Macclesfield Harriers & Athletic Club – Accident & Incident Report Form

In the event of any accident or incident during a club activity (track session, club run etc) it is very important that the club records what happened so that we can try to prevent it from happening again and also as a record that we did everything we could to help the person(s) injured. It is the responsibility of group leaders, coaches and officials to complete the necessary forms.

Please complete the online form.

Name of the Person involved in the accident *
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Date of the accident *
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Name of Leader *
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Please enter a valid email address.
Telephone Number of Leader
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Location of the Accident *
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Description of the Accident/Incident *
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Action(s) Taken *
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Other Useful Information
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