Is the Injured Individual Over or Under 18 Years?
Area of Injury
Which side of Body? (Left, Right, Both?)
Name of Treating Person
Location of the incident / accident?
Was the Incident Reported to the Coordinator?
What were the area conditions?
What task was being performed at the time of the incident?
What movement caused the injury?
Were there any witnesses?
Did you Record the Witness' Statement?