School Accident Report Form – Fill Out and Use This PDF

The School Accident Report Form is a document that you need to fill out in the event of an accident at school.

By clicking on the button beneath, you will open our document editor that will enable you to edit this form quickly. The application is designed to let you edit any document you choose with the use of our versatile toolbar. You can do it on just about any platform, at any time!

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School Accident Report Form first page preview

School Accident Report Form PDF Details

When a school-aged child is injured, it is important to make sure the correct paperwork is filed with the school administration. The School Accident Report Form can help make this process easier. This form can be used to report any type of injury that occurs while at school. It includes information on how the injury happened, what treatment was given, and contact information for parents or guardians. Having this form handy can help ensure that all necessary information is collected in case of an accident.

You will find info about the type of form you need to submit in the table. It can show you how much time it will require to complete school accident report form, what parts you will have to fill in, and so on.

Question	Answer
Form Name	School Accident Report Form
Form Length	1 pages
Fillable?	Yes
Fillable fields	50
Avg. time to fill out	10 min 15 sec
Other names	school accident report form template, student accident report form, example of a report about accident at school ground, student accident report form template

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Form Preview Example

THE SCHOOL BOARD OF POLK COUNTY

STUDENT ACCIDENT REPORT FORM

Name ____________________________ Home Address _________________________________________________


School ____________________________________________________ Sex:		M F Age: _____ Grade ________
Time Accident Occurred: Hour ________ A.M. ________ P.M.	Date __________________________________
Place of Accident: School Building _____ School Grounds _____		To or From School ________

DESCRIPTION OF THE ACCIDENT

List student activity at time of accident, location on campus of accident , list any equipment, tool, or machinery that was

involved. Describe in detail the events leading up to the accident, and the accident itself:

____________________________________________________________________________________________________

________

____________________________________________________________________________________________________

________

____________________________________________________________________________________________________

________

____________________________________________________________________________________________________

________

ADDITIONAL INFORMATION

Teacher in charge when the accident occurred ______________________________________________________________

Present at the scene of accident ____ Yes ____No

Direct Blood Contact ____Yes ____ No Persons involved __________________________________________________

First Aid Treatment _____ By (Name)

___________________________________________________________________

Sent to School Nurse ____ By (Name) ___________________________________________________________________

	Sent Home	_____ By (Name)
	____________________________________________________________________
Sent to Physician	_____ By (Name) ___________________________________________________________________

Physician’s Name: ___________________________________________________________________________________

Sent to the Hospital ____ By (Name) ___________________________________________________________________

Was a parent or other individual notified? ____ Yes ____ No When? __________ How?

_________________________

Name of individual notified: ___________________________________________________________________________

By whom? (Enter Name) ______________________________________________________________________________

Witnesses: 1. ______________________________________ 2. ____________________________________________

3.______________________________________ 4. ____________________________________________

REMARKS

In all occurrences of direct blood contact, persons involved or responsible persons should be informed that confidential

information concerning HIV and Hepatitis is not available from or through Polk County Schools.

Principal ___________________________ Date ________ Teacher __________________________ Date _________

How to Edit School Accident Report Form Online for Free

It won't be a challenge to fill in school accident report applying our PDF editor. This is how you will be able easily create your template.

Step 1: Search for the button "Get Form Here" on the following webpage and press it.

Step 2: Once you've entered the school accident report editing page you'll be able to discover all the options you can use about your document within the top menu.

The following areas are contained in the PDF document you will be filling out.

accident report form school empty fields to consider

Type in the appropriate information in the space ADDITIONAL, INFORMATION Present, at, the, scene, of, accident, Yes, No First, Aid, Treatment, By, Name Sent, to, School, Nurse, By, Name Sent, Home, By, Name Sent, to, Physician, By, Name Physicians, Name and Sent, to, the, Hospital, By, Name

Finishing accident report form school stage 2

In the Name, of, individual, notified By, whom, Enter, Name Witnesses, Principal, Date, Teacher, Date and REMARKS section, describe the significant particulars.

Filling out accident report form school part 3

Step 3: As you pick the Done button, your finalized document is simply transferable to every of your gadgets. Or, you may deliver it via mail.

Step 4: To prevent any problems in the foreseeable future, you should make up to a couple of copies of the document.

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