AGENCY: Davis County School District (Utah). Hill Field Elementary School
SERIES: 10147
TITLE: Student injury report
DATES: 1979-
ARRANGEMENT: Alphabetical by student's name
DESCRIPTION: This report is completed by school personnel immediately after a severe student injury and a copy is then submitted to the State Division of Family Health Services. An injury is considered severe if requires the loss of a half day or more of school or warranted medical attention or was required to be reported by district policy. The form includes child's name, parent's name, district name and number, school name and number, student's sex, birth date, grade, accident's date and time, number of days absent, action taken by school and parent, nature of injury, area affected, contributing factors, period, location of accident, activity, equipment, injury description, signature of person making report, title code, and principal's signature. The state's copy is retained for five years.
RETENTION
Retain for 4 year(s)
DISPOSITION
Destroy.
RETENTION AND DISPOSITION AUTHORIZATION
These records are in Archives' permanent custody.
APPROVED: 09/1992
FORMAT MANAGEMENT
Paper: Retain in Office for 4 years and then destroy.
APPRAISAL
Administrative Historical
This disposition is based on the administrative needs expressed by the school and meets the four year malpractice statute of limitation provisions (UCA 78-14-1 (1991)).