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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