This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.
West Virginia Student Accident Report Form
Category:
State:
Multi-State
Control #:
US-02520BG
Format:
Word;
PDF;
Rich Text
Instant download
Description
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How to fill out Student Accident Report Form?
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FAQ
Useful information to record includes: The date, time and place of the incident. The name and job of the injured or ill person. Details of the injury/illness and what first aid was given. Details about what happened to the person immediately afterwards (e.g. went back to work, went home, went to hospital).
Incident reports include all of the facts related to the incident, such as the contact information of the people involved; a description of the incident itself; and any follow-up actions that were taken, like medical treatment.
Keep in mind that these three considerations are not to be confused with the three requirements for writing an incident report: The report must be factual and without assumption. An incident report must be accurate and without bias. The incident report must be complete.
A patient incident report should include the basic information about the incident: the who, what, where, when and how. You should also add recommendations on how to address the problem to reduce the risk of future incidents.
In West Virginia, state law requires drivers to report a car accident if it causes injuries and at least $1,000 worth of damages. Responding police officers are to interview everyone involved in the accident within 24 hours and file a report within 10 days.
Incident Report Sample Walkthrough: A Step-by-Step Guide What type of injury was caused, if any? Was it fatal or non-fatal? Was there any property damage? When and where did it take place? What task was being done at the time when the incident occurred? What was the environment like?