High School Incident Report
I. Incident Report Details
Incident Number: 2050-05-20-001
Date of Incident: May 20, 2050
Time of Incident: 2:30 PM
Location: High School Gymnasium
II. Reporting Staff Information
Name: [Your Name]
Position: Physical Education Teacher
Type of Incident: Physical Altercation
III. Involved Parties
Student 1: Jane Smith, 11th Grade, Age 17
Student 2: Sarah Johnson, 11th Grade, Age 17
IV. Summary of Incident
At approximately 2:30 PM during a scheduled PE class, an altercation occurred between the two students. The incident began when a disagreement over the rules of a basketball game escalated into a physical confrontation. Jane reportedly shoved Sarah, who retaliated by pushing back. The altercation lasted for about one minute before staff intervened.
V. Witness Statements
Witness 1: [Witness 1 Name]
Statement: "I saw both of them arguing over a foul call. Jane got upset and pushed Sarah. Jane pushed back, and then the teacher stepped in to stop them."
Witness 2: [Witness 2 Name]
Statement: "It happened so fast. One minute they were yelling, and the next, they were pushing each other. The teacher broke it up quickly."
VI. Actions Taken
Immediate Response: The incident was immediately de-escalated by the PE teacher. Both students were separated and taken to the school's nurse for a check-up.
Disciplinary Measures: The school administration was notified, and both students were sent to the principal's office for further evaluation. The parents of both students were contacted.
Follow-Up: A meeting with the students, their parents, and the school counselor is scheduled for May 21, 2050, to address the conflict and discuss appropriate behavioral expectations.
VII. Injuries Sustained
VIII. Recommendations
Counseling: Both students should attend conflict resolution sessions with the school counselor.
Supervision: Increased supervision during PE classes to prevent similar incidents.
Educational Session: Organize a workshop on sportsmanship and conflict resolution for the entire 11th grade.
Incident Report Templates @ Template.net
