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Fill and Sign the Aib Form

Fill and Sign the Aib Form

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TEDDINGTON HOCKEY CLUB Founded 1871 Clubhouse: Bushy Park, Teddington. Tel: 020 8977 4437 Astro: Teddington School, Broom Road, Teddington. ACCIDENT REPORT FORM Date and time of incident: …………………………………………………………………………………………………….. Site where incident took place:………………………………………………………………………………………………. Name of person in charge of session/competition: ……………………………………………………………………… Name of injured person: ……………………………………………………………………. Address: …………………………………………………………………… Telephone number: …………………………………………………………………… Nature of incident – please be as precise as possible e.g. 1cm cut high on left cheek: ………………………………………………………………………………………………………………… ……………………………………………………………………………………..…………………………… …………………………………………………………………………………… Give details of how and where the incident took place and what activity was taking place e.g. warming up. ………………………………………………………………………………………………………………… ………………………………………………….……………………………………………………………… …………………………………………………………………………………………………… Give full details of the action taken including any First Aid treatment ……………………………………………………….………………………………………………………… ………………………………………………………………………………………………………..………… ………………………………………………………………………………………………………………… …………………………………….. Were any of the following contacted?: Ambulance Parent/carer Police yes/no yes/no yes/no What happened to the injured person following the incident e.g. stopped activity, advised to go to hospital, went home: ………………………………………………………………………………………………………………… ……………………………………………….………………………………………………………………… ……………………………………………………………………………………………… All of the above facts are a true and accurate record of the incident SIGNED Casualty / Parent: ____________________________________ Date: ______________ First Aider ________________________________________________________________ Coach ________________________________________________________________ Witness ________________________________________________________________

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  2. Click +Create to upload a document from your device, cloud storage, or our template library.
  3. Open your ‘Aib Form’ in the editor.
  4. Click Me (Fill Out Now) to fill in the document on your side.
  5. Add and designate fillable fields for other participants (if required).
  6. Continue with the Send Invite options to solicit eSignatures from others.
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