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What did you do? Describe the work activity you performed. Supervisor to complete: The student completed the work activity in a legal and ethical manner.

What did you do?

Describe the work activity you performed.

Supervisor to complete:

The student completed the work activity in a legal and ethical manner.

Yes No

Signature:___________________________

Date:_______________________________

What work role did you assume to complete the activity?
Which area of practice did your work activity address?

Health, safety and well-being

Incidents, injury, trauma and illness

response to a medical condition

Emergency response

Governance and leadership

Physical environment

Staffing arrangements

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