Get the free Student/Staff Restraint Injury Report

Massachusetts Department of Elementary and Secondary Education 75 Pleasant Street, Malden, Massachusetts 021484096Telephone: (781) 3383700 Fax: (781) 3383710 Email: compliance@doe.mass.eduStudent/Staff

How to fill out studentstaff restraint injury report

How to fill out studentstaff restraint injury report

1. To fill out a student/staff restraint injury report, follow these steps:
2. Begin by providing basic information such as the name and contact details of the person filling out the report.
3. Specify whether the report is for a student or staff member who was involved in the restraint incident.
4. Document the date, time, and location of the incident.
5. Describe the circumstances leading up to the restraint, including any triggering events or behaviors.
6. Detail the type of restraint used and the duration of the restraint.
7. Record any injuries sustained by the student or staff member, including visible marks, bruises, or other physical harm.
8. If medical attention was sought, indicate the healthcare provider's information and the treatment provided.
9. Include statements from any witnesses present during the incident.
10. Add any additional comments or observations related to the incident.
11. Once completed, review the report for accuracy and completeness.
12. Obtain necessary signatures from the person filling out the report, the individual restrained, and any witnesses.
13. Submit the report to the appropriate authority or department as per your organization's procedures.

Who needs studentstaff restraint injury report?

1. A student/staff restraint injury report is needed by educational institutions or organizations that handle situations involving physical restraint of students or staff members.
2. This report is essential for documenting incidents of restraint and any associated injuries. It helps ensure transparency, provide accurate information, and serve as a reference for further actions or investigations related to the incident.

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