Accident Report Form
Please fill out this form and click submit.
An accident is any event that occurs during a ministry activity, including during setup and pack down, that results in a participant, Volunteer or Staff being hurt or injured to a degree that requires first aid treatment.
Forms for reporting other significant events can be found at www.riversbaptist.com/forms.
Details of the person making this report
Name
*
Phone
*
Email
*
This address will receive a confirmation email
Details of the Accident
Ministry
*
Ministry Leader
*
Location of accident
*
Date of accident
*
Time of accident
*
Names of RBC Staff/Volunteers who witnessed the accident
*
Who was hurt/injured in the accident? (include names and any contact details you have)
*
Detail the nature of the injury/injuries sustained.
Describe the accident and how/why it occured.
Has Graham and/or Shane been informed? (please list details like when, how and if any instructions were given)
Have parents/carers of affected children/vulnerable people been informed? (please list details like when, how and any concerns they had)
Was an ambulance or any other service requested? (please include details like how, when and any case/reference numbers)
What other actions have been taken by RBC Staff/Volunteers?
Submit
Description
Please fill out this form and click submit.
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