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Incident/Hazard/Pre-check successfully submitted

1:21AM, Mon 1st Mar 2021

INCIDENTINCIDENT

HAZARDHAZARD

PRE SESSION CHECKPRE SESSION CHECK

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WORKING HOURS LOGWORKING HOURS LOG

COVID-19 SYMPTOMS CHECKERCOVID-19 SYMPTOMS CHECKER

REPORT INCIDENT

Incident details

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Participant/Casualty details:

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Area of injury: please select an area of the body below

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Area of injury

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Injury Description

Area of injury:

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Upload photos

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  • - Must be in .jpg, .jpeg, or .png format
  • - Maximum file size allowed not more than 6 MB

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Uploaded photos:

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Incident description

First aid given
Any witnesses
Was additional medical assistance called for?
Parent/Guardian informed?

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REPORT INCIDENT

Incident summary

Date of incident

Time of incident

Venue

Report Completed by

Specific Location

Activity

Incident Type

Participant/Casualty Details

Participant/Casualty Name

Participant/Casualty Age, DOB

Area of injuries

Injury Description

Photos


Incident Description

Cause of incident

Type of hazard

What happened

First aid given

First aid completed by

Witnesses

Additional Medical Assistance called for

Actions taken to prevent further incidents or risk

Any additional notes

Parent/Guardian informed

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Incident completion


I have checked the information I have entered is accurate and understand that once submitted it can not be edited.


Are follow up actions required?

 

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EDIT (LAST CHANCE)

Hazard successfully submitted

REPORT HAZARD

Hazard details

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Hazard details

Category of hazard help text… Close

Risk Rating help text… Close

 

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REPORT HAZARD

Hazard Action

Safe to continue
with controls in place?
Have you informed other affected members of staff?
Responsible manager/leader informed?
Venue Management informed?

 

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REPORT HAZARD

Upload photos

You can only upload images currently stored on your device:
  • - Must be in .jpg, .jpeg, or .png format
  • - Maximum file size allowed not more than 6 MB

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REPORT HAZARD

Uploaded photos:

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REPORT HAZARD

Hazard Action

Any changes made to allow activities to continue?
Any long term action required?
Date to be checked again?

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REPORT HAZARD

Hazard summary

Date of assessment 01/03/2021

Time of assessment

Venue

Report Completed by

Hazard Location

Activity taking place

Hazard Details

Description

Category of Hazard

Risk Rating

Who is at risk

Photos

Safe to continue with controls in place?

Other affected members of staff informed

Responsible manager/leader informed?

Venue Management informed?

Changes made to allow activities to continue

Long term action/future controls required

Date to be checked again

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REPORT HAZARD

Hazard completion


I have checked the information I have entered is accurate and understand that once submitted it can not be edited.


Are follow up actions required?

 

Do you wish to submit another hazard report at this location?

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EDIT (LAST CHANCE)

PRE SESSION CHECK

Any significant changes since last session?

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PRE SESSION CHECK

Has the facility been checked?
Are all facility areas safe to use?
Has the equipment been checked?
Is all equipment safe to use?
Have participants been checked (injuries/pre event checks)?
Are the participants safe to take part?
Is the environment suitable for your activity?
Is the activity safely set up with suitable drills/games prepared?
Are staff suitably qualified/experienced?
Are there enough, suitable staff to run the activity?

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