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SURNAME INCIDENT/ACCIDENTREPORTFORM NAMEOFCASUALTYDATEOFINCIDENTTIMEOFINCIDENTWHATHAPPENEDTOTHECASUALTYINTHEINCIDENT FIRSTAIDACTION/TREATMENTGIVEN ADVICEGIVEN/ACTIONTAKENAFTER CalledAmbulance YES/NOTakentoHospitalYES/NOParentsInformedYES/NONoFurtheractionYES/NOYOURSIGNATUREDATE(FORMCOMPLETD)
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An incident report form is a document used to record details of an unexpected event or situation.
All employees involved in or witness to an incident are required to file an incident report form.
To fill out an incident report form, provide detailed information about the incident, including date, time, location, individuals involved, and a description of what happened.
The purpose of an incident report form is to document and investigate incidents in order to prevent similar incidents from occurring in the future.
Information such as date, time, location, individuals involved, description of incident, and any actions taken should be reported on an incident report form.
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