Get Dycd Incident Report

Completing the Dycd Incident Report online ensures a timely and organized process for documenting incidents. This guide provides step-by-step instructions to help you accurately fill out each section of the form with confidence.

Follow the steps to complete the Dycd Incident Report efficiently.

1. Click ‘Get Form’ button to access the Dycd Incident Report and open it in your preferred editing tool.
2. Begin by entering the contractor's details, including the Contract ID#, Contract Agency name, address, telephone number, and the name of the Executive Director. Make sure all information is typed clearly.
3. Indicate the type of incident by selecting the appropriate checkbox for Injury, Abuse, Property Loss, or Other. Provide the date and time of the incident.
4. Fill in the site address where the incident occurred.
5. If there were any injuries, complete the 'Injuries' section by providing the name and age of the injured person, and parental details if applicable, including telephone number.
6. Indicate whether the injured person was a program participant, paid staff, or volunteer. Record the activity, total number of youth involved, and number of supervisors present.
7. Provide a detailed description and cause of the injury, including the nature and extent of the injury.
8. Document the action taken for the injured person, including any medical treatment received and the date they returned to the activity.
9. Mention any faults of the injured person or existing weaknesses and provide explanations as necessary.
10. For physical and structural defects at the incident site, detail the measures taken to address these defects.
11. Proceed to the next page and provide statements from the injured person, activity supervisor, and witnesses, or indicate reasons if statements could not be submitted.
12. If child abuse or suspected abuse is applicable, fill out the relevant information, including the name, age, and address of the child; details about the abuse; and actions taken.
13. Record follow-up actions and any notifications to the State Registry with dates and times.
14. Complete the 'Report Prepared By' section with the name, title, and contact number of the person preparing the report, and ensure they sign and date the document.
15. If applicable, fill out the property loss section by checking if the property was lost, damaged, or stolen, and provide a list of specific items with their details.
16. Review all entries for completeness and accuracy, then finalize the form by saving the changes, downloading, printing, or sharing as necessary.

Ensure your incident reports are complete and submitted online to maintain compliance and safety.