Hi
Incident/Hazard/Pre-check successfully submitted
4:54AM, Tue 28th Jun 2022
REPORT INCIDENT
Injury Description
Area of injury:
Current selected injury:
REPORT INCIDENT
Upload photos
You can only upload images currently stored on your device:
- - Must be in .jpg, .jpeg, or .png format
- - Maximum file size allowed not more than 6 MB
Uploading images of people?
Only upload photos if they are absolutely necessary. You must gain consent from any person shown in images prior to taking or uploading. You must take care to ensure that any images uploaded are appropriate for use/storage and are necessary for the purpose of injury or hazard reporting.
If you cannot confirm consent, then you must not upload images.
The upload of images is carried out entirely at your own risk and Proactive Reporting accepts no responsibility for gaining consent for the image upload, or liability for the appropriateness of images uploaded by users to the system.
REPORT INCIDENT
Incident description
REPORT INCIDENT
Incident summary
Group
Date of incident
Time of incident
Venue
Report Completed by
Specific Location
Activity
Incident Type
Participant/Casualty Details
Participant/Casualty Name
Participant/Casualty Age, DOB
Area of injuries
Injury Description
Photos
Incident Description
Cause of incident
What happened
First aid given
First aid completed by
Witnesses
Additional Medical Assistance called for
Actions taken to prevent further incidents or risk
Any additional notes
Parent/Guardian informed
REPORT INCIDENT
Incident completion
I have checked the information I have entered is accurate and understand that once submitted it can not be edited.
Are follow up actions required?
REPORT HAZARD
Hazard Action
with controls in place?
REPORT HAZARD
Upload photos
You can only upload images currently stored on your device:
- - Must be in .jpg, .jpeg, or .png format
- - Maximum file size allowed not more than 6 MB
Uploading images of people?
Only upload photos if they are absolutely necessary. You must gain consent from any person shown in images prior to taking or uploading. You must take care to ensure that any images uploaded are appropriate for use/storage and are necessary for the purpose of injury or hazard reporting.
If you cannot confirm consent, then you must not upload images.
The upload of images is carried out entirely at your own risk and Proactive Reporting accepts no responsibility for gaining consent for the image upload, or liability for the appropriateness of images uploaded by users to the system.
REPORT HAZARD
Hazard Action
REPORT HAZARD
Hazard summary
Group
Date of assessment 28/06/2022
Time of assessment
Venue
Report Completed by
Hazard Location
Activity taking place
Hazard Details
Description
Category of Hazard
Risk Rating
Who is at risk
Photos
Safe to continue with controls in place?
Have you informed other affected members of staff?
Responsible manager/leader informed?
Venue Management informed?
Changes made to allow activities to continue
Long term action/future controls required
Date to be checked again
REPORT HAZARD
Hazard completion
I have checked the information I have entered is accurate and understand that once submitted it can not be edited.
Are follow up actions required?
PRE SESSION CHECK