Records & operations
Incident or injury report form template
A coach or staff report filed the same day: what happened, who was involved, first aid and EMS, a head-injury check, witnesses, and photos.
Fields
21 questions on 3 pages
- Your name *Short text
- Your role *Multiple choiceCoach · Referee or official · Staff · Volunteer · Parent · Other
- Your phone *Phone
- Your email *Email
Next page: What happened
- Date of incident *Date
- Time of incident *Time
- Location *Short textFacility and field, court, or room.
- Activity at the timeShort textPractice, game, warm-up, travel.
- Type of incident *Multiple choiceInjury · Illness · Behavior or conduct · Property damage · Other
- People involved *Long textNames, teams, and ages of minors.
- Description *Long textFacts only: what you saw and heard, in order.
- Body part affected *Short textShown only when incident type is Injury
- First aid given *Long textShown only when incident type is Injury
- Was 911 or EMS called? *Multiple choiceNo · YesShown only when incident type is Injury
- Transported toShort textHospital or clinic, if known.Shown only when EMS answer is Yes
- Was a head injury suspected? *Multiple choiceNo · YesShown only when incident type is Injury
- Remove from playThe athlete may not return to play today, and needs written clearance from a licensed health care provider before returning.Shown only when head-injury answer is Yes
- Parent or guardian notified? *Multiple choiceYes · No · Not applicable
- WitnessesLong textNames and phone numbers.
- PhotosFileUp to five.
Next page: Sign off
- Accuracy statement *Terms agreementThis report is accurate and complete to the best of my knowledge.
- Signature *Signature
Settings that go with it
- Organizer notification to your safety officer
- Per-question reports
- CSV export for insurance
How to use it
Every field here is a standard TazForm field type, so the form loads in one click from the builder's “Start from a template” — then edit anything.
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