Incident or accident report

Parents to be notified ASAP
Notification to office within 24 hours

Date of accident/injury
Time of accident/injury
Details of incident
Location
Person involved, details of injury or damage sustained
Names of witnesses
Action taken (including first aid)
Person/s notified
Carer’s name
Carer’s signature
Parent’s name
Parent’s signature
Date received by Rogan Family Care