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SCHOOL BUS INCIDENT REPORT

 

TANNEHILL PUBLIC SCHOOLS

 

MCALESTER, OKLAHOMA

 

 

 

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Bus No.                           Driver                                                                                                                             Date

 

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Type of incident

 

                   Student ___________________________________________________________________________

(Name of student)

 

                   Driver ____________________________________________________________________________

(Name of driver)

 

 

Incident:

_____     Failure to remain seated                                               ______     Throwing objects on bus

_____     Refusing to obey driver                                                ______     Hanging out of window

_____     Fighting                                                                            ______     Spitting

_____     Profanity                                                                         ______     Disobeying bus monitor

_____     Lighting matches                                                           ______     Bothering others

_____     Smoking on bus                                                             ______     Vandalism

_____     Throwing objects from bus                                          ______     Other (See below)

 

Comments: ________________________________________________________________________________

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_________________________________________________________________________________________

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Signature __________________________________________________________________________________

 

 

Action taken: ______________________________________________________________________________

 

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                                                                                                                          _____________________________________

Signature                                                                                                           Position