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Platt Technical High School Exertional Heat Illness Program & Annual Review NOTE: This document was developed to provide student athletes and parents/guardians with current and relevant information
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How to fill out heat exertion form
How to fill out heat exertion form
01
Obtain the heat exertion form from the appropriate department or supervisor.
02
Fill out all personal information accurately, such as name, contact information, and employee ID.
03
Provide details about the incident or situation that led to the heat exertion, including date, time, and location.
04
Describe any symptoms experienced during the heat exertion, such as dizziness, nausea, or sweating.
05
Include any actions taken to alleviate the heat exertion, such as taking breaks, drinking water, or seeking medical attention.
06
Sign and date the form, certifying that the information provided is accurate and complete.
Who needs heat exertion form?
01
Employees who have experienced heat exertion in the workplace.
02
Supervisors or managers overseeing employees who may be at risk of heat exertion.
03
Occupational health and safety personnel responsible for tracking and monitoring heat-related incidents.
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What is heat exertion form?
Heat exertion form is a document used to report instances of heat-related illnesses or injuries in the workplace.
Who is required to file heat exertion form?
Employers are typically responsible for filing heat exertion forms when an incident occurs in the workplace.
How to fill out heat exertion form?
To fill out a heat exertion form, you will need to provide details about the affected individual, the circumstances of the incident, and any actions taken.
What is the purpose of heat exertion form?
The purpose of a heat exertion form is to document and track heat-related incidents in the workplace for safety and regulatory compliance.
What information must be reported on heat exertion form?
Information such as the date and time of the incident, symptoms experienced by the affected individual, and any medical treatment provided must be reported on a heat exertion form.
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