Accident Report Form
Accident Report Form
Accident/ Incident Report Form
This document can be used to record details of an accident/injury that occurred during a club activity.
It can be used for a coach’s or club’s own records in addition to any form completed by a venue.
It should be used to record an accident at the venue where there are no venue staff.
Remember to be discrete with information recorded and abide by UK General Data Protection Regulation (GDPR)
| Name of person: (Enter name of affected person? |
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| Home address (of affected person, including postcode) |
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| Contact details (enter contact details of affected person) |
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| Date and time of incident |
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| Venue where incident occurred |
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| Exact location of incident |
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| Primary person dealing with incident |
| Name & Comments |
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| Others involved in dealing with incident |
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| Full description of incident |
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| Cause of Incident |
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| Injury Sustained (if any) |
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| Initial Treatment (if any) |
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| Any follow up actions (taken by reporting person, e.g. logged with venue, informed parents, sent to hospital, how and with whom) |
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| Person completing this report |
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| Date of report |
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