First Aid Incident Report - Form 140-C Page 2
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2FIRST AID INCIDENT REPORT
FORM 140-C
_________________________________________________________________________________
RESPONSE TEAM MEMBERS IN ATTENDANCE:
WHAT TREATMENT WAS GIVEN?
WHERE WAS THE CASUALTY FOUND/MOVED?
RECOMMENDATION FOR CASUALTY:
SEE A DOCTOR?
GO HOME?
REST?
FOLLOW UP REQUIRED? Y
N
DETAILS OF FOLLOW UP AND PERSON INVOLVED
RESPONSE TEAM RECOMMENDATIONS:
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