Fairfax Virginia Hepatitis B Vaccine Acceptance Declination Form

State:
Multi-State
County:
Fairfax
Control #:
US-0509BG
Format:
PDF
Instant download

Description

The Occupational Safety and Health Act was passed to insure that employees have a safe place at which to work. The Occupational Safety and Health Administration, known as OSHA, was formed to enforce this Act. Completion of this form is a requirement of O

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FAQ

Hepatitis B vaccine can prevent hepatitis B. Hepatitis B is a liver disease that can cause mild illness lasting a few weeks, or it can lead to a serious, lifelong illness.

Who should NOT receive hepatitis B vaccine? People who had a serious allergic reaction to one dose of hepatitis B vaccine should not have another dose of hepatitis B vaccine. People with a history of a serious allergy to yeast should not receive this vaccine.

The Department of Defense recently updated its immunization guidelines, requiring all service members to receive the hepatitis B virus immunizations.

29 CFR § 1910.1030 requires employers to make available the hepatitis B vaccine and vaccine series to all employees who have occupational exposure. The employer must ensure that the hepatitis B vaccine and vaccination series and follow-up is made available at no cost to the employee.

That's why health experts recommend that all babies get the vaccine right from birth. The HepB injection usually creates long-term immunity. Most infants who get the HepB series are protected from hepatitis B infection beyond childhood, into their adult years.

Since everyone is at some risk, all adults should seriously consider getting the hepatitis B vaccine for a lifetime protection against a preventable chronic liver disease.

The easiest method to document properly why the hepatitis B vaccination was not given is simply to have the employee sign the declination form regardless of the reason. The declination form provides a clear and written record of why the vaccination was not performed.

A4. If an employee declines the hepatitis B vaccination, the employer must ensure that the employee signs a hepatitis B vaccine declination.

Employers must ensure that workers who decline vaccination sign a declination form. The purpose of this is to encourage greater participation in the vaccination program by stating that a worker declin- ing the vaccination remains at risk of acquiring hepatitis B.

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Fairfax Virginia Hepatitis B Vaccine Acceptance Declination Form