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
Menu
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
*
Indicates required field
Name of person who had the accident
*
Name of person who had the accident
Contact Number for person who had the accident
*
Contact number of person who had the accident
Email address for person who had the accident
*
Email address of the person who had the accident
Address of 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
*
Name of person reporting the accident
Contact Number for person reporting the accident
*
Contact number of the person reporting the accident
Email address for person reporting the accident
*
Email address of the person reporting the accident
Address of person reporting the accident
*
Address of the person reporting the accident
About the accident
Time That The Accident Occurred
*
Time of accident
Date of Accident
*
Date of Accident
Where The Accident Occurred
*
Location where the accident took place
How The Accident Took Place
*
How the accident took place - include the cause if known
Details of Any Injuries & First Aid Administered
*
Details of any injuries to the person who had the accident
Submit
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