury Form Needlestick Report - Ohio

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Form SH-12 (BWC-6611) Sharps Injury Form Needlestick Report - Ohio

What Is Form SH-12 (BWC-6611)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form SH-12 (BWC-6611) Sharps Injury Form Needlestick Report?
A: Form SH-12 (BWC-6611) is a sharps injury form used to report needlestick injuries in Ohio.

Q: What is a needlestick injury?
A: A needlestick injury is an accidental puncture or penetration of the skin by a needle or other sharp object.

Q: Who should use Form SH-12 (BWC-6611)?
A: Form SH-12 (BWC-6611) should be used by employees in Ohio who experience a needlestick injury.

Q: What information is required on Form SH-12 (BWC-6611)?
A: Form SH-12 (BWC-6611) requires information such as the date and time of the injury, the type of sharp object involved, and the circumstances of the injury.

Q: Why is it important to report needlestick injuries?
A: Reporting needlestick injuries is important to ensure that appropriate medical treatment and follow-up can be provided, and to prevent the spread of infections.

Q: Is Form SH-12 (BWC-6611) confidential?
A: Yes, the information provided on Form SH-12 (BWC-6611) is confidential and protected by privacy laws.

Q: What should I do if I experience a needlestick injury?
A: If you experience a needlestick injury, you should immediately wash the affected area with soap and water, seek medical attention, and complete Form SH-12 (BWC-6611) to report the incident.

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Form Details:

  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SH-12 (BWC-6611) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form SH-12 (BWC-6611) Sharps Injury Form Needlestick Report - Ohio

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