TB Skin Test Two-Step Tracking

Tracks healthcare worker two-step TB skin test or IGRA completion on hire and annual follow-up, including timing, results, and required documentation.

Employee Screening Record

• Employee TB screening record is present and assigned to the correct worker
• Screening type documented as two-step TST or IGRA
• Screening date documented
• Screening status documented

Two-Step TB Skin Test Timing

• First TST placement date documented
• First TST read date documented within the required reading window
• Second TST placement date documented and performed after the required interval
• Second TST read date documented within the required reading window
• Induration result documented for each TST step

IGRA / Result Interpretation

• IGRA result documented when applicable
• TB screening interpretation documented
• Positive or indeterminate result has documented follow-up
• Follow-up evaluation includes symptom review and referral as needed

Annual Surveillance and Hire Compliance

• Baseline TB screening completed at hire or onboarding
• Annual follow-up TB screening completed when required
• Annual screening date is within the required surveillance interval
• Any deferral, exemption, or alternative testing rationale documented

Documentation and OSHA Recordkeeping

• Laboratory or clinic report attached for each completed test
• Provider or occupational health review documented
• Work-related TB infection, if applicable, is documented for OSHA 300 Log review
• Record is complete, legible, and retained per policy