Title Page
-
Another Space
-
Personnel
Details about the person who had the accident
-
Name
-
Address
-
Contact number
Details about the person filling in the record
-
name
-
Name - department
About the accident
-
Date and time of the accident
-
Location/area
-
How the accident happened along with the cause
-
Injury sustained
-
Any other notes
-
Add any pictures for reference but do not add any pictures of the injury
-
Sign once completed
Follow up by club
-
RIDDOR reportable?
-
Follow up information if required
-
Date completed
-
Initial and sign as completed
