First Aid Report Form.PDF 2025

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  1. Click ‘Get Form’ to open the First Aid Report Form.PDF in the editor.
  2. Begin with the INITIAL ASSESSMENT section. Circle the appropriate level of consciousness (A, V, P, U) and fill in the respirations and pulse fields.
  3. Move to SAMPLE HISTORY. Document signs and symptoms, allergies, medications, past history, last oral intake date and time, victim’s name, gender (circle one), age, and phone number.
  4. In the PHYSICAL EXAM (DOTS) section, provide details for each body part listed: head, neck, chest, abdomen, pelvis, extremities, and back.
  5. Record vital signs in the VITAL SIGNS table by filling in time, pulse rate, respiration rate, blood pressure readings (B/P), skin condition, temperature, and AVPU status.
  6. Complete the FIRST AID GIVEN AND SUPPLIES ISSUED section with detailed notes on care provided.
  7. Finally, sign off by entering your name in the 'Form completed by' field.

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Takeaway to remember. An incident report is a formal documentation of an accident, injury, or emergency. It provides details about what happened, how it was handled, and any follow-up actions. Immobilisation Techniques Infection Control.
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.
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.
Minor injuries requiring first aid only do not need to be recorded. How does OSHA define a recordable injury or illness?
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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People also ask

A general staff incident report generally includes: Persons name and contact details. Incident Time, date, and site. Pertinent details about what happened. Kind of injury or damage. Name of witnesses. Safety measures taken Suggestions for prevention.
Each time a worker sustains a work-related injury, exposure, or illness, a first aid record must be completed. The record can be completed using this form or any other means that captures information described in the Occupational Health and Safety Guidelines.
To create a new default incident summary report Link On the Reports menu, select Reports. Click the Create New button. Choose the Incident Management data source. Select the Incident Default PDF tile. Click the Next button. Enter a report name and description. Click the Create button. Customize the report as needed.

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