WINNIPEG POLICE SERVICE FIRST AID / CPR REPORT
The Winnipeg Police Service requires a valid Standard First Aid and a basic level Cardio Pulmonary Resuscitation (CPR) certificate, prior to an offer of employment. Please have the form (on the reverse side of this paper) completed by an organization whose standards are recognized as equivalent under the Manitoba Workplace Safety and Health First Aid Regulation 140/98R or under the Canada Occupational Health and Safety Regulations. This form must be accompanied by the original certificates.
The program must contain the following elements:
First Aid - Emergency Scene Management Shock, Unconsciousness & Fainting Artificial Respiration Choking Severe Bleeding Bone & Joint Injuries – Upper Limbs Muscle Strains Medical Conditions Bone & Joint Injuries – Lower Limbs Head/Spinal and Pelvic Injuries Chest Injuries Wound Care Environmental Illnesses & Injuries Burns
CPR - Signs, Symptoms & Actions 1 Rescuer CPR (Adult) Risk Factors Healthy Heart Habits Choking 2 Rescuer CPR (Adult) CPR for Infants to one-year old CPR for Children (1-8 years) Artificial Respiration for Infants & Children (PLEASE SEE REVERSE) FIRST AID / CPR REPORT
APPLICANT’S NAME: ______NAME OF ORGANIZATION: ______ORGANIZATION ADDRESS: ______PHONE NUMBER ______CURRENT DATE: ______
I HEREBY CERTIFY that the applicant ______has successfully completed a First Aid Certification Program and a Basic Rescuer Cardiopulmonary Resuscitation Program, which contains the following elements:
First Aid - CPR - Emergency Scene Management Signs, Symptoms & Actions Shock, Unconsciousness & Fainting 1 Rescuer CPR (Adult) Artificial Respiration Risk Factors Choking Healthy Heart Habits Severe Bleeding Choking Bone & Joint Injuries – Upper Limbs 2 Rescuer CPR (Adult) Muscle Strains CPR for Infants to one-year old Medical Conditions CPR for Children (1-8 years) Bone & Joint Injuries – Lower Limbs Artificial Respiration for Infants & Children Head/Spinal and Pelvic Injuries Chest Injuries Certification Date: ______Year / Month / Date Wound Care Environmental Illnesses & Injuries Expiry Date: ______ Burns Year / Month / Date
Certification Date: ______Year / Month / Date
Expiry Date: ______Year / Month / Date
PERSON CERTIFYING EQUIVALENCY: ______Please print Signature
Please validate the results with an official office stamp.