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Incident and first aid records · IN-05

First Aid Treatment Log

A free printable first aid log — date, person, what happened, treatment given, by whom, supplies used and whether a formal record was completed.

First page of the First Aid Treatment Log — Keep a running record of first aid given so that supplies used and patterns of injury are both visible in one place.
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One page. Choose your paper size — both versions are laid out identically, so neither one gets shrunk to fit.

Print it and write on it

Fill it in type and save

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

What this sheet is for

Keep a running record of first aid given so that supplies used and patterns of injury are both visible in one place.

Who it is for

Workplaces, clubs, halls, events, schools, sites and anyone keeping a first aid point.

How to use it

  1. Fill it in at the time, at the first aid point.
  2. Record supplies used — it is how the kit gets restocked before it is needed.
  3. Note whether a formal accident record was also completed.
  4. Keep the log secure; it holds health information about named people.
  5. Review it periodically for repeat causes.

What is on the sheet

One page, top to bottom:

Printed under the title: A running log of first aid given, so supplies used and patterns of injury are both visible.

A log, not first aid guidance. This is a log of treatment given, not guidance on giving it. It prints no first aid instruction of any kind. Where an entry needs a formal accident record, complete one as well. What must be tested or recorded, how often, by whom and how long the record must be kept differ by country and by the kind of premises. This sheet prints no interval and no criterion, names no scheme and satisfies no regulation on its own.

Write-on lines: Premises or site · First aid point · Sheet started

Table, 12 rows: Date · Time · Name · What happened, briefly · Treatment given · Given by · Supplies used · Accident record completed · Sent on for care

Write-on lines: Supplies to reorder · Kit checked on

Questions

Does this sheet tell me how to give first aid?

No. It prints no first aid instruction of any kind and is not a substitute for training. It records treatment that has been given.

Related sheets

First Aid Kit Contents and Expiry Check

Check a kit against the contents list that applies to it and leave a dated record of what was missing, what had expired and what was put back.

IN-01 1 page

Accident Book Page

Record one accident on one page, so the completed record can be filed securely rather than left in a book for the next person to read.

IN-04 1 page

Incident Report Form

Capture an incident properly on the day, in the affected person's own words, with the witness details and equipment notes that become impossible to gather later.

IN-03 2 pages

Also in the resources library

The same subject, with a version you can fill in on screen.

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