MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS                                                                     P.O. BOX 58
                                                            DIVISION OF WORKERS’ COMPENSATION                                                             JEFFERSON CITY, MO 65102-0058
                                                            REPORT OF INJURY                                                                            (To complete form, see attached instructions)
                                                           
                                                    EMPLOYER  (NAME, ADDRESS, INCL ZIP CODE)         CARRIER ADMINISTRATOR CLAIM NUMBER                                     REPORT PURPOSE CODE 
                                                                                                                                                                                   
                                                                                                     JURISDICTION                       JURISDICTION CLAIM NUMBER 
                                                                                                                                               
                                                                                                     INSURED REPORT NUMBER 
                                                                                                              
                            GENERAL                                                                  EMPLOYERS LOCATION ADDRESS  (IF DIFFERENT)                         LOCATION # 
                                                                                                                                                                              
                                                    SIC CODE     EMPLOYER FEIN                                                                                          PHONE # 
                                                                                                                                                                              
                                                    CARRIER  (NAME, ADDRESS & PHONE NO.)             POLICY PERIOD              CLAIMS ADMINISTRATOR  (NAME, ADDRESS & PHONE NO.) 
                                                                                                                      to                  
                                                                                                                        
                                                                                                     CHECK IF APPROPRIATE 
                                                                                                              SELF INSURANCE 
        CARRIER                                     CARRIER FEIN                    INSURANCE POLICY NUMBER                                                                 ADMINISTRATOR FEIN 
                                       CLAIMS ADMIN                                                                                                                                
                                                    AGENT NAME & CODE NUMBER 
                                                          
                                                    NAME  (LAST, FIRST, MIDDLE)                             DATE OF BIRTH       SOCIAL SECURITY #         DATE HIRED               STATE OF HIRE 
                                                                                                                                                                                         
                                                    ADDRESS (INCLUDE ZIP)                                   SEX              MARITAL STATUS             OCCUPATION JOB TITLE 
                                                                                                                   MALE          UNMARRIED                    
                                                                                                                   FEMALE             SINGLE   DIVORCED EMPLOYMENT STATUS 
                                                                                                                   UNKNOWN       MARRIED                      
                            EMPLOYEE                PHONE #                                      # OF DEPENDENTS                 SEPARATED              NCCI CLASS CODE 
                                                                                                                                 UNKNOWN                      
                                                    RATE                                                          # OF DAYS WORKED/WEEK 
                       WAGE                                               PER        DAY          MONTH                                         FULL PAY FOR DAY OF INJURY?                YES         NO
                                                                                     WEEK         OTHER                                         DID SALARY CONTINUE?                       YES         NO
                                                    TIME EMPLOYEE BEGAN WORK             DATE OF INJURY / ILLNESS TIME OF OCCURRENCE       LAST WORK DATE DATE EMPLOYER NOTIFIED   DATE DISABILITY BEGAN 
                                                                                 AM                                                     AM 
                                                                                 PM                                                     PM                                               
                                                    CONTACT NAME PHONE NUMBER                           TYPE OF INJURY ILLNESS                          PART OF BODY AFFECTED 
                                                                                                                                                                
                                                    DID INJURY ILLNESS EXPOSURE OCCUR                   TYPE OF INJURY/ILLNESS CODE                     PART OF BODY AFFECTED CODE 
                                                    ON EMPLOYER’S PREMISES?      YES          NO                                                                
                                                    ZIP CODE OF THE LOCATION WHERE THE ACCIDENT OR ILLNESS EXPOSURE        ALL EQUIPMENT, MATERIALS, OR CHEMICALS EMPLOYEE WAS USING WHEN ACCIDENT OR 
                                                    OCCURRED                                                               ILLNESS EXPOSURE OCCURRED 
                                                                                                                                  
                                                    SPECIFIC ACTIVITY THE EMPLOYEE WAS ENGAGED IN WHEN THE ACCIDENT OR     WORK PROCESS THE EMPLOYEE WAS ENGAGED IN WHEN ACCIDENT OR ILLNESS EXPOSURE 
                                                    ILLNESS EXPOSURE OCCURRED                                              OCCURRED 
                            OCCURRENCE 
                                                                                                                                  
