OCC-9, Employee Education and Training Record - New Jersey
New Jersey Department of Health
PEOSH Unit
EMPLOYEE EDUCATION AND TRAINING RECORD
|Name of Employee (Print) |Date of Hire |
|Job Title |Date Assigned |
|INITIAL TRAINING |
|SUBJECT |DATE |LOCATION |TRAINER |EMPLOYEE SIGNATURE |
|a. The Standard | | | | |
|b. Epidemiology and Symptoms of | | | | |
|Bloodborne Diseases | | | | |
|c. Modes of Transmission | | | | |
|d. Exposure Control Plan | | | | |
|e. Recognizing Potential Exposure | | | | |
|f. Use and Limitations of Exposure | | | | |
|Control Methods | | | | |
|g. Personal Protective Equipment | | | | |
|(PPE) | | | | |
|h. Selection of PPE | | | | |
|i. HBV Immunization Program | | | | |
|j. Emergencies Involving Blood or | | | | |
|Potentially Infectious Materials | | | | |
|k. Exposure Follow-up Procedures | | | | |
|l. Post Exposure Evaluation and | | | | |
|Follow-up | | | | |
|m. Signs and Labels | | | | |
|n. Opportunity to Ask Questions | | | | |
|ADDITIONAL TRAINING |
|SUBJECT |DATE |LOCATION |TRAINER |EMPLOYEE SIGNATURE |
| | | | | |
| | | | | |
|ANNUAL RETRAINING |
|SUBJECT |DATE |LOCATION |TRAINER |EMPLOYEE SIGNATURE |
| | | | | |
| | | | | |
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