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First aid incident report form pdf 2025

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The document is a First Aid Assessment Record used to document details of an employee's illness or injury, including times of occurrence, vital signs, Glasgow Coma Scale responses, mechanisms of injury, and interventions provided. It also includes sections for recommendations regarding the employee's return to work and any changes in their condition.

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Click ‘Get Form’ to open the first aid incident report form in the editor.
Begin by entering the 'Date and Time of Illness/Injury' at the top of the form. Ensure you specify AM or PM for accuracy.
Fill in the 'Employee Name' and 'Date of Birth' fields, followed by the 'Employer Name' and 'Employer Phone Number'.
Document vital signs under the 'Vital Signs' section, including respirations and pulse, along with any relevant time stamps.
Utilize the Glasgow Coma Scale section to assess eye opening, verbal response, and motor response. Mark each response clearly.
In the 'Intervention' section, check all applicable treatments provided during the incident. Be thorough to ensure accurate reporting.
Finally, have all necessary signatures completed at the bottom of the form, including those from witnesses if applicable.

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How to write a first aid incident report?

When writing an incident report, it is essential to include specific details such as the date, time, and location of the incident, the names and contact information of those involved, a description of what happened, and any immediate actions taken. Witness statements should also be collected and included in the report.

What are the 8 types of reportable incidents?

The 8 types of reportable incidents are: unreasonable use of force. unlawful sexual contact or inappropriate sexual conduct. psychological or emotional abuse. unexpected death. stealing or financial coercion by a staff member. neglect. inappropriate use of restrictive practices. unexplained absence.

What are the 4 types of incident reports?

The Four Types of Incident Reports Incident reports can be categorized into four main types: injury, illness, near miss, and property damage. Each type serves a specific purpose and provides valuable insights into different aspects of workplace safety.

What are the 4 major stages to the incident investigation?

Incident (Accident) Investigations: A Guide for Employers simplifies how to approach incident or accident investigations providing helpful information on how to: Preserve and document the scene. Collect Data. Determine root causes. Implement corrective actions.

What does a first aid report look like?

The First Aid Report Form This includes the date and time of the incident, the location, a description of the injuries or illnesses, and any treatment provided. Its also important to include the names and contact information of anyone involved or who witnessed the incident.

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How do you write a simple incident report?

What to Include in an Incident Report General information. Setting or environment. Affected people. Injuries and the severity. Witnesses. Administered treatment. Property and equipment damages. Events.

What are the 4 categories of incidents?

Incident reports can be categorized into four main types: injury, illness, near miss, and property damage. Each type serves a specific purpose and provides valuable insights into different aspects of workplace safety.

What type of incident must be reported?

Various incidents are reported, including workplace injuries, accidents and near-misses, data breaches and security threats, medical emergencies, and customer complaints. Each one needs to be properly documented so incidents can be tracked over time and patterns can be identified.