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Incident Report Form
Use this form to report incidents, accidents and injuries to the Kucom Theatre Committee. 
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In your own words, describe what happened.
*
What were the people involved doing? Were any tools or equipment involved? What action was taken?
Who was involved?
What role did each person play, eg they were injured, they observed the event etc. 
Where did the incident, accident or injury occur?
EG Kucom bar, dressing rooms, stage, auditorium. 
Do you have any photos or documents to help describe it?
*
Required
Do you have any recommendations on how to prevent it from happening again?
Do you have any other comments?
Your Name 
Your contact details
Date submitted *
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