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Work Safe BC 55B23 2008 free printable template

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This record must be kept by the employer for three (3) years. This form must be kept at the employer s workplace and is not to be submitted to WorkSafeBC. First Aid Record Sequence number Name Occupation
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How to fill out Work Safe BC 55B23

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How to fill out Work Safe BC 55B23

01
Gather necessary information: Collect employee details, injury description, and incident dates.
02
Start filling out form: Enter employer information at the top section of the form.
03
Provide employee details: Include the injured employee's name, contact information, and job title.
04
Describe the injury: Clearly state what the injury is and how it occurred, providing a detailed account.
05
Include incident details: Record the date, time, and location of the incident.
06
List any witnesses: Provide names and contact information of any witnesses to the incident.
07
Review the form: Check for accuracy and completeness before submission.
08
Submit the form: Send the completed form to WorkSafeBC as per their guidelines.

Who needs Work Safe BC 55B23?

01
Employers who have employees that have been injured at work.
02
Employees who need to report a workplace injury for compensation.
03
Safety officers responsible for workplace safety and employee well-being.
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“SAMPLE” is a first aid mnemonic acronym used for a person's medical assessment. The questions that are asked to the patient include Signs & Symptoms, Allergies, Medications, Past medical history, Last oral intake, and Events leading up to present injury (SAMPLE).
Employers are usually required to maintain written records of all injuries and treatment given in a first aid treatment record book or log. Each event should be recorded and include: Worker's name. Date and time of injury. Location and nature of the injury.
Date and time of injury. Location and nature of the injury. Description of how the injury occurred. Type or description of first aid treatment given.
What information should be recorded? The date, time and place of the incident. The name and job of the injured or ill person. Details of the injury/illness and what first aid was given. Details about what happened to the person immediately afterwards (e.g. went back to work, went home, went to hospital).
What information should be recorded? The date, time and place of the incident. The name and job of the injured or ill person. Details of the injury/illness and what first aid was given. Details about what happened to the person immediately afterwards (e.g. went back to work, went home, went to hospital).
First aid is as easy as ABC – airway, breathing and CPR (cardiopulmonary resuscitation). In any situation, apply the DRSABCD Action Plan. DRSABCD stands for: Danger – always check the danger to you, any bystanders and then the injured or ill person.

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Work Safe BC 55B23 is a form used for reporting specific workplace injury and illness incidents to WorkSafeBC in British Columbia, Canada.
Employers in British Columbia who have employees injured on the job or who have experienced a work-related illness are required to file Work Safe BC 55B23.
To fill out Work Safe BC 55B23, start by providing employer details, employee information, incident details, and any witness statements. Ensure all relevant sections are completed and review the guidelines provided by WorkSafeBC to avoid errors.
The purpose of Work Safe BC 55B23 is to enable employers to report workplace injuries and illnesses accurately, ensuring compliance with occupational safety regulations and aiding in the assessment of workplace safety.
The information that must be reported on Work Safe BC 55B23 includes the employee's name, contact information, details of the incident, nature of the injury, date and time of the incident, and any first aid or medical treatment provided.
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