Spotlight on Prevention: Best Practices for Body Checks Spotlight on Prevention: Best Practices for Body Checks
www.justicecenter.gov
www.justicecenter.ny.gov SAMPLE BODY CHECK FORM Instructions: Mark on the diagram the location of the injury with the corresponding letters from the key below. Whenever possible, 2 staff are to complete the body check.
Name _______________________________ Date ______________________ Time _________________
Check here if no marks or injuries noted.
KEY
A - Abrasion/Scratch
C - Cut/Laceration
BL - Blister
BL - Blister BU - Burn/Scald P - Possible Head Injury Other:
ST - Skin Tear B - Bite (human/animal) SW - Swelling
O - Open Area/Wound SO - Sore/Tender N - Nothing Noted
BR - Bruise/Discoloration D - Damaged Teeth RA - Rash
Circle one:
Whole Body Check
|
Partial Body Check
If partial body check, what areas were not checked? ____________________________________________
Description of Findings:
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