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captchafalse
generatedUUID2395f14a-a656-488d-89f2-88d2c3298902
destinationform01
includeDestinationsfalse
receiptfalse
submitButtonTextSubmit

First aidObservationClose callIncidentfalsefalse4Type of incidentfalsefalsefalseObservationClose callFirst aidType of incidentIncidenttrue

Date of eventdd/mm/yyyyDate of eventtrue

Extra SmallTime of eventTime of eventtrue

LargePersons involvedDocumentation involvedAdd the names of the persons involved

LargeEquipment involvedCourse involvedName the relevant equipment involved

medium-long-fieldfalseDescription of eventDescribe the event with all relevant detail0Description of event4true

LargeType of injury sustainedType of injury sustained

truefalseYesYesWas medical treatment necessaryNofalseNo2Was medical treatment necessaryfalse

LargeName of HospitalName of Hospital

Was medical treatment necessaryFirst aidWas medical treatment necessaryShowfalse3Type of incidentShowfalsefalsefalseName of Hospital or PhysicianType of injury sustainedType of incidentFirst aidYesfalseShow