Writing incident Report Assignment | Online Assignment

8. Graded LP4.2 Skills Check: Writing Incident Reports Hide Folder Information Turnitin® This assignment will be submitted to Turnitin®.Instructions Students will review the movie clips indicated in the “additional assignment instructions” and write an incident report for each one. Use the incident report template found in the Student Resource Folder (LP 4.2 Resource). Copy and paste it into a new Word document for each video. Watch the movie clip, “The Breakfast Club (5/8) Movie CLIP – Andrew and Bender Fight (1985) HD” posted by Movieclips and located at the following link:  https://www.youtube.com/watch?v=S5IHNcpa7p0&app=desktop  This incident report should be written with a minimum of 250 words. Watch the movie clip, “Ther Perks of Being a Wallflower” (2012) Part 8 of11” posted by MovieClips and located at the following link: https://www.youtube.com/watch?v=Ix8ShPSjmtE  until minute 3:10. This incident report should be written with a minimum of 400 words.   Submit this assignment in a Word Document to your instructor via the dropbox. This assignment is worth 30 marks. Your work will be evaluated with the corresponding rubric

LP 4.2 Resource:  Incident Report Template (2 pages)

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Agency Name:  
Location of incident:  
Time of incident:  
Name(s) of staff involved:  
Name(s) of youth involved:  
Type of incident:

(mark selection with an X)

Violence/Physical Assault         Personal Injury            Medical    
Damage to Property   Theft            Other    
Drug/Alcohol use   Verbal Assault    
For incidents involving assault: Youth to Youth        Staff to youth    
Youth to Staff         Staff to staff             Other    


Description of the incident:  Answer specifically What happened, Where it happened, When it happened, Who was involved, and How the incident was resolved. Attach another piece of paper if more space is needed.



Parties informed:


  • Principal
  • Board of Directors


  • Parent or legal guardian
  • Other agency: _____________________  Worker’s name: _____________________
  • Police Badge# ___________   Officer _______________________  Time _______ am / pm
  • Ambulance Badge# ___________   Officer _______________________   Time _______ am / pm
  • Fire Department Badge# ___________   Officer _______________________   Time _______ am / pm


Describe follow up actions and recommendations:



















Staff Name: __________________________  Signature: ____________________________  Date: __________


Staff Name: __________________________  Signature: ____________________________  Date: __________


Staff Name: __________________________  Signature: ____________________________  Date: __________



Supervisor: ___________________________ Signature: ____________________________  Date: __________


CC’d to other agency or program?          ___ Yes     ___ No



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