BIR Incident Report

BIR Incident Report

Safety is our foremost concern at BIR. In the unfortunate event of an incident involving damage to equipment or injury or trauma to staff, rowers, volunteers or bystanders, this report should be completed within 8 hours of the event (or immediately upon learning of the incident).
WHO SHOULD SUBMIT AN INCIDENT REPORT?

Initial incident reporting is the responsibility of:

• Launch Driver or Coach: for incidents involving use of boats

• Coach: for incidents on land during practice or involving rowers at any time during regattas.

• Parent Leadership Team: For incidents involving regatta volunteers, bystanders or damage to regatta kitchen equipment.

• Witness or involved party: In the event that none of the above options are appropriate.

NOTE: Ideally, the report is filled out by someone with firsthand knowlege of the incident. Follow-up actions will be taken by the Director of Rowing, Safety Committee and Board of Directors as needed.
Name*

First NameLast Name
E-mail*
Phone Number

Area CodePhone Number
Date of Incident

MonthDayYear
Date
Time of Incident

:HourMinutesAM/PM Option
Location of Incident
Incident involved:

InjuryDamage to BIR equipement/propertyDamage to non-BIR propertyCapsizeOther
Vessel(s) involved if applicable by name or type (i.e. Maas Aero, Maas 24, etc)
People involved (by name, i.e, coxswain, rowers, launch-driver, regatta volunteers, observers, etc).
Description of the incident (activity in progress at that time)
Other factors that played a role in the outcome of incident (equipment malfunction, weather, light, etc.)
If the incident involved an injury, what steps were taken immediately afterward?
Any additional information
Should be Empty: