|
Students |
5141.1-AR |
STUDENT INJURY REPORT
A.
Purpose
and Scope
To specify the
procedure for reporting incidents producing student injuries
B.
General
1.
Student
Injury Report is to be filed for all injuries warranting medical attention,
whether on or off the school premises, when the student is under the
jurisdiction of the school district.
2.
Suggestions
or questions concerning this procedure should be directed to the Director of
Business Services.
C.
Forms
Used and Additional References
Student Injury
Report, Form No. 91602
D.
Procedure
1.
The
principal will submit to the Director of Business Services a written Student
Injury Report in triplicate within three (3) school days from the date
principal or principal's office is notified.
2.
Principal
must telephone the Director of Business Services immediately upon death or
hospitalization of a student. The written report must follow within three (3)
days.
3.
Each
serious injury to a student MUST BE REPORTED!
4.
All
spaces on the report must be completed. If information requested does
not apply write "N/A".
5.
Upon
receipt of injury report, the Director of Business Services will review it for
completeness and for possible hazardous conditions. If the Director believes
that a hazard might exist, such notation is made on the report and sent to the
Director of Planning, Construction and Maintenance who will investigate and
submit his findings to the Director of Business Services.
6.
The
Director of Business Services will submit two copies of the Student Injury
Report to the district's insurance agent for referral to the district's
insurance carrier.
E.
Reports
Required
The Director of
Business Services will prepare a monthly list by site of all injuries reported
by the end of each month. He will prepare a quarterly and
yearly summary indicating total injuries by type. Copies of these
reports will be sent to the Assistant Superintendent, Administrative Services,
to the safety administrator, and to each site administrator.
F.
Record
Retention
1.
The
original of the Student Injury Report is to be retained in the appropriate
district office for the current year only. At year's end, these reports will be
submitted to the records office for microfilming.
2.
Quarterly
and yearly summary reports will be retained in appropriate district office for
five (5) years, then destroyed.
G.
Responsible
Administrative Unit
Director of
Business Services
H.
Approved
by:
|
John Mullender |
|
John O. Tynes |
|
|
Responsible Division Head |
Date |
Superintendent |
Date |