Health & Safety - Incident Reporting Form

UK Athletics

Section 1 - Near miss or Incident

Please state why you consider this to be a near miss: *
Please state what happened: *
Athletics Activity Type : *

Please select the Athletics Event
Meeting Title/Training Venue/Event Name/Club Name: *

Lead Person/Organiser:

Venue Address:

Venue Postcode:

Event: *

Please choose if it was in Competition or Training.
Date of Incident: *

Time of Incident: *

Site of Incident: *

Responsible Federation: *

Please select the Federation under which this occurred.

Section 2 - Reporting Person Details

Contact Name:
Contact Address:
Post Code:
Email Address:
Phone Number:
Your Role Status: *

Please select your role.

Section 3 - Declaration

I declare that:
  • Information provided is accurate.

Your Name:

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