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Form C: Some Employees
WORK ACTIVITIES INVOLVING POTENTIAL EXPOSURE TO BLOODBORNE PATHOGENS
Below are listed the tasks and procedures in our school district where some employees handle human blood, body fluids, and other potentially infectious materials which may result in possible exposure to bloodborne pathogens:
TASK/PROCEDURE JOB TITLE DEPARTMENT/LOCATION
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |
| _________________________________ | ________________________ |

