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NSRC Incident Report
This form is to be used to report any collisions, capsizes, injuries to people, damage to boats, slips, trips, falls, ‘near misses,’ off and on water accidents, at the shed or at regattas or other rowing locations.
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* Indicates required question
What is your name?
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Your answer
What is your phone number?
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Your answer
What is your email address?
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Your answer
When did the incident occur?
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MM
/
DD
/
YYYY
Describe the incident:
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Please include as many details as possible:
Your answer
Where did the incident occur?
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Your answer
What were the conditions like?
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Your answer
Was anyone else involved?
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Any other clubs/crews/vehicles etc involved? Name of any boats involved.
Your answer
Who else was in your boat?
Please list all club members who were in your boat
Your answer
Was anyone injured? Who? And how?
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Your answer
Was there any damage to boat/shed/trailer/equipment?
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If a boat was damaged, don't forget to add it to the Boat Repairs whiteboard
Your answer
Why do you think it happened? Do you have any other observations to make?
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Your answer
Thank-you for filling in this report
Once you submit it, it will be forwarded on to the VP-Risk, Captain and Boat Master
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