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Run: Bus Bloodborne Pathogen Cleanup Report

Use this bus bloodborne pathogen cleanup report to document scene control, PPE, decontamination, waste disposal, and return-to-service checks after a blood o...

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Incident and Vehicle Identification

Incident date and time recorded critical (required)

Note (optional)

Bus identifier, route number, and location documented critical (required)

Type of material identified as blood or other potentially infectious material (OPIM) critical (required)

Note (optional)

Cleanup performed by trained and authorized personnel critical (required)

Yes No N/A

PPE and Biohazard Kit Use

Appropriate PPE worn during cleanup critical (required)

Note (optional)

Biohazard cleanup kit available and used critical (required)

Yes No N/A

Absorbent materials, disinfectant, and disposal bags used from kit critical (required)

Yes No N/A

PPE removed and discarded without self-contamination critical (required)

Yes No N/A

Decontamination and Waste Disposal

Visible contamination removed from all affected surfaces critical (required)

Yes No N/A

EPA-registered disinfectant used according to label directions critical (required)

Yes No N/A

Required contact time achieved before surface reuse critical (required)

Note (optional)

Contaminated waste sealed, labeled, and disposed of per regulated waste procedure critical (required)

Yes No N/A

Post-Cleanup Verification and Follow-Up

Affected area inspected and found free of visible residue or odor critical (required)

Yes No N/A

Bus returned to service only after cleanup verification critical (required)

Yes No N/A

Exposure control plan follow-up required

Yes No N/A

Note (optional)

Supervisor review and inspector signature completed critical (required)

Get your results

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Run: Bus Bloodborne Pathogen Cleanup Report

Incident and Vehicle Identification

Scene Control and Exposure Prevention

PPE and Biohazard Kit Use

Decontamination and Waste Disposal

Post-Cleanup Verification and Follow-Up

Get your results