Incident Report Form - English Country Guardians, part of Academic Families

Incident Report Form

LinkedIn
This field is for validation purposes and should be left unchanged.
Date of report
DD slash MM slash YYYY
Your details
Name
First Last
Mobile
Email
What is your role?
What is your role?
Address
Street Address Address Line 2 City ZIP Code
Student details
Name
Age
School
Mobile
Incident details
It is important you include as much detail as possible
Where did the incident take place?
Which trip?
Address
Street Address Address Line 2 City ZIP Code
Responsible adult - host, trip leader etc
First Last
Responsible adult's mobile
When did it happen? Date
DD slash MM slash YYYY
Time

: Hours

Minutes

AM/PM
What happened?
How did the student behave?
Detail any relevant information that happened before the incident
Has the student been asked what happened?
Exactly how did they describe the incident in their own words?
What clarification questions did they ask?
Why not and when will they be asked what happened?
Actions Taken
Summary of actions taken
Details of follow up discussions
External agencies including emergency services
First Last
Date
DD slash MM slash YYYY
Details
Student's parents
First Last
Date
MM slash DD slash YYYY
Details
Student's host
First Last
Date
DD slash MM slash YYYY
Details
Student's school
First
Date
DD slash MM slash YYYY
Details
Other Information
What else should we know?

Resources

Get in touch

Office: +44 (0)2034 750750
WhatsApp: +44 (0)7867 663505
Email: hello@englishcountryguardians.co.uk
WeChat: ECG-Guardians

© 2026 English Country Guardians | part of the Academic Families group