Early Years Accident Form Template UK

The Early Years Accident Form Template UK is designed to cater to various needs and is available in multiple formats, including PDF, Word, and Google Docs, featuring editable and printable versions for your convenience.

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Online – Template

Sample

Early Years Accident Form Template UK

Editable – Printable

PDF – 1 PDF – 2

Early Years Accident Form Template UK

1. Child Information


2. Parent/Guardian Information


3. Accident Details


4. Location of Accident

5. Witness Information

6. First Aid Administered

7. Follow-Up Actions Required

8. Notification Details

9. Report Completed By


10. Date of Report

11. Declarations

PDF

WORD

Examples

Early Years Accident Form Template UK (1)
Date of Incident:
[Date]
Time of Incident:
[Time]
Location of Incident:
[Location]
Child’s Name:
[Name of the Child]
Child’s Age:
[Age]
Details of the Incident:
[Brief description of the incident, including what happened, how it happened, and any other relevant factors].
Injuries Sustained:
[List of injuries, if any, including the part of the body affected and severity].
Immediate Actions Taken:
[Outline the actions taken immediately after the incident, such as first aid administered, parent/guardian contacted, etc.].
Witnesses:
[Names and contact information of individuals who witnessed the incident].
Staff Member Responsible:
[Name and position of staff member who was responsible at the time of the incident].
Parent/Guardian Notification:
[Details regarding when and how the parent/guardian was notified, including name of staff member who communicated with them].
Follow-Up Actions Required:
[Any recommended follow-up actions, including additional medical attention, adjustments to procedures, etc.].
Signed:
[Signature of staff member completing the form]
[Name of staff member]
[Date]
Early Years Accident Form Template UK (2)
Date of Incident:
[Date]
Time of Incident:
[Time]
Location of Incident:
[Location]
Child’s Name:
[Name of the Child]
Child’s Age:
[Age]
Details of the Incident:
[Thorough description of the incident including actions taken by the child, materials involved, and circumstances leading up to the event].
Injuries Sustained:
[A detailed account of all injuries, indicating if any treatment was required and details of treatment administered].
Immediate Actions Taken:
[Full description of first aid and any other immediate measures taken, including who performed them].
Witnesses:
[Contact information for all witnesses along with a brief description of their involvement].
Staff Member Responsible:
[Name and title of staff who were responsible for the area or activity leading to the incident].
Parent/Guardian Notification:
[Details of communication with the parent/guardian, including time, method of contact, and their response].
Follow-Up Actions Required:
[Comprehensive list of follow-up actions, including potential adjustments to safety measures and further training if necessary].
Signed:
[Signature of the individual completing the form]
[Name and position]
[Date]

Printable

PDF – 1 PDF – 2

Early Years Accident Form Template UK