Documente Academic
Documente Profesional
Documente Cultură
TYPE OF INCIDENT:
INVOLVED PERSON/S & SPECIFIC PARTICIPATION: (Full name, age, gender, position/designation/grade level,
involvement in the incident. Use back page if needed. If there are minors involved, names should be withheld by the School –
Child Protection Specialist)
NARRATIVE DETAILS OF INCIDENT: (Describe how the incident happened, scene of incident, physical and emotional state
of involved persons, description of injuries/damages to properties, impact to class/school/community, etc. Use back page if needed.)
ACTION/S TAKEN : (Narrate responses/decisions implemented by school authorities, state name of official. Use back page if needed.)
RECOMMENDATION/S :
PREPARED BY:
_______________________________
Position/Designation
REVIEWED BY: ACKNOWLEDGED BY: