Free Incident Report Outline for Schools

School Name

Report Title: (e.g., "Student Incident Report")

Date of Report Completion

Report ID Number (if applicable)

Date of Incident

Time of Incident (e.g., exact time or range)

Location of Incident (e.g., classroom, playground, hallway, cafeteria)

Names of those involved (students, staff, or others)

Grade Level or Role (e.g., “5th Grade Student,” “Teacher”)

Contact Information (if needed or appropriate)

Witnesses (names and roles of anyone who witnessed the incident)

Summary of Incident (objective and factual account of what occurred)

Sequence of Events (what led up to the incident, what happened during, and any immediate actions taken afterward)

Actions of Each Individual Involved (specific behaviors or actions taken by each person involved)

Actions Taken by School Staff (interventions, separations, de-escalation techniques, etc.)

Medical Attention Provided (if any, include first aid, nurse visit, or 911 call)

Notification of Authorities (if applicable, e.g., police, child services)

Communication with Parents/Guardians (who was contacted, how, and when)

Consequences or Disciplinary Actions (if any, e.g., suspension, detention, or counseling referral)

Follow-Up Actions (e.g., parent meeting scheduled, additional supervision recommended)

Safety Measures Implemented (e.g., increased monitoring, environmental changes)

Prepared By (name and title of the individual completing the report)

Review/Approval (principal, counselor, or any other relevant authority)

Date of Signatures

Photos, Videos, or Documentation (if relevant, e.g., images of the area or security footage summary)

Witness Statements (signed statements if applicable)

Relevant Policies/Procedures referenced in resolving or addressing the incident