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
Your answer
Date of incident
MM
/
DD
/
YYYY
Time of incident
Time
:
Location
Your answer
Activity
Your answer
Who was involved
Your answer
Nature of the incident/injury/accident
Your answer
Action taken
Your answer
Suggestions to prevent/reduce the risk in future
Your answer
Advice given
Your answer
Parental notification
Your answer
Other leader informed?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms