Form

Occupational exposure to bloodborne viruses: initial report form

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

• From: Public Health England
• Published: 5 December 2012
• Last updated: 23 January 2025 — See all updates

This publication was withdrawn on 23 January 2025

This form has been withdrawn as it is no longer used by the laboratory.

Documents

[Withdrawn] Surveillance of occupational exposure to BBVs: initial report form

PDF, 138 KB, 1 page

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Details

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

Published 5 December 2012

Last updated 23 January 2025 + show all updates

1. 23 January 2025

   Uploaded the withdrawn version of the form.

2. 5 December 2012

   First published.