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Run: TB Skin Test Two-Step Tracking

Track two-step TB skin test or IGRA completion for healthcare workers at hire and on annual follow-up. This template helps you verify timing, results, follow...

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Employee Screening Record

Employee TB screening record is present and assigned to the correct worker critical (required)

Yes No N/A

Screening type documented as two-step TST or IGRA critical (required)

Screening date documented critical (required)

Screening status documented critical (required)

Two-Step TB Skin Test Timing

First TST placement date documented

First TST read date documented within the required reading window critical (required)

Second TST placement date documented and performed after the required interval critical (required)

Second TST read date documented within the required reading window critical (required)

Induration result documented for each TST step critical (required)

IGRA / Result Interpretation

IGRA result documented when applicable

TB screening interpretation documented critical (required)

Positive or indeterminate result has documented follow-up critical (required)

Yes No N/A

Follow-up evaluation includes symptom review and referral as needed

Yes No N/A

Annual Surveillance and Hire Compliance

Baseline TB screening completed at hire or onboarding critical (required)

Yes No N/A

Annual follow-up TB screening completed when required critical (required)

Yes No N/A

Annual screening date is within the required surveillance interval

Any deferral, exemption, or alternative testing rationale documented

Yes No N/A

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Run: TB Skin Test Two-Step Tracking

Employee Screening Record

Two-Step TB Skin Test Timing

IGRA / Result Interpretation

Annual Surveillance and Hire Compliance

Documentation and OSHA Recordkeeping

Get your results