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• Documentation of the route of exposure and circumstances under which exposure occurred. • The exposed employee's relevant medical records including vaccination status. 6.4.4. Healthcare Professional written opinion • A copy of the evaluating Healthcare Professional's written opinion shall be obtained and provided to the employer within 15 days of the completion of the evaluation. The written opinion shall be limited to the following information: • Whether HB vaccination is indicated for the employee and if the employee has received such vaccination. • That the employee has been informed of the results of the evaluation. • That the employee has been told about any medical conditions resulting form exposure to blood or other potentially infectious materials which require further evaluation or treatment. • All other findings or diagnosis will remain confidential and will not be included in the written report. 6.4.5. Procedure Evaluation — The procedures for evaluation of an exposure incident are as follows: • Investigate the circumstances surrounding the incident. • Evaluate the policies in place at the time when the incident occurred. • List the engineering controls in place when the incident occurred. • List the work practices and protective equipment used at the time of incident. • Determine the cause(s) of failure(s) that allowed the incident to occur. • Identify corrective actions to preclude a repeat of a similar incident. 6.4.6. Record Keeping • Medical Records — The company must keep all medical records for employees with occupational exposure to infectious materials for the duration of their employment plus 30 years. All records are confidential. Medical files shall be established for each employee by name and Social Security Number and will include the following: • A copy of the employee's Hepatitis B vaccine status including dates of vaccination or copy of the signed declination. • The actual incidents when exposure or potential exposure occurred. Include time and date of incident, how it occurred, and the results of tests performed on the employee. • Copy of the results from a medical examination following an exposure incident. • A copy of the healthcare professional's written opinion as required. • A copy of the information provided to the healthcare professional as required. 6.4.7. Training Records — All training records must be maintained for three years and include the following information: • Dates of the training sessions. 12.09 -23-