Accident Reporting

Accident Reporting: fillable for to have your supervisor complete if you have been injured at work

The following injuries should be reported: 

• Any injury requiring care beyond that given in school.

• Any injury with recommendation to parents, guardians or designee for medical follow-up.

• Accidents with any type of head injury. Even a slight head injury may later develop into a serious injury.

• Any injury/incident of an unusual nature (e.g., poisoning, overdose, etc.).

• Any burns that occur on school property.

• Assault or battery.

When an injury occurs and there is question as to whether or not an accident report should be filed, it is recommended that an accident/incident form be completed. Notify :

• the appropriate Associate Superintendent or Executive Director,

• The Risk Manager’s Office and

• The Health Services Office (612) 668-0850 of a serious injury, on the same day that the injury occurs.

The report form for a serious accident/injury should be immediately faxed to the District General Counsel’s Office at (612) 668-0485.

The original is sent to the District General Counsel’s Office, within 24 hours of the date of injury, to N2-240 Davis Center, 1250 Broadway Ave. W., Minneapolis, MN 55411. The principal should sign the form. No copy is to be kept by the school. Employees are required to furnish information requested on the form as a condition of employment with the District.

Check the MPS SharePoint for more information 

Student or Non-Employee Accident or Incident Report:  This form should be completed to report injuries involving students and/or members of the public (non-employees) which occur on school property or while participating in a school activity.