The employer will provide both bloodborne pathogens certification training and vaccinations to employees who, as part of their duties, will be exposed to blood and/or OPIM.  There are a number of reasons why an employee may not be required to be, or may decide to decline, being vaccinated but generally, all employees should be.  Any employee who declines the vaccination must sign a document of refusal which must be stored with the other bloodborne pathogens program records.If an employee changes their mind at any time, for any reason, the offer of free HBV vaccination must be extended by the employer immediately.