Get Oh Incident/injury/illness Reporting Form 2016-2026

This guide provides step-by-step instructions on completing the OH Incident/Injury/Illness Reporting Form online. By following these instructions, users can ensure they accurately report incidents or injuries while maintaining compliance with relevant regulations.

Follow the steps to successfully complete the online form.

1. Press the ‘Get Form’ button to obtain the form and open it in your online editor.
2. In Section I, enter the program information, including the program name, address, license number, city, county, zip code, and the first and last name of the person completing the form.
3. Proceed to Section II and fill in the incident/injury report details, starting with the date and time of the incident, the child's first and last name, date of birth, and the names of staff witnesses.
4. Indicate the child’s gender, who provided first aid, the date first aid was given, and how many staff members were supervising the group during the incident.
5. Confirm whether the family was contacted, the number of children in the group, and the date the family was contacted. Also, state the age group of the child at the time of the incident.
6. Select the number of hours the child is in your care per day and check the appropriate age category for the child.
7. For the injury type, check all applicable options from the list provided in the form.
8. Indicate the body part affected and describe the location of the incident by choosing all relevant options.
9. Detail the actions taken in response to the incident, checking all actions that apply.
10. Lastly, ensure the summary of the incident is clear and complete, attaching any additional documentation if necessary.
11. After completing all sections, review the form for accuracy, then save your changes or download/print the form as needed.

Complete your OH Incident/Injury/Illness Reporting Form online today!