Incident / accident report

Record an incident or accident during a club activity as soon as possible. This form is not monitored as an emergency service. For an emergency, call 999.

For safeguarding or welfare concerns, contact the Welfare Officer under the safeguarding procedure. Do not include unnecessary confidential safeguarding details here.

Person completing this report

Your name

Your email

Your telephone number (optional)

Your role or involvement in the incident

When and where

Date of incident

Time of incident (approximate if necessary)

Location

Activity taking place

Person in charge of the session

People involved

Names and roles of the people involved

Include only details relevant to this incident.

Was anyone involved under 18?

Yes

Not known

Parent or guardian name and any contact made

Witnesses and their involvement (if known)

What happened and action taken

Factual account of what happened

Injury or harm observed (if any)

First aid or other immediate action taken

Include who provided assistance. If none was needed, say so.

Who was contacted?

Parent or guardian

Ambulance service

Police

Welfare Officer

Another club officer

Details of contacts made, including times where known

What happened following the incident?

Further action needed (if any)

I confirm this report is accurate to the best of my knowledge.

The club will use the information you provide to process this submission. Read our privacy policy.