[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-252340-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-252340-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","woods-incident-report","Woods Incident Report","","This document is an incident report form designed for documenting incidents, particularly those involving animals and potential injuries. It captures victim and incident details, including their contact information, the location and circumstances of the incident, and a description of any injuries sustained. The form also includes sections for witness information, details about the animal involved (breed, color, age, SB ID, tag number), and a signature and date. A crucial checkbox allows the victim to indicate if they do not plan to seek medical attention, requiring their initial. The report also features sections for \"STAFF USE ONLY\" and \"OPERATIONS DIRECTOR USE ONLY,\" outlining specific action steps to be taken after an incident. These steps include attending to the injured person, notifying supervisors and veterinarians, moving and quarantining animals, updating shelter management systems (Shelter Buddy), and filing with county authorities and workers' compensation. The form provides a comprehensive workflow for managing and documenting animal-related incidents within an organization.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/woods-incident-report/252340/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/woods-incident-report/252340.png","ImageObject",442,249,{"name":42,"@type":43},"Lute","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-13",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What information is collected about the victim in the incident report?","Question",{"text":63,"@type":64},"The report collects the victim's name, contact information (phone number, address), age, circle (Staff/Volunteer/Public), and if under 18, the guardian's name.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What details are recorded about the animal involved in the incident?",{"text":68,"@type":64},"Information about the animal includes its name or SB ID, species (Dog/Cat), sex, tag number, breed, color, and age. It also has a space for a signature and date.",{"name":70,"@type":61,"acceptedAnswer":71},"What are the mandatory action steps for staff after an incident?",{"text":72,"@type":64},"Staff must attend to the injured person, provide an incident report, notify their supervisor and staff veterinarian, move and quarantine the involved animal, update the animal's status in Shelter Buddy, and provide the incident report to the Director of Operations.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},252340,1789261137,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":80,"read_time":4},137454149569,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| Victim Information\u003Cbr>Name:     Circle: Staff/Volunteer/Public Date and Time of Incident:   Phone Number:   Circle: Cell/Home/Work Age:   If \u003C18: Guardian name:  Address:   City/State/ZIP:  \u003Cbr>Incident Information\u003Cbr>Where did the incident occur?:   What were you doing when the incident occurred?:   |  |\n| --- | --- |\n| __\u003Cbr>What happened?: | ____________________________________ |\n| Describe injury and part(s) of body affected?:\u003Cbr>_____________________________________________ _______ ___________________________\u003Cbr>Witness(es) and phone number(s):   Animal involved: Name /SB ID\\#:   Circle: Dog/Cat Circle: Male/Female Tag\\#   Breed:   Color:   Age:   Signature:   Date: \u003Cbr> I do not plan to seek medical attention for the injuries sustained from this incident. Check box and initial here:   |  |\n| \u003Cbr>STAFF USE ONLY: Action Steps (initial each step)\u003Cbr>1.   Attended to injured person\u003Cbr>2.   Incident Report given/ask about medical attention (parent notified if victim is minor)\u003Cbr>3.   Notified designated supervisor and staff veterinarian.\u003Cbr>4.   Animal moved to holding (cats) or Pod 3 or ISO (dogs) and Bite Quarantine sign posted\u003Cbr>5.   Animal’s status changed to BQ in Shelter Buddy\u003Cbr>5.   Bite details entered into Shelter Buddy\u003Cbr>6.   Incident Report given to Dir of Operations\u003Cbr>OPERATIONS DIRECTOR USE ONLY: Action Steps (initial each step)\u003Cbr>1.   Report of Bite filed w/County /Quar began?\u003Cbr>2.   Workers Compensation form given\u003Cbr>3.   Workers Compensation claim filed\u003Cbr>4.   Team disposition meeting\u003Cbr>5. Disposition  \u003Cbr>6   Quarantine lifted Y/N\u003Cbr>7   Shelter Buddy status changed/notes entered\u003Cbr>8.   Bite waiver created in Shelter Buddy |  |\n\nS:\\Operations Director\\SOP\\Forms\\Animal Handling and Restraint Rev. September 2017","cbCaiuTvU6pWM3zA","https://ap.wps.com/l/cbCaiuTvU6pWM3zA","pdf",294348,"English","# Victim Information\n# Incident Information\n# Staff Use Only\n# Operations Director Use Only","[{\"question\":\"What information is collected about the victim in the incident report?\",\"answer\":\"The report collects the victim's name, contact information (phone number, address), age, circle (Staff/Volunteer/Public), and if under 18, the guardian's name.\"},{\"question\":\"What details are recorded about the animal involved in the incident?\",\"answer\":\"Information about the animal includes its name or SB ID, species (Dog/Cat), sex, tag number, breed, color, and age. It also has a space for a signature and date.\"},{\"question\":\"What are the mandatory action steps for staff after an incident?\",\"answer\":\"Staff must attend to the injured person, provide an incident report, notify their supervisor and staff veterinarian, move and quarantine the involved animal, update the animal's status in Shelter Buddy, and provide the incident report to the Director of Operations.\"}]","Woods Incident Report | PDF"]