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What to Include in an Incident Report General information. Setting or environment. Affected people. Injuries and the severity. Witnesses. Administered treatment. Property and equipment damages. Events.
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES. PERSONNEL REPORT. INSTRUCTIONS: This form is intended for keeping a current roster of all the facility personnel, other adults and licensees residing in the facility, including backup persons, volunteers and licensee if administrator/director.
EMERGENCY DISASTER PLAN FOR CHILD CARE CENTERS. Post a copy in a prominent location in facility, near telephone. Licensee is responsible for updating information as required.
Include the below details in your incident reports: The name of the childcare center. The name of the childcare professional completing the incident report. The childs name and age. The cause of the injury or incident. The date, time, and location of the incident. The locations of any injuries the child suffered.
8 Types Examples of Incident Reports at a Workplace Near Miss Report. Workplace Hazard Report. Minor Injury Report. Accident Report. Fire Incident Report. Equipment Failure Malfunction Report. Property Damage Report. Exposure Incident Report.
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RESPONSIBLE PERSONS, IF ANY, BY NEXT WORKING DAY. SUBMIT WRITTEN REPORT WITHIN 7 DAYS OF OCCURRENCE. RETAIN COPY OF REPORT IN CLIENTS FILE.
Be as specific as possible when quoting any of the parties involved. Be descriptive in addressing actions which are unsettling rather than labeling them with stereotypes. Avoid providing a diagnoses for someone, instead describe specific behaviors and/or actions.

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