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Entry in the electronic first aid log "Werkstatt Kernweg 4"

Details of the course of the accident or damage to health

Name of the injured or sick person:

Date and time of the accident:

Place / company area:

Course of the accident:

immediate consequences of the accident / illness

the injured person...:

injured body parts:

Type of injuries:

Witnesses:

First aid measures

Date and time of the measures:

Type and manner of measures:

material used:

First aider:

Reporter's details (in case of queries)

Name of the reporting person:

Telephone number:

E-mail address: