Accident reporting form

In the event of that an accident occurs resulting in an injury where either first aid or emergency response is required, this form needs to be completed and submitted by either; the injured person, the person responsible for administering first aid or a witness of the incident.

This form needs to be completed immediately after first aid is administered or within 24 hours.

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Name of person completing the form *
Email address of person completing the form
Phone number of person completing the form
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