3 minutes
A Childcare Accident Report Form can be filled by anyone. It can be filled by the childcare provider, the parent of the child or by the child’s doctor.
Child's Name
Age
Gender
What is the date of the accident?
What time of day did the accident occur?
Place were accident took place.
What was the child doing when the accident occurred?
What were the child's injuries?
Please specify in detail what really happened.
Was the child treated by a medical professional?
What was the treatment given?
Was the child hospitalized?
Were the parents informed about the incident?
What could've been done to prevent the accident?
How has the accident affected the child's life?