KD-SITE-AB-035
First-Aid and Injury Record Book
A first-aid and injury record book — not the statutory accident book. If the social security accident book duty applies to you (10 or more people normally employed on the same premises, and possibly any construction site), keep your accident records in the form that duty requires; HSE publishes its Accident Book BL510 for that purpose. Use this book alongside it, or where the duty does not apply, for first-aid incidents and the injury records RIDDOR asks you to keep: a cover, a how-to page, an index with no personal details, and twenty numbered entries whose personal details are torn off as soon as the entry is signed and filed securely.
24 pages · 802 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 24 — click to enlarge
Read all 24 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- RIDDOR 2013 reg 12 and Schedule 1 Part 2
- Social Security (Claims and Payments) Regulations 1979 reg 25 (explained — this is not that book)
- Factories Act 1961 s.127(4)
- UK GDPR arts 5, 6 and 9
- Data Protection Act 2018 Schedule 1 para 1
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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