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First aid report physical form

First aid kit usage log form 2025

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The document is a First Aid Report Form designed to collect essential information about a victim's condition during an emergency. It includes sections for initial assessment, SAMPLE history, physical examination, vital signs, and details of first aid provided. The form captures critical data such as the victim's level of consciousness, medical history, and events leading to the accident.

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Click ‘Get Form’ to open it in the editor.
Begin by assessing the initial level of consciousness of the victim. Circle A, V, P, or U as appropriate.
Record vital signs including respirations and pulse in the designated fields.
In the SAMPLE HISTORY section, document signs and symptoms, allergies, medications, past history, and last oral intake. Ensure all details are filled accurately.
Fill in the victim’s name, gender (circle Male or Female), age, and phone number for contact purposes.
Conduct a physical exam using the DOTS method. Record findings for head, neck, chest, abdomen, pelvis, extremities, and back.
Document vital signs over time in the provided table format for pulse, respiration rate, blood pressure (B/P), skin condition, temperature, and AVPU status.
Finally, detail any first aid given and supplies issued in the additional notes section before signing off with your name.

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Versions	Form popularity	Fillable & printable
2002	4 Satisfied (44 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Where is the expiry date on a first aid kit?

Expiration dates are typically printed or stamped on the packaging of medical supplies and medications. For certain items, such as adhesive bandages or sterile dressings, the expiration dates may be printed directly on the item itself.

How do I know if my first aid kit is expired?

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What is a first aid log?

A comprehensive and efficient way to document and track first aid procedures. This log helps you maintain an accurate record of injuries, treatments, and follow-up actions.

What is the lifespan of a first aid kit?

Ultimately, the best way to know supplies in your first aid kit are in and out of date is to open it up and check you may be surprised how many things need replacing. As a general rule, first aid supplies with a shelf life will generally have an expiry date 3-5 years after they were produced.

How to tell if a first aid kit is expired?

The expiry date displayed on our first aid kit labels shows the earliest expiry date of an item within the kit.