Sample Accident Report Template For School

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Appendix D
141
Sample
Accident Report
School: ______________________________
Staff completing report:
Room:
Date and time of incident:
Location of the incident:
Person(s) involved in the incident:
Staff
Student
Description of the incident:
Immediate action in responding to the emergency:
Action taken (or required) to prevent such incidents in the future:
Witnesses to the incident:
Date/time of report
Signature

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