Jackson County School District s1

Jackson County School District

TO: Superintendent, Assistant Superintendents, Principals, Directors, Transportation Supervisors

DATE: April 6, 2018

FROM: Laura McCool

Please make this safety information available to your staff. Each employee should receive a copy. Use a sign-in sheet to indicate knowledge of this information. Sign-in sheets and a copy of the safety notice should be maintained at your office.

Incident and Investigation Report

Please review the circumstances of this incident and apply the recommendations to the appropriate work area. Incident Number: SI 2007-56JT12182007 Attendance Center: East Central School: ECH Job type: Teacher Incident Date: 12/18/2007 Time of incident: 10:30 Date reported to supervisor: 12/18/2007 Time reported to supervisor: 10:30 Type of injury: Trip Body part affected: knee Were safeguards provided? Yes Were safeguards used? Yes Was medical attention needed? No If yes, where: Did the employee miss work? No Is a return to work form on file? N/A Are there any restrictions? N/A Is any follow-up needed? N/A

Description of events: Tripped on rug while walking across the classroom

Recommendation : Check the back of rugs and ensure that slip resistant tape or some other slip resistant material has been applied to all rugs.