Reporting Adult Blood Lead Levels

Safety & Health Assessment & Research for Prevention (SHARP) — Research for Safe Work

Under Washington State's Notifiable Conditions Rule ( (WAC 246‑101), all testing laboratories are required to submit adult blood lead test results to the Washington State Department of Health (DOH (

Adult blood lead reports are then forwarded by DOH to the Safety and Health Assessment and Research for Prevention (SHARP) Program at the Department of Labor & Industries. SHARP runs the Occupational Lead Exposure Registry in cooperation with the National Institute for Occupational Safety and Health (NIOSH ( Adult Blood Lead Epidemiology and Surveillance (ABLES ( Program. SHARP enters the data into a secure database and provides educational materials and technical assistance to employers, employees, and health care providers.

More information about the surveillance systems operated by SHARP is available from our Occupational Health Surveillance website.

Case definition

A case of occupational lead overexposure is defined as an adult (15 years of age or older) with a blood lead level of 10 micrograms per deciliter or greater. All testing laboratories must report blood lead data for any worker employed in Washington State. Non-elevated blood lead levels (less than 10 micrograms per deciliter) are reported monthly; elevated blood lead levels (10 micrograms per deciliter or greater) must be reported to DOH within 2 days. WAC 246‑101 ( specifies the reporting requirements in detail.

How to report blood lead data

The mailing address for blood lead data is:

Department of Health
Lead Surveillance Program
PO Box 47846
Olympia WA 98504-7846

Phone: 1-800-909-9898
Fax: 360-236-3059

Privacy and confidentiality

All information obtained from case reports will be used for public health surveillance and prevention purposes only. Specific personal identifiers obtained by SHARP for surveillance purposes will not be shared with any other group within L&I for claims initiation/management or any other purpose without written permission by the case.

Tracking industry and occupation — how health care providers and clinics can help

SHARP is requesting that health care providers and clinics assist in the tracking of blood lead levels by occupation and industry. SHARP has developed a Blood Lead Testing (BLT) form (27.6 KB PDF) , en Español (131 KB PDF), which gathers important information from the patient regarding workplace and recreational exposures without the need for telephone follow-up to the health care provider, clinic, or patient. Please encourage your patients to complete the form. You may mail or fax a completed reporting form to SHARP (please see the instructions below for help with obtaining and submitting a form).Please note that this BLT form is different from the laboratory report that must be submitted to DOH. The BLT form should be mailed to SHARP directly.

There are 2 ways to obtain a BLT form:

After printing, please complete the BLT report and mail or fax to:

Lead Surveillance
SHARP Program
PO Box 44330
Olympia WA 98504‑4330
Fax: 360‑902‑5672

SHARP publications

A list of the publications generated by SHARP’s Occupational Lead Exposure Registry is provided on SHARP's Publications page.

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