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Student Injury/Illness Assessment Form Environmental Health and Safety Details Date: Time: Location: AM or PM Date Reported: Personal Information Name: Address: Phone Number: Type (Please check all
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The student injuryillness assessment form is a document used to report any injuries or illnesses suffered by students.
The student injuryillness assessment form must be filled out by school personnel or authorized individuals who are responsible for the health and safety of students.
To fill out the student injuryillness assessment form, you must provide the necessary information about the student, including details of the injury or illness, date and time of occurrence, and any immediate medical actions taken.
The purpose of the student injuryillness assessment form is to ensure that all student injuries and illnesses are properly documented and monitored to ensure appropriate medical care and preventive measures can be taken.
The student injuryillness assessment form must include information such as the student's name, age, grade level, date and time of the injury or illness, description of the incident, any witness statements, immediate medical actions taken, and contact information of the parent or guardian.
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