Details of questions asked for falls, burns, and scalds
| 1. Place where accident happened |
| 2. What did baby fall or drop from, or what was baby burnt with? |
| 3. Date of fall or accident |
| 4. Injuries caused |
| 5. Who was with the baby? |
| 6. Action taken by person with baby |
| 7. Treatment given to the baby |
| 8. Description of how accident happened |