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Program Injury/Incident Report
This form is for use by Girls on the Run coaches to document physical injuries or other
incidents that occur during a girl on the Run practice session. Coaches can also
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How to fill out program injuryincident report

How to fill out program injuryincident report
01
To fill out a program injury/incident report, follow these steps:
02
Start by collecting the necessary information, such as the date and time of the incident, location, and any witnesses involved.
03
Clearly describe the details of the injury/incident, including what happened, how it occurred, and any contributing factors.
04
Provide information about the injured person, including their name, contact details, and any relevant medical information.
05
Document any immediate actions taken, such as administering first aid or contacting emergency services.
06
Include information about any follow-up actions, such as seeking medical treatment or conducting an investigation.
07
Make sure to include any supporting documentation, such as photographs, videos, or witness statements.
08
Review the report for accuracy and completeness before submitting it.
09
Submit the completed program injury/incident report to the appropriate department or supervisor.
Who needs program injuryincident report?
01
Program injury/incident reports are typically needed by:
02
- Employees who have been injured or involved in an incident while performing their job duties.
03
- Supervisors or managers responsible for overseeing the safety of the workplace.
04
- Human resources personnel who need to maintain records and investigate incidents.
05
- Insurance companies or legal representatives involved in assessing liability or potential claims.
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What is program injury/incident report?
Program injury/incident report is a documentation that records details about injuries or incidents that occur within a program or organization.
Who is required to file program injury/incident report?
The program manager or designated safety officer is usually responsible for filing the program injury/incident report.
How to fill out program injury/incident report?
To fill out the program injury/incident report, one must provide details such as date, time, location, description of the incident, names of individuals involved, and any actions taken.
What is the purpose of program injury/incident report?
The purpose of the program injury/incident report is to document and analyze incidents, identify trends, and implement measures to prevent future incidents.
What information must be reported on program injury/incident report?
Information such as date, time, location, nature of injury or incident, names of individuals involved, witness statements, and any corrective actions taken must be reported.
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