Incident Accident Report Form Page 2

Give details of how and precisely where the incident took place.

Describe what activity was taking place, for example training/game/getting

changed.

Give full details of action taken during any first aid treatment and the

name(s) of first-aider(s).

Were any of the following contacted?



Parents/carers

Yes



Police

Yes



Ambulance

Yes

What happened to the injured person following the incident/accident?

E.g., carried on with session, went home, went to hospital etc.

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

Signed:

Date:

Name:

In the event of an accident occurring through insufficient training or faulty

equipment/facilities, follow up action to include completion of risk assessment form

(Template 8).

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Parent category: Business