Employee name (required) ---Callum MorrisonDylan IrvineDavid MurphyMeg MorrisonTeigan ParkGeorge MackenzieJilly OrmerodJoseph BeattieRyan MersonKieran MccloyLee EvansLeigh WalshMilan ZamalekNatalie ShandNicola PatersonScott WestShaun TaylorSi MoonaTimothy Shannon VENUE OF INCIDENT BARDOTSTHE LOUNGECHEERZCOTTON CLUBBARDOTS CASUALTY'S NAME POLICE ATTENDANCE YESNO Details of what happened: Nature of injury if known or describe symptoms Details of first aid provided Was the casualty on any medication? Was the casualty hospitalised? (Did we call an ambulance) YESNO Was the casualty intoxicated? YESNO RRIDOR REPORTING YESNO
