BMC: Incident Form
Your Name:
*
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Contact:
*
Please enter your email or phone no.
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Your Role:
*
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Event:
*
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Club:
Date/Time:
*
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What would you like to report?
*
Incident
Accident
Near Miss
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Place Indicent, Accident or Near-Miss Happened:
*
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Name(s) of casualy or Casualties:
*
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Emergency services contacted:
*
e.g Ambulance, Mountain Rescue
Please Select
Yes
No
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Emergency Services:
*
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Description of Indicent, Accident or Near-Miss:
*
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Description of any injuries sustained by the Casualty or Casualties:
*
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Details of any actions taken to treat the Casuality or Casualties:
*
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Details of actions taken to safeguard the remaining Participants at the event:
*
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Incident reported to RIDDOR?
more information
click here
Please Select
Yes
No
Other Involved Parties
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