Get Nc Dcdee Incident Report Form 2021-2025

The NC DCDEE Incident Report Form is essential for documenting incidents that result in injuries to children at child care facilities. This guide provides a clear, step-by-step approach to filling out the form online to ensure accurate reporting and compliance with regulatory requirements.

Follow the steps to complete the NC DCDEE Incident Report Form online

1. Click ‘Get Form’ button to obtain the document and open it in the editor for editing.
2. Enter the facility name and facility ID number at the top of the form to identify the child care center.
3. Fill in the name and age of the injured child to ensure proper identification.
4. Record the date of the incident and the county where the incident occurred.
5. In the injury section, check or circle all body parts injured and the medical treatment received.
6. Specify the piece of equipment involved in the incident by selecting the appropriate options for both indoor and outdoor settings.
7. Detail the type of injury that occurred by choosing the relevant option from the list provided.
8. If applicable, complete any additional medical treatment information and name the medical facility.
9. List any witnesses to the incident to gather further context.
10. Document the exact location of the incident to provide clarity regarding where the incident took place.
11. Identify the cause of the injury by selecting the appropriate option from the provided choices.
12. Provide a brief summary of the incident, including how and where it occurred, and outline the first aid given.
13. Note the steps taken or proposed to prevent reoccurrence of the incident.
14. Enter the parent or guardian's name and obtain their signature, indicating they have been informed of the incident.
15. Record the date and time the parent or guardian was contacted, along with the method of contact used.
16. Complete the form and save changes, download, print, or share as necessary, making sure to follow submission instructions.

Encourage users to complete their incident reports online to ensure proper documentation and compliance.