Early years accident, treatment and parent notification record

Enter the child's legal or recorded name.

Use the school's usual reference for locating the child's record.

Enter the date on which the accident or injury occurred.

Use the 24-hour clock if known. If the exact time is unavailable, record an approximate time.

State the room, area or place where the incident occurred.

Select all descriptions that apply.

Give a factual account, including what the child was doing immediately before the accident or injury and any relevant circumstances.

Describe the affected body part, visible injury, symptoms and the child's presentation.

List staff, children or other people who witnessed the incident or were present. If there were no known witnesses, state that.

Select the treatment status for this incident.

If treatment was given, describe the treatment, materials used and the child's response. If no treatment was given, state why.

Record the name of each person who provided care, where more than one person was involved.

Record any further action taken or advised, such as monitoring, collection, medical advice or emergency services. If none, state that.

Record whether a parent or carer was notified and, if not, why notification has not yet occurred.

Complete this if notification was made or attempted. For first-aid treatment, notification should be on the same day or as soon as reasonably practicable.

Record the method used, such as telephone, in person, written message or school communication system.

Record the name of the person contacted or the person whose contact was attempted.

Record the time, key information provided, any response from the parent or carer, and any arrangements agreed. If notification has not occurred, record the reason and planned next action.

Enter the name of the person completing this record.

Enter the date this record was completed.

Check this box after reviewing the completed record.

• Tick when complete