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Incident Report

On August 15, 2024, during a Physical Education class at Green Fields Integrated School, grade 11 student Gabriel Joaquin Lijauco sustained a knee injury. First aid was administered by staff, and he was subsequently taken to the nearest hospital for further treatment. The incident was reported by SHS teacher Jeffrey De Belen.

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Jeffrey De Belen
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0% found this document useful (0 votes)
17 views1 page

Incident Report

On August 15, 2024, during a Physical Education class at Green Fields Integrated School, grade 11 student Gabriel Joaquin Lijauco sustained a knee injury. First aid was administered by staff, and he was subsequently taken to the nearest hospital for further treatment. The incident was reported by SHS teacher Jeffrey De Belen.

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Jeffrey De Belen
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INCIDENT REPORT

Date of Incident: August 15, 2024

Time of Incident: 1:00 PM – 1:30 PM

Location: Green Fields Integrated School of Laguna Inc.

Reported by: JEFFREY DE BELEN/ SHS Teacher

Incident Type: Injury

Description of Incident:

On August 15, 2024, at approximately between 1:00 PM – 1:30 PM, while having their Performance
Task in Physical Education 1 “Warm-up Exercise”, Mr. Lijauco a grade 11 student of ABM Cepheus got
injured on his right knee.

Individuals Involved:

Name: LIJAUCO, Gabriel Joaquin L.

Role/Position: Grade 11 Student (ABM Cepheus)

Contact Information: N/A

Injury/Impact: Knee Injury

Action Taken:

First aid was provided to Mr. Lijauco by some staffs and teacher of GFIS. Mr. Lijauco was taken to the
nearest hospital for further medical attention.

Report Filed By:

Name: Mr. Jeffrey De Belen


Position: SHS Teacher
Date: August 15, 2024

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