MAC Incident/Accident reporting form
Please fill in this form with information about the Incident/Accident you have encountered.
Email: *
Your answer
Indicate what type/s of situation occurred *
Explanatory Notes: Near miss – Something almost happened that could have caused harm / damage. “dodged the bullet” Incident/Accident – Something happened that was serious of nature, was undesired and has caused harm / damage. Behavioural – There was also a student behavioural issue connected with this situation (You will need to also mention this in a pastoral note in KAMAR).
Required
Date and time of the incident/accident *
MM
/
DD
/
YYYY
Time
:
Location of the incident/accident *
Your answer
Staff in charge *
Your answer
Staff / Student (s) involved *
Please give the names, gender and year level of students involved
Your answer
Was this a school trip away from the college? *
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