Incident injury trauma and illness record example 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the child's details, including surname, given names, date of birth, age, and room/group. Ensure accuracy for proper identification.
3. In the incident/injury/trauma section, describe the circumstances leading to the event. Include any products or structures involved and specify the location, time, and date of the incident.
4. Select the nature of injury sustained from the provided options. If applicable, specify any other injuries not listed.
5. For illness records, detail the circumstances surrounding the child's illness and apparent symptoms. Record the time and date of illness.
6. Document actions taken in response to the incident or illness, including first aid administered and whether medical personnel were contacted.
7. Complete details of the person filling out this record along with their signature and timestamp.
8. Record notifications made to parents/guardians and relevant authorities with timestamps for each notification.
9. Finally, include parental acknowledgment by having them sign and date where indicated. Add any additional notes or follow-up actions as necessary.

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