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Incident Report - (Incident UID - {IncidentUID})

Incident Information

Incident UID {IncidentUID} Category Name {CategoryName}
Status {StatusName} Site Name {SiteName}
Department Name {DepartmentName} Incident Date & Time {IncidentDateTime}
Created On {CreatedOn} Reported By {ReportedByName}

Incident Description

{IncidentDescription}

Sections

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{FIRTeamDetails}

Incident History

{IncidentHistory}
Created On Updated By Comment Attachments

Definition:

Injury Type Level Definition
Bruise L1 Blood Clot
Abrasion L2 Skin Rubbed with Rough Surface
Burn L3 Skin Burn due to fire, chemical, etc
Laceration L4 Tear or a cut in the skin
Fracture L5 Bone Damage
Amputation L6 Loss of body part