This version of the form is not currently in use and is provided for reference only. Download this version of Form SH-12 (BWC-6611) for the current year.
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.
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.
Form Details:
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.