University of the Sunshine Coast

Details of the incident

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Incident type*:
Incident classification:
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Date and time of incident*: :
Date reported*:

Location incident occurred

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Exact location*:

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Reporting person details

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Injured person details

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Injury details

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Injury a result of*:
Injured body part*:
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Medical treatment:
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Provider:
Treatment
provided:
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Notification

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