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Submit incident report
Submit incident report
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Your contact details
Full name*
Contact number*
Email address*
Incident details
Date*
Time*
Category*
Uncategorised
Accident -- actual (e.g. boat collision, injury)
Accident -- near-miss (e.g. not quite collision, falling ladder)
Alert -- hazard (e.g. have noticed a hazard in shed or on water)
Verbal/physical altercation or other negative interaction
Venue*
Please select...
2. Ross River: bw Nathan St bridge & Aplin's Weir (lower pool)
Bucca Weir
Mackay Rowing Club
Other - away from T&JCU home location
Riverside Gardens Community Centre
Riverway Rowing Club
Rockhampton Rowing Club
Townsville & James Cook University Rowing Club
Wyaralong Rowing Centre
Description*
Additional information
Relates to
Please select...
Safety ON-water
Safety OFF-water
Names of people involved (e.g. crew members)
Max. 255 characters
Detailed location
Max. 255 characters
Types of boats involved (if any)
Max. 255 characters
Was anyone hurt?
Max. 255 characters
Were emergency services called? When and by who?
Max. 255 characters
Who treated any injuries? Where was it done?
Max. 255 characters
List any damage to equipment or property
Max. 255 characters
Names of coxswains, stroke seats, bow seats?
Max. 255 characters
Was a coach present, who? Were they supervising people involved?
Max. 255 characters
What lights were/were not on boats?
Max. 255 characters
Weather, light level and other environmental info
Max. 255 characters
Witnesses
Max. 255 characters
Are you uploading a drawing, photos or other document?
Please select...
Yes
No
Have you already notified a Committee member? Who? How?
Max. 255 characters
Are the people involved aware of this report submission?
I declare this to be a true and accurate record of the incident
Yes
CLUB USE: RQld Safety Officer informed?
Please select...
Yes
No
CLUB USE: QLD Marine Incident Report required/submitted?
Max. 255 characters
CLUB USE: Follow up actions taken
Max. 255 characters
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