School Workplace and School-Activity RIDDOR Reporting Record

Enter the school's internal reference for this incident.

Enter the date on which the incident occurred.

Use the local time and state if the time is approximate.

Give the school location or the location of the organised activity.

Select all contexts that apply. Include an organised school activity where relevant.

Select the category that best describes the person whose injury or death is being assessed.

Record the person's name or an internal identifier in accordance with the school's information-handling arrangements.

Describe the sequence of events, the work activity or organised activity, and how the injury or other outcome arose.

Select all factors considered relevant to the incident.

Select all outcomes that apply at the time of this assessment.

Answer only where an injury occurred. Examinations and diagnostic tests are not treatment for this assessment. If the person was not taken directly from the scene, select the applicable alternative.

If applicable, record the hospital, date of attendance and treatment information known to the school.

Assess against the applicable RIDDOR criteria, including the person's category, the connection with a work activity or organised school activity, the outcome, and any direct hospital treatment. If uncertain, record the uncertainty and seek appropriate advice.

Select all categories considered relevant. Complete this field when the incident is considered reportable or the category remains under assessment.

Explain the facts and criteria relied on, including why the incident was or was not considered connected with a work activity or organised school activity.

Record the action currently decided. Use the conditional options only where they apply to the assessment above.

Complete only if an HSE notification has been submitted.

Complete only if an HSE notification was submitted. Fatal and major injuries and dangerous occurrences should be notified without delay.

Complete only if an HSE notification was submitted.

Record any confirmation, follow-up requirement, or reason a notification was not made. Complete as applicable.

Record first aid, emergency response, safeguarding or welfare actions, area or equipment controls, and notifications made.

Record actions to address any relevant organisation, supervision, equipment, substance or premises issue, together with the person responsible and target date.

Select whether the record, controls or reporting decision needs review.

Complete if further review is required.

Identify the person who completed or approved this assessment.

Enter the date this record was completed or updated.

Confirm that the information recorded is accurate to the best of your knowledge at the time of completion.

• Tick when complete