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I would like to appeal this assessment decision.Student signature:Date:SAB – HLTAID003 V.1.2©Lawson College Australia RTO40679 CRICOS 03406JPage35ATTEMPT 1:ATTEMPT 2 (If applicable):
ASSESSMENT TASK 3 -INCIDENT REPORTRESOURCESREQUIREDFORTHISASSESSMENTTemplate as below or appropriate alternative from workplace.CONTEXTANDCONDITIONSOFASSESSMENTStudents are required to complete this assessment in their own time or as advised by theirassessor. They may access reference materials or other resources as required.INSTRUCTIONSTOSTUDENTEither using the following template or using the template from your workplace if applicable,complete an incident report fortwo of the first aid incidents from your observation assessments.Please ensure that you document the incident fully and, where applicable, in accordance with thepolicies and procedures of your workplace.INCIDENT REPORT FORMCasualty’s name:Click or tap here to entertext.Date/Time of incidentClick or tap here toenter text.Witness namesClick or tap here to enter text.Age of casualty:Click or tap here to enter text.Emergency contact notified by:Click or tap hereto enter text.Date and time of notification:Click or tap here toenter text.Cause of injury:Click or tap here to enter text.Type of injury:Click or tap here to enter text.Body part(s) injured:Click or tap here to enter text.Description of how and where the incident occurred, and first aid administeredClick or tap here to enter text.Referred to medical practitioner for treatment?Please provide detailsClick or tap here to enter text.Steps taken to prevent reoccurrenceClick or tap here to enter text.Signature of first aider_________________________________________Date__________________Signature of casualty or parent (if under 18 years of age)_______________________________Date_________________________________SAB – HLTAID003 V.1.2©Lawson College Australia RTO40679 CRICOS 03406JPage36
ASSESSMENT TASK 4 COVER SHEET – THEORY TEST –To be done inthe classroomSTUDENT DECLARATIONTo be filled out and submitted with assessment responsesI declare that this task is all my own work and I have not cheated or plagiarized the work orcolluded with any other student(s).I understand that if I If I am found to have plagiarized, cheated or colluded, action will be takenagainst me according to the process explained to me.I have correctly referenced all resources and reference texts throughout these assessmenttasks.I understand that if I am found to be in breach of policy, disciplinary action may be takenagainst me.Student nameStudent signatureStudent IDnumberDateASSESSOR DECLARATIONI hereby certify that this student has been assessed by me and that the assessment has beencarried out according to the required assessment procedures.ATTEMPT 1SNSDNSResubmission☐ Y☐ NResubmission due date: _________[within one(1) week ]Trainer Name:Trainer Signature:Date:ATTEMPT 2(if applicable)SNSDNSTrainer Name:Trainer Signature:Date:ASSESSOR FEEDBACKAssessors: Please provide written feedback with assessment results to the student.

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Term
Fall
Professor
professor_unknown
Tags
Lawson College Australia

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