Classroom Damage Report Classroom Damage Report This form is to be used when materials and/or tools are damaged in the classroom. Please complete this form with as much detail as possible. If an injury is caused as a result of the damage, please fill out an Injury Report as well. Teacher's Name* First Last Date damage occurred* Class during which the damage occurred*Please list the item(s) that were broken*Please describe the incident*Can the item(s) be repaired*YesNoNot sureWas anyone injured?*If an injury occurred as a result of this damage, you must also fill out an Injury Report.YesNoDo the damaged items need to be replaced?*Is this a critical tool for the classroom and does it need to be replaced? Please explain.