Participate in Workplace Safety Procedures

Task 8

Instructions: The following task is to be submitted to your teacher in one of the two ways described below.

To return work by email

To return work by mail

To save and finish later

Accident / Injury Report Form

the Emergency procedures for Swaggies in the Policy and Procedures Manual (p22)

Complete the Accident Injury Report Form for the following situation.

David works in the Mail Room. He was very busy rushing from one task to another. At one stage, he had to get a large, heavy package from a high shelf. Rather than "waste" time getting the step ladder, he stretched and attempted to pull the package off the shelf with his fingertips. The box came crashing down on his head. David cut and bruised his head , hurt his back and finds it hard to move with ease.

NB You will need to consider what action could be taken. This may involve action by a First Aid Officer at the workplace.

Check for First Aid Officer.

Accident / Injury Report Form

Personal Details

Name

Address

State

Postcode

Telephone

DOB

Male/Female

Employee/Visitor

Details of Accident/Injury

Date of Incident

Time of Incident

How Incident Occurred

Description of Accident/Injury

Name(s) of Witness(es)

Action Taken

Name Position

Signature Date

File Location\Filename: General Staionery\accident.doc

Return to Topic 8

Name
Address
State
Postcode
Telephone
DOB
Male/Female
Employee/Visitor