Critical Incident Reporting Form

ERP School Management System | Emergency & Incident Portal

Priority Channel: Principal & Safety Committee

Emergency Contact: +91-XXXX-XXXXXX

CRITICAL: All incident reports are immediately logged and trigger alert notifications. Required fields marked with *.

1. Incident Basic Information

Reporting Person *

Designation *

Employee/Student ID

Incident Date *

Incident Time *

Reporting Date/Time

2. Incident Location & Classification

Incident Location *

Specify Other Location

Incident Type/Category *

Severity Level *

Low Minor issue Medium Requires attention High Serious incident Critical Emergency response

3. Persons Involved

Who was involved? (Select all that apply)

Student(s) Staff/Teacher(s) Parent(s) Visitor(s) Unknown Person(s) No one (Property only)

Student Details (Names, Classes, IDs)

Staff/Teacher Details

Witnesses (if any)

4. Incident Description & Details

Detailed Description of Incident *

Immediate Actions Taken *

Injuries Sustained (if any)

Property Damage/Loss (if any)

5. Medical & Emergency Response

Was medical attention required? *

Yes No

Was ambulance called?

Yes No

Medical Details & Treatment Provided

6. Notification & Escalation

Parents/Guardians Notified?

Yes No Pending

Reported to Principal?

Yes No

External Authorities Notified (if applicable)

Police Fire Department Medical Emergency Education Department

Notification Details & Timeline

7. Follow-up & Preventive Actions

Recommended Follow-up Actions

Preventive Measures to Avoid Recurrence

Support Required from Management

8. Evidence & Documentation

Evidence Available

Photographs Video Recording Witness Statements Medical Reports Other Documents No Evidence

Evidence Details & Storage Location

Additional Comments

9. Declaration & Submission

I certify that the information provided in this incident report is accurate and complete to the best of my knowledge. *

False reporting may lead to disciplinary action as per school policy.

Reporter's Signature *

Contact Phone Number *

Incident Report ID & Timestamp

Will be automatically generated upon submission

CRITICAL: Report triggers immediate alerts to safety committee

All incidents are logged in central ERP database for compliance tracking

ERP School Management System v2.1 • Critical Incident Reporting Module

This form is designed for immediate response and compliance tracking