Incident Form

📅 Date OF THE INCIDENT

👤 Clients name

⚡ Service

Swimming Fitness Climbing FitFun Splash & Connect Bespoke

📍 Location

⏰ Time of the incident

⚠️ Incident category:

Safeguarding Concern Personal Injure Client Injure Property Damage Dangerous occurrence Fire incident Fire drill Security incident Environmental incident Near miss

🧑‍💼 Staff involved

👀 Witness

📝 Staff member/s statement on what was happening before the incident occurred:

📝 Staff member/s statement on how incident occurred:

📝 Staff member/s statement on what occurred after the incident:

🤕 Injuries (Client):

🤕 Injuries (ClubSENsational Staff member/s):

🧑‍💼 Incident completed by:

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