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COLLEGE Incident Report template Details of incident & treatments Date of incident: Time of incident. Nature of incident: Name of injured person: Activity in which

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COLLEGE Incident Report template Details of incident & treatments Date of incident: Time of incident. Nature of incident: Name of injured person: Activity in which person was engaged at the time of the incident Injury: Exact site location where incident injury occurred: Nature of injury, e bum, fracture, sprain: Specific location of injury on body: Treatment given onsite: Name of treating Witneses to incident. Name, Title Phone contact Name Phone contact Brief description of incident: Immediate response actions to stabilise the Person Reporting Supervisor: Signature Reported to. Name: Name POST: On

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