                                                    HOW INJURY OR ILLNESS/ABNORMAL HEALTH CONDITION OCCURRED. DESCRIBE THE SEQUENCE OF EVENTS AND INCLUDE ANY OBJECTS OR     CAUSE OF INJURY CODE 
                                                    SUBSTANCES THAT DIRECTLY INJURED THE EMPLOYEE OR MADE THE EMPLOYEE ILL. 
                                                                                                                                                                                      
                                                    DATE RETURN TO WORK                      IF FATAL, GIVE DATE OF DEATH 
                                                                                                                                    WERE SAFEGUARDS OR SAFETY EQUIPMENT PROVIDED?          YES         NO
                                                                                                                                    WERE THEY USED?                                        YES         NO
                                                    PHYSICIAN HEALTH CARE PROVIDER  (NAME & ADDRESS)        HOSPITAL  (NAME & ADDRESS)                    INITIAL TREATMENT 
                                                                                                                                                           0 - NO MEDICAL TREATMENT 
                                                                                                                                                           1 – MINOR: BY EMPLOYER 
                TREAT-                 MENT                                                                                                                2 – MINOR CLINIC HOSPITAL 
                                                    WITNESS  (NAME & PHONE #)                                                                              3 – EMERGENCY CASE 
                                                                                                                                                           4 – HOSPITALIZED  >  24 HOURS 
                                                                                                                                                           5 – FUTURE MAJ. MED. LOST TIME ANTICIPATED 
                                                    DATE ADMINISTRATOR NOTIFIED DATE PREPARED           PREPARER’S NAME & TITLE                                              PHONE NUMBER 
                            OTHERS                                                                                                                                                    
 
                                                                                                                                                                                   WC-1-EDI (06-06)  AI 

 NOTE >   This form constitutes both the original notification of injury and detailed report of injury 
 required by §287.380, RSMo (2000) and rules applicable thereto.  An injury that requires 
 immediate first aid, which does not result in further medical treatment or lost time from work, 
 need not be reported to the Division. Employers should report all injuries to their workers’ 
 compensation insurance carrier or third-party administrator (TPA) within five days of the date of 
 the injury or within five days of the date on which the injury was reported to the employer by the 
 employee, whichever is later.  See §287.380, RSMo.  If the employer has been granted self-
 insurance authority by the Division pursuant to §287.280, RSMo, and rules applicable thereto, 
 please report all injuries to your TPA or Service Company to enable them to file this report with 
 the Division. 
  
 PRINT QUALITY >   All reports of injury and supporting documents received by the Division will 
 be processed electronically. All forms submitted to the Division MUST be of clear and legible 
 quality. Handwritten forms will not be accepted. Computer generated forms shall use a  minimum 
 type size of 10 points. All documents not meeting the above criteria will be returned. 
  
                       TO BE ANSWERED ONLY IN CASE OF DEATH 
 DATE OF DEATH 
       
 EMPLOYEE’S DEPENDENTS 
  NAME OF              RELATION TO       ADDRESS OF DEPENDENT 
  DEPENDENT            EMPLOYEE          ADDRESS CITY STATE ZIP CODE 
                                                                                              
                                                                  WC-1-EDI-2 (06-06)  AI 

M M M M M M  O 
Field 
Mandatory 

WC-1-EDI-3 (06-06)  AI 

Missouri Notes This is the name the employer does business under followed by the FULL address including mailing address, city, state and zip code. This is the Standard Industrial Classification Code for the employer.  SIC/NAICS codes can be found at www.census.gov/epcd/naics02 Must be the primary FEIN for the Employer listed above. required to file with the Division of Workers’ Compensation (Division) through the insurance carrier or third party administrator (TPA) Number used by the organization adjusting the claim (insurance company, third party administrator, etc.). This must always be Missouri. The injury number assigned by the Division upon receipt of the First Report of Injury with all mandatory information provided.  The reporting entity is to leave this field blank.  

Data Element Table for First Report of Injury – Hard Copy and EDI 

IAIABC Data Definition employed at the time of the injury. The code which represents the nature of the employer’s business which is contained in the North American Industry Classification System Manual published by the Federal Office of Management and Budget.  See implementation note below: The industry code selected should represent the primary nature of the employer’s business.  If the employer is assigned multiple industry codes, use the code that relates to the specific business operation for which the employee was employed at the time of the injury.  The data element may contain an SIC code or NAICS Code.  SIC code will be identified with the characters ‘SC’ as the last two characters of the data element.  If SC is not present, the code is presumed to be NAICS. The FEIN of the employer where the employee was employed at the time of the injury. Defines the specific purpose of the report being filed with the  The original or Initial First Report of Injury that the employer is state of Missouri. 00 = Original FROI Identifies a specific claim within a claim administrator’s claims processing system. The governing body or territory whose statute applies.  A number used by the insured to identify a specific claim. 

