Arizona Free Printable Job Safety Law Posters Arizona Work Exposure To Bodily Fluids (HIV, AIDS, Hepatitis C) Required

The Work Exposure To Bodily Fluids (HIV, AIDS, Hepatitis C) is a job safety law poster by the Arizona Industrial Commission. This is a mandatory posting for all employers in Arizona, and businesses who fail to comply may be subject to fines or sanctions.

This poster, written in both English and Spanish, must be posted in a conspicuous place where all employees will see it. The poster talks about the rights that employees have if exposed to any kind of fluid that might result in that employee acquiring any of the diseases: HIV, AIDS or Hepatitis C.


AZ All-In-One Labor Poster: Instead of printing out dozens of posters, employers can also purchase an all-in-one poster that covers both Arizona and Federal poster requirements by clicking here .

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ICA FORM 04-615-01 
WORK EXPOSURE TO BODILY FLUIDS 
 
NOTICE TO EMPLOYEES 
 
Re:  Human Immunodeficiency Virus (HIV), 
Acquired Immune Deficiency Syndrome (AIDS) & Hepatitis C 
 
 Employees  are  notified  that  a  claim  may  be  made  for  a  condition,  infection,  disease,  or 
disability  involving  or  related  to  the  Human  Immunodeficiency  Virus  (HIV),  Acquired  Immune 
Deficiency  Syndrome  (AIDS),  or  Hepatitis  C  within  the  provisions  of  the  Arizona  Workers’ 
Compensation Law, and the rules of The Industrial Commission of Arizona.  Such a claim shall 
include  the  occurrence  of  a  significant  exposure  at  work,  which  generally  means  contact  of  an 
employee’s  ruptured  or  broken  skin  or  mucous  membrane  with  a  person’s  blood,  semen, 
vaginal  fluid,  surgical  fluid(s)  or  any  other  fluid(s)  containing  blood.   AN EMPLOYEE  MUST 
CONSULT A PHYSICIAN TO SUPPORT A CLAIM.  Claims cannot arise from sexual activity or 
illegal drug use. 
 
 Certain classes of employees may more easily establish a claim related to HIV, AIDS, or 
Hepatitis C if they meet the following requirements: 
 
1. The  employee’s  regular  course  of  employment  involves  handling  or  exposure  to 
blood,  semen,  vaginal  fluid,  surgical  fluid(s)  or  any  other  fluid(s)  containing  blood.    Included  in 
this  category  are  health  care  providers,  forensic  laboratory  workers, fire  fighters,  law 
enforcement officers, emergency medical technicians, paramedics and correctional officers. 
 
2. NO  LATER  THAN  TEN  (10)  CALENDAR  DAYS after  a  possible  significant 
exposure  which  arises  out  of  and  in  the  course  of  employment,  the  employee  reports  in  writing 
to the employer the details of the exposure as provided by Commission rules.  Reporting forms 
are available at the office of this employer or from the Industrial Commission of Arizona, 800 W. 
Washington,  Phoenix,  Arizona  85007,  (602)  542-4661  or  2675  E.  Broadway,  Tucson,  Arizona 
85716,  (520)  628-5181.    If  an  employee  chooses  not  to  complete  the  reporting  form,  that 
employee may be at risk of losing a prima facie claim. 
 
3. NO  LATER  THAN  TEN  (10)  CALENDAR  DAYS after  the  possible  significant 
exposure  the  employee  has  blood  drawn,  and NO  LATER  THAN  THIRTY  (30)  CALENDAR 
DAYS the blood is tested for HIV OR HEPATITIS C by antibody testing and the test results are 
negative. 
 
4. NO  LATER  THAN  EIGHTEEN  (18)  MONTHS after  the  date  of  the  possible 
significant  exposure  at  work,  the  employee  is  retested  and  the  results  of  the  test  are  HIV 
positive or the employee has been diagnosed as positive for the presence of HIV, or NO LATER 
THAN  SEVEN  (7)  MONTHS after  the  date  of  the  possible  significant  exposure  at work,  the 
employee  is  retested  and  the  results  of  the  test  are  positive  for  the  presence  of  Hepatitis  C  or 
the employee has been diagnosed as positive for the presence of Hepatitis C. 
 
 
KEEP POSTED IN CONSPICUOUS PLACE 
NEXT TO WORKERS’ COMPENSATION NOTICE TO EMPLOYEES 
 
THIS NOTICE IS APPROVED BY THE INDUSTRIAL 
COMMISSION OF ARIZONA FOR CARRIER USE

ICA FORM 04-615-01 
EXPOSICION A FLUIDOS CORPORALES EN EL TRABAJO 
 
AVISO A LOS EMPLEADOS 
 
Re:  El Virus de la Inmunodeficiencia Humana (VIH), 
Síndrome de la Inmundeficiencia Adquirida (SIDA) y Hepatitis C 
 
