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BDHC Accident & Incident Report Form
This form must be completed for every accident that requires first aid at either a match or a training session. It is really important we collect this information so that we can understand how we can better support players and their safety.

Once you have completed this form, our First Aid lead (TBC) will review each of these and where appropriate inform England Hockey if the injury required further medical attention (beyond just first aid). By completing this form, if the injury meets the sufficient threshold, please know that some of this information will be shared with England Hockey via their online 'Injury Monitoring Form' for their reporting purposes and to better understand all aspects of safety within the game.
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Full name of the injured person? *
Is the player under 18 years of age? *
If Yes to Question 1, was a parent/guardian informed? *
***FOR ALL UNDER 18s***

If guardian/parent contacted please note the following details;

- Name of parent/guardian
- Phone number
- Time of contact
- Contact method (call, message, voicemail, email)
- Relation to injured
 *
Name & Location of facility? *
Name of Coach supervising the session/Captain of team if Match Day
 *
Contact details of the injured person?
Date and Time of the incident/accident?
 *
MM
/
DD
/
YYYY
Did the accident/incident involve a Head Injury?
 *
Nature of the accident/incident and extent of the injury (including location on the body)? *
How was the injury caused by?
 *
Witness name and contact details?
 *
Give full details of the action taken including any first aid treatment and the name(s) of the first aider(s) *
Did this injury require hospital treatment or further specialist medical advice?
 *
Was the following called/informed? *
Any other important details to be captured here
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