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Accident Report
Name of person in charge of session/competition
*
Site where accident took place
*
Date of accident
*
Name of injured person
*
Address of injured person
*
Nature of accident/injury and extent of injury
*
Describe precisely how and where the incident took place. Include the activity that was taking place (e.g., training, game, getting changed).
*
Details of first aid treatment and name(s) of first-aider(s).
*
Were any of the following contacted?
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)
*
Agree
*
All of the above facts are a true record of the accident
Email
*
Signed
*
Signed date
*