 Se  les  notifica  a  los  empleados  que  se  puede  hacer  una  reclamación  por  una  condición, 
infección,  enfermedad  o  incapacidad  relacionada  con  o  derivada  del  Virus  de  Inmunodeficiencia 
Humana  (VIH),  Síndrome  de  Inmunodeficiencia  Adquirida  (SIDA),  o  Hepatitis  C  bajo  lo  provisto  por 
la Ley de Compensación para los Trabajadores de Arizona y las reglas de La Comisión Industrial de 
Arizona.   Tal  reclamación  debe  incluír  el  suceso  de  una  exposición  importante  en  el  trabajo,  la  que 
por lo general significa contacto de alguna ruptura de la piel o mucosa del empleado con la sangre, 
semen,  fluido  vaginal,  fluido(s)  quirúrgico(s)  o  cualquier  otro  fluido  de  una  persona  que  contenga 
sangre.   EL  EMPLEADO  DEBE  CONSULTAR  A  UN  MEDICO  PARA  CONFIRMAR  SU 
RECLAMACION.  Las reclamaciones no pueden resultar de actividad sexual o uso ilícito de drogas. 
 
 Ciertas  clases  de  empleados  pueden  establecer  más  fácilmente  una  reclamación 
relacionada con el VIH, SIDA O Hepatitis C si reúnen los requisitos siguientes: 
 
1. El  curso  regular  del  empleo  del  empleado  requiere  el  manejo  de  o  la  exposición  a 
sangre,  semen,  fluido  vaginal,  fluido(s)  quirúrgico(s)  o  cualquier  otro  fluido  que  contenga  sangre.  
Incluídos  en  esta  categoría  son  los  proveedores  de  cuidados  de  la  salud, trabajadores  de 
laboratorios forenses, bomberos, agentes policiales, técnicos médicos de emergencia, paramédicos 
y agentes correccionales. 
 
2. NO  MAS  DE  DIEZ  (10)  DIAS  DE  CALENDARIO después  de  una  possible 
exposición  importante  que  resulta  de  y  en  el  curso  de  su  trabajo,  el  empleado  reporta  a  su  patrón 
por escrito  los  detalles  de  la  exposición  como lo proveen las  reglas  de  la Comisión.   Las formas  de 
reporte están disponibles en la oficina de este patrón o de la Comisión Industrial de Arizona, 800 W. 
Washington, Phoenix, Arizona 85007, (602) 542-4661 o 2675 E. Broadway, Tucson, Arizona 85716, 
(520)  628-5181.    Si  un  empleado  elige  no  llenar  la  forma  de  reporte,  ese  empleado  corre  el  riesgo 
de perder una reclamación de prima facie. 
 
3. NO MAS DE DIEZ (10) DIAS DE CALENDARIO después de una posible exposción 
importante  el  empleado  va  a  que  le  saquen  sangre,  y NO  MAS  DE  TREINTA  (30)  DIAS  DE 
CALENDARIO la  sangre  es  analizada  para VIH  O  HEPATITIS  C por  medio  de  análisis  de 
anticuerpos y el análisis resulta negativo. 
 
4. NO MAS DE DIECIOCHO (18) MESES después de la fecha de la posible exposición 
importante  en  el  trabajo,  el  empleado  es  examinado  nuevemente  y  los  resultados  del  análisis  son 
positivos por VIH o el empleado ha sido diagnosticado como positivo por la presencia de VIH, o NO 
MAS  DE  SIETE  (7) MESES después  de  la  fecha  de  la  posible  exposición  importante  en  el  trabajo, 
el  empleado  es  examinado  nuevamente  y  los  resultados  del  análisis  son  positivos  por  la  presencia 
de Hepatitis C o el empleado ha sido diagnosticado como positivo por la presencia de Hepatitis C. 
 
MANTENER FIJO EN UN LUGAR SOBRESALIENTE JUNTO AL AVISO A LOS EMPLADOS 
SOBRE COMPENSACION PARA TRABAJADORES 
 
ESTE AVISO HA SIDO APROBADO POR LA COMISION INDUSTRIAL 
DE ARIZONA PARA USO DE LAS ASEGURADORAS 
 
Este documento es una traduccion del texto original escrito en ingles.  Esta traduccion no es oficial y 
no es vinculante para este estado o para una subdivision politica de este estado. 
 
This  document  is  a  translation  from  original  text  written  in  English.    This  translation  is  unofficial  and 
is not binding on this state or a political subdivision of this state.
download

Other Arizona Labor Law Posters 5 PDFS

There are an additional eight optional and mandatory Arizona labor law posters that may be relevant to your business. Be sure to also print all relevant state labor law posters, as well as all mandatory federal labor law posters.

Poster Name Poster Type
Mandatory Notice to Employees (Workers' Compensation) Poster (Bilingual) Workers Compensation Law
Mandatory Arizona Minimum Wage Act Minimum Wage Law
Mandatory Arizona Minimum Wage Act Spanish Minimum Wage Law
Mandatory Employee Safety and Health Protection Poster (Bilingual) Job Safety Law
Mandatory Work Exposure To Bodily Fluids (HIV, AIDS, Hepatitis C) Job Safety Law

View all 9 Arizona labor law posters


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Source: http://www.laborposters.org/arizona/21-work-exposure-to-bodily-fluids-hiv-aids-hepatitis-poster.htm