Name of coach / manager:
Date of report completion:
Time of report completion:
Course (Eg December start):
---July startAugust startSeptember startNovember startDecember startJanuary startFebruary startOther
Date of incident:
Time of incident:
Location of accident:
Details of the accident:
Are there any physical or behavioural signs from the injured person?
Were there any witnesses? If so please list here.
What was the outcome? Doctor visit / hospitalised / helicopter evacuation / etc.
Have you contacted next of kin and what have you said?