{"id":"6ad724d3cf7123de287d49a1","title":"Incident Report Form Pdf","path":"information/10-9-26-dates-for-your-diary-for-details-seec-b-news/incident-report-form-pdf","contentMarkdown":"![](https://www.chelmerandblackwater-ramblers.org.uk/administrator/cache/preview/fa9f7121784fe1ec6385aa8f90117772.jpg)\n\n## Incident Report Form Date of activity\nThis form should be completed as soon as possible after an incident involving injury or property damage, or after a Number of participants near miss.\nReturn the completed form to incidents@ramblers.org.uk within 10 days of the incident, attaching any Person leading the activity relevant supplementary information.\n(For example, the walk leader)\nWe’ll let you know when we get it and copy it to your **coordinator, or** area**/** group secretary for their information.\nIf you have any questions or there’s a serious incident, please Role call the Delivery Team: 020 3961 3180 (Mon-Fri 9am-5pm).\nIn case of emergency, please dial Membership number (if applicable)\n999.\nArea, Group **or Partner** Details Email address\nName of Group or Wellbeing Walks Partner\nName of Area\nIncident\nActivity or event (for example group Location, date and time walk, path clearance activity, AGM)\nWhat happened and what action was Contact phone number taken?\nDetails of the injury, the treatment and the current condition (if applicable).\nDetails of the damage to third party property (if applicable).\nPerson injured or affected by the incident Witness\nIf there is more than one witness, please\nName list the others in the next section.\nDate of birth (or approximate age)\nAre they a Ramblers member (Yes/No)\n**Updated:** January 2021\nAdditional information Your details\nFor example, more details about the incident, extra witnesses, how likely is a claim.\nDate\nRole\nPlease email completed forms to incidents@ramblers.org.uk\nPrivacy Policy:\n**Sensitive personal data may be collected as part of any accident reporting on a group walk or other organised event. This information may be shared with our insurance company in line with our legal and insurance obligations. When sensitive personal information is collected, we will take extra care to ensure your privacy rights are protected. Our full Privacy Policy can be found on the Ramblers website.**","contentHtml":"<p><img src=\"https://www.chelmerandblackwater-ramblers.org.uk/administrator/cache/preview/fa9f7121784fe1ec6385aa8f90117772.jpg\" alt=\"\"></p>\n<h2>Incident Report Form Date of activity</h2>\n<p>This form should be completed as soon as possible after an incident involving injury or property damage, or after a Number of participants near miss.\nReturn the completed form to <a href=\"mailto:incidents@ramblers.org.uk\">incidents@ramblers.org.uk</a> within 10 days of the incident, attaching any Person leading the activity relevant supplementary information.\n(For example, the walk leader)\nWe’ll let you know when we get it and copy it to your <strong>coordinator, or</strong> area**/** group secretary for their information.\nIf you have any questions or there’s a serious incident, please Role call the Delivery Team: 020 3961 3180 (Mon-Fri 9am-5pm).\nIn case of emergency, please dial Membership number (if applicable)\n999.\nArea, Group <strong>or Partner</strong> Details Email address\nName of Group or Wellbeing Walks Partner\nName of Area\nIncident\nActivity or event (for example group Location, date and time walk, path clearance activity, AGM)\nWhat happened and what action was Contact phone number taken?\nDetails of the injury, the treatment and the current condition (if applicable).\nDetails of the damage to third party property (if applicable).\nPerson injured or affected by the incident Witness\nIf there is more than one witness, please\nName list the others in the next section.\nDate of birth (or approximate age)\nAre they a Ramblers member (Yes/No)\n<strong>Updated:</strong> January 2021\nAdditional information Your details\nFor example, more details about the incident, extra witnesses, how likely is a claim.\nDate\nRole\nPlease email completed forms to <a href=\"mailto:incidents@ramblers.org.uk\">incidents@ramblers.org.uk</a>\nPrivacy Policy:\n<strong>Sensitive personal data may be collected as part of any accident reporting on a group walk or other organised event. This information may be shared with our insurance company in line with our legal and insurance obligations. When sensitive personal information is collected, we will take extra care to ensure your privacy rights are protected. Our full Privacy Policy can be found on the Ramblers website.</strong></p>\n"}