On-Board Biohazard Exposure Report
Date of Report
Time of Incident
Reported By
Position/Title
Location (Vessel/Area)
Exposure Type
Blood
Bodily Fluids
Needlestick/Splash
Other
Person(s) Exposed
Description of Incident
Immediate Actions Taken
Medical Evaluation Provided
Yes
No
Follow-Up Required
Yes
No
Additional Notes