Get the free This form is to be completed by all departments to report accidents where first aid ...

Date of Report Time Name of Reporter Witness AM/PM Person s Involved Type of Accident check all that apply Slip/Trip/Fall Biting child Bump Burn Biting bug/animal Cut/Scrape Sprain Broken Bone Physical Fight Choking Allergic Reaction Other Location of Accident check all that apply Nursery Classroom Sanctuary Playscape Pre-K 2-3 Classroom Kitchen Grounds Hallway Parking Lot KOTR Classroom Offices Off-site Youth Classroom Bathroom Please include details of accident below Action Taken by First...

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