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Ist-First Aid Report

This first aid report form collects information about workplace injuries. It requires details of the injured worker, including name, department, and occupation. It also documents the date and type of injury, a description of how the accident occurred, any witnesses, the nature and location of treatment, and the name of the first aider. The form must be completed by the first aider and kept with the first aid box for record keeping.

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0% found this document useful (0 votes)
373 views1 page

Ist-First Aid Report

This first aid report form collects information about workplace injuries. It requires details of the injured worker, including name, department, and occupation. It also documents the date and type of injury, a description of how the accident occurred, any witnesses, the nature and location of treatment, and the name of the first aider. The form must be completed by the first aider and kept with the first aid box for record keeping.

Uploaded by

Sajid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDUSTRIAL

S A F E T Y
T R A I N E R S inc.

FIRST AID REPORT This form must be completed by the First Aider or
designate and kept with the first aid box.
WORKER IDENTIFICATION
Last Name First Name Department

Occupation Date of Injury (DD / MM / YY)

Type of Injury

Description of Accident

Name of Witness (es)

Nature/Location of Treatment

Name of First Aider

FIRST AID REPORT This form must be completed by the First Aider or
designate and kept with the first aid box.
WORKER IDENTIFICATION
Last Name First Name Department

Occupation Date of Injury (DD / MM / YY)

Type of Injury

Description of Accident

Name of Witness (es)

Nature/Location of Treatment

Name of First Aider

Courtesy of Industrial Safety Trainers Inc.

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