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First Aid Record


24 November 2010
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SCHOOL DISTRICT NO. 63 (SAANICH)

THIS FORM IS TO BE COMPLETED BY THE FIRST AID ATTENDANT AND FAXED TO THE MANAGER, HUMAN RESOURCES/HEALTH AND SAFETY, SD 63 (SAANICH), AT 250-652-7372

Please enter your full name.
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Description of how the injury, exposure, or illness occurred (What happened?)
Description of the nature of the injury, exposure, or illness (What you see – signs and symptoms)
Description of the Treatment Given (What did you do?)
Arrangements Made Relating to Worker (return to work/medical aid/ambulance/follow-up)