Injury Form

This form is used to record injuries as a result of incidents or events recorded in an Action Form. It is linked to the Injuries tab of that form.

For help on activities associated with this form, go to Actions - Activities

This form is tabbed. It includes sections for recording:

• Contact Details
• Injury Details
• Attachments

The form has 3 Buttons:

Button	Function
Procedure	Open the documented procedure used to describe business rules related to the reporting of injuries
Save	Save changes to the current record
Close	Close the record

Contact Details

Fields displayed:

Fields	Description
Employee number	The employee number from your HR system
Relationship to organisation *	This field will only be displayed if the injured person is not someone from your People List. Identify if the person is a customer, neighbour, visitor etc.
Status	Active or Inactive
Title	The persons' title
Given name(s) *	The persons' given name(s)
Surname *	The persons' last or family name
Position	The persons' primary role or position in your organisation
Location	Drop-down list: The applicable room, building, site, or geographic area
Business Unit	Drop-down list: The applicable department or business unit
Date of birth	The person's date of birth
Phone	The person's telephone number
Fax	The person's fax number
Mobile	The person's mobile number
Address	The person's address

* = Mandatory field.

Injury Details

Fields displayed:

Fields	Description
Injury section
Nature	Drop-down list: The most serious injury or disease sustained or suffered e.g. Sprain, fracture etc.
Bodily location	Drop-down list: The part of the body affected by the most serious injury or disease
Mechanism	Drop-down list: The action, exposure or event that was the direct cause of the most serious injury or disease e.g. Fall from height, contact with electricity etc.
Agency	Drop-down list: The object, substance or circumstance principally involved in OR most closely associated with inflicting the injury or disease e.g. Chemicals, Road transport etc.
Injury description	Text field
Treatment / Outcome section
Treatment type	Drop-down list: e.g. First Aid treatment, Medical treatment etc.
Hours work lost	Number field
Rehabilitation plan	Checkbox
Treatment description	Text field

Attachments Tab

This tab provides the facility to link one or more attachments to the injury form e.g. a medical report or a photograph. When the form is saved, the attachment(s) get uploaded to a folder within the Qudos application.

Fields displayed:

Field	Description
Number	An automatically populated number to identify the attachment
Filename	The name of the attached file
Description	Free-text description of the attached file

Buttons:

Button	Function
Browse	Navigate to, and select the file to be attached
View	View the selected attachment
Delete	Delete the selected attachment

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Contents | Actions | For help on activities associated with this form, go to Actions - Activities