BCRC INCIDENT REPORT

Name of club/school reporting the incident:

Name of person reporting the incident:

Role of the person reporting:

Email:

Contact phone number:

Date of incident:

Time of incident:

What clubs or third parties were involved?

What types of boat/s were involved?

For example, 8+. 4x, 1x

Were the boats (please tick):

Training

Racing

Recreational

Where did the incident occur?

Please give a full description of the incident:

This should include weather conditions, direction travelling, any calls made by the crew, etc

If at night or in conditions of poor visibility, what lights were being shown by all parties?

Were any injuries sustained?

Yes

Not sure

If any injuries were sustained, please provide details:

Please include details of any first aid if administered. If no injuries were sustained, please write "not applicable".

List any damage sustained to the boat/s and/or property:

Please add any further comments or additional information you think could be useful:

For example, details of any witnesses.

What further actions have been or will be implemented to avoid repetition of incident?

BCRC INCIDENT REPORT

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Ballarat City Rowing Club

Boatshed 30, Wendouree pde

LAKE WENDOUREE VIC 3350

We acknowledge Aboriginal and Torres Strait Islander people as the Traditional Custodians of the land and acknowledge and pay respect to their Elders, past, present and emerging.