Cathedral House Incident Report Date MM slash DD slash YYYY Time : Hours Minutes AM PM Classroom Child's Name First Last Age Details of Accident/Incident Cut Scrape Bite Bump Smach Other Physical DescriptionTreatment Administered Location of the student when accident/incident occurredNumber of Children in the Group Number of Staff Parent Notification Phone Call As parent arrives Other CommentsSignature of Staff Completing the Report*Administration SignatureParent Signature
