Incident Reporting Form
What needs to be reported? All material incidents and accidents, whether in the boathouse or on the water, need to be reported. Material incidents include situations where someone has been injured or equipment damaged. We also want to hear about near misses which could have resulted in injury or equipment damage. We can learn from such situations.
Off Water Incident
On Water Incident/Collision
On Water Near Miss
Date damage occured or today if unknown
Time damage occured or current time if unknown
Who is reporting the incident
Your Mobile Phone Number
If it was a collision who was incontrol (or not) of the other boat?
Where did the incident take place?
Which club was the other boat from?
Was there any damage to their boat? (If yes provide a brief description)
Was a 3rd person involved in the incident
Was a 4th person involved in the incident
Was First Aid required
Did anyone require hospitalisation
What happened including details of any first aid or hospitalisation.
Which Boat needs to be repaired - Boat Name (NA is no boat involved)
Describe the damage and what needs to be done.
Upload any Photos or other files
Should be Empty: