| Teacher/Inspector |
Career-Technical
Program/Course/Room |
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Potentially Applicable Checklists Health Occupations Education |
Program Name
|
Dental Assistant Dental Laboratory Technician Emergency Medical Technician Health Aide Health Careers Health Occupatins Health Unit Coordinator/Ward Clerk Home Health Aide Medical Assistant |
Medical Office Management Medical Records Technician Medical Transcriber Nursing Assistant Nursing Assistant/Dental Assistant Nursing Assistant/Home Health Aide Nursing Assistant/Unit Secretary Practical Nursing |
|
Checklist |
|
|
Date |
Date |
| Accident Prevention Signs and Tags |
Yes |
______ |
__/__/__ |
__/__/__ |
| Personal Protective Equipment |
Yes |
______ |
__/__/__ |
__/__/__ |
| Bloodborne Pathogens (for programs that have the potential for exposure to bloodborne pathogens and other potentially infectious materials) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Compressed Gases (for programs that use compressed gas cylinders) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Flammable and Combustible Liquids (for programs which use flammable and combustible liquids) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Hazardous Waste (for programs that might generate hazardous waste) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Regulated Medical Waste (for programs that generate waste and sharps contaminated with blood or other infectious agents) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Respiratory Protection (for programs that use respirators to protect against inhaling harmful atmospheres) |
_____ |
______ |
__/__/__ |
__/__/__ |
| Toxic and Hazardous Substance Exposure (for programs where there may be excessive airbrone exposure) |
_____ |
______ |
__/__/__ |
__/__/__ |
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