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Total Shifts Completed (Prior to This Shift): ___ Total Hours Overall (Prior to This Shift):Update 05052023___BLS AIC and Driver Evaluation FormIntern Name (Print):DATE:Officer Number:Unit:Crew Names
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Individuals who are applying for a Basic Life Support (BLS) certification or renewal may need to fill out the BLS AIC and Driver forms.
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Healthcare professionals such as doctors, nurses, EMTs, and paramedics who are required to maintain BLS certification may also need to fill out these forms.
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BLS AIC stands for Bureau of Labor Statistics Annual Injuries and Illnesses Survey, and DRIVER stands for Data for Research on Industrial Vocational Education and Rehabilitation.
Employers with ten or more employees are required to file BLS AIC and Driver.
Employers can fill out BLS AIC and Driver forms online through the official website of the Bureau of Labor Statistics or by using the forms provided by the agency.
The purpose of BLS AIC and Driver is to collect data on workplace injuries and illnesses to help improve workplace safety and health programs.
Employers must report information on the number and types of workplace injuries, illnesses, and fatalities that occurred during the reporting period.
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