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Collects league identifiers, incident date/time/location, injured person information, age, sex, and contact details, plus parent data when applicable. Captures activity type, involved position/role, injury type, first aid and professional treatment requirements, and incident category (e.g., field, base path, collision, travel). Includes space for narrative description, avoidance assessment, preparer information, signature, and date, supporting hazard evaluation and insurance or liability claim pathways.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/incidentinjury-tracking-report-form-incident-injury-tracking-form/243940/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/incidentinjury-tracking-report-form-incident-injury-tracking-form/243940.png","ImageObject",442,249,{"name":88,"@type":89},"Kyle","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-20","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information does the form collect about the injured person?","Question",{"text":109,"@type":110},"It records the injured person’s name, date of birth, address, age, sex, and home phone, and includes parent/guardian name and work phone when the injured person is a player.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the form classify the incident?",{"text":114,"@type":110},"It captures where the incident occurred (such as on the primary playing field, adjacent, off ball field, base path, seating area, concession area, travel, or walking) and the role/position of those involved (e.g., batter, pitcher, umpire, coach/manager, spectator).",{"name":116,"@type":107,"acceptedAnswer":117},"When is additional documentation required for claims?",{"text":118,"@type":110},"For accident claims or injuries that could become claims under the Accident Insurance policy, the Accident Notification Claim form must be completed and sent to Little League International. For claims involving non-eligible participants under the Accident policy or matters that may result in litigation, the General Liability Claim form should be completed.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},243940,1789210179,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":126,"read_time":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","For Local League Use Only  \nActivities/Reporting  \nA Safety Awareness Program’s Incident/Injury Tracking Report  \nLeague Name:   League ID:   -   -   Incident Date:   Field Name/Location:   Incident Time:   Injured Person’s Name:   Date of Birth:   Address:   Age:   Sex: ❒ Male ❒ Female City:   State   ZIP:   Home Phone: ( )   Parent’s Name (If Player):   Work Phone: ( )    \n____________  \nParents’ Address (If Different):   City    \nIncident occurred while participating in:  \nA.) ❒ Baseball ❒ Softball ❒ Challenger ❒ TAD  \nB.) ❒ Challenger ❒ T-Ball  ❒ Minor  ❒ Major  ❒ Intermediate (50/70) ❒ Junior  ❒ Senior   Big League   \nC.) ❒ Tryout ❒ Practice ❒ Game ❒ Tournament ❒ Special Event  \n❒ Travel to ❒ Travel from ❒ Other (Describe):    \nPosition/Role of person(s) involved in incident:  \nD.) ❒ Batter ❒ Baserunner ❒ Pitcher ❒ Catcher ❒ First Base ❒ Second  \n❒ Third ❒ Short Stop ❒ Left Field ❒ Center Field ❒ Right Field ❒ Dugout  \n❒ Umpire ❒ Coach/Manager ❒ Spectator ❒ Volunteer ❒ Other:    \nType of injury:    \n_________________________________________________________________________________________  \nWas first aid required? ❒ Yes ❒ No If yes, what:  Was professional medical treatment required? ❒ Yes ❒ No If yes, what:  (If yes, the player must present a non-restrictive medical release prior to to being allowed in a game or practice. )  \nType of incident and location:  \nA.) On Primary Playing Field B.) Adjacent to Playing Field D.) Off Ball Field  \n❒ Base Path: ❒ Running or ❒ Sliding ❒ Seating Area ❒ Travel:  \n❒ Hit by Ball: ❒ Pitched or ❒ Thrown or ❒ Batted ❒ Parking Area ❒ Car or ❒ Bike or  \n❒ Collision with: ❒ Player or ❒ Structure C.) Concession Area ❒ Walking  \n❒ Grounds Defect ❒ Volunteer Worker ❒ League Activity  \n❒ Other:   ❒ Customer/Bystander ❒ Other:    \nPlease give a short description of incident:    \n_________________________________________________________________________________________  \nCould this accident have been avoided? How:   This form is for local Little League use only (should not be sent to Little League International) . This document should be used to evaluate potential safety hazards, unsafe practices and/or to contribute positive ideas in order to improve league safety. When an accident occurs, obtain as much information as possible. For all Accident claims or injuries that could become claims to any eligible participant under the Accident Insurance policy, please complete the Accident Notification Claim form available at http://www. littleleague.org/Assets/forms_pubs/ asap/AccidentClaimForm. pdf and send to Little League International. For all other claims to non-eligible participants under the Accident policy or claims that may result in litigation, please fill out the General Liability Claim form available here: [http://www.littleleague.org/As](http://www.littleleague.org/As)sets/forms_pubs/asap/GLClaimForm.pdf.  \nPrepared By/Position:   Phone Number: (  )   Signature:   Date:","cbCaigLDqOD87mC8","https://ap.wps.com/l/cbCaigLDqOD87mC8","pdf",229650,"English","# Activities/Reporting\n## Incident and injured person details\n## Incident type, location, and response","[{\"question\":\"What information does the form collect about the injured person?\",\"answer\":\"It records the injured person’s name, date of birth, address, age, sex, and home phone, and includes parent/guardian name and work phone when the injured person is a player.\"},{\"question\":\"How does the form classify the incident?\",\"answer\":\"It captures where the incident occurred (such as on the primary playing field, adjacent, off ball field, base path, seating area, concession area, travel, or walking) and the role/position of those involved (e.g., batter, pitcher, umpire, coach/manager, spectator).\"},{\"question\":\"When is additional documentation required for claims?\",\"answer\":\"For accident claims or injuries that could become claims under the Accident Insurance policy, the Accident Notification Claim form must be completed and sent to Little League International. For claims involving non-eligible participants under the Accident policy or matters that may result in litigation, the General Liability Claim form should be completed.\"}]","Incident/Injury Tracking Report Form - Incident Injury Tracking Form | PDF"]