LTA Accident & Incident Form

General Accident & Incident Form

HSBC Championship 2026
All accidents and incidents must be reported to the Safety Team and Site Office, some may need to be investigated and reported to the HSE and/or Event Insurers. A copy of this report will be automatically submitted to the LTA, Site Manager and Safety Team who may contact you to follow up with any of the details included within it.

The personal information provided as part of this Accident & Incident Report will be stored and processed by the event organisers solely for the purpose of the legal health and safety requirements of the event. The information provided maybe shared with contracted companies (e.g. H&S advisers, insurers) solely for the purpose of review and will never be sold to other third parties. The personal data may be retained indefinitely as part of the event organiser's legal obligations.
EVENT DETAILS
Date and Time of Accident/Incident

DayMonthYear
Date
Hour Minutes
YOUR DETAILS
Name

First NameLast Name
Your Phone Number
Your Email
example@example.com
Employer
Line Manager
INCIDENT DETAILS
Location of the Incident
Use landmarks if possible
Type of Incident

Other
Description of the Incident
Were any Vehicles Involved?
This should include any moving or stationary vehicles and consider private cars/vans, plant, machinery, etc.

ADDITIONAL DETAILS
Description of Actions Taken
What was the end result? Did anyone receive medical treatment? Who attended the accident/incident?
Other Observations or Comments
Upload Images or Additional Written Reports/Evidence

Please upload as many files as necessary
Cancelof
DETAILS OF PERSON AFFECTED OR INJURED
Name

First NameLast Name
Address

1st Line of Address

2nd Line of Address

CityCountry

Postal / Zip CodeCountry
Phone Number
Public or Worker?
Employer
WITNESS DETAILS
How Many Witnesses Were There?
Witness Statement

Enter Contact Details of All Witnesses

Once submitted, a copy of this report will automatically be shared with the LTA, Site Manager and Safety Team. If you have any further queries or wish to add details please contact the event.
By pressing submit, you agree to receiving a copy of this form to the email address provided
Should be Empty:

Rows	Vehicle Description	Vehicle Registration Number
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
Vehicle 5

General Accident & Incident Form