PLG Incident Reporting - RLSS Poole Lifeguard

PLG Incident Reporting

PERSON SUBMITTING REPORT

Full Name *
Tel No. *
Email contact *

DETAILS OF INCIDENT

Date *Date of Incident
Start Time *HHMM
End Time HHMM
Details *
Description of What Happened
File Upload

CLUB EQUIPMENT INVOLVED

Equipment Used *
LegacySit on KayaksFoot PatrolApolloRescue BoardsFirst AidOther
Other Equip Used If "Other" selected - give details in text box.

CLUB MEMBERS INVOLVED

#1 Full Name *
#1 Role *
#2 Full Name
#2 Role
#3 Full Name
#3 Role
#4 Full Name
#4 Role

Verification

*
This box is for spam protection - please leave it blank

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