Get Susum Camps Incident/ Accident Report Form

Properly completing the SUSUM Camps Incident/Accident Report Form is crucial for accurately documenting incidents that occur during camp activities. This guide will help you navigate the form step-by-step to ensure all required information is captured effectively.

Follow the steps to fill out the form accurately and completely.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the camper's name, the date of the incident, and the address including street, city, state, and zip code.
3. Next, fill in the name of the person involved, including their last name, first name, age, and sex. Specify their position such as camper, paid staff, volunteer staff, or visitor.
4. Provide the address and phone number of the person involved in the incident, ensuring to include street, city, state, and zip code.
5. If the person involved is a minor, enter the name and address of their parent or guardian along with a contact phone number.
6. List the names and addresses of any witnesses to the incident, up to three entries.
7. Select the type of incident that occurred by choosing from options like behavioral, accident, epidemic illness, or specify another type.
8. Indicate the date and time of the incident, ensuring to specify whether it is am or pm.
9. Describe the event in detail, including the specifics of the injured person and the context of the incident.
10. Provide information on the location where the incident occurred and include witness names if applicable.
11. State whether the injured person was participating in an activity at the time and specify the activity if applicable.
12. Indicate if any equipment was involved in the incident and describe what it was.
13. Complete the section on what actions could have been taken to prevent the injury.
14. Detail the emergency procedures that were followed during the incident.
15. Identify who was in charge during the incident and fill in additional details such as the name of the person submitting the form, their position, date, and contact number.
16. On the next page, confirm if the parents were notified and provide the name, title, and date of the individual who notified them, along with the parent's response.
17. Specify where treatment was given (e.g., at the accident site, camp infirmary, doctor’s office, or hospital) and describe the nature of the treatment administered.
18. Provide information about who administered treatment and specify if treatment was given elsewhere.
19. Include any comments or additional information relevant to the incident.
20. Finally, ensure that all details are accurate, save changes, download, print, or share the completed form as needed.

Complete and submit the SUSUM Camps Incident/Accident Report Form online to ensure accurate documentation of incidents.