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Child Care Injury/Incident Report - del wa 2026
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- Click ‘Get Form’ to open the Child Care Injury/Incident Report in the editor.
- Begin by entering the Licensee’s name and address at the top of the form. This identifies who is responsible for the report.
- Fill in the child's name, date, and time of the incident. Accurate details are crucial for record-keeping.
- In the 'Describe circumstances of injury/incident' section, provide a clear account of what happened. Include specifics about where it occurred and any equipment involved.
- Indicate whether first aid was administered and describe any further treatment given. This helps document care provided immediately after the incident.
- If there were witnesses, list their names. Additionally, note if a medical professional was contacted, including their name and time of contact.
- Document whether the parent was contacted, along with their name and time of contact. Repeat this for licensor and Children’s Administration contacts if applicable.
- Mark and describe the area of injury clearly to provide visual context for future reference.
- Finally, gather comments from the parent/guardian and obtain their signature along with your own as licensee to finalize the report.
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Related links
by M Peden Cited by 2888 World report on child injury prevention/ edited by Margie Peden [et al]. 1.Wounds and injures - prevention and control. 2.Accident prevention. 3.Child welfareRead more
by CUN Cu 2010 Established in 1995, the Interstate Technology Regulatory Council (ITRC) is a state-led, national coalition of personnel from the environmental regulatoryRead more
Please give a brief description of the injury/incident, including where it occurred. Parent/Guardian Contacted. Date: Time: In Person. Phone E-mail.Read more