Get Jefferson City Parks And Recreation Accident/incident Report Form ... - Jeffcitymo

Filling out the Jefferson City Parks And Recreation Accident/Incident Report Form is essential for documenting any incidents that occur. This guide will provide a clear and step-by-step process to help you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the report and open it in your preferred editor.
2. Begin by entering the date of the incident in the designated field. Be sure to write the date in a legible format.
3. Next, input the time of the incident, clearly indicating whether it was in the AM or PM.
4. Provide your name and age. Make sure this information is accurate and easy to read.
5. Select the day of the week when the incident occurred by marking the corresponding letter.
6. Indicate your sex by checking the appropriate box.
7. Fill in your height and address, ensuring clarity for accurate contact purposes.
8. If the individual is under 18, provide the parent’s name and contact phone number.
9. Specify the location of the accident or incident, including the facility name and the exact spot within the facility.
10. List any non-employee witnesses by providing their names and phone numbers.
11. Detail the nature of the injury by marking all relevant options provided on the form.
12. Identify the part of the body that was injured by marking the corresponding boxes.
13. Provide an exact description of where the injury occurred, detailing whether it was on the left or right side, and the front or back.
14. In the description of the accident, explain how and why the incident occurred, including what the patron was doing at the time and any unsafe conditions present.
15. Assess the extent of the injury as mild, moderate, or serious by selecting the appropriate option.
16. Record details about any immediate action taken and who provided first aid treatment.
17. Indicate whether blood was present and if an AED was used, by checking yes or no.
18. Confirm whether gloves were worn and provide the name of the responder, along with the number of defibrillations performed if applicable.
19. Indicate if the individual was sent home or taken to a hospital, including the names of those involved in these actions.
20. Circle any responding emergency vehicles and provide their corresponding hospital/station names.
21. Document if the parents were notified and how, whether they were present, contacted by phone, or if a supervisor was informed.
22. The leader or manager in charge at the time of the incident must sign and date the form.
23. Finally, save your changes to the document. You can also choose to download, print, or share the completed report as needed.

Complete the Jefferson City Parks And Recreation Accident/Incident Report Form online to ensure efficient processing of your report.