Incident Report Form

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    Your details

    Name

    Email

    Phone

    Incident details

    Location of incident (be as specific as you can)

    What was the date and time of the incident?

     

    Incident type

    Please give a brief description of the incident

    Please include or attach any additional details eg drawings/diagrams/photographs if these will enhance your description.

    Additional details

    Boat class involved (N/A if non rowing)
    1x2x/-4x/-/+8+Training 1/2xN/A

    Name of GRC boat(s) involved (N/A if non rowing)

    Experience of crew and cox (N/A if non rowing)

    Other clubs involved

    Weather and Water conditions

    Measures taken to avoid a recurrance

    Were there any consequences? i.e. costs to repair, insurance claim, extended medical treatment, disciplinary action, inquest, etc. - Please give as much detail as possible.

    Date