Data Element Employer (Name  The name of the employer where the employee was & Address)  Industry Code Employer FEIN  Report Purpose Code (RPC) Claims Administrator’s Number  Jurisdiction Jurisdiction Claim Number Insured Report Number 

O O O M M M  M C C 
Field 
Mandatory 

WC-1-EDI-4 (06-06)  AI 

 self-

(Not a number 
individual

 self-insured, the 
insurance company, 

 for the specific workers’ compensation 
individually

Missouri Notes    If the employer is insured employer’s name and mailing address would be indicated in this field.  The FEIN and Name must match. If the employer is self-insured by a trust, the trust’s name would be submitted in this field.  assigned by a TPA)policy for that employer. Not a required field for Division approved self-insureds. The date that the policy became effective and the date the policy expires or is no longer in effect. No date is required in this field if the injury falls within the Division approved self-insurer’s self-insurance period. An indicator used for an individually self-insured employer or an employer authorized to self insure through a trust by Missouri Division of Workers’ Compensation and is financially responsible for workers’ compensation claims. Name and mailing address of the Third Party Administrator (TPA), independent adjuster, contracted to adjust the claim and phone number of the office adjusting the claim.  If there is not a TPA, independent adjuster/administrator, contracted to adjust the claim please leave blank. 

IAIABC Data Definition List the physical address of where the employee sustained the accident or illness if that location is different from where the employer wishes to have correspondence sent. A code defined by the insurer/employer, which is used to identify the employer’s location of the accident. List a phone number of the employer location where the employee worked at the time of the accident. The name and mailing address of the carrier or self-insured the workers’ compensation claim. The FEIN of the carrier or self-insured assuming the employer’s financial responsibility for the workers’ compensation claim(s). The number assigned to the contract/policy for the employer  A number assigned by the or association group.  List the effective and expiration dates of the contract/policy.   An indicator that identifies the employer as one who retains the risks arising from its operations and bears the financial responsibility. Check box if applicable. The name and mailing address of the Third Party Administrator (TPA), independent administrator, contracted to adjust the claim on behalf of the carrier or self-insured. 

 Data Element Employer’s Location Address Insured Location Number Phone Number Carrier (insurer) Name & Address  entity assuming the employer’s financial responsibility for Carrier (insurer) FEIN Number Carrier Policy Number Policy Period Self-Insured Indicator Claim Administrator (TPA) Name & Address 

C O M M M O O M O M C O 
Field 
Mandatory 

WC-1-EDI-5 (06-06)  AI 

 report it to the Division.  
 
please

5736367777.

Missouri Notes FEIN number for the company hired as a TPA.  Note:  If there is no Third Party Administrator, please leave blank.  Name to include last, first and middle initial. Must be a valid date. Can use Missouri Driver’s license after 7/1/03.  If neither a SSN or MO driver’s license is available please call 888-837-6069. Must be valid date.  The address should not be listed as unknown.  Please include the last known address provided by the employee that is on file with the employer. This is an optional field, although if the employer or insurance company has this information, This will improve communication between the parties.  This will be a numeric field only   Spouse, minor children or others if known.  Required if date of death is entered.  Numeric field 0-9.  

IAIABC Data Definition The FEIN of the Third Party Administrator (TPA), independent adjuster/administrator, contracted to adjust the claim on behalf of the carrier or self-insured. List the name and code number of the carrier or claim administrator agent who administers the workers’ compensation claims for the employer. The injured worker’s legally recognized name which is used on legal documents, employment, Social Security, banking, records, etc. The date the injured worker was born. A number assigned by the Social Security Administration used to identify the employee. The date the injured worker began his/her employment with the employer under which the claim is being filed.  If there have been multiple periods of employment, this would be the beginning date of the current employment period. List the state where the employer hired the employee. The mailing address used by the injured worker. reached. The code which indicates the sex of the employee. Gender of employee   F=Female   M=Male   U=Unknown The number of dependents as defined by the administrating jurisdiction. The code, which indicates the marital status of the employee. U = Widowed, divorced, single, unmarried, M = Married, S = Separated, K = Unknown 

