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Bloodborne Pathogens: Hazard Assessment Worksheet Template

Hazard identification and assessment is the first step in controlling bloodborne pathogens hazards. While hazard assessment methods vary, it must be performed by a competent person with knowledge of BBPs and the operations carried out. At a minimum, it should evaluate:

  • Particular jobs or tasks that may involve BBP exposure hazards;
  • The specific hazards posed;
  • A characterization of whether those hazards pose high, medium, or low risk;
  • The current controls in place to manage those hazards, including engineering controls, work/administrative controls, and PPE;
  • Additional measures needed to control the hazards identified; and
  • The person responsible for implementing those measures.

Here’s a BBP hazard assessment worksheet that you can adapt.

Bloodborne Pathogens Hazard Assessment & Control Sheet

ABC Company Facility Name: _______________________________________________

Job or Task Potential or Existing Hazard Hazard Risk Assessment

High/Medium/Low risk based on Probability, Frequency, Severity

 Controls in Place

Engineer

 Controls in Place

Adm.

 Controls in Place

PPE

 Follow Up Actions Needed Responsible Person & Date
Blood collection at bedside BBP exposure from needlestick Medium *Safety engineered needles

*Needleless systems

*Point of use sharps containers

 *Safe work procedures

*Blood collection routines

*HCW Training

 Gloves

*Gowns and protective clothing

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