Society Incident Report Form

Fill out this form for every accident or incident (including near misses) that happens during your society events. Your response will be emailed to unionra@st-andrews.ac.uk to be processed.

Report Form

Society Name:

Society Email:

Nature of Incident:

Accident

Near miss

Date and Time of Incident:

Name, Address, & Email of Person:

Location:

Description of Incident:

Describe what happened, where and how. State what the injured person was doing at the time.

Outcome:

No action

First aid

Taken to hospital

Ambulance called

Advised to see doctor

Taken home

Other