 Data Element Claim Administrator (TPA) FEIN Number Agent Name & Code Number Employee Name Employee Date of Birth Social Security Number Date of Hire State of Hire Employee Address  Employee Phone  A telephone number where the injured worker can be Gender Code Number of Dependents Marital Status Code 

O O M M M O O O O 
Field 
Mandatory 

WC-1-EDI-6 (06-06)  AI 

Missouri Notes  These codes are provided on the Division Web Site www.dolir.mo.gov/wc/employers MO currently uses NCCI codes. “Gross Wages” includes, in addition to money paid by the employer for services rendered by the employee, the reasonable value of board, rent, housing, lodging or similar advance by the employer, except if it continues to be provided to the employee for the period of disability, it is not included in calculating the average weekly wage.  “Wages” also includes gratuity received in the course of employment from individuals other than the employer that are reported for income tax purposes.  “Wages” does not include fringe benefits such as retirement, pension, health and welfare, life insurance, training, Social Security or other employee or dependent benefit plan provided by the employer.  See Special Notes #1   Did the employer continue to pay salary to the employee after the injury?   N=No   Y=Yes  

IAIABC Data Definition Identifies the primary occupation of the employee at the time   of the accident or injurious exposure. Indicate the employee’s primary work code status at the time of the injury with the covered employer. A code, which, corresponds to the primary occupation in which the employee was engaged at the time of the accident/injury or injurious exposure. The reported employee’s pre-injury wage for the wage period.  Implementation Note: This amount may include commission, piecework earnings, and other forms of income converted to a normal scheduled work week, plus the estimated value of lodging, food, laundry and other payments in kind; and concurrent employment earnings, as prejurisdictional requirement. A code indicating the time period during which the wage was  Please use the weekly wage rate paid to the employee. earned. The number of the employee’s regularly scheduled workdays per week. Indicates whether full wages for the date of the accident/injury or illness were paid by the employer. The employer has paid or is paying the employee’s salary in lieu of compensation during an absence caused by a work-related injury. Time at which the employee began work on the day of the accident/injury or illness. 

Data Element Occupational/ Job Title or Description Employment Status Code NCCI Class Code Wage Wage Period Number of Days Worked Full Wages Paid for the Date of Injury Indicator Salary Continued Indicator Time Employee Began Work 

M O O M C C O O M M M 
Field 
Mandatory 

WC-1-EDI-7 (06-06)  AI 

Please indicate 
.  

Missouri Notes Date that injury/illness occurred or became known to employee; To the extent that the time of the occurrence of the accident/injury is available, you should provide it to the Divisiona.m. or p.m. Must be valid date.  Date of disability must be greater than Date of Injury. First date employee starts losing time from work after the date of injury.  This is the day after the date of injury or the first day of work missed, if later.  The three-day waiting period is calculated from the first date of lost time and the lost time does not need to be consecutive days.  See Special Note #2    If the injury/illness occurred on the employer’s property indicate “YES.”  If it occurred elsewhere indicate “NO.” A list of codes with description of each code is available at www.dolir.mo.gov/wc/employers/definitions.doc  (Sprain, strain, occupational disease, hernia, amputation, etc.) Choose from the list of code numbers, which corresponds with the part of body injured.  A list of codes with a description of each code is available at www.dolir.mo.gov/wc/employers/definitions.doc 

IAIABC Data Definition For traumatic injury, the date on which the accident occurred.  For occupational disease or cumulative injury, the  whichever is later. date of injury is the date of last injurious exposure to the cause or substance creating the condition, unless otherwise defined by statute. The time at which the accident occurred. The last paid workday prior to the initial date of disability as defined by jurisdiction. The date that the injury was reported to a representative of the employer. The first day on which the employee originally lost time from work due to the occupational injury or disease or as otherwise defined by jurisdiction. List the name and phone number for a representative of the employer. List the type of injury/illness sustained by the employee. List the part of body to which the employee sustained injury. An indicator to denote whether the accident occurred at the employer’s address provided. The code, which corresponds to the nature of the injury sustained by the employee. The code, which corresponds to the part of the body to which the employee sustained injury.  

