First aid incident report form pdf 2025

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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.
Three Incident Report Samples Type of incident (injury, near miss, property damage, or theft) Location (Address) Date/time of incident. Name. Name of supervisor. Description of the incident, including specific job site location, the sequence of events, and the results of the event. Whether or not proper PPE was being used.
For example: A worker goes to the first-aid room and has a dressing applied to a minor cut by a registered nurse. Although the registered nurse is a health care professional, the employer does not have to report the accident because the worker simply received first aid.
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.
Components of an Incident Report Details of the Incident: Date, time, and location of the incident. Description: A clear account of what happened. Casualty Information: Names and conditions of those involved. Action Taken: First aid provided and any emergency services contacted.
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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.
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.
It should include: the names and positions of the people involved. the names of any witnesses. the exact location and/or address of the incident. the exact time and date of the occurrence. a detailed and clear description of what exactly happened. a description of the injuries.

first aid incident report form