First Aid Incident Report Template
Reported or visible symptoms of Injury:
Obeys commands | ||
|---|---|---|
Localising | Obeys commands | Ex te ns io n |
Normal flexion | Localising | Ab no rm al f le xi on |
Abnormal flexion | Normal flexion | |
Extension | ||
None | ||
Non testable |
| Orientated | ||||
|---|---|---|---|---|
| Confused | Orientated | Confused | Words | None |
| Words | Sounds | Non testable | ||
| Sounds | ||||
| None | ||||
| Non testable |
| Spontaneous | Spontaneous | To sound | None testable | |
|---|---|---|---|---|
| To sound | None | |||
| None | ||||
| None testable |
Incidents must be reported and recorded to be sure that correct actions and treatment are made which should trigger management awareness and an investigation.
The First-Aid Incident Report template contains injured person's personal details and contact details, the details and visible symptoms of injury, the Glasgow Coma Scale which is a neurological scale that expects to give a dependable and target method for chronicle the condition of an individual's awareness and brief information of treatment. Also, it contains the profile of the first-aider and signature of the person who prepares the report.
Further protect sensitive information with the help of Jotform's HIPAA-friendly plans.
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These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.