Australian Clay Target Association
Draft copy of Proposed New Constitution - please click here to download
This form is to be used to report all injuries, illnesses, or near misses, whether an injury occurred or not, and to document the investigation.
Please complete within 24 hours of the incident.
Required fields in the form are marked with an *
DETAILS OF PERSON INVOLVED
DETAILS OF THE INCIDENT
PART OF BODY AFFECTED
DETAILS OF THE INCIDENT/INJURY/NEAR MISS
This is an extremely important section as the aim of the incident investigation is to identify preventative action that will avoid recurrence.
DETAILS OF THE CAUSE OF THE INCIDENT/INJURY/NEAR MISS
PREVENTION OF INCIDENT RECURRENCE
DETAILS OF PROFESSIONAL SERVICES INVOLVED
LOCAL ADMINISTRATORS DETAILS
Thank you for completing the online Incident Report Form.By submitting this form you accept responsibility to the actual events and outcomes possibly attained from this incident as a true statement.
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