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Accident Report

Please report any accident that required medical attention / first aid

Staff Member Reporting Accidents

Name of Person or people that gave treatment

Injured Persons Name

Email Address of the participant or parent/guardian of participant?

When & Where did the accident take place

Details of the Accident (Injury Sustained, Cause of Accident)

What treatment was given to the injured person and were there any further recommendations for treatment following the end of the session?

Date

Your Initials as a signature

I confirm that the information given in this form is true and that all relevant parties (parents/guardians/school staff) have been informed of the accident

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First Name

Last Name

Email

Subject

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