CONFIDENTIEL School Year :2019/2020

Incident record in
schools
Author(s) of
the card
SCHOOL INTERNATIONAL MAARIF SCHOOLS OF BUCHAREST
City: Bucharest District: Voluntari

Date of the incident Identification Number Location School Time

Inside of school extracurricular (launch
Around time, club)
Others(Specify) out of school time
Degree of Gravity  not important, but significant. Deserves to be mentioned
 serious, but without significant impact on the institution
 serious, with significant impact in the institution
 exceptional gravity
DESCRIPTION OF THE INCIDENT
ATTACKED ON OTHERS
VERBAL VIOLENCE: PHYSICAL VIOLENCE:
 insults threats  Without weapon
 racist insults  With weapon (white, on fire or by destination)
 reciprocal sexual Racket Robbery
 Inadequate use of new technologies (internet, mobile phone, social networks ….)
 Bullying
SAFETY ATTACKS
 False alarm (fire, bomb)  Stone throws or other projectiles  Intrusion (from persons outside the school or institution)
CARRYING A WEAPON:  Fire  white  Pistol (Balls, Leads)  Other (specify)
ATTACKS ON PROPERTY
DEGRADATIONS  From local Of material  Vehicle  Personal property
 By fire  By tags  Other (specify):
FLIGHTS :  Tentative  Vol simple  With break-in  In a vehicle
OTHER FACTS OF VIOLENCE
 SUICIDE  ATTEMPTS OF SUICIDE
 NARCOTICS or other psychoactive substances (alcohol, drugs ...) specify :…………………………
 Consumption  Sale  hashish  Heroin  Other (specify)…………………………………..

VICTIMS Number: AUTHOR (S) PRESUME (S) Number :

Name : Surname: Name : Surname :
 Male  Female  Male  Female  recidivism
Address : Address :
Postal code of the domicile |__|__|__|__|__| Postal code of the domicile |__|__|__|__|__|
 Student, born at……….. Class :  Student, born at Class :
 Group of students  Group of students
 Teaching staff  Teaching staff
 Other staff (specify)  Other staff (specify)
 Family  Others  Family  Others
ADDITIONAL DETAILS:

Prescribed measure (To be completed by the Head of Institution)

 Internal suite at the establishment:  Temporary eviction  Disciplinary Board  Others
Emergency referral from:  Police  Gendarmerie  SAMU  Fire brigade 
Other
Lodging a complaint:  YES  NO Name and quality of the complainant:
Witness 1 Witness 2 Filled by