School Accident Incident Report

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联系方式

邮箱: info@QingdaoAmerasia.org

电话: (+86 532) 8388-9900

地址: 青岛市崂山区沙子口街道东姜社区白珊校区

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School Accident Incident Report

SCHOOL ACCIDENT INCIDENT REPORT

All Accidents/Incidents that happen on school campus must be recorded using this form, submissions will automatically go to the administrators
Staff Submitting Form*
第一页后一页
Email*
Date of incident*
MM slash DD slash YYYY
Time of Incident*

: 营业时间

分钟

上午/下午
Child's Name*
第一页后一页
Child's Grade*
Description of the incident:
Location of the incident
Person(s) involved in the incident:
Witnesses to the incident:
Immediate action in responding to the incident:*
First Aid treatment given:
Who notified parents?

Which QAIS staff person notified the student’s parents of the incident?
What time were parents notified?

: 营业时间

分钟

上午/下午
Which medical facility was the child brought to (If Applicable)?
Who accompanied the child to the Medical Facility?