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  • Prepared by

  • Location


  • Have any falls occured this month

  • Has each fall been analysed?

  • did anyone sustain any type of injury, if so what? bruising, fractures etc.,

  • How many

  • List the types of injuries

  • Did this require safeguarding?

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  • Please list carefully where the fall occurred

  • Please list the time of day, using a 24 hour clock when these occurred.

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