Accident Report

Name of person in charge of session/competition(Required)

Site where accident took place(Required)

Date of accident(Required)

Name of injured person

Address of injured person(Required)

Nature of accident/injury and extent of injury(Required)

Describe precisely how and where the incident took place. Include the activity that was taking place (e.g., training, game, getting changed)(Required)

Details of first aid treatment and name(s) of first-aider(s)(Required)

Were any of the following contacted?(Required)

Parents/Carers

Police

Ambulance

None/Other

What happened to the injured person following the incident/accident? (e.g., continued with session, went home, went to hospital)(Required)

Agree(Required)

All of the above facts are a true record of the accident

Signed(Required)

Email(Required)

Signed Date(Required)

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