Templates Health & Wellness Medical Nursery Accident Log Form Template

Nursery Accident Log Form Template

Use This Template
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Your name
Child's name
When does the child usually attend?

Accident Details

Please select injuries
Did the child need to be collected as a result of the accident?
Did the child need hospital treatment as a result of the accident?
How were parents informed?
When were parents informed?
Clear Signature

With the Nursery Accident Log form template, you can enhance transparency and accountability in the accident reporting of the children under your care. Whether you supervise children in preschool, nursery, or after school, you can integrate this form into your website to ensure clarity about children’s well-being.

The form is designed to simplify the process of documenting children’s accidents and gathering essential information.

Using the Nursery Accident Log Form Template

Let’s discuss the brief details of the Nursery Accident Log form template to help you assess how you can use this form.

  • Individual details: In this field, individuals reporting accidents have to fill in their first and last names.
  • Child details: This field takes in the full name of the child affected and other details, such as the child’s age.
  • Accident details: This section offers comprehensive fields to record accident details. An individual can select from a dropdown menu to indicate where the accident occurred—whether on-site, during an event, or somewhere else. Additionally, there’s a detailed text box that allows users to describe the accident’s cause. They need to state a child’s injury type via checkboxes.
  • Treatment and response: This section asks users to provide details about the first aid or any treatment given immediately.  Moreover, they can record their answer from the choices given to specify whether the child had to go to the hospital for treatment or not.
  • Parent contact: Here, the individuals have to provide the date and time when the parents were informed. Also, they need to state the communication medium, such as in-person, email, or phone.
  • Comment: There’s an optional box to input other relevant details to provide further relevant information.
  • Signature: A digital signature field for the practitioner to finalize the report, adding formal acknowledgment and responsibility to the documentation process.

By systematically documenting accidents and the nursery’s response, childcare providers can:

  • Ensure accurate and timely communication with parents.
  • Maintain an official log of incidents for regulatory compliance and internal review.
  • Reflect on and improve safety protocols to prevent future accidents.

So, sign up with WPForms today to access this template to ensure credibility for your child-care facility.