Name
Day, date, time & place
Description of illness or injury
|
|
|
|
|
|
|
|
|
|
Head or
facial injury
| YES
|
bump
skin broken
| YES
|
Treatment
Parent Informed
| YES
|
Advised to collect further investigation required
| YES
|
Time Arrived
form signed
|
YES
|
|
NO
|
|
|
|
|
|
|
|
|
bump
skin not broken but bruised
| YES
|
Treatment
Parent Informed
| YES
|
Happy to remain at school
Letter issued
| YES
|
Form Signed
|
|
|
|
|
|
|
|
|
|
Fall
| YES
|
skin broken
| YES
|
Treatment
|
| |
| |
YES
|
|
NO
|
|
|
|
|
|
|
|
|
skin not broken
|
|
Treatment
|
| |
| |
|
|
|
|
|
|
|
|
|
|
| |
| |
| |
| |
|
|
|
|
|
|
|
|
|
|
| |
| |
| |
| |
|
|
|
|
|
|
|
|
|
|
| |
| |
| |
| |
|
|
|
|
|
|
|
|
|