Incident registration Name child(Required) First Name last name Family group child(Required)Date of incident(Required) MM slash DD slash YYYY Time of incident(Required) Hours : Minutes Incident description (short)(Required)Place of incident(Required)Please indicate here where the incident took place (e.g.: dining table group room)In case of injury: description (short)Was there a high risk of injury?(Required) ja no does not apply Was a product involved in the incident?(Required)Yes: fill in which product / No: fill in n/a First aid provided?(Required) ja no First Aid: explanation of actions taken (if applicable)Did PM have direct oversight of incident?(Required) ja no Are there any future measures to prevent the incident?If so, which ones? (briefly describe)Could the incident have been prevented?If so: how? (briefly describe)Was there contact with the parent(s) after the incident?(Required) ja no Have his parents been referred for medical help?If yes: brief explanationDid parent follow advice regarding referral to medical help?(Required) ja no does not apply Name of Educational Employee(Required)Date incident registration filled in(Required) MM slash DD slash YYYY
