4024 - (EBBB) Accident Report for Students, Employees, and Visitors
4024 (EBBB) Accident Report for Students, 4024 (EBBB)
Employees, and Visitors
A. General Accident Reporting: An accident report shall be required whenever an
accident occurs in a Milford School District school, on school grounds, or at any school-
sponsored activity; and
sponsored activity; and
- which requires a student, employee, or visitor to:
-
- be out of class or absent from school,
- seek the services of a healthcare provider (physician, advanced registered
nurse practitioner, licensed physician’s assistant, or dentist), - require first aid, or
- reasonably be anticipated to give cause to an insurance or liability claim or
case for liability at a later date.
The 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 after 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.
accident form as soon as possible, but in no event more than 24 hours after 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 the death of an employee 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.
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 of an
employee 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, loss, or fracture of any body part, head injury, or internal injury that
necessitates hospitalization.
employee 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, loss, or fracture of any body part, head injury, or internal injury that
necessitates hospitalization.
D. Training: All staff shall receive annual training relative to accident and accident
reporting protocols.
reporting protocols.
Revised 11/1995, 09/2008, 6/2024, 11/2025