RAD Incident Report

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RAD Incident Report

We're sorry something happened at RAD.

All incidents are taken seriously, so please share any much detail as you can...

Email *

What type of incident? *

Accident (physical harm)

Incident (psychological harm)

Near miss

Other:

Date it occurred: *

(This information is also helpful for checking security footage and reporting to Police)

YYYY

Time

Location: *

RAD at 54 Hawdon St

Bike Bridge at Addington School

RAD session or event off-site (state location in 'other' below)

Other:

Describe what happened: *

Witnesses and contact details: *

Actions completed: *

Further action required:

(Let people know they can request a copy of this form)

Recommendations to avoid further incidents: *

Name of volunteer or staff member completing form:

(key person involved in the incident)

Name of staff member this was discussed with *

Thanks for helping to make RAD more safe and fun for all!

We'll be in touch to follow up and support as needed.

Please note we'll use this as a learning opportunity, but keep things confidential. See our privacy policy.

A copy of your responses will be emailed to the address you provided.

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