ARC Maintenance Request Form

Maintenance Request Form

Use this form to report damage and required maintenance to ARC boats and equipment.
Details of person submitting
Date of submission:*

DayMonthYear
Date
Hour MinutesAM/PM Option
Requested by:*

First NameLast Name
Contact Phone Number:*

Area CodePhone Number
Contact Email*
example@example.com
Are you a current Adelaide Rowing Club member?*

YesNo
Boat / Equipment Details
Where is the boat / equipment currently located?*
Boat Name:*
Was the boat/equipment damaged in an incident?*

Yes (on-water)Yes (on-land)NoUnsure
If damage occurred on-water, you are required to fill in the Rowing SA incident report form within 24-hours: https://rowingsa.asn.au/incident-reporting/

This Rowing SA incident report form is required to be completed for all incidents AND close calls.
Maintenance Details
What is the current condition of the boat:*

Not safe to be used/unusableUsable and safe, but not fit for racingUsable and safe, but attention is required to prevent further damageN/A (unrelated equipment)
If known, please describe how the boat/equipment was damaged, and who witnessed: *
Detailed location of fault (e.g. 3 seat foot stretcher): *
Details of maintenance required: *
Upload images of the fault:

Cancelof
Other comments (optional):
Should be Empty:

Maintenance Request Form