Accident/Incident Report Form Name of person in charge of session/competition Site where incident/accident took place Date of incident/accident Name of injured person Address of injured person Nature of incident/injury and extent of injury Give details of how and precisely where the incident occurred. Describe what activity was taking place, e.g. training/game/getting changed. Give full details of action taken during any first aid treatment and the name(s) of first aider(s). Were any of the following contacted? Parent(s)/carer(s) Yes F No F Police Yes F No F Ambulance Yes F No F What happened to the injured person following the incident/accident? e.g. carried on with session, went home, went to hospital All of the above facts are a true record of the accident/incident Name Singed Date In the event of an incident/accident relating to training or faulty equipment/facilities, follow up action should include informing the committee of the incident/accident in line with the place to play maintenance policy. Details of this can be found on the website as well as the notice board.
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