OCKC Accident and incident reporting
Use this form to report any accidents or incidents that occur.
This can be a medical incident/accident
Behaviour incident
Near miss - what can we learn from this?
Who is reporting this event
Date of incident
MM
/
DD
/
YYYY
Time of incident
Time
:
Location
Activity
Who was involved
Nature of the incident/injury/accident
Action taken
Suggestions to prevent/reduce the risk in future
Advice given
Parental notification
Other leader informed?
Submit
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