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STUDENT INJURY REPORT Student Name:Grade/Teacher:Date of Injury:Time:Person Reporting:Principal:Nature of Injury: Scrape Cut Bruise Swelling Place Injury Occurred: Classroom Gym Playground Bathroom
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How to fill out student injury report

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How to fill out student injury report

01
Obtain the Student Injury Report form from the school's administration office.
02
Fill out the student's personal information including their name, address, date of birth, and grade level.
03
Describe the injury in detail, including how it occurred and any symptoms the student is experiencing.
04
Include any medical treatment that has been given to the student and the name of the healthcare provider.
05
If applicable, have the student and/or parent/guardian sign the form acknowledging the information provided.
06
Submit the completed form to the school's designated personnel in charge of student injuries.

Who needs student injury report?

01
School administrators
02
Teachers
03
School nurses
04
Parents/guardians of the injured student
05
Healthcare providers
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A student injury report is a form used to document any injuries sustained by students while on school property or during school-sponsored activities.
School staff or administration members who are made aware of a student injury are required to file a student injury report.
To fill out a student injury report, one must provide details of the injury, when and where it occurred, the student's information, and any witnesses or staff members present.
The purpose of the student injury report is to document and track injuries sustained by students for statistical purposes, liability reasons, and to ensure proper medical attention and follow-up.
Information such as the student's name and grade, date and time of injury, location, description of the injury, treatment provided, and contact information of witnesses must be reported on the student injury report.
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