It is important to document an accident or incident while it is fresh in your mind, so that it forms a complete record of what happened and the actions and observations you made.
REMINDER: This is a legal document, and may be used as evidence
ACCIDENT / INCIDENT RECORD
Child’s Name:- Charlie Farnsbarns
Time and date of accident/incident:- 12:30hrs on 20 March 2015
Place accident/incident occurred:- The Elms Nursery, London N12 7QR
Time parent notified of accident/incident:- End of day
Description of how the accident/incident occurred:- Charlie fell and hit head
Record of injury:- Bump on head
Action(s) taken:- Child told to rest
Date notified to Ofsted (if child required emergency medical treatment):
Name of witness:
Telephone number:
Address:
Signature:
Childminder Signature:- Mary O’Donahue ______ Date:- 20/3/15
Parent Signature:- Tina Shaw_______Date:- 20/3/15