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| Description: Name of injured party — Date Address — Telephone me injured puny was: [1 Employee [1 Patient D mher Date mucmemnncicent — Time or incident Where did incideni nccm’? Names oi witnesses (include tides): WM! first alfl/Imalmem was given at the time 01 the incident? Who administered first aid? Briefly describe the incident. Names at emplwezs present at time at incident/min : What. in your opinion, caused the accident? — Folluw-up: what steps have been Lulu!" to prevent a simillr accident? Picture Stats: Views: 492 Filesize: 58.62kB Height: 825 Width: 570 Source: https://biology-forums.com/index.php?action=gallery;sa=view;id=23587 |