Jenkins Academy of Applied Technology

Employer task instruction and understanding worksheet

Bloodborne Pathogens · Online knowledge course resource v1.0.0 · October 21, 2026

Save your entries: this form does not automatically store data. Print or save the completed form as PDF before closing. Blank fields mean evidence is pending. Keep medical details, vaccination decisions, test results and source identities out of ordinary training/shared files.

Use clean simulated materials and safe demonstrations only. This worksheet supports actual instruction, interactive questions and understanding. It is an Academy/employer tool; it does not impose the powered-truck practical-training/evaluation model on all BBP trainees. Do not create an exposure or use contaminated sharps for practice.

Learner name / job title / employer / facilitySession dates and initial / annual / additional reasonActual assigned tasks and plan/revision referenceKnowledgeable trainer name and qualificationsLanguage/vocabulary/assistance arrangements

Task understanding / safe demonstration	Observed explanation or demonstration / date / correction
Role and task Explains assigned tasks, actual blood/OPIM/routes, role boundaries and when to obtain trained assistance.	Demonstrated / needs correction / role-specific limitation, with evidence
Plan and regulatory access Locates current plan/copy method and regulation; explains relevant actual arrangements.	Demonstrated / needs correction / role-specific limitation, with evidence
Control readiness Finds required engineering/work controls, supplies and suitable containers; identifies missing/failed controls and stop action.	Demonstrated / needs correction / role-specific limitation, with evidence
Sharps and splash prevention Explains actual safer-device/collection methods and restrictions without using real contaminated sharps.	Demonstrated / needs correction / role-specific limitation, with evidence
PPE selection and use Selects actual suitable PPE for contact routes, checks fit/condition and identifies supply/alternative arrangements.	Demonstrated / needs correction / role-specific limitation, with evidence
PPE removal and containment Demonstrates taught removal with clean practice items, avoids contamination transfer and uses designated containment.	Demonstrated / needs correction / role-specific limitation, with evidence
Hand hygiene Shows actual location/method and explains after-removal and post-contact washing/flushing; understands any permitted temporary alternative.	Demonstrated / needs correction / role-specific limitation, with evidence
Cleanup/laundry/waste/labels Identifies actual labels and approved routes/methods; stays within trained duties and product instructions.	Demonstrated / needs correction / role-specific limitation, with evidence
Vaccine information and access Explains no-cost offer, benefits/safety/provider questions and later acceptance without disclosing personal status.	Demonstrated / needs correction / role-specific limitation, with evidence
Exposure response Uses a fictional scenario to explain prompt washing/flushing, reporting, backup/after-hours referral and no paperwork/source-results delay.	Demonstrated / needs correction / role-specific limitation, with evidence
Interactive questions Has actual opportunity for Q&A with the knowledgeable trainer and resolves questions/gaps.	Demonstrated / needs correction / role-specific limitation, with evidence
Records and change Distinguishes training/medical records and recognizes annual/change instruction and reporting of control problems.	Demonstrated / needs correction / role-specific limitation, with evidence

Interactive Q&A date/method and trainer; non-medical questions and responsesMisunderstandings, missing controls or access barriers; responsible person/actionsAdditional instruction / safe repeat demonstration and evidence/dateTrainer conclusion on actual task understanding and unresolved restrictionsLearner feedback: what helped safe work and what could make it difficult?Employer assignment/readiness decision and record reference

Attach the online core record as supporting evidence. Do not mark complete because a quiz or acknowledgment is present. Keep vaccination choices, test results and source information in the protected medical process.

Basis: 29 CFR 1910.1030(d), (g)(2); safe practice and evidence prompts are Academy design.