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RFBYC Incident Report Form
RFBYC Incident Report Form
RFBYC requires that an incident is reported to the Club when it occurs during an RFBYC organised event or through the RFBYC Training Centre. However, reports on incidents that occur outside of these activities on Club grounds are also encouraged and welcome.
The information gathered through our incident investigation process allows us to gain a clearer understanding of the nature of the trends and incidents and to provide better advice and guidance to our boat owners to assist in reducing the likelihood of further incidents. We appreciate any information that helps us in our efforts to ensure boating remains a safe and enjoyable pastime.
Please complete the online Incident Report Form below and press submit. The information will be received by the CEO and Yachting Operations Manager.
Date of Incident:
*
Time of Incident:
*
Type of Incident
Please indicate the type of incident eg: de-masting, MOB, head injury:
Location of Incident
On-Water - Freshwater Bay / Melville Waters / Offshore or On-Shore - Club Grounds:
Type of Vessel:
Dinghy
Keelboat
St Ayles Skiff
SUP Board
Windsurfer
Other
Type of Activity:
Dinghy Club Racing
Keelboat Club Racing
Rowing
Time Trialling
Fleet Coaching
Training Course
Sailing Institute Training
Regatta/Special Event
Other
Did the incident take place during an RFBYC-organised event?
*
Yes
No
How many people were involved in the incident? (enter number as digit)
Were persons injured? (first aid and or ambulance required)
*
Yes
No
Name of person/s injured:
Person #1 Name:
Mobile No:
Email
Person #2 Name:
Mobile No:
Email
Person #3 Name:
Mobile No:
Email
Brief description of the incident and any injuries/casualties
Please describe the incident and the nature of any injuries sustained:
Was there any damage to the vessel/watercraft?
Yes
No
Brief description of any actions taken:
Recommendations to prevent re-occurrence/lessons learned:
Would you like to upload any relevant images or documents?
Choose
Contact details of person making the report
First Name
Surname
Email
Mobile No:
Your completed form will be submitted to the CEO and Yachting Operations Manager. at Royal Freshwater Bay Yacht Club.
Submit