INCIDENT REPORT FORM

"*" indicates required fields

Reporting member of staff*
Email*
Date of incident*
B1KEPARK*

Injured person's name*
Is the injured person a member of the public?*
As in a non-B1KE member
Severity of injuries*
Response*
Please tick all that apply
Was the incident witnessed?*
Were the staff on-site well-equipped to deal with the incident?*
E.g. processes, equipment, training, etc.
RETURN TO STAFF AREA