The Saanich School First Aid Record form serves as a pivotal document within the educational and occupational health management system, capturing critical details following an incident requiring first aid attention. It plays a significant role in ensuring the immediate and appropriate response to injuries, exposures, or illnesses experienced in the school environment. The form is meticulously designed to document general information such as the name of the injured or exposed individual, their occupation, the school or location of the incident, along with precise dates and times of the occurrence and any follow-up actions. A detailed account of the incident, the nature of the injury or illness, and the treatment administered is required, reinforcing the form's purpose in managing and mitigating workplace health and safety risks. Additionally, it notes the presence of witnesses, outlines arrangements made for the affected individual's care or return to work, and emphasizes the importance of communication between first aid attendants and the Human Resources/Health Safety Department through its request for faxed submissions. This thorough record-keeping process not only aids in the immediate treatment and support of the individual but also contributes to the ongoing assessment and improvement of safety protocols within the school district, demonstrating a commitment to the well-being of all staff and students.
Question | Answer |
---|---|
Form Name | Saanich School First Aid Record Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | first aid log sheet printable, first aid report templates, first aid register pdf, first aid log sheet template pdf |
FIRST AID RECORD
Sequence Number: _____________
School Board Office use only
THIS FORM IS TO BE COMPLETED BY THE FIRST AID ATTENDANT AND FAXED TO THE MANAGER, HUMAN RESOURCES/HEALTH AND SAFETY, SD 63 (SAANICH), AT
General Information
|
Name |
|
|
Occupation |
|
|
School/Location |
|
|
|
|
|
Date |
|
|
Time (hh:mm) |
|
|
|
|
|
|
a.m. p.m. |
|
Initial reporting date and time |
|
|||
|
Initial report sequence number |
|
|
Subsequent report sequence number(s) |
|
|
|
|
|||
|
Description of how the injury, exposure, or illness occurred (What happened?) |
|
|||
|
|
||||
|
Description of the nature of the injury, exposure, or illness (What you see – signs and symptoms) |
||||
|
|
|
|
||
|
Description of the Treatment Given (What did you do?) |
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
Name of Witnesses |
|
|
|
|
|
|
|
|
|
|
1) |
|
|
2) |
|
|
|
|
||||
|
Arrangements Made Relating to Worker (return to work/medical |
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
Provided worker handout |
Yes |
No |
A form to assist in return to work and |
|
|
Alternate duty options were discussed |
Yes |
No |
worker to medical aid |
Yes No |
|
First Aid Attendant’s Name (please print) |
|
|
First Aid Attendant’s signature |
Patient’s signature
This record must be kept by the employer for three (3) years and is not to be submitted to WorkSafeBC.