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Pupil Accident Report September 2020 (staff)

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Pupil Accident Report - September 2020 (STAFF)

Staff Form for Pupil Accidents

Page 1

Please fill out the following information about the accident and the student involved.

Email*

Staff Name*

School Name*

Student Name*

Date of Accident*

Select date

Time of Accident*

Select time

Type of Injury*

Minor Injury

Serious Injury

Life-Threatening Injury

Type of Medical Attention

Description:Use this form to report any accidents involving pupils that occur on school premises or during school activities. This form is specifically for staff members to fill out.

The Pupil Accident Report form is designed to help staff members report any accidents that occur on school premises or during school activities involving pupils. Accidents can happen at any time, and it's important to have a system in place to ensure that they are properly documented and addressed. This form is easy to use and can be filled out quickly, ensuring that accidents are reported in a timely manner. By using this form, staff members can help ensure that pupils receive the care and attention they need in the event of an accident.

Full Name*

Roll Number*

Date of Birth*

Select date

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Full Name*

Roll Number*

Date of Birth*

Select date

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Question 1*

Question 2*

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Student Name*

Date of Birth*

Select date

Gender*

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Last Name*

Date of Birth*

Select date

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Parent/Guardian Name*

Phone Number*

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