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Daycare incident report form

Daycare incident report form

This daycare incident report template can be used to gather necessary facts, photo evidence and general information of any possible incident that may occur in the daycare.

Use this template
or download pdf
Daycare incident report form

This daycare incident report template can be used to gather necessary facts, photo evidence and general information of any possible incident that may occur in the daycare.

Use this template
or download pdf

About the Daycare incident report form

Running a daycare means juggling many responsibilities, including ensuring the safety of the children. When incidents happen, having a standardized daycare incident report form is essential for accurate and efficient documentation. Our form helps you streamline the reporting process, ensuring all crucial details are captured and easily accessible for future reference. With this tool, you can maintain consistent and thorough records, improving communication and accountability within your team.

Benefits of using a daycare incident report form

Using a daycare incident report form provides numerous advantages, ensuring that incident documentation is both efficient and comprehensive. This form helps you streamline your reporting process, making it easier to capture all necessary details quickly and accurately.

By using a standardized form, you can maintain consistency in your records, which is crucial for both legal compliance and internal communication. This consistency helps in identifying patterns and preventing future incidents.

Additionally, having a detailed report form enhances accountability within your team, making it clear who is responsible for handling each aspect of the incident. You can also use the form to improve communication with parents, providing them with clear, concise information about any incidents involving their children.

A step-by-step guide to using the daycare incident report form

Here’s how you can use the incident form for accurate documentation and easy follow-up:

  1. Fill out incident details immediately. Begin by recording the date, time, and a clear description of the incident or near miss. Make sure to include whether any injuries occurred and detail any damage to property. Adding context right after the incident helps ensure accuracy.
  2. Document the environment. Use the app’s photo feature to capture images of the surroundings where the incident happened, if allowed. This can be especially useful when reviewing incidents later because it gives you valuable context.
  3. Record medical treatment provided. If medical services were required, include all relevant details—who administered the treatment, what was done, and how the injured person responded. This section helps you track immediate responses and can assist medical staff in the future.
  4. Identify causes and solutions:Clearly describe what caused the incident and suggest steps to avoid it in the future. This information is vital for improving safety and preventing repeats of the issue. Encourage staff to contribute ideas for prevention.
  5. Sign off with full details. Collect signatures from witnesses, medical personnel, and teachers involved. This adds accountability and validates the report for later review or audits.

Start using the daycare incident report form today

Download our daycare incident report form now to streamline your reporting process and ensure comprehensive documentation. With Lumiform, you can easily customize the form to fit your specific needs and improve communication within your team. Don’t wait—enhance your daycare’s safety and accountability by starting with our template today.

Related categories

  • Health and safety management templates
  • Education templates
  • Incident management templates
  • Safety templates
Preview of the template
Audit
Incident Details
Date and Time of Incident
What was the incident/ near miss?
Were there any injuries?
Please identify injured person(s)
Was there any damage to daycare property?
What caused the incident?
Take photos of surrounding environment and include any annotations
Medical Services/Treatment Provided (Please include any and all treatment, listing who administered treatment)
What actions will be taken to eliminate future repeats of the incident?
Teacher's comment(s)
Sign Off
Witnesses of the incident
Witness' Full Name and Signature
Medical Personnel
Teacher's Full Name and Signature
This template was downloaded 21 times

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Frequently asked questions

When should I complete a daycare incident form?


Complete a daycare incident form right after any accident, injury, or near miss happens. Prompt reporting is important to capture accurate details, especially when it comes to the time, location, and witnesses. This way, you’re documenting relevant information while it’s still fresh in everyone’s mind.

What are some common causes of incidents in daycare settings?


Common causes of incidents in daycare settings include falls, choking hazards, rough play, and improper use of equipment. Environmental factors like slippery floors or cluttered spaces can also lead to accidents. Supervising staff should regularly check for potential hazards and monitor children during high-energy activities.

Who is responsible for filling out the daycare incident form?


Typically, the staff member who witnessed or was involved in handling the incident is responsible for completing the daycare incident form. In some cases, management or the daycare director may also review or sign off on the report to confirm accuracy and provide additional oversight.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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