PRC Boat Incident Report Form

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Reference Maritime NZ https://www.maritimenz.govt.nz/content/commercial/safety/accidents-reporting/documents/Accident-incident-report-form.pdf. Please attend to any injuries first before completing this form. The Club Captain will investigate and organise any repairs. The aim is to learn from any incidents to repeat them reccuring.

Email *

Your Full Name *

Date of Incident *

YYYY

Full Description of Incident. Include:

• the events that occurred

• the order of those events

• contributing factors such as weather, visibility, mechanical issues, human factors

• other supporting details e.g details of other crew or boats involved

• any actions taken after the main event(s).

Injury and Damage details *

A copy of your responses will be emailed to the address you provided.

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