 Data Element Date of Injury/Illness Time of Occurrence Date Last Day Worked Date Employer Notified Date Disability Began Contact Name & Phone Number Type of Injury/Illness Part of Body Affected Employer Premises Indicator Type of Injury/Illness Code  Part of Body Affected Code 

M  O O O M M C C O O O 
Field 
Mandatory 

WC-1-EDI-8 (06-06)  AI 

Missouri Notes The code is required to assist with docket setting if needed.   events that led to the injury/illness and any objects or substances that directly injured the employee or made the employee ill.  Maximum of 150 characters, including spaces. For example: Employee was on ladder putting away product, fell on chemical barrel breaking lower arm; arm lacerations; exposed to chemical liquid and fumes (141 characters).Choose from the list of code numbers, which corresponds with the cause of the injury.  A list of codes with a description of each code is available at www.dolir.mo.gov/wc/employers/definitions.doc  (Struck by, fell, auto accident, exposure, etc.) Must be a valid date.  Must be entered if employee lost days of work and returned to work before first report of injury is filed. Must be a valid date.    

IAIABC Data Definition The zip (postal code) that corresponds to the location where the injury occurred. List all the equipment; materials or chemicals the employee was using at the time of the accident/injury or illness exposure occurred. Describe the specific activity that the employee was doing at   the time the accident/injury or illness exposure occurred. Describe the work process the employee was doing when the accident/injury or illness exposure occurred. resulting injuries. The code which corresponds to the cause of injury. following the injury.  See special note * The date the injured worker died.  Indicate whether safeguards or safety equipment was provided by checking “Yes” or “No.” used by the employee by checking “Yes” or “No.” provider who provided initial medical treatment to the injured employee after the accident/injury or illness. 

Data Element Zip Code of the Location Where Accident or Illness Exposure Occurred All Equipment Using Specific Activity Engaged In Work Process Engaged In How the Injury or  A free form description of how the accident occurred and the  Describe how the injury/illness occurred.  Please include the Illness Occurred Cause of Injury Code Date Returned to  The first date on which the employee returned to work Work Employee Date of Death Safeguards Were They Used  Indicate whether the safeguards or safety equipment was Physician/Health  List the name and address of the physician or health care Care Provider 

O M O M O C C 
Field 
Mandatory 

WC-1-EDI-9 (06-06)  AI 

Missouri Notes  First Aid includes the administration of immediate and temporary medical aid to the employee that a lay person may provide, such as the application of Band-Aid to treat a minor scratch or the removal of a splinter that would not result in the need for a referral to a doctor or other health care professional for additional medical treatment. The on-site company nurse or physician may be the individual that provides the first aid. If the company nurse or physician provides service beyond first aid, then the injury must be reported even if the treatment occurs on-site. See Special Notes # 3 & 4       

  When a death case is reported then the death date would be required. 
     If the employee has returned to work prior to the report being filed, the date of return to work would be entered. 

 Cases missing mandatory information will NOT be accepted by the Missouri Division of Workers’ Compensation system. 
testing procedures 
IAIABC Data Definition List the name and address of the hospital where the employee received initial medical treatment. A code used to identify the extent of medical treatment received by the employee immediately following the accident. 0= No medical treatment 1= Minor on-site remedies by employer medical staff 2= Minor clinic/hospital medical remedies and diagnostic 3= Emergency evaluation, diagnostic testing, and medical 4= Hospitalization > 24 hours 5= Future major medical/lost time anticipated  **Please see attached special notes for Missouri. List the name and address of all witnesses who were present when the employee sustained the accident/injury or illness. received notice of the loss or occurrence. List the date that the representative for the claims administrator prepared this report of injury. representative who prepared this report of injury. List the phone number of the representative preparing this report of injury.  Data Elements with Conditional errors indicate a value is required based on another Data Element or pre-existing condition. 
 Data Elements identified as Optional may be entered but are not required. 

  Examples:   
M – Mandatory Error –C – Conditional –  O – Optional –
Data Element Hospital Initial Treatment Witness Date Reported to  The date the claim administrator who is processing the claim   Claims Administrator Date Prepared Preparer’s Name  List the name and title of the claims administrator’s and Title Phone Number   

WC-1-EDI-10 (06-06)  AI 
 
For example, the employee worked for the 

For example: if the employee misses 4 days, the 

For example, the employee’s hourly wage is $9.00/hour.  The overtime  

For example: if the employee misses 5 days, one week is subtracted from 13 and the 

. 

