A standardized form for documenting and reporting needle stick injuries in clinical settings.

This downloadable Needle Stick Injury Report Form is essential for medspas, IV therapy clinics, and medical offices committed to workplace safety and OSHA compliance. Designed to streamline incident documentation, it includes fields for date, time, device, location, immediate actions, source patient testing, and follow-up care.

It also features space for supervisor comments and safety recommendations, supporting standardized reporting and continuous improvement. Ideal for protecting staff and maintaining regulatory standards, this form helps healthcare providers manage needle stick injuries with confidence and clarity. Download now to integrate it into your clinic’s safety protocol and daily operations.