Daycare Incident Report Form Template
A free daycare incident report form for childcare staff. Record a child's injury, bite or illness, first aid given and when parents were told, with photos.
Customize the pages and design to fit your needs.
About this template
Staff record what happened to the child, when and where, the first aid given, who saw it, and how the parent was told, then sign. Every report is saved with the time it was signed.
Common uses
- Daycares and preschools
- Home daycares
- After school and camp programs
Key features
- Injury, bite and illness types
- Parent notification record
- Signed and time stamped
What this template asks
What's your name?
Short Text
What's your work email?
Email
What's the child's full name?
Short Text
Which room or group is the child in?
Short Text · Optional
What type of incident was it?
Single Choice · Injury, Bite, Illness, Behavior, Other
When did it happen?
Date
What time did it happen?
Time
Where did it happen?
Short Text
What happened?
Long Text
What first aid or care was given?
Long Text · Optional
Who saw it happen?
Short Text · Optional
How was the parent told?
Single Choice · In person at pickup, Phone call, Text or app message, Not yet
If the parent has been told, what time was it?
Time · Optional
Add photos if helpful
File · Optional
Sign to confirm this report is accurate
Signature
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Frequently asked questions
What should a daycare incident report include?
The child's name, the date, time and place, what happened, the first aid given, who saw it, and when and how the parent was told.
How is this different from a workplace incident report?
It's built for childcare: incident types like bites and illness, the child's room, and a record of how parents were told.
Can staff add photos?
Yes. There's an optional photo upload, and each report ends with the staff member's signature and the time it was signed.