105 CMR 430.154
Injury and Incident Reports
(A) A report shall be completed on a form available from the Department for each fatality or
serious injury or incident that results in a camper, staff person, or volunteer being sent home or
brought to the hospital or treated by a health care provider, and where a positive diagnosis is
made. A copy of each injury or incident report shall be sent to the Department, as well as the
Board of Health, as soon as possible but no later than seven calendar days after the occurrence
of the injury or incident. Such injuries or incidents shall include, but not be limited to:
(1) cuts or lacerations for which suturing is required;
(2) when resuscitation or other life saving measures are required;
(3) fracture or dislocation;
(4) concussion; or
(5) administration of an epinephrine auto-injector; or
(6) those resulting from errors in the administration of medications including diabetes care.
(B) Any operator of a camp that has a challenge course or climbing wall operating at the camp
and is subject to licensure pursuant to 520 CMR 5.00: Amusement Devices shall comply with
the reporting requirements in 520 CMR 5.00 for each fatality or serious injury, as defined in
520 CMR 5.00, related to the challenge course or climbing wall.
(C) The health care provider who meets the requirements of 105 CMR 430.159(E) or the camp
director shall comply with all applicable reporting requirements of M.G.L. c. 94C as well as
105 CMR 700.000: Implementation of M.G.L. c. 94C, including reporting any administration
of prescription medication in a manner inconsistent with the individual's prescription or in
violation of 105 CMR 700.000 to the Department, as well as the Board of Health, within seven
calendar days of the incident. Any incident resulting in the administration of glucagon shall be
considered a serious injury and must be included in the injury or incident report.