YEA PRIMARY Accidents and Incidents Reporting Policy
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- Maximilian Benson
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1 At all times the school will adhere to the DET guidelines. Refer to : DET Accident Recording and Reporting g.aspx When an accident / incident occurs the following is to be undertaken by staff on hand : 1. First aid action is to be taken as required. Send a reliable student if necessary to the office to seek trained first aid assistance and administration assistance. 2. Seek assistance from nearby staff if necessary. 3. Any serious accident or incident is to be reported immediately to administration. 4. All accidents and Incidents are to be reported as soon as possible to the school office and required documentation completed. 5. Original report and hardcopy of Cases21 report / Sentral Report to be filed in the Accident and Incident Log NOTES ; All Accidents and Incidents involving injury are also to be entered online in the injury management system on CASES/CASES21 (Appendix 1) Incidents to staff may also be notifiable under worksafe. All incidents involving staff must be reported to administration. See Appendix 1 : p. 2
2 APPENDIX 1 CASES21 INCIDENT NOTIFICATION FORM Name/Location: Number: BRIEF ACCOUNT OF INJURY Details of Incident: Accident Date: Accident Time: ACTIVITY (GENERAL & DETAILED) 1. Chemical Use 4. Vehicle Use (Car, Bicycle, 2. Manual Handling, Lifting Bus, Other) 3. Sports/Physical Education 5. Machinery Use (Hand tools, (Athletics, Basketball, Portable Power Tools, Other Cricket, Football-All Machines) Codes, Skating, Baseball, 6. Using Office Equipment Gymnastics, Ball Games 7. Curriculum Area (Arts not Specified, Other Science, Technology studies, Sports) PE, Home Economics, Other) ACCIDENT DESCRIPTION 1. Slip 2. Trip 3. Fall 4. Overexertion 5. Mental Stress 6. Collision 7. Crushing 8. Hit by Moving Object 8. Fighting/Assault 9. Play General 10. Walking 11. Running, Jumping, Skipping 12. Accidental Contact by other Person 13. Other (Specify) 9. Other (Specify) ACCIDENT SITE (Indicate CAMPUS, if more than one CAMPUS) 1. Sports Ground/Venue 2. Playground General 3. Playground Equipment 4. Classroom General 5. Chairs 6. Doors/Windows 7. Stairs/Steps 8. Paths/Walkways 9. Office Administration 10. Travel to / from 11. Camp/Excursions 12. Other (Specify) STAFF ON DUTY Name Number of Staff on Duty: INJURED PERSON Type: Student Staff Family Others Name: Date of Birth: Age: Gender:
3 Address: If Applicable Date of Ceasing Work: Telephone: WorkCover Claim Lodged: INITIAL ASSISTANCE BY PERSON Type: Student Staff Family Others SEVERITY OF INJURY INJURY: 1. First Aid (Returned to Class) 2. First Aid (Sent Home) 3. Doctor or Dental Treatment Name: DOCTOR TREATED PATIENT FOR (If Applicable) TREATMENT: 1. Amputation of any part of the body 2. Serious Head Injury 3. Serious Eye Injury 4. Separation of skin from underlying tissue (eg Degloving/Scalping) 5. Electric Shock 6. Spinal Injury NATURE OF INJURY NATURE: 1. Fracture 2. Dislocation 3. Strains/Sprains 4. Lacerations/Cuts 5. Burns/Scalds LOCATION OF INJURY LOCATION 1. Head (Skull, Face, Jaws, Ears) 2. Eyes 3. Neck 4. Trunk (Chest, Abdomen, Buttock, pelvis, Spine) 4. Hospital (Outpatient) Treatment 5. Hospital (Inpatient) Treatment 6. Fatal 7. The Loss of a bodily function 8. Serious lacerations (serious means of Grave Aspect or Critical ) 9. Injury due to exposure to a substance (eg Gas Inhalation, Acid Exposure) 10. Other (Specify) 6. Crushing/Amputations 7. Bruises/Knocks 8. Dental Injuries 9. Other (Specify) _ 5. Arm (Shoulder, Elbow, Forearm, Wrist, Hand, Finger, Thumb) 6. Leg (Hip, Thigh, Knee, Ankle, Foot, Toes) 7. Internal 8. Multiple locations 9. Ear WITNESS DETAILS (Provide attachment if multiple witnesses) Name: Type: Student Staff Family Others Address: Telephone: Witness Statement:
4 PREVENTIVE ACTION PROPOSED OR TAKEN (For Staff members or Severe Accidents) 1. No Preventative Action Taken/Intended 8. Review Personal Protective Clothing/Item 2. Referred to the s Safety/OHS or Risk 9. Review Equipment/Machinery Modifications Management Committee 10. Review Equipment/Machinery Maintenance 3. Referred to the s Health and Safety 11. Review/Reinforce/Reiterate Student Representative Instructions 4. Review of Curriculum 12. Review Training Provisions 5. Review/Reinforce/Reiterate Procedures 13. Other (Please first contact the Liability Claims 6. Review Systems Management Unit - Specify) 7. Review the Environment OFFICE USE ONLY ENTRY TO CASES21 Staff Initial: Principal Initial: Date / / Signature
5 Date Implemented 31/72017 Author F Joseph Approved By Council Approval Authority 31/7/2017 Council President Sign Date Amanda Jolly Principle Sign Date Deborah George Date Reviewed 31/7/2017 Responsible for Review D George Review cycle Annual Review Date 2018 or after an accident or incident References
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