Cotswold Sailing Club - Accident Record
About the person who had the accident
Name
Address
Postcode
Occupation
About you, the individual filling in this record
Name
Address
Postcode
Occupation
Details of the Accident
When it happened
Time it happened
Where it happened
How did the accident happen
Give the cause if possible
If the person had the accident suffered an injury, give details
Provide details of any treatment given.
What if any further advice for treatment was suggested.
Tick to confirm details are correct
Todays Date