Incident Update Report Form

Use this form to submit additional information, corrections, or update to an incident previously reported.

PART 1: Report Reference Number

Report reference number *This number was provided in the confirmation email when the original incident was submitted.

PART 2: Your Details

First Name *

Last Name *

Email *

Phone number *

PART 3: Incident Update

Reason for update *

Additional information has become availableCorrection to information previously submittedFollow‑up actions takenChange in incident severityChange in injury/illness statusBehavioural follow‑upSafeguarding follow‑up (child or adult)Property repair / replacement updateOther

Please select all that apply.

Please specify *

Type of original incident *For context only—select the category of the original report.

Describe the new or corrected information related to this incident. *Include dates, times, observations, conversations, injuries, behaviours, actions taken, or any other relevant details.

Has the severity rating changed? If so, please provide the updated rating. *

No changeLow – Minor issue with little or no lasting impact. Includes very minor injuries that required no or basic first aid, slight bruises or grazes, or issues resolved quickly. No escalation or external medical attention required.Medium – Moderate issue requiring more than basic first aid or follow up. Examples: first aid beyond bandaids/ice packs, moderate distress, repairable property damage, parent follow up.High – Serious incident requiring external medical care (e.g., doctor, ambulance, hospital visit), significant behavioural escalation, major distress, or significant property damage. Critical – Life threatening injury, serious safeguarding concern, major harm, or any incident involving emergency services or mandatory reporting.

Explain any change in severity rating. *

PART 4: Follow‑Up Actions Since the Original Report

Actions taken

Who was involved?

Was external support involved (e.g., Police, CYPS, medical providers)? *

YesNo

Please specify

PART 5: Attachments

Upload any new documents, photos, statements, medical notes, or other relevant evidence.

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Notes

PART 6: Confirmation

I confirm that the information provided is accurate and complete to the best of my knowledge.
*

ACCP&C Review Completed *

CC Review Completed *

EO Review Completed *

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