Incident Report Form

This form should be completed as soon as possible after any accident resulting in personal injury, any incident constituting a near-miss accident, or a serious or potentially serious occurrence which may or did have adverse consequences for IOG members or third parties.

Incident Report Form

Details of the accident/near-miss accident/serious occurrence

Person injured/nearly injured

The incident

Please supply your email address in case we have to contact you for more information

When you press the SUBMIT button this form will be forwarded to the Chair, Secretary and Training Officer.

Your details (including your name and email address) are kept on file to aid with any Admin required while dealing with this incident. Your details are NOT passed onto any third party without your consent.