ACCIDENT / INCIDENT REPORT FORM
(This form is to be completed for all students, volunteers, school personnel and visitor accidents /incidents)
All accidents/incidents must be documented and reported as soon as possible but no later than 24 hours of the accident/incident. Wittiness statements to be taken/written where appropriate.
Pictures should be taken to document any injuries, location or unsafe conditions.
Note: the report (and pictures/material if any) should then be forwarded to firstname.lastname@example.org
and mailed using USPS to:
Potomac, MD 20859
Any copies of this report and any other related materials in conjunction with this report cannot be obtained without the proper authorization.