Incident Report Form

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Glasgow Rowing Club

(Est .1983)

Incident Report Form

To report an incident or damage to equipment:

 

Please email GRC Captain grccaptain@gmail.com

Please do so as soon as possible following the incident and provide clear details:

 

Note the date and time (of incident itself, or discovery of equipment already damaged)

What happened? 

Where? 

Who was involved?

Details of any damage or injury

Any other relevant details, eg weather, water conditions

Please provide relevant photos if possible.

 

The Captain will contact you when practical. 

Please complete this form to report any serious incident involving injury to persons or serious damage to equipment.


    Your details

    Name


    Role at the club


    Address


    Phone

    Home

    Other

    Email

    Incident details

    What clubs or third parties were involved?


    Types of boat involved

    8+ / 4+ / 4- / 4x / 2- / 2x / 1x / Training 2x+ / Training 1x8+4+4-4x2-2x1xTraining 2xTraining 1x

    Were the boats:The boats were:

    What was the time and date of the incident?


    Where did the incident occur?

    Please give a full description of the incident; this should include weather, water, stream and tide conditions if relevant.

    Please include or attach any additional details eg drawings/diagrams/photographs if these will enhance your description.


    Signed

    Date


    Email

    To be completed by a GRC Committee member:

    List any injuries sustained; who treated them and where:

    Also list any damage sustained by boat(s) or to property:

    Add or attach any further comments or additional information you think could be useful, eg list of witnesses with addresses etc.

    What further actions have been or will be implemented to avoid repetition of incident? (use a separate sheet if necessary):

    Signed

    Position held

    Date