Age
| Make |
Town or city
|
Cause of death related to heat
| Model |
State
|
Gender
| Year |
Date
|
Child’s name | Color | Responsible person and relationship to victim (for example, self, mother, foster parent, daycare provider) |
Prior existing health problems | Location (for example, parking lot, driveway) | Length of time in vehicle |
Victim’s activity at time of incident (playing, sleeping) | Design features (for example, tinted windows, electric door locks) | Temperature high for date |
Presence of other children in the vehicle | Other factors (for example, vehicle was abandoned) | Time of day of incident |
Outcome for other children | Use of child safety seat | Adult’s activity (for example, shopping, working) |
| | Intention of adult (forgot, left child intentionally) |
| | Adult use of alcohol or other drugs |
| | Legal consequences |
| | Adult’s age |
| | Adult gender |
| | Other factors (for example, marginal housing, family event) |
| | Prior involvement with child protection agencies |