Injury Incident Report

Date of Incident11/02/2025
Time of Incident:11:15 AM
Location in Park:Bounce Pillow
Weather Conditions:Clear
Injured Person Details
Name:Carter Cherry
Age:2.5
Grade/Class:0
Parent/Guardian Contacted Y/N:Y
Name of Parent/Guardian Contacted:Robert Cherry
Incident Description
What Happened:

The father Robert Cherry said he did not see the incident happen, but he assumes that his son got double bounced on the pillow and hyperextended his left knee. Phone# (248) 925-6526

Witnesses:

None

Injury Details
Injured Body Part(s)Left knee
Type of Injury:
  • Sprain/Strain
Detail Other
Immediate Action Taken:

Gave the father an ice pack as requested

Medical Attention Required
Choices
  • First Aid Only
Details:

We gave an ice pack for the knee. The father said that he is putting some weight on it, but will be taking him to urgent care to have it checked out.

Follow-Up Action (If any):
follow-up

Not sure father‘s phone number is listed

Reported By
Name:Sherri Davis
Position:Silo Worker
Date11/02/2025
Signature:Sherri Davis
Administrator Review
Park Lead Name:Sarah
Date11/02/2025