
WSU Extension 4-H Incident Report Form 2019-2025 free printable template
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WSU Extension Youth and Families Program Unit
COLLEGE OF AGRICULTURAL, HUMAN, AND NATURAL RESOURCE SCIENCES Washington State University Extension 4H
Incident Report Form
Please report injuries directly
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How to fill out WSU Extension 4-H Incident Report Form

How to fill out WSU Extension 4-H Incident Report Form
01
Gather necessary information about the incident, including time, date, and location.
02
Identify all individuals involved in the incident, including their contact information.
03
Describe the incident in detail, including what happened, any injuries, and any property damage.
04
Fill out any specific sections of the form that require details about first aid given or witnesses present.
05
Review the form for accuracy and completeness.
06
Submit the completed form to the appropriate 4-H leader or state office as directed.
Who needs WSU Extension 4-H Incident Report Form?
01
H leaders and volunteers who are responsible for overseeing 4-H activities.
02
Participants or guardians involved in incidents during 4-H events.
03
Anyone involved in the planning or management of 4-H programs to ensure safety and compliance.
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What is WSU Extension 4-H Incident Report Form?
The WSU Extension 4-H Incident Report Form is a document used to report incidents that occur during 4-H activities, including accidents, injuries, or unsafe conditions.
Who is required to file WSU Extension 4-H Incident Report Form?
Any adult volunteer, participant, or staff member who witnesses or is involved in an incident during a 4-H activity is required to file the WSU Extension 4-H Incident Report Form.
How to fill out WSU Extension 4-H Incident Report Form?
The form should be filled out by providing detailed information about the incident, including date, time, location, individuals involved, description of the events, and any actions taken in response.
What is the purpose of WSU Extension 4-H Incident Report Form?
The purpose of the WSU Extension 4-H Incident Report Form is to document incidents to ensure safety, provide a record for review, and to prevent future occurrences.
What information must be reported on WSU Extension 4-H Incident Report Form?
The information that must be reported includes the date and time of the incident, location, individuals involved, description of the incident, and any follow-up actions taken.
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