Cairns' best early learning.
Cairns Incident Injury Report
Abrasion or ScrapeBiteBroken Bone or FractureBruiseBurnConcussionCutRashSprainSwellingOther
Name of Witness
Injury Position on body
FingersHandWristForearmElbowUpper ArmShoulderNeckFace-CheekFace-MouthFace-NoseFace-EyesFace-ForeheadFace-EarsHeadUpper BackLower BackButtocksUpper LegKneeCalfAnkleFootToes
If yes, provide details
PhoneSMSEmail
I, Name of Parent/Guardian have been notified of my child's illness.
Preventative action/follow up taken by Educator (to be completed by Reporting Staff Member)
Incident reported to:
Follow up conversations with staff:
Follow up conversation with parents/guardians
If yes is record of conversation noted on childs file
Report Filed
Staff Signature
Date
Save Draft