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First Aid for Workplaces - A good Practice Guide

Appendix 3: First Aid Register

This form can be used to record details of situations where first aid treatment is administered.

Employee's Name
 
Department/Work Area
 
Date of Treatment
 
Time of Treatment
 
First Aider
 
Description of Injury
 
Treatment Provided
 
First aid items used
 
Reminder: replenish the first aid kit with disposed-of items.

 

If a work-related accident has occurred, please complete your organisation's Accident Report Form or the Department of Labour's Form of Register or Notification of Circumstances of Accident or Serious Harm.