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Form SH-12 (BWC-6611) Sharps Injury Form - Needlestick Report - Ohio
What Is Form SH-12 (BWC-6611)?
This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SH-12 (BWC-6611)?A: Form SH-12 (BWC-6611) is the Sharps Injury Form, also known as the Needlestick Report, used in Ohio.
Q: What is the purpose of Form SH-12?A: The purpose of Form SH-12 is to report needlestick injuries or other sharps-related incidents.
Q: Who should use Form SH-12?A: Form SH-12 should be used by individuals who have experienced a sharps injury or similar incident in Ohio.
Q: How do I obtain Form SH-12?A: Form SH-12 can be obtained from the appropriate authorities or organization responsible for workplace safety in Ohio.
Q: What information is required on Form SH-12?A: Form SH-12 requires information such as the date and time of the incident, details of the injury, and information about the patient or the source of the injury.
Form Details:
- Released on October 2, 2020;
- The latest edition provided by the Ohio Bureau of Workers' Compensation;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form SH-12 (BWC-6611) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.
Download Form SH-12 (BWC-6611) Sharps Injury Form - Needlestick Report - Ohio
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