Curlew RC - Incident Report
Use this form to report any safety related incidents or near misses. The Club Water Safety Advisor (CWSA) will automatically be notified once you submit the form.
Was this an incident or a near miss? *
Date *
MM
/
DD
/
YYYY
Time (estimate) *
Time
:
Number of people involved *
Your answer
Location *
Your answer
Person(s) involved *
Your answer
Incident Type *
Description *
Include details on weather conditions and visibility were applicable
Your answer
Submit
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