COTA Sawyer Incident Report

INCIDENT REPORT

Questions? Please contact: joe.myers@cotamtb.com
Submitted By*

First NameLast Name
Email Address*
Phone Number*
Incident Date*

MonthDayYear
DateHourMinutesAM/PM Option
Location (Trail Name and Description of Scene):*
Name of Crew Leader or Sawyer:*
List of all people present durring incident:*
Trail work activity (related to incident)*

Bucking with power sawsBucking with cross-cut sawsBrushing with hand toolsworking with Axepower brushingtread worktravel to from work siteOther
Describe the Incident and or Injury including any events leading to or immediately following the Incident:*
PPE in use:

Hard HatGlovesEye protectionLong PantsEar protectionchaps or chainsaw pantsLong sleeved shirtboots
Here's a few ways to get at what "lessons" are:
- What do folks now know that they wish they’d known before the event?
- What would folks share with others who could be in a similar situation?
- What were some successes and challenges? What actions can be taken moving forward?
Lessons learned: Recommendations to avoid similar event in the future:*
Upload photos

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When submitted, this will go to the saw program coordinator email address: joe.myers@cotamtb.com
Should be Empty:

INCIDENT REPORT