Occupational exposure to bloodborne viruses: initial report form

Report incidents of healthcare workers' significant exposure to bloodborne viruses at work to Public Health England.



Use this form to report significant incidents of percutaneous or mucocutaneous exposure.

What is a significant incident of exposure?

A significant exposure is a percutaneous or mucocutaneous exposure to blood or other body fluids from a source patient who is infected with:

  • HIV
  • hepatitis B surface antigen positive (HBsAg positive)
  • hepatitis C

When to report incidents

  • report all occupational exposure injuries with a risk of HIV, Hepatitis B and/or Hepatitis C infection
  • report all incidents where the healthcare worker has started post-exposure prophylaxis (PEP), and the source patient HIV status is not known