Free Incident Report Outline for Schools Template
Incident Report Outline for Schools
1. Header Information
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School Name
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Report Title: (e.g., "Student Incident Report")
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Date of Report Completion
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Report ID Number (if applicable)
2. Incident Details
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Date of Incident
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Time of Incident (e.g., exact time or range)
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Location of Incident (e.g., classroom, playground, hallway, cafeteria)
3. Individuals Involved
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Names of those involved (students, staff, or others)
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Grade Level or Role (e.g., “5th Grade Student,” “Teacher”)
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Contact Information (if needed or appropriate)
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Witnesses (names and roles of anyone who witnessed the incident)
4. Description of Incident
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Summary of Incident (objective and factual account of what occurred)
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Sequence of Events (what led up to the incident, what happened during, and any immediate actions taken afterward)
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Actions of Each Individual Involved (specific behaviors or actions taken by each person involved)
5. Immediate Response
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Actions Taken by School Staff (interventions, separations, de-escalation techniques, etc.)
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Medical Attention Provided (if any, include first aid, nurse visit, or 911 call)
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Notification of Authorities (if applicable, e.g., police, child services)
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Communication with Parents/Guardians (who was contacted, how, and when)
6. Outcome/Resolution
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Consequences or Disciplinary Actions (if any, e.g., suspension, detention, or counseling referral)
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Follow-Up Actions (e.g., parent meeting scheduled, additional supervision recommended)
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Safety Measures Implemented (e.g., increased monitoring, environmental changes)
7. Signatures
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Prepared By (name and title of the individual completing the report)
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Review/Approval (principal, counselor, or any other relevant authority)
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Date of Signatures
8. Additional Notes or Attachments
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Photos, Videos, or Documentation (if relevant, e.g., images of the area or security footage summary)
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Witness Statements (signed statements if applicable)
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Relevant Policies/Procedures referenced in resolving or addressing the incident
