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Childcare Accident Report Form

A childcare accident report form is used by childcare providers to document and track accidents that occur in their facility. This form is important for documenting the details of an accident, as well as for ensuring that proper safety procedures are followed in the future.

Time to complete

3 minutes

Eligibility

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.

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Questions for Childcare Accident Report Form

1.

Child's Name

The answer should be a text input.
2.

Age

The answer should be a text input.
3.

Gender

The answer should be a single choice:
  1. Male
  2. Female
4.

What is the date of the accident?

The answer should be a date input.
5.

What time of day did the accident occur?

The answer should be a text input.
6.

Place were accident took place.

The answer should be a text input.
7.

What was the child doing when the accident occurred?

The answer should be a text input.
8.

What were the child's injuries?

The answer should be a text input.
9.

Please specify in detail what really happened.

The answer should be a text input.
10.

Was the child treated by a medical professional?

The answer should be a single choice:
  1. Yes
  2. No
11.

What was the treatment given?

The answer should be a text input.
12.

Was the child hospitalized?

The answer should be a single choice:
  1. Yes
  2. No
13.

Were the parents informed about the incident?

The answer should be a single choice:
  1. Yes
  2. No
14.

What could've been done to prevent the accident?

The answer should be a text input.
15.

How has the accident affected the child's life?

The answer should be a text input.

Similar Ideas

  • Childcare Incident Report Form
  • Childcare Injury Report Form
  • Childcare Safety Report Form
  • Childcare Security Report Form

Here are some FAQs and additional information
on Childcare Accident Report Form

What is a childcare accident report?

A childcare accident report is a report that is filed when an accident occurs in a childcare setting. This report is used to document the accident and to help prevent future accidents from happening.

What should be included in an accident report in childcare?

No matter how big or small, an accident report is a report that specifies any unusual event, injury, trauma and illness.

How do you respond to accidents in a nursery?

Health and safety guidance for emergency situations include: 1. Basic First Aid 2. Responding to an Accident 3. Calling the Emergency Services 4. Evacuation 5. Recording and Reporting Procedures

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