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Rs on a shift Find the recommended first aid services for your workplace Review your assessment NO 1. Name of workplace: conduct a separate assessment for each identified workplace 2. Hazard rating on Assigned Hazard Rating List: Low Moderate High (a) Job functions, work processes and tools: Typical of industry? Yes No (b) Types of injuries than can potentially occur: (c).

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How to fill out the First Aid Report Form Word online

Filling out the First Aid Report Form Word online is a crucial step in ensuring workplace safety and compliance. This guide will help you navigate through the essential components of the form, providing clear instructions for each section to accommodate all users, regardless of experience level.

Follow the steps to accurately complete the form online.

  1. Click ‘Get Form’ button to access the form and open it in the editor, where you can begin to fill it out.
  2. Identify the workplace by entering the name of the workplace in the designated field. A separate assessment should be conducted for each identified workplace.
  3. Determine the hazard rating by selecting from the assigned hazard rating list: Low, Moderate, or High. Additionally, indicate if the job functions, work processes, and tools are typical of the industry.
  4. List the types of injuries that can potentially occur based on your assessment of the workplace hazards.
  5. Consider the surface travel time to the nearest hospital. Select either greater than 20 minutes or less than 20 minutes based on your location.
  6. Record the total number of workers per shift, including dispatched workers and those in lodgings.
  7. Assess barriers to first aid and specify any supplies, equipment, and facilities required for adequate first aid provision.
  8. Indicate the number and level of first aid attendants necessary for your workplace.
  9. Outline any transportation needs for first aid situations.
  10. Complete the additional fields including date, any changes in business operations, names of those consulted (health and safety committee, worker representatives, others), and your printed name.
  11. Finally, sign the form to confirm its accuracy and completeness.

Take the next step in workplace safety by filling out and submitting your documents online.

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What to include in a work incident report The date and time of the incident. The name of the witness or author of the report. A detailed description of the events. The names of the affected parties. Other witness statements or important information. The result of the incident.

Incident Report Sample Walkthrough: A Step-by-Step Guide Step 1: Provide Fundamental Information. ... Step 2: Take Note of Any Damages and Injuries. ... Step 3: Identify Affected Individual(s) ... Step 4: Identify Witnesses and Take Their Statements. ... Step 5: Take Action. ... Step 6: Close Your Report.

We can use DRABC to do this: Danger, Response, Airway, Breathing and Circulation.

What to include in a work incident report The date and time of the incident. The name of the witness or author of the report. A detailed description of the events. The names of the affected parties. Other witness statements or important information. The result of the incident.

Date and time of injury. Location and nature of the injury. Description of how the injury occurred. Type or description of first aid treatment given.

What information should be recorded? The date, time and place of the incident. The name and job of the injured or ill person. Details of the injury/illness and what first aid was given. Details about what happened to the person immediately afterwards (e.g. went back to work, went home, went to hospital).

Document any unusual occurrences that you witnessed. Record the events and the consequences for the patient in enough detail that administrators can decide whether or not to investigate further. Write objectively, avoiding opinions, judgments, conclusions, or assumptions about who or what caused the incident.

Write an Effective Incident Report in 5 Steps Respond in a Timely Manner. ... Gather All of the Details and Facts. Piece Together the Sequence of Events. Analyze Your Findings of the Incident. ... Formulate a Preventative Action Plan.

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