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West Hills Community College DistrictCLASSROOM / CAMPUS INJURY INCIDENT REPORT: This form is to be used for all injuries or incidents occurring on campus, in classrooms or while participating in a
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How to fill out classroom on-campus injury

01
Start by obtaining a copy of the classroom on-campus injury form.
02
Fill in your personal information, including your name, student ID number, and contact details.
03
Provide detailed information about the injury, such as the date, time, and location of the incident.
04
Describe the nature of the injury and how it occurred in a clear and concise manner.
05
If there were any witnesses to the incident, include their names and contact information.
06
Indicate whether you received any immediate medical attention or if you need further treatment.
07
Sign and date the form to confirm the accuracy of the information provided.
08
Submit the completed form to the designated person or department responsible for handling on-campus injuries.

Who needs classroom on-campus injury?

01
Anyone who sustains an injury while inside a classroom on-campus needs to fill out a classroom on-campus injury form.
02
This includes students, faculty members, staff, or any other individual who experiences an injury within the campus classroom.

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A classroom on-campus injury refers to any physical harm or injury sustained by a student or staff member while attending classes or engaging in activities within educational facilities on a school campus.
Students, faculty, or staff members who experience an injury on campus are required to file a report regarding the incident.
To fill out a classroom on-campus injury report, individuals should complete the designated form provided by the institution, including details about the incident, the nature of the injury, time, date, location, and any witnesses.
The purpose of reporting classroom on-campus injuries is to ensure proper documentation for accountability, to assist in providing necessary medical care, and to help implement safety measures to prevent future incidents.
The report must include the injured person's name, date and time of the incident, location, description of the injury, circumstances surrounding the injury, and names of any witnesses.
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