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K3 Group First Aid & Near Loss Report 2018-2025 free printable template

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The K3 Group First Aid & Near Loss Report Region:TXAKNMPRNDOKCOCase Number: (HSE Manager will assign Case Number)Employees Report 1. Person(s) Involved in Incident:2. Camp or Location: Direct Supervisor:3.
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How to fill out K3 Group First Aid & Near Loss

01
Locate the K3 Group First Aid & Near Loss form.
02
Fill in the date and time of the incident.
03
Provide the details of the person affected, including name and contact information.
04
Describe the nature of the injury or near loss incident.
05
Document any first aid measures that were applied.
06
Include names of individuals who witnessed the incident.
07
Sign and date the form before submission.

Who needs K3 Group First Aid & Near Loss?

01
Employees in workplaces with potential hazards.
02
Safety officers responsible for monitoring workplace safety.
03
Members of the K3 Group involved in workplace health and safety.
04
Anyone reporting near loss incidents or injuries for record-keeping.
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K3 Group First Aid & Near Loss refers to the reporting and documentation process for minor injuries and near-miss incidents in the workplace, aimed at promoting safety and preventing future accidents.
All employees who witness or are involved in an incident that results in first aid treatment or a near loss must file a report. Additionally, supervisors are responsible for ensuring that reports are completed.
To fill out the K3 Group First Aid & Near Loss form, gather information regarding the incident, including the date and time, location, individuals involved, a description of what occurred, and details of the first aid provided.
The purpose of K3 Group First Aid & Near Loss is to improve workplace safety by documenting incidents, identifying potential hazards, and implementing preventive measures to reduce the risk of future incidents.
The report must include the date, time, location of the incident, names of those involved, a brief description of the event, the nature of the injury or loss, and any first aid administered.
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