
| ___ 0-28 days | Neonate | ___ 12-18 yrs | Adolescent | |||
| ___ 29 days-18 mo days | Infant / Young Toddler | X 19-40 yrs | Young Adult | |||
| ___ 18 mo-3 yrs | Toddler | X 40-65 yrs | Middle Adult | |||
| ___ 3-6 yrs | Preschooler | X >65 yrs | Older Adult | |||
| ___ 6-12 yrs | School Age |
| X | CATEGORY I: | Tasks that will involve potential exposure to blood, body fluids, or tissue. |
| ___ | CATEGORY II: | Tasks that may involve potential exposure to blood, body fluids, or tissue, and employment and employment may require performing unplanned Category I tasks. |
| ___ | CATEGORY III: | Tasks that involve no exposure to blood, body fluids, or tissue and Category I and II tasks are not a condition of employment. |