Incident Reporting Form

Please use this form to report any accident, incident or near-miss which took place during any club session or which involved any club member.

Your report will be sent to our club welfare officer and may be shared with other members of our committee. If we require further information, we may contact you via e-mail and/or telephone. Your report may also be forwarded to UK Athletics.

If you would prefer to share your report only with the club’s welfare officer, you may email Arianna directly here:

welfare@waverleyharriers.co.uk

If you would prefer not to involve the club in any way, you may submit your report directly to UK Athletics here:

https://www.uka.org.uk/governance/health-safety/online-accident-incident-report-form/

If you are happy to continue, please complete your report below:

Your Name (required):

Your Email (required):

Your Telephone:

Details of Incident:

Please provide as much information as you can, including date, time, names, contact details, registration numbers, witness details etc. where applicable.