Reporting an accident, a retrospective accident or a near miss
Please use this form to report an accident (when a charity staff member or a charity volunteer was present), a retrospective accident (an accident that has previously occurred and has been brought to the attention of the charity by a school) or a near miss (an incident that was almost an accident).
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Your name:
Your role at The Papillon Project:
What are you reporting? (please select one option)
When did this incident happen?
Where did this incident happen (e.g. where on the allotment)?
If applicable, at which school did this incident occur at?
If accident occurred at a school, was a member of school staff present?
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What happened? 
Please use space below to give as much information as possible
Was First Aid required and, if so, who provided the First Aid?
If applicable, was the injury reported to the HSE's 'Incident Contact Centre'? ONLY complete this section if the accident is reportable under RIDDOR regulations (Reporting of Injuries, Diseases and Dangerous Occurrence Regulations 1995). 
Has the Schools' Project Lead been notified? They will determine if the accident needs to be added to the charity's internal risk register and will therefore notify the Board of Trustees.
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If applicable, what measures do you think could be taken to prevent this incident from happening again? This information could be used to help improve the charity's risk assessment and also to educate schools about similar incidents from potentially occurring. 
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