Accident & Incident Record
Child, date and time, exactly where it happened, what happened, who witnessed it, the injury as observed, what was done, who was informed and when, and the parent's signature on collection. It records observation, not assessment — what a bruise looked like and where, not how bad it was or what caused it. That distinction protects the child, the parent and the setting, and it is what makes the record credible if anyone ever reads it carefully.
Fill & print the form
Runs entirely in your browser — nothing is uploaded; your answers are saved only on this device.
Frequently asked
Should I write down how serious it was?
Record what you observed and what you did. Severity is a judgement for a medical professional, and a record that overstates or understates it helps nobody.
Does the parent have to sign?
Your own policy and local requirements govern that. The form provides for it because a signature at collection is what prevents a disagreement later about whether they were told.