Kaplan Incident Reporting

Incident Report
Use this form to report instances where a person has been injured or a product is reported to present potential injury to a person.

This policy establishes the procedures Kaplan Early Learning Company will follow when informed of an incident where one of our products may have caused or contributed to a child’s injury. It provides a structured approach for gathering and coordinating information to effectively respond to customers. Additionally, this policy helps protect children, the public, and the company’s legal and reputational interests by enabling us to assess whether the incident is an isolated case or part of a potential pattern that requires further investigation.

Please reassure the caller (customer, parent, etc.) Kaplan Early Learning Company will look into the matter immediately and the situation will be reviewed by our Quality Assurance Department, Understand that the caller could be very emotional. The objective is to secure the "facts" and set the caller's mind to rest that we will expedite review of the situation.

IMAGES: Ask the customer to provide digital pictures of the event, location, product, injury, manufacturer's information (label that includes manufacturing lot numbers if possible).

Access the Knowledge Base Article Here.
Email of Rep answering Call
example@example.com
Date & Time of Incident

MonthDayYear
Date
Hour MinutesAM/PM Option
Caller's Name
Caller's Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Caller's Email Address
example@example.com
Caller's Relationship to Injured Person

Customer & Order Details
Customer Number
Customer's Account Name
Street Address of Incident

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Customer's PO #
Many Customers have a PO# they use for documentation
Kaplan Order #
Vendor's PO #
On the product, there will be the Vendor PO # & the Lot #. If unknown, write N/A.
Vendor's Model #
On some products like toys, there will be the Vendor Model #
Lot #
On the product, there will be the Vendor PO # & the Lot #.
Order Date

MonthDayYear
Date
Item Ship Date

MonthDayYear
Date
Invoice number
Kaplan Item Number (SKU)
Item Description
Price of item

Incident Details
Injured Person's Name
Injured Person's Age
Location where the person was injured
Comments to Location
Was Medical Attention Required?
Was the Medical Attention On Site or Off Site?
Has the person returned to normal activies?
Describe concern for person. (Optional)
Has the person returned to the center?
Describe how the incident happened:
Give detailed description of injury:
Has the item been taken out of use?
Is the item available for inspection?
Images are extremely helpful. In some cases, an inspection may be requested by the manufacturer.

Additional Information
Contact Name (If different than caller)
Contact phone number (if different than caller)
Please enter a valid phone number.Format: (000) 000-0000.
Emails for communication (list as many as needed)
Check if photos were requested.
Add images here if available

Cancelof
Additional Comments:
Contact/parent expectations:
Did the parent / contact require return call/follow up? If yes, did they indicate type of information expected for that follow up?
Is there any additional information pending regarding this incident?
Please describe what additional information is pending:
Once submitted, an email of the information will go to: Mark Kaplan, Matthew Marceron, Melissa Moreano, Jennifer Cummings, Brenda Smith, merch_inbox, and your email.
Should be Empty:

Incident Report

Customer & Order Details

Incident Details

Additional Information