Event Health and Safety Incident Report

Accident Register

Event organisers require all accidents that occur at our events to be recorded for our Health and Safety records. This enables us to continuously work to improve event safety.

First name: *

Last name: *

Email: *

Injured Persons Full Name: *

Contact phone number for injured person:*

Is the contact number for the injured person their number or a caregivers number? *

Their number

Caregivers number

Date of accident:*

Time of accident:*

Time

:HoursMinutes

Where did the accident happen? *

Nature of injury:*

Cause of injury:*

Treatment given:*

Referred to Doctor or Hospital. Please state which one: *

Name of person giving first aid treatment on site: *

Phone number of person giving first aid treatment: *

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