The formula is: Actual gross wages earned in prior 13 weeks/13=AWW.  rate is $13.50/hour.  The employee works 40 hours per week at $9.00 an hour plus occasional overtime.  Employee worked overtime of 44 hours in the 13-week period immediately preceding the week of the injury.  The employer has employed the employee for 2 years.  The gross wages are $9.00 X 40 hours X 13 weeks = $4,680.  You also need to include the overtime 44 hours.  Therefore, $13.50 X 44 hours = $594.  The total wages are $4,680 plus $594 = $5,274. The AWW is $5,274/13=$405.69If the employee misses nonconsecutive workdays during the 13-week period in multiples of 5 and receives no compensation, such as sick or other leave, those days shall be subtracted from the denominator.  denominator becomes 12; if the employee misses 10 days, two week are subtracted from 13 and the denominator becomes 11; and so on.   Partial weeks of time missed by the employee do not count to change the denominator.  denominator is 13; if the employee misses 6 days, one week is subtracted from 13 and the denominator becomes 12; and so on. If the employee works less than 13 weeks but more than 2 weeks, the AWW is the same formula with the numerator as the gross wages calculated for the number of weeks of employment and the denominator is the number of weeks of employment.  employer 8 weeks prior to the week of the injury.  The employee was paid $9.00 per hour and worked 40 hours per week.  The employee worked 13 hours of overtime.  The overtime rate is $13.50. The gross wages are $9.00 X 40 hours X 8 weeks plus $13.50 X 13 hours = $3,055.50.   The AWW is $3,055.50/8=$381.94.  

i) ii) iii) iv)  

If the employee’s wage is fixed by the year, the AWW is the yearly wage divided by 52; If the employee’s wage is fixed by the month, the AWW is the monthly wage multiplied by 12 and divided by 52; If the employee’s wage is fixed by the week, that amount is the AWW; If the employee’s wages are fixed by the day, hour or output, the numerator is the actual gross wages earned by the employee in the last thirteen calendar weeks immediately preceding the week in which the injury occurred; and the denominator is 13 to calculate the AWW.  
a)  b) c) d) e) If the employee works less than two weeks the AWW shall be equivalent to the AWW for the same or similar employment.  However, if the employer has agreed     to a certain hourly wage, then the hourly wage agreed upon multiplied by the number of weekly hours scheduled shall be the employee’s AWW.  When the Date Returned to Work is more than three days from the Date Disability Began, the workers’ compensation case will be considered an  indemnity case.  You will receive a request for the cost of medical treatment, the date returned to work, and the total amount of temporary total disability benefits paid to the employee. When Initial Treatment Code is reported as equal to 00, 01 or 02, the case will be considered as a medical only case.  If the time period between the Date Disability Began and the Date Returned to Work is three days or less, the case will be classified as a medical only case.  You will receive a request for the cost of medical treatment and the date returned to work, if not supplied.  After all required information has been filed and there is no further activity on a case for six months, the case may be administratively closed.  When the Initial Treatment Code is reported as equal to 03, 04 or 05, the case will be considered as an indemnity case.  You will receive a request for the cost of medical treatment, the date returned to work, and the total amount of temporary total disability benefits paid to the employee. 
1) Report the wage information as the average weekly wage (AWW) of the employee. These rules apply for calculating the average weekly wage.   2) 3)    

  Special Notes     

WC-1-EDI-11 (06-06)  AI 

Use of non-prescription medication at non-prescription strength. Cleaning, flushing or soaking wounds on the surface of the skin. Using wound coverings such as bandages, Band-Aids, gauze pads, etc. or using butterfly bandages or Steri-Strips. (Other wound closing devises such as sutures, staples, glues, etc. are considered medical treatment.) Use of any non-rigid means of support such as an elastic bandage, wrap, or non-rigid belt. (The use of devices with rigid stays or other systems designed to immobilized body parts is considered medical treatment.) Use of temporary immobilization devices (e.g., splints, slings, neck collars, etc.) while transporting an accident victim. Removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs, or other simple means. Use of finger guards. Drinking of fluids for relief of heat stress.
a) b) c) d) e) f) g) h) 
The following are examples of First Aid treatment.        
4)