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    Incident Report Form: 4. Suspension of Module Distribution Etc

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    Salgie Masculino
    1) A teacher at Laganac High School in Camarines Sur, Philippines tested positive for COVID-19. 2) The teacher had close contact with her niece who also tested positive. 3) School administrators isolated the area where the teacher worked and recommended contact tracing, work from home isolation, and suspension of module distribution to prevent further spread.

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    Incident Report Form: 4. Suspension of Module Distribution Etc

    Uploaded by

    Salgie Masculino
    59 views1 page
    1) A teacher at Laganac High School in Camarines Sur, Philippines tested positive for COVID-19. 2) The teacher had close contact with her niece who also tested positive. 3) School administrators isolated the area where the teacher worked and recommended contact tracing, work from home isolation, and suspension of module distribution to prevent further spread.

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    INCIDENT-REPORT-Form-3

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    1) A teacher at Laganac High School in Camarines Sur, Philippines tested positive for COVID-19. 2) The teacher had close contact with her niece who also tested positive. 3) School administrators isolated the area where the teacher worked and recommended contact tracing, work from home isolation, and suspension of module distribution to prevent further spread.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    59 views1 page

    Incident Report Form: 4. Suspension of Module Distribution Etc

    Uploaded by

    Salgie Masculino
    1) A teacher at Laganac High School in Camarines Sur, Philippines tested positive for COVID-19. 2) The teacher had close contact with her niece who also tested positive. 3) School administrators isolated the area where the teacher worked and recommended contact tracing, work from home isolation, and suspension of module distribution to prevent further spread.

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    © All Rights Reserved
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    Department of Education

    Region V -Bicol
    Division of Camarines Sur
    Pili, Camarines Sur
    _______________________________________________________________________________________________

    INCIDENT REPORT FORM

    TYPE OF INCIDENT: (vehicular accident, armed conflict, theft, harassment, bullying, flashlight, abduction, crime, etc.)
    COVID 19
    INCLUSIVE DATE AND TIME OF INCIDENT: September 15, 2021

    EXACT LOCATION OF INCIDENT: (room, building, area, school, street, sitio, barangay, municipality, etc. )
    PRINCIPAL’S OFICE, LAGANAC HIGH SCHOOL, LAGANAC BALATAN CAMARINES SUR
    INVOLVED PERSON/S & SPECIFIC PARTICIPATION: (Full name, age, gender, position/designation/ grade level,
    involvement in the incident. Use back page if needed.) LAIZA ABINAL, 28 Y/O, FEMALE, ADAS, IS A CLOSE CONTACT OF
    HER NIECE WHICH IS TESTED POSITIVE OF COVID 19.
    NARRATIVE DETAILS OF INCIDENT: MISS LYZA ABINAL WAS AT SCHOOL WHEN SHE FOUND OUT THAT HER NIECE
    TESTED POSITIVE FOR COVID 19. THREE (3) DAYS PASSED BEFORE SHE FOUND OUT, AT THAT TIME SHE WAS AT
    HER RESIDENCE WHERE THE PATIENT ALSO LIVED.
    ACTION TAKEN:

    Action taken by the School: ISOLATE THE AREA

    Action taken by the District Office:

    RECOMMENDATIONS: 1. CONTACT TRACING


    2. WFH OR TOTAL ISOLATION
    3. AWA
    4. SUSPENSION OF MODULE DISTRIBUTION ETC.

    DATE PREPARED:SEPETEMBER 15, 2021


    DATE RECEIVED:
    PREPARED BY:
    SALGIE P. SERNAL
    SDRRM Coordinator PREPARED BY:
    NOTED BY:
    DELIA S. SAYSO JULIA O. JORNALES, PSDS
    School Head

    APPROVED BY:

    LOIDA N. NIDEA, CESO V LOIDA N. NIDEA, CESO V


    Schools Division Superintendent Schools Division Superintendent

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