Recordkeeping

Q. What is contained in the medical record?

A. The medical record includes the name and social security number of the employee; a copy of the employee’s hepatitis B vaccination status including the dates of all the hepatitis B vaccinations, and any medical records relative to the employee’s ability to receive the vaccination; copies of all results of examinations, medical testing, and the follow-up procedures; copies of the healthcare professional’s written opinion; and a copy of the information provided to the healthcare professional.

Q. Who keeps the medical records?

A. The employer is responsible for the establishment and maintenance of medical records. However, these records may be kept off-site at the location of the healthcare provider.

Q. How long must the medical records be kept?

A. Medical records must be kept for the duration of employment plus 30 years.

Q. What information must be included on the sharps injury log?

A. The sharps injury log, which protects the confidentiality of the injured employee, must contain at a minimum, the type and brand of device involved in the incident; the department or work area where the exposure incident occurred; and an explanation of how the incident occurred.

Q. How long must the sharps injury log be retained?

A. The sharps injury log must be retained for five years following the end of the year to which it relates.

Q. What is included in the training record?

A. The training record contains the dates of the training, the contents or a summary of the training sessions, the names and job titles of all persons attending the training, and the names and qualifications of the persons conducting the training.

Q. How long must the training records be kept?

A. Training records must be retained for three years from the training date.