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Run: Biting Incident Documentation Form (Infant/Toddler)

A biting incident documentation form for infant and toddler classrooms that records what happened, who was involved, injuries, parent notification, and follo...

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Incident Overview

Date of incident (required)

Time of incident (required)

Classroom / room (required)

Incident type (required)

Submit anonymously

Select this only if your program allows anonymous submission for internal reporting. Do not include names or other PII if submitting anonymously.

Yes No N/A

Children Involved

Child who was bitten (required)

Child who bit (required)

Were there witnesses? (required)

Witness names

List staff witnesses only if needed for follow-up.

Circumstances and Behavior

What activity was happening? (required)

What happened immediately before the bite? (required)

Describe observable events only. Avoid speculation or blame.

Possible trigger or contributing factor

Has this child shown similar biting behavior before?

Injury and Immediate Response

Was an injury observed? (required)

Describe the injury

Include visible marks, redness, swelling, or broken skin if observed.

First aid provided

Immediate staff response (required)

Describe what staff did immediately after the incident.

Parent Notification and Follow-Up

Parent or guardian notified? (required)

Notification method

Time parent or guardian was notified

Follow-up actions

Additional notes

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Email (required)

Your name (optional)

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