Injury Incident Report

Date of Incident11/07/2025
Time of Incident:01:25 PM
Location in Park:Corn Pit
Weather Conditions:Sunny
Injured Person Details
Name:Emmett Buckner
Age:9
Grade/Class:3
Parent/Guardian Contacted Y/N:Y
Name of Parent/Guardian Contacted:Ann Austin
Incident Description
What Happened:

Corn got stuck in child's ear.

Witnesses:

Sarah, Peyton, and Mattie

Injury Details
Injured Body Part(s)Ear
Type of Injury:
  • Other
Detail OtherMom's number, 803-622-0225
Immediate Action Taken:

Tried to remove with tweezers to remove a piece of corn. That was unsuccessful as I could not get a grip on the corn.

Medical Attention Required
Choices
  • First Aid Only
  • Taken to Emergency Room
Details:

After failed attempt, it was recommended for the child be taken to the doctor for further assistance.

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

None

Reported By
Name:Tiffany Mullen
Position:Silo/Medic
Date11/07/2025
Signature:Tiffany Mullen
Administrator Review
Park Lead Name:Angela Mullen
Date11/07/2025