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Program tool 22. Program log forms

Log form for increasing safety in your centre

This log form allows you to keep track of the centre checks and changes you make.

Centre check Date and time Action required Action taken
       

 

 

      

 

 

      

 

 

      

 

 

      

 

 

      

 

 

      

Active Independent Aging was a joint venture between the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. For more information please visit our website at: www.falls-chutes.com. Funding provided by Health Canada/Veterans Affairs Canada Falls Prevention Initiative. The views expressed herein do not necessarily represent the official policies of Health Canada, Veterans Affairs Canada, the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. The information in this handout is current as of 2004.

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Last modified May 7, 2004