APPENDIX VI: INDIVIDUALS APPLICABLE TO PROTECTION UNDER THE BLOODBORNE PATHOGEN PROGRAM

List the names of each individual in Group One and those in Group Two who were identified to have possible exposure.

Name Social Security Number Classification
1.      
2.      
3.      
4.      
5.      
6.      
7.      
8.      
9.      
10.      
11.      
12.      
13.      
14.      
15.      
16.      
17.      
18.      
19.      
20.      
21.      
22.      
23.      
24.      
25.      
26.      
27.      
28.      
29.      
30.      

Created 4/22/98

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Modified 3/01/02