Free Employee Aesthetic First Aid Incident Report Template

Employee Aesthetic First Aid Incident Report


I. Incident Details

  • Date and Time: October 12, 2050, at 10:30 AM

  • Location: Warehouse B, Section 3

  • Employee Name: Jarvis White

  • Employee ID: 123456

  • Department: Logistics


II. Description of Incident

On October 12, 2050, at approximately 10:30 AM, Jarvis White, an employee in the Logistics department, experienced an incident while operating a pallet jack in Warehouse B, Section 3. The pallet jack encountered debris on the warehouse floor, resulting in an abrupt stop that caused Jarvis to be jolted forward. As a consequence, he sustained a minor cut to his right forearm.


III. Immediate Actions Taken

  1. Ceased operation of the pallet jack immediately to prevent further incidents.

  2. Assisted Jarvis White in relocating to a safe area away from the equipment.

  3. Administered first aid, which included cleaning the wound with an antiseptic wipe and applying a sterile bandage.

  4. Contacted the on-site medical officer for a comprehensive assessment of Jarvis’s injury.


IV. Personnel Involved

  • Jarvis White - Injured Employee

  • Carmel Ryan - First Responder

  • Dell Stokes - Supervisor

  • Etha Lehner - On-site Medical Officer


V. Witness Statements

Dell Stokes, the supervisor present at the time of the incident, stated that the warehouse floor was clear before the start of the shift. However, he acknowledged that debris may have accumulated during operational activities, which went unnoticed until the incident occurred.


VI. Follow-up Actions

  1. Conducted a thorough inspection of the warehouse floor to identify and remove any remaining debris.

  2. Reinforced safety protocols regarding regular cleaning and inspection of operational areas to maintain a hazard-free environment.

  3. Scheduled a team briefing to discuss the incident and evaluate existing safety measures, with plans for revisions as necessary.

  4. Recorded the incident in the company log and assessed the need for additional safety training to prevent future occurrences.


VII. Conclusion

The incident was managed effectively and promptly, minimizing the risk of further injury. Jarvis White received appropriate medical attention and was able to return to work shortly after the incident. To enhance workplace safety, measures are being reinforced, and additional training will be considered to prevent similar incidents in the future.

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