First Aid Documentation

The accurate recording of injury/illness is also of great assistance to any medical personnel who take over your casualty’s treatment, such as ambulance officers. The format that is used to report injury and illness varies from workplace to workplace and from State to State due to different policy requirements or legislation.

Click Here to view a sample Injury / Illness Form.

The information which should be contained in an injury/illness report is:

• The date and time of incident
• Brief personal details (name, address, date of birth)
• History of the illness/injury
• Observations (signs, symptoms and vital signs)
• The first aider's assessment of the injury/illness
• Date
• Signature of first aider
• The date of report
• Print name and title of first aider

Copies of reports should be given to:

• The person taking over care
• The casualty

The first aider keeps a copy as a record which is to be kept secure.

The confidentiality of all records must be maintained

A copy of the report should be sent with the casualty to the hospital or medical facility.

The sample injury/illness report form shows the essential amount of information required.