HACKNEY FIRST AID REPORT FORM

This form is to be used by Woodcraft Folk leaders and helpers to report any first aid or medical treatment given to children and young people during Woodcraft activities e.g. group nights, camps, play days.
When completed, this form should be given to the parent/carer of the child  treated.

Details of the accident and treatment given should also be logged in the group’s accident/incident book, and may also need to be shared with the venue 


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Email *
Your Name
Contact Number
Date and time of injury or sickness
MM
/
DD
/
YYYY
Name, age of person(s) involved
Names of parents or carers, address and telephone numbers of person(s) involved

What happened? Nature & extent of injuries (Give a brief outline of what led up to/caused the incident and the nature  of illness/type of injury e.g. fell on stairs – twisted right ankle; taken ill – felt faint. )



Give full details of treatment e.g. cold compress, splint, clean wound  (continue overleaf if necessary) …..

Treatment given by whom: (tick all relevant)
If Woodcraft First Aider please provide contact details:
Any other relevant information
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