Information
School Accident Report
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School Name
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Conducted on
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Prepared by
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Location
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Personnel
Investigation Report
Incident Date
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Incident date & time
Reported By
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Name of person who initially reported the accident?
Incident Detail
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Injured persons name
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Person type
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Incident location
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Immediate medical treatment given
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Further medical treatment required
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Details of further treatment received.
Incident Description
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Describe how the accident happened?
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Was the incident foreseeable?
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How was the incident foreseeable?
Photographs of the Scene
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Add media
Accident Causation
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What was the immediate cause of the accident?
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What were the underlying causes of the accident?
Corrective and Preventative Actions
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Actions taken at the scene?
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Actions taken to prevent recurrence?
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Who took these actions and when were they taken?
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What further corrective actions need to be taken?
Reporting Actions
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Is the incident/accident reportable under RIDDOR?
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Under what grounds is a RIDDOR report required?
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Has the RIDDOR report been made?
Investigation Sign Off
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Signed
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Date