One secure place for staff to report incidents, accidents, statements, and supporting details with confidence.
Highlands Community Charter & Technical School
Highlands Forward · Safety & Incident Reporting
Safety Incident Report
Fields marked * are required · All submissions are logged
Submission Type
Progress
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Site
Select your site to auto-fill the address.
Date, Time & Location
Select Unknown under Time accuracy when the occurrence time is not known.
People Involved
List each person once with their name, role (student / staff / visitor), involvement (affected or conduct reported), and contact number. If a person listed here also witnessed the event, identify them as a witness in the same entry.
People involved — affected or conduct reported
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Additional witnesses not listed above
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Incident Description
Facts only. Describe what happened in order. Refer to people already listed above; do not repeat their contact details. Include observed injuries, exact words for threats, and any dangerous object or behavior when relevant. Separate direct observations from information reported by others.
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Supporting files: This form does not upload photos or documents. Submit the report first, then send any supporting files through the approved Safety Department process and reference the generated Report ID.
Additional Response Details
Complete the response selections above, then add only details not already captured: notification times, reference numbers, responsible personnel, or other follow-up.
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Report Information
Supplement Only Mode
You are submitting a supplement without a main report. Enter the Report ID of the existing incident report this supplements, if known.
Use this section to attach additional statements from students, staff, or witnesses, plus any follow-up narrative. This is linked to and filed with your main report.
Student / Witness / Staff Statement
Start each statement with the person's name and role, e.g. "John Smith (Student, Grade 10): I saw…"
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Additional Notes or Follow-up
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Narrative Supplement
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Supplement Reported By
For this full report, your name, role, report date, and certification come from the Main Report tab. Add only new statements or follow-up information here.
By submitting this report, you confirm that the information provided is accurate to the best of your knowledge and acknowledge the Terms of Service and Privacy Policy.
Violent Incident Log
Confidentiality requirement: This log is for workplace violence incidents and is designed around LC section 6401.9(d). Do not enter personally identifying information for individuals involved (including names, physical/electronic addresses, telephone numbers, or Social Security numbers).
Incident Details
Type of Incident
The source form distinguishes Workplace Violence Type from the nature or characteristics of the incident. Select all incident characteristics that apply.
Incident Context
Consequences & Response
Include whether security or law enforcement was contacted and their response, plus actions taken to protect employees from a continuing threat or other hazards.
Employer Record
Completed By
By submitting this violent incident log, you confirm that the information is accurate to the best of your knowledge and that personally identifying information about involved individuals has been omitted as required by the source log.
Your Submitted Reports
Submission receipts saved on this device. You can download a receipt PDF at any time; detailed incident content is intentionally not retained in browser history. The central Safety Team Portal retains the authoritative submitted record.
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Report Submitted Successfully
Your incident report has been submitted. Keep the reference ID below for your records.
