Needlestick / exposure incident log

Studio: [STUDIO NAME]

Use this template to document every needlestick injury, splash exposure, or BBV-related incident. One sheet per incident. File securely. Retain indefinitely.

1. Incident summary

Field	Detail
Date of incident
Time of incident
Person affected (name)
Role	□ Artist □ Apprentice □ Assistant □ Cleaner □ Other:
Location in studio

2. What happened

Detail	Information
Mechanism	□ Needlestick from used cartridge □ Splash to broken skin □ Splash to eye □ Splash to mouth □ Other:
Source client (name, session ID)
Procedure being performed
Was the cartridge / needle in active use at time of injury?	Y/N
Was blood visibly present?	Y/N
Description of what happened

3. Vaccination status of affected person

Status	Y/N	Date
Hep B vaccination course completed
Anti-HBs antibody titre confirmed protective (≥10 mIU/mL)
Other relevant vaccinations

4. First aid given

Tick all that apply, note time given.

Action	Time	Done by
Wound encouraged to bleed
Washed with soap and water (3-5 minutes)
Eye irrigated with saline/water (10-15 minutes)
Mouth rinsed
Waterproof dressing applied

5. Medical assessment

Field	Detail
Sought medical advice at	□ A&E □ Occupational health □ NHS 111 □ GP □ Other:
Time presented
Hospital / clinic
Medical staff name
HIV PEP started?	Y/N, time started:
Hep B post-exposure (booster, HBIG)?	Y/N, detail:
Baseline blood tests taken?	Y/N, date:
Follow-up appointments scheduled

6. RIDDOR assessment

Question	Y/N
Has this incident resulted in BBV infection?
Is this a "specified injury" under RIDDOR Schedule 1?
Has the affected person been incapacitated for 7+ consecutive days?
Is RIDDOR reporting required?
If yes, date reported to HSE
Online RIDDOR reference

HSE RIDDOR reporting form

7. Follow-up testing schedule

Test	Due date	Result	Date completed
Baseline (HIV, HBV, HCV)	within 7 days
HIV antibody at 6 weeks
HIV antibody, HCV antibody, HBV markers at 12 weeks
HCV antibody at 6 months
Final clearance documentation

8. Studio review and prevention

Discussed at studio meeting on: ____________________

What can the studio do to prevent recurrence?

Action	Owner	Due date	Completed

9. Communication

• Affected person notified of follow-up plan: Y/N
• Source client notified (if relevant): Y/N, clinical privacy considerations followed
• Studio insurer notified: Y/N, date:
• Council notified (if relevant): Y/N

10. Sign-off

Completed by: ____________________
Role: ____________________
Date: ____________________
Signature: ____________________

Studio principal / manager sign-off: ____________________
Date: ____________________

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Cross-reference

See needlestick injury protocol for the full clinical and procedural framework, and bloodborne viruses and vaccination for the broader BBV context.

Adaptation notes for studios: keep blank copies in the studio first aid area. Train every staff member on where to find them. Complete promptly after any incident, memory degrades quickly and accurate documentation matters for both medical follow-up and any later claim or regulatory question.