Incident Report

Please fill the form to help us keep a safe environment and avoid future accident

Name of Person in Charge of the session

Where the accident happened

Date Field

Name of injured person

Parent's Name

Nature of the incident

Discribe how the incident/accident happened

Give full details of the action during any first aid treatment and name first Aider(s)

Were any following contacted?

Police

Family

Ambulance

What happened to the injured person follow the incident?

Signature