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Incident Report
Incident report for Stone Circle Council. Responses are sent to the SCC Officers.
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* Indicates required question
Email
*
Your email
Reported By
*
Your answer
Incident Type
*
Choose
Accident
Medical/Health
Hazard
Near Miss
Security
Fire
Community Standards
Other
Location
*
Choose
Samhain
Yule
Imbolc
Beltane
TriFire
Lughnassad
Stone Family Gathering
Mabon
Other
Date of incident
*
MM
/
DD
/
YYYY
Names of those involved
*
Your answer
Names of witnesses
Your answer
Incident Description
*
Your answer
Actions taken
Your answer
Did the incident require 3rd party assistance?
Check all that apply.
Police
Rescue Squad/Ambulance
Other:
Suggested followup
Your answer
Send me a copy of my responses.
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