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This record is for internal use only. Do NOT submit to WorkSafeBC.
Want to finish this form later? Use this link: https://safetyincidents.viu.ca/public_first_aid_form?first_aid_code=n3b24jy04xq28fdlit7f2pzj
What happened to cause the injury. What signs and symptoms were observed. How were they treated. What arrangements were made with injured person.
maximum 30 MB per file, JPEG, GIF, PNG, PDF, DOC, DOCx, VIDEO, AUDIO ONLY.
Files are scanned on upload, and will become available within a minute.
Once all of the required fields are completed, you can submit your form.
When you submit your form, notifications will be sent to the appropriate people for follow-up of the incident.
Please inform the injured person they may receive notifications to complete additional forms and submit more information about this incident.
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Once your internet connection has been restored, please make sure to open the system again on your device in order for you data to synchronize with the server.
You have completed the first-aid report.
If an email address for the injured person was included in the report, an email has been sent to them to request that they complete an incident report.
If they did not provide an email address, they can scan this QR code with their mobile device to fill out a public incident form (or they can take a picture of it to fill it out later). You can also click "Download QR Code Image" if you want to download and print the QR code for them.
You can also start the public incident report right now by clicking the "Scan QR Code" button above the QR code.
