PURPOSE Through analysis, this study reports on occurrences of children and adolescents’ sports accidents and presents measures to prevent, cope with, and manage school sports accidents. METHODS The study used both quantitative and qualitative methods. First, a frequency analysis was conducted using 284,429 safety accident data of the School Safety and Insurance Association (SSIA). Second, the inductive analysis method was applied to in-depth interviews conducted with eight teachers. RESULTS , accidents are characterized as follows: 1) At the school level, accidents have increased significantly every year in a large proportion of elementary and middle schools. 2) The span of time spent on sports was large. 3) Accidents happened at playgrounds and auxiliary facilities. 4) Accidents happened during kindergarten play and ball sports in schools. 5) The descending order of days with the most accidents was Thursday, Tuesday, Friday, Wednesday, Monday, Saturday, and Sunday. 6) Rather than a certain month, accidents happened across the school semester. 7) Most accidents occurred from 10 a.m. to 2 p.m. Second, field teachers’ stories were categorized into the following topics. 1) School accidents can occur anytime, anywhere. Whether mild or serious, they still had the burden of inevitable accidents. 2) Required: were prompt response and handling by appropriate teachers; timely treatment and recovery cost support; also procedurally simplified handling by SSIA was helpful. 3) Avoiding accidents requires the following:: regular operation of safety education programs; daily promotion of teachers’ preventive observation and close guidance; and active role reinforcement of SSIA and policy support. CONCLUSIONS Finally, measures to prevent, cope with, and manage school safety accidents were proposed.