Free Accident Report for School Template
Accident Report For School
Date of Incident: March 15, 2070
Time of Incident: 10:30 AM
Location of Incident: School Playground, West Side
Student Involved
-
Name: Liam Parker
-
Grade: 6th Grade
-
Age: 11 years
-
Teacher/Instructor: Ms. Sarah Johnson
Accident Description
Liam Parker was playing on the school’s playground during morning recess when he lost his balance while climbing on the jungle gym. As a result, he fell approximately 5 feet to the ground, landing on his left arm. The impact caused him to cry out in pain, and several students immediately alerted the playground supervisor, Ms. Emily Brooks.
Witnesses
-
Olivia Adams (Student)
-
James Carter (Student)
-
Emily Brooks (Playground Supervisor)
Immediate Action Taken
Ms. Emily Brooks provided first aid and applied a cold compress to Liam's arm. The school nurse, Mrs. Linda Hughes, was immediately notified. Liam was escorted to the nurse’s office for further evaluation. After assessing the injury, the nurse recommended that Liam be sent home for further medical attention.
Outcome
Liam’s arm was later diagnosed with a minor fracture by a local physician. He was provided with a cast and advised to rest for at least two weeks. A follow-up appointment was scheduled for March 20, 2070, to monitor the healing process.
Recommendations
-
Review and reinforce safety measures around the jungle gym.
-
Provide additional staff supervision during recess activities.
-
Consider installing soft ground material underneath playground equipment to prevent injury during falls.
Report Filed by:
Ms. [Your Name]
Date: March 15, 2070
Reviewed by:
Principal Laura Thompson
Date: March 16, 2070
