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Manvers Waterfront Boat Club
  • Home
  • About
    • Contact Us
    • Our Partners
  • What's On?
  • Shop
  • Activities
    • Angling >
      • Angling Rules
    • Dragonboating
    • Model Boating
    • Open Water Swimming
    • Paddlesport >
      • Paddlesport Courses
    • Running
    • Team Manvers Dragons
    • Triathlon
    • Windsurfing & Sailing
  • Membership
  • Volunteer
    • Volunteer Form
    • Training Support Request Form
    • Course Attendance Confirmation
  • Cafe
  • Facility Hire
    • Terms & Conditions
    • Facility Booking Form
    • Feedback Form
  • Events 2020
  • Safeguarding
    • Safeguarding Report Form
  • Downloads
  • Near Miss/Hazard Reporting Form
  • Accident Reporting Form
  • Signed-Off Paddler Request Form
  • News
  • Photo Competition 2019 Results
  • Webcam

    Accident Report Form

    Please use this from to report any accident  which occurs at Manvers Waterfront Boat Club. Please give as much information as possible - this will help us to investigate and put into place any actions required to keep everyone at the club safe. Please fill in a separate form for each person involved in the accident.

    Details about the person who had the accident

    Name of person who had the accident
    Contact number of person who had the accident
    Email address of the person who had the accident
    Address of the person who had the accident

    Details about the person completing this report

    Name of person reporting the accident
    Contact number of the person reporting the accident
    Email address of the person reporting the accident
    Address of the person reporting the accident

    About the accident

    Time of accident
    Date of Accident
    Location where the accident took place
    How the accident took place - include the cause if known
    Details of any injuries to the person who had the accident
Submit

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Manvers Waterfront Boat Club Ltd
The Boathouse, Station Road
Wath-upon-Dearne, Rotherham
South Yorkshire S63 7DG
Registered in England & Wales, Company Number 08239169
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  • Home
  • About
    • Contact Us
    • Our Partners
  • What's On?
  • Shop
  • Activities
    • Angling >
      • Angling Rules
    • Dragonboating
    • Model Boating
    • Open Water Swimming
    • Paddlesport >
      • Paddlesport Courses
    • Running
    • Team Manvers Dragons
    • Triathlon
    • Windsurfing & Sailing
  • Membership
  • Volunteer
    • Volunteer Form
    • Training Support Request Form
    • Course Attendance Confirmation
  • Cafe
  • Facility Hire
    • Terms & Conditions
    • Facility Booking Form
    • Feedback Form
  • Events 2020
  • Safeguarding
    • Safeguarding Report Form
  • Downloads
  • Near Miss/Hazard Reporting Form
  • Accident Reporting Form
  • Signed-Off Paddler Request Form
  • News
  • Photo Competition 2019 Results
  • Webcam