School District Schedule 8
Risk Management Records - Active
Contents (or view both active and obsolete schedules together)
General Liability Accident Report (SD 8-2)
This is a report form completed and sent to the district's insurance carrier on accidents where a student or patron was seen or treated by a medical provider (or absent for more than one-half day) or where school liability is an issue. This report includes policyholder name, address, and telephone number; accident's date, time, location, first notification, and name of person making notification; description of accident or occurrence; injured person's name, marital status, age, address, telephone number(s); nature and extent of injuries; name of doctor or hospital; probable cause of accident or occurrence; property damage; names, addresses, and telephone numbers of witnesses; name, position, and telephone number of person completing form; name of person reporting incident; name of person receiving report; date; signature of person completing report; and any remarks.
Retain for 5 years or until all litigation is resolved and then destroy.
Insurance Policy Files (SD 8-4)
These are insurance policy contracts between the district and private insurers.
Retain for 18 years after expiration of policy and settlement of all claims and then destroy.
Insurance Reports (SD 8-5)
These reports are used for the reference and generation of claims which neither required an investigation nor resulted in litigation.
Retain for 5 years and then destroy.
Liability Risk Management Case Files (SD 8-6)
These case files document the reporting, investigation, and settlement of liability claims filed against the district.
Retain for 10 years after case closed and then destroy.
Safety Self-Inspection Reports (SD 8-8)
These self-inspection survey reports are completed annually by each school on forms provided by the State Division of Risk Management. There are three separate required survey forms including the general survey, cafeteria/kitchen survey, and playground survey. The purpose of this report is to identify potential hazards within school buildings and on school sites. If the school completes these reports, it may receive a 15 percent discount on its insurance premium after a follow-up survey has been conducted. These safety inspections are submitted to the District Office, accumulated, and sent to the State Risk Management for evaluation by April 1st. These survey forms includes district name, date, school, name of person completing survey, and responses to survey questions (yes, no, not applicable). The State Division of Risk Management retains the record copy for twelve years.
Retain for 1 year or until superseded and then destroy.
Student Injury Report (SD 8-9)
This report is completed by school personnel immediately after a severe student injury and a copy is then submitted to the State Child Injury Prevention Program. An injury is considered severe if it 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, and school name and number; student's sex, birthdate, and grade; accident's date and time; number of days absent; action taken by school and parent; nature of injury; area affected; contributing factors; period; surface; location; activity; equipment; injury description; signature of person making report; title code; and principal's signature. The state's copy is retained for five years.
Retain for 7 years and then destroy.
Page Last Updated April 20, 2017 .