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Fill and Sign the Transcript Request Form New for Website Alc

Fill and Sign the Transcript Request Form New for Website Alc

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GUIDANCE NOTES On the completion of the University ACCIDENT REPORT FORM HEALTH & SAFETY UNIT NOVEMBER 2005 The ACCIDENT REPORT FORM consists of 4 pages. Page 1 1. Personal Details – Section 1 Page 2 1. Accident Record - Section 2 Above sections are to be completed by the injured person where possible; alternately a representative or manager may do so on behalf of the injured person. 2. Treatment Details – Section 3 This section is to be completed by the First Aider, Manager, Supervisor and or Injured Person. Page 3 & 4 The Preliminary Investigation Section consists of 4 sections 1. Investigator Details - Section 1 2. Witness Details – Section 2 3. Safety Management Checklist - Section 3 4. Preliminary Investigation Details - Section 4 These sections are to be completed by the relevant manager, supervisor or lecturer. Normally staff accidents would be investigated by the line manager. Student accidents should be investigated by the responsible academic member of staff. • Contact the Health and Safety Unit if you require further advice or support

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