Accident / Incident Log Sheet printable pdf download

Accident / Incident Log Sheet

When to use this Form:



For any accident occurring at a Group activity in which a young person is hurt, however slight the

injury may appear.



For any incident occurring at a Group activity that may be questioned at a later date, e.g. bullying,

fights, young person making persistent sexually provocative remarks to a leader.

Serious accidents (i.e. any accident occurring at a Group activity in which a Leader/Helper or young

person receives medical treatment requiring them to stay overnight in hospital, when the emergency

services are involved or serious damage to property occurs) should also be reported using the ‘Serious

Accident Report Form’.

IMPORTANT NOTE:

Leaders should ensure that these Log Sheets are kept securely and that only members of the leadership

team have access to them. The Log Sheets should also be kept indefinitely.

Date:

Time:

Group:

Place:

Description of accident / incident and events leading up to it:

Names of all witnesses:

Name(s) of any injured young people, description of injuries and any first aid treatment given:

Action taken to prevent recurrence, if appropriate:

Name of Leader

making this report:

Signature:

Date:

All saints Church, Preston

Accident / Incident Log Sheet