Бланка за ФИЗИЧЕСКИ ТОРМОЗ. Тази бланка се попълва в течение на 15-20 минути след действието на тормоз.Тя е за примерно огналедяване на случея, и не следва да бъде ползване, като документ!
1.Кой/Кои са агресорите:
ИМЕ
№
Клас:
1
2
3
4
5
6
ГРУПА
2.Кой/Кои са потърпевшите:
ИМЕ
№
Клас:
1
2
3
4
5
6
3.Опис на случея: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4.Има ли физически наранения: А)Не!
Б)Да!
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5.Има ли намесили се учители или педагогически персонал: А)Не!
Б)Да!:1.______________________________________________________________________________2.___________________________________________________________________________________
3.___________________________________________________________________________________
4.___________________________________________________________________________________
6.Има ли намесели се ученици: А)Не!
Б)Да!:1.______________________________________________________________________________2.___________________________________________________________________________________
3.___________________________________________________________________________________
4.___________________________________________________________________________________
