Kaiserslautern location - RPTU Rheinland-Pfälzische Technische Universität Kaiserslautern-Landau

Electronic first aid book for Kaiserslautern

(Electronic first aid log Kaiserslautern)

Fields marked with an asterisk(*) are mandatory

First aid logbook/report pad

Name of the injured person (Name of the injured person):*

First name of injured person (first name of injured person):*

Date of birth (date of birth):*

E-Mail (e-mail):*

Telephone number:*

Status of the injured (Status of the injured):*

Organizational unit/department/division/AG (Organizational unit/Department/Division/Working group):*

Leiter der Abteilung/AG (Head of Department/Head of the working group):*

Category of accident:*

Date of the accident (date of the accident):*

Time of the accident, hh:mm (Time of the accident, hh:mm):*

Scene of the accident, Building/Room/Floor/Street/City*

Type and extent of injury, left, right, which part of the body, wound...:* (Type and extent of injury [left, right, which part of the body, wound...:* (Type and extent of injury)*

Detailed description of the accident (Detailed description of the accident):*

Doctor's visit required:*

Last name, first name of a witness or who was first informed about the accident at the RPTU? (Last name, first name of a witness or who was first informed about the accident at the RPTU?)

Last name, first name of the first responder, if available::

Method of providing first aid (Method of providing first aid):

Don't fill this field!

Information on data protection (Information on data protection)

Data protection information on the electronic register in accordance with Art. 13 GDPR

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Electronic first aid book for Kaiserslautern

(Electronic first aid log Kaiserslautern)

Information on data protection (Information on data protection)

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