Incident reporting form
Reporting of H&S incidents

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Name of person who had the accident: *
Section: *
Address, DOB and 'phone number of injured:
Only complete this question if injured party is not a member recorded on OSM
When did accident happen: *
MM
/
DD
/
YYYY
Time
:
Where did the accident happen: *
What happened: *
Please describe how accident occurred and give cause, if known
Nature of injury: *
Severity and site of injury
Treatment: *
Outline what treatment was provided, by whom and detail any first aid equipment used
Name of any key witness(es):
After the accident, the individual: *
Note; any injury requiring further treatment must be notified to GSL ASAP.
Any other information:
Form completed by: *
Name and role
Submit
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This form was created inside of 26th Perthshire (Dunning) Scout Group.

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