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Incident Report Writing Worksheet

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Incident Report Writing Worksheet

📋 Part 1: Identifying Key Incident Details

Scenario: At 2:30 PM on 15/03/2024, Sarah Williams slipped on wet tiles near the school cafeteria entrance because there was no warning sign. She twisted her ankle and required first aid.

1. WHO was involved in this incident?
2. WHAT happened?
3. WHEN did it occur? (Include date and time)
4. WHERE did it happen?
5. WHY did it happen? (What caused it?)

🔗 Part 2: Sentence Construction and Conjunctions

6. Choose the best conjunction to complete each sentence about the incident:

a) Sarah was walking to the cafeteria _______ she slipped on the wet floor.

when

because

although

b) The tiles were wet _______ there was no warning sign displayed.

but

so

while

7. Combine these two sentences using an appropriate conjunction:

Sentence 1: Sarah twisted her ankle.
Sentence 2: She was able to walk with assistance.

8. Write a clear, factual sentence describing what immediate action was taken:

📝 Part 3: Writing Your Incident Report

9. Using the information from the scenario above, write a complete incident report. Include all key details in a logical order. Use clear, factual language and appropriate conjunctions to connect your ideas.

Incident Report Template:

Date and Time: ________________________

Location: ________________________

Person(s) Involved: ________________________

Description of Incident:

Cause of Incident:

Action Taken:

10. List two ways this incident could have been prevented:

1. ________________________________________________

2. ________________________________________________

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