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Incident Reporting
Date of incident *
Time of incident *
Location of Incident: *
Person Reporting the Incident (Name / Role / Position / Contact Details: *
Name(s) of Individual(s) Involved: *
Were there any witnesses? If yes, please provide details: *
Incident Details: (Provide a clear and concise description of what happened, including events leading up to the incident and the actions taken immediately afterward.) *
Were there any injuries or harm caused? *
Yes
No
If yes, describe the nature and extent of the injuries:
What immediate action was taken following the incident? *
Was any medical attention required? *
Yes
No
If yes, provide details (e.g., first aid administered, ambulance called):
Were any safeguarding concerns identified *
Yes
No
If yes, provide details:
Additional Comments:
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