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