4024 - (EBBB) Accident Report for Students, Employees, and Visitors

 

4024 (EBBB)  Accident Report for Students, Employees,   4024 (EBBB)

and Visitors

 

1. 1. in a school or on school grounds
       
   2. at any school-sponsored activity; or
       

which requires a student, employee, or visitor to be:

1. 1. out of class or absent from school;
       
   2. necessitates the services of a healthcare provider (physician, advanced registered nurse practitioner, licensed physician’s assistant, or dentist);
       
   3. requires first aid; or
       
   4. which might reasonably be anticipated to give cause to an insurance or liability claim or case for liability at a later date.

The school district employee who witnessed or first responded to the accident must fill out an accident form as soon as possible but in no event more than 24 hours of the accident. The form shall be submitted to the building principal and forwarded to the Superintendent or designee. The building principal, or in the principal’s absence the supervisor on duty at the time of the accident, shall ensure that an accident form is completed in a timely manner.

 

B.  Insurance Notification: For accidents which might lead to an insurance or liability claim, the Superintendent or designee shall notify the District’s Liability and/or Workers’ Compensation carrier promptly.

 

C.  Additional Reporting Required for Accidents Involving Death or Serious Injuries of Workers.

1. Within eight (8) hours of any accident involving a death which occurs during the school day, or on school property, the Superintendent or designee, shall report the death to the Commissioner of the New Hampshire Department of Labor via telephone or email.  This initial report shall state as fully as possible the cause of the death and the place where the body of the deceased person was sent.
    
2. Within twenty-four (24) hours of any accident involving a serious injury which occurs during the school day, or on school property, the Superintendent or designee, shall report the serious injury to the Commissioner of the New Hampshire Department of Labor via telephone or email.  This initial report shall state as fully as possible the cause of the serious injury and the place where the injured person was sent for medical evaluation or treatment.  For the purposes of this provision, “serious injury” means an incident that results in amputation, lost or fracture of any body part, head injury or internal injury that necessitates hospitalization

 

 

RSA 200 Health and Sanitation

RSA 277:15-b Reports of Death or Serious Injury

 

Revised: 11/1995, 09/2008, 6/2024