Serious Classroom Incident Report Form
- Version
- v1
- Updated
- 1 October 2026
- Audience
- Staff working in classrooms in maintained and academy primary and secondary schools in England, including teaching, support and premises staff.
- Jurisdiction
- england
Blank fields · read-only preview
Use this form to report a serious classroom incident promptly to the employer. Record factual information and identify any immediate actions or follow-up required.
Incident details
Date of incident
RequiredEnter the date on which the incident occurred.
- Day
- Month
- Year
Approximate time of incident
RequiredUse 24-hour format if known, for example 14:30.
HH:MM
Name of person making the report
RequiredEnter your full name.
Written response
Role or job title
RequiredState your role in the school.
Written response
School, site or classroom area
RequiredIdentify where the incident took place.
Written response
People involved
RequiredRecord names, initials or role descriptions in line with the school's information-handling arrangements.
Written response
Factual description of the incident
RequiredDescribe what happened, in chronological order. Include relevant classroom conditions and events immediately before, during and after the incident.
Written response
Types of incident involved
RequiredSelect all that apply.
Choose all that apply
- Injury or suspected injury
- Violence or physical assault
- Threatening or abusive behaviour
- Unsafe condition or equipment
- Medical event or illness
- Fire or other emergency
- Other serious classroom incident
- Other
If other, please specify
Was anyone injured or suspected to be injured?
RequiredSelect one option.
Choose one
- Yes
- No
- Unknown
Immediate response and escalation
Immediate actions taken
RequiredRecord actions taken to protect people, make the area safe, obtain assistance or preserve relevant information.
Written response
Is there an ongoing risk requiring further action?
RequiredSelect one option.
Choose one
- Yes
- No
- Unknown
Details of any ongoing risk or required immediate action
RequiredIf there is no ongoing risk, enter "None identified". If the risk is unknown, explain what remains to be checked.
Written response
Has the incident been brought to the attention of the employer?
RequiredSelect one option. Serious incidents should be brought to the employer straight away.
Choose one
- Yes
- No
- Contact attempted but not yet reached
Time employer was contacted or contact was attempted
RequiredUse 24-hour format if known. If not yet contacted, enter "Not yet contacted" and explain why in the next field.
HH:MM or Not yet contacted
Employer contact or responsible contact
RequiredEnter the name and role of the person contacted, or the person who needs to be contacted.
Written response
Method of contact
RequiredSelect all methods used or attempted.
Choose all that apply
- In person
- Telephone
- School reporting system
- Other
- Other
If other, please specify
Follow-up and supporting information
Witnesses or other people with relevant information
List names, roles or contact details where appropriate.
Written response
Location of relevant records or evidence
Identify where relevant notes, statements, equipment details or other records can be found. Do not attach files through this form.
Written response
Follow-up actions required or agreed
RequiredRecord actions, responsible persons and any target dates, if known.
Written response
Person responsible for follow-up
Enter the name and role of the person responsible, if assigned.
Written response
Planned review date
Enter the planned date for reviewing follow-up actions, if applicable.
- Day
- Month
- Year
Additional information
Add any other factual information relevant to the report.
Written response
I confirm that the information provided is factual to the best of my knowledge and that I have brought, or attempted to bring, this serious incident to the attention of the employer promptly.
RequiredSelect this confirmation before submitting the report.
- Tick when complete