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B-SAFE Accident Report – Data Collection Form (Version 1.2)

BSAFE Accident Report Data Collection Form (Version )BSAFE MUST be used for reporting details of INJURIES that occur to our employees, visitors, pupils / children in our care, clientsor service users as a result of an Accident . IT IS NOT DESIGNED TO RECORD DETAILS OF OTHER SITUATIONS SUCH ASPHYSICAL RESTRAINTS UNLESS AN Accident INJURY OR NEAR MISS OCCURS AS A RESULT. IF RESTRAINTS NEEDTO BE RECORDED IT SHOULD BE DONE SO AT A LOCAL form is designed to assist users of BSAFE in collecting the necessary data required to submit Accident reports on the AccidentReporting module. Therefore, you do not have to use this form if you do not need to. You should enter a Report for any incidentwhich resulted in anything more than trivial first aid provision, or where the incident or near miss could have resulted in a seriousinjury. **If you have any queries about whether an incident should be reported contact CHSU on 01823 355089 **1.

B-SAFE Accident Report – Data Collection Form (Version 1.2) Your Establishment Where did the incident occur? 1. ABOUT THE INCIDENT AND INJURED